FeaturesEvolution of the ACSM Guidelines Historical Perspectives, New Insights, and Practical ImplicationsFranklin, Barry A. Ph.D., FACSMAuthor Information Barry A. Franklin, Ph.D., FACSM,is director of Preventive Cardiology and the Cardiac Rehabilitation Program at William Beaumont Hospital in Royal Oak, Michigan, and professor of internal medicine at Oakland University William Beaumont School of Medicine. He is a past president of the American Association of Cardiovascular and Pulmonary Rehabilitation (1988) and the American College of Sports Medicine (1999). Currently, he holds formal editorial board appointments with 15 different scientific and clinical journals, including ACSM’s Health & Fitness Journal®. Disclosure: The author declares no conflict of interest and does not have any financial disclosures. ACSM's Health & Fitness Journal: 3/4 2021 - Volume 25 - Issue 2 - p 26-32 doi: 10.1249/FIT.0000000000000645 Buy Metrics Abstract Apply it! This article summarizes recent advances in exercise testing and prescription for varied populations, environments, and medical conditions, including brain-related diseases, as detailed in the just released 11th edition of ACSM’s Guidelines for Exercise Testing and Prescription. ▪ This article provides a historical perspective, new insights, and practical implications of the recently released 11th edition of ACSM’s Guidelines for Exercise Testing and Prescription. ▪ This article summarizes key recent findings relative to exercise testing, exercise training, and exercise prescription in the prevention and treatment of cardiovascular disease. Copyright © 2021 by American College of Sports Medicine.