Naturopathic physicians are licensed as primary care physicians in many states and complete a four-year graduate-level course at a naturopathic medical school. Naturopaths are trained in all of the basic medical sciences that traditional medical doctors are trained in, along with spinal manipulation, acupuncture, nutritional medicine, botanical medicine, functional medicine, homeopathy, hydrotherapy, 
pharmacology, psychology, and counseling.
Graduates from naturopathic medical schools must pass the comprehensive naturopathic physicians licensing examinations (NPLEX) to be licensed as primary care physicians. Candidates for full licensure must also satisfy all licensing requirements for the individual state or province in which they plan to practice. Today’s naturopathic physicians artfully blend modern, cutting-edge diagnostic and therapeutic procedures with ancient and traditional methods. They offer the world a healing paradigm founded on a rational balance of tradition, science, and respect for nature.
