I would say it would have to depend on where you are looking to be employed. If you're just looking at run-of-the-mill gym jobs, then ACE is fine. Since you already have the background, you'd probably pass the ACSM test pretty easily and then you've got the "gold standard" in certifications. And I know that ACE takes a lot of it's baseline information from ACSM (a lot of them do). ACSM is harder and more clinical -- not as user-friendly with it's Web site and lack of pre-testing options. ACE is extremely reputable and seems to do a better job of teaching you actually how to be a PT.
Of course, the bottom line is -- it's what you do with your certifications is what's important. It's really only the beginning of your education. You already have a good foundation with a degree in Sports Medicine, so I think you're good with either one.


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