Full CCS Preparatory Course

COURSE TITLE:  Certified Cardiovascular and Pulmonary Specialty (CCS) Examination Preparatory Course


Course Coordinator:  Morgan Johanson, PT, MSPT, Board Certified Cardiovascular and Pulmonary Specialist

Course Instructor:  Morgan Johanson, PT, MSPT, Board Certified Cardiovascular and Pulmonary Specialist

CLOCK HOURS:  18  2-hour webinars/discussions; 12  1-hour case study/discussions

CEUS:  48 hours (4.8 CEUs) – Completion certificate issued upon course completion


1. Physical therapy degree from a CAPTE accredited physical therapy program

2. Approved by ABPTS to take the CCS Examination

COURSE DESCRIPTION:  This course provides didactic instruction in physiology, anatomy, pathology, medical, and therapeutic concepts related to specialty-level cardiovascular and pulmonary physical therapy practice across the life span. The course also presents specific Physical Therapy instruction in examination, evaluation, patient care program development, intervention, and progression of the cardiovascular and pulmonary patient across settings. Content is correlated to the Cardiovascular and Pulmonary Description of Specialty Practice (DSP), thus, participants will also receive instruction on administration, leadership, teaching, ethics and research.  The course is designed to allow direct application to the practitioner’s clinical practice.

TEACHING METHODS:  Evidence-based case studies, webinars, discussion, and reading assignments.

          Online Webinars:  all 18 2-hour webinars will be scheduled on dates and times that are mutually agreeable to the participant and the instructor, following the weekly course schedule below.

          Case Studies:  all 12 written case studies with associated questions will be issued via email following the course schedule below. Participants will have 1 week (work done on your own time) to complete the associated case questions. Answers will be discussed during an online 1-hour meeting that will be scheduled on dates and times that are mutually agreeable to the participant and the instructor. It is preferred that answers to the questions are typed. All answers must be emailed to the instructor the day of the scheduled discussion session. Instructor feedback will be provided to ensure accuracy and understanding of the topics associated with each case.


  1. Hillegass EA, and Sadowsky HS, Essentials of Cardiopulmonary Physical Therapy, 4th ed., Elsevier, 2017.


  1. American College of Sports Medicine, ACSM’s Guidelines for Exercise Testing & Prescription, 9th ed., ACSM, 2009
  2. American Association of Cardiovascular and Pulmonary Rehabilitation, Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, Human Kinetics, 5th Edition
  3. American Association of Cardiovascular and Pulmonary Rehabilitation, Guidelines for Pulmonary Rehabilitation, 5th Edition
  4. McCardle WD, Katch FI, and Katch VL, Essentials of Exercise Physiology, 4th ed., Lippincott Williams & Wilkins, 2011
  5. Paz JC & West MP, Acute Care Handbook for Physical Therapists, 4th ed., 2008


  1. Frownfelter D & Dean E. Principles and Practice of Cardiopulmonary Physical Therapy 5th ed. & accompanying Clinical Case Study Guide Mosby, 2012
  2. DeTurk W, Cahalin L. Cardiovascular and Pulmonary Physical Therapy: An Evidence-Based Approach., McGraw Hill, 2004
  3. Tecklin J. Pediatric Physical Therapy, 3rd ed. Lippincott, Williams & Wilkins, 1999
  4. Irwin S, Tecklin J Cardiopulmonary Physical Therapy, 4th: A Guide to Practice Mosby, 2004
  5. Kloth L, McCullough J: Wound Healing: Alternatives in Management, 3rd FA Davis, 2002

GRADING: This course is not graded.


COURSE OBJECTIVES: At the completion of this course the participant will be able to:

  1. Describe the anatomy and physiology of the human oxygen transport system
  2. Explain the pathophysiology, diagnosis and medical management of frequently seen and rarely seen CVP diseases
  3. Interpret ECG tracings for CVP patients
  4. Interpret CVP diagnostic testing
  5. Describe the mechanism of action, indications for prescription, ramifications for Physical Therapy, and adverse side effects for CVP medications
  6. Perform a thorough chest exam and a complete mobility examination for adult patients with CVP diagnoses
  7. Conduct appropriate exercise tests and interpret results of exercise testing
  8. State primary and secondary prevention recommendations, including exercise prescription principles for cardiac patients for Phase I-III
  9. Impact the performance of the fragile CVP patient with breathing and airway clearance exercises and techniques
  10. Explain the pathophysiology, diagnosis and medical management of CVP pediatric conditions
  11. Appropriately select and progress Physical Therapy interventions with pediatric CVP patients
  12. Select appropriate outcome measures and interpret the results for CVP patients
  13. Explain the pathophysiology, diagnosis and medical management of Diabetes, Renal Failure, Liver Failure, Obesity and Metabolic Syndrome, and describe how the cardiac and pulmonary systems are involved
  14. Explain the pathophysiology, diagnosis and medical management for Pulmonary Hpertension, Shock and Heart Failure and describe the Physical Therapy interventions used to treat these complex cardiovascular diseases
  15. Describe the lines, leads and monitoring equipment used in the ICU, discuss the ramifications for physical therapy and state normal and abnormal values for the various equipment
  16. Discuss exercise physiology principles
  17. Define the rationale for heart and lung transplant, state eligibility, patient selection criteria, diagnostic testing and medical management for these patients, and describe the pre and post Physical Therapy treatment for these patients
  18. Define Ventricular Assistive Device and Total Heart, and describe the medical management, monitoring capabilities and Physical Therapy interventions for these patients
  19. State research principles, define various forms of bias, select appropriate tests to answer a research question and interpret research studies
  20. Integrate the above knowledge and apply it to case studies for adult and pediatric CVP patients

COURSE COST:  $1695.00


Activity Date/Time Topic Recommended Readings
Webinar 1 Week 1 CVP Anatomy and Physiology (2 Lectures) CH 1-2
Case Study 1 Week 2 Coronary Artery Disease and Acute Myocardial Infarction TBD
Webinar 2 Week 3 CVP Pathophysiology (2 Lectures) CH 3-6
Case Study 2 Week 4 Coronary Artery Bypass Graft and Valve Replacement TBD
Webinar 3 Week 5 ECG Recognition CH 9
Case Study 3 Week 6 Atrial Fibrillation TBD
Webinar 4 Week 7 Diagnostic Testing and Procedures Ch 8, 10
Case Study 4 Week 8 Heart Failure TBD
Webinar 5 Week 9 CVP Medications CH 14-15
Webinar 6 Week 10 CVP Examination CH 16
Case Study 5 Week 11 Chronic Obstructive Pulmonary Disease TBD
Webinar 7 Week 12 Exercise Testing CH 8
Case Study 6 Week 13 Pulmonary Fibrosis TBD
Webinar 8 Week 14 CVP Interventions CH 17-19
Case study 7 Week 15 Lung Cancer TBD
Webinar 9 Week 16 CVP Pediatric Conditions CH 20
Case Study 8 Week 17 Asthma TBD
Webinar 10 Week 18 CVP Pediatric Physical Therapy Interventions CH 20
Case Study 9 Week 19 Cystic Fibrosis TBD
Webinar 11 Week 20 Diabetes, Renal Failure, Obesity and Metabolic Syndrome CH 7
Case Study 10 Week 21 Diabetes and Peripheral Vascular Disease TBD
Case Study 11 Week 22 Renal Failure and Liver Failure TBD
Webinar 12 Week 23 Pulmonary Hypertension, Shock, Heart Failure and Electrophysiology CH 21
Case Study 12 Week 24 Cardiogenic Shock TBD
Webinar 13 Week 25 ICU Leads, Lines and Monitoring CH 13
Webinar 14 Week 26 Heart and Lung transplant, VADs and Total Heart CH 12
Webinar 15 Week 27 Exercise Physiology TBD
Webinar 16 Week 28 Research and Statistics TBD
Note: Exact Dates/Times of all webinars and online discussion sessions for all case studies are TBD by the Participant and the Good Heart Education Instructor