Your Questions Answered

Choosing to follow a career path as a naturopathic doctor (ND) is an important life decision. Many of our e-newsletter subscribers write us to ask some crucial questions about an ND's education, the profession and the lifestyle. Thanks for voicing your thoughts and questions! To share some of my editorial replies publicly, I’m devoting this column to address your curiosities and concerns.

And please – keep sending your questions to me here: editor@aanmc.org.

Q: I am considering a career in naturopathic medicine, but I'd like to talk to some NDs about their experiences first, and I don't know of any in my area. Do you have any NDs practicing in Michigan?
Q: Do the AANMC schools work with any outside scholarships?

Q: In what areas do NDs commonly specialize?
Q: I am interested in attending an accredited school to earn my ND degree. However, I am already a licensed doctor of osteopathy (DO). Would I be required to repeat many of the courses I've already taken, or is advanced standing available for degreed medical professionals such as myself?
Q: Is it ridiculous for me to consider becoming a naturopathic medical student at the age of 52?
Q: Is it possible to go to medical (MD) and naturopathic medical (ND) school simultaneously? If not, does it make sense to go to MD school before ND school, or vice versa?
Q: I am a 55-year-old student currently taking pre-med courses. I was initially planning on becoming a physician's assistant, but lately I have been contemplating becoing an ND. Will my age be an obstacle?
Q: How will naturopathic physicians fit into the new federal health care reform?
Q: How does ND school compare to MD school?
Q: I just read about the new Oregon law allowing NDs to prescribe synthetic medications. Doesn't this go against naturopathic philosophies and practices? Why would NDs want to use synthetics
Q: What's it like being an ND student while raising a family?
Q: Are new NDs graduating today finding job opportunities?
Q: I am a college student just beginning my college career. I am a chemistry major and psychology minor, and I am very interested in attending graduate school with the goal of becoming a ND. Am I preparing myself adequately? What academic prerequisites are required to enter naturopathic medical school?
Q: Are there any efforts underway to nationally market the services of naturopathic medicine? Are there any lobbying groups or ND organizations exploring a means to get the word to the masses about the benefits of naturopathic medicine?

Q: What are some statistics on enrollment in the accredited naturopathic colleges this year versus five years ago?
Q: Once I become a doctor of naturopathic medicine (ND), will my patients have to choose between natural medicine and conventional medicine?
Q: I'm ready to pursue a formal, accredited program; what course of action do you suggest
?
Q: Will I have opportunities to apply my naturopathic medical education internationally?
Q: What is common salary for an ND?
Q: How can I serve those who need it the most?
Q: Could you recommend helpful classes or literature?
Q: Can you help me find an ND near me?
Q: What about advanced standing?
Q: What about online degree programs?


Q: I am considering a career in naturopathic medicine, but I'd like to talk to some NDs about their experiences first, and I don't know of any in my area. Do you have any NDs practicing in Michigan?

A: Speaking with an ND to help you decide if naturopathic medicine is the right career for you is a wonderful idea. Alumni of the AANMC schools work throughout both Canada and the U.S., and one way to find these alumni in your area is to visit the Canadian Association of Naturopathic Doctors (CAND) or the American Association of Naturopathic Physicians (AANP) websites for localized listings.

Feel free to contact any of our schools for further information.

Another great way to meet alumni and admissions advisors from the different schools is to attend our next informational forum.

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Q: Do the AANMC schools work with any outside scholarships?

A: There are absolutely "outside" scholarships available to help you attend naturopathic medical school. Both private and corporate organizations offer such financial aid to aspiring NDs. Some of these scholarships are school sponsored and based on academic performance, while others are specific to ND programs or those planning to enroll in a specific area of study. To learn more about the various financial aid options available, visit our financial aid page, which contains a wide variety of information about loan programs, scholarships, and work study programs.

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Q: In what areas do NDs commonly specialize?

A: An ND's training prepares him or her to be a general practitioner (GP), so NDs do not train to specialize in one particular area of medicine, at least not during med school. This makes NDs a very valuable asset to the modern medical community because it enables them to fill the numerous GP positions left open when an MDs opt to practice specialty medicine, which is becoming more common than not. Were it not for NDs, society would be facing a serious shortage of GPs. 

That being said, many NDs do end up with areas of specialty or focus, even if they do practice as GPs. These specialty areas are generally determined by one of three factors: modality, or a specific method of treatment; patient demographic, such as female or inner city patients; or condition, such as cancer or asthma. In order to gain expertise in their chosen specialty area, many NDs elect to earn their continuing education credits in that particular field. Post-graduation naturopathic residencies are another effective means of gaining specialized expertise.

In addition to their medical work, many NDs find it rewarding to work in the political arena, where they further the status and acceptance of naturopathic medicine on a larger scale. NDs always play a crucial role in attaining licensure in a new state or province, such as the recent licensure in North Dakota.

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Q: I am interested in attending an accredited school to earn my ND degree. However, I am already a licensed doctor of osteopathy (DO). Would I be required to repeat many of the courses I've already taken, or is advanced standing available for degreed medical professionals such as myself?

A: You’re not alone! I often receive questions from a wide variety of health care practitioners, many of who are considering expanding their knowledge and their practice with a degree in naturopathic medicine.

And you're correct, individuals who already have medical degrees are often eligible for advanced standing credit, but the type and amount depends upon what medical degree you have and from what college or university you earned it. Anywhere from 2 1/2 to 3 1/2 years of additional training may be necessary to become an ND.

The best method of approach is to contact the individual schools directly. An admissions advisor will be able to review your qualifications in lieu of their school’s criteria, and let you know just where you stand.

E-mail Bastyr University admissions.
E-mail Boucher Institute admissions.
E-mail Canadian College admissions.
E-mail National College admissions.
E-mail National University admissions.
E-mail Southwest College admissions.
E-mail University of Bridgeport admissions.

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Q: Is it ridiculous for me to consider enrolling as a naturopathic medical student at the age of 52?

A: Not in the slightest! In fact, in keeping with the theme of this edition, coming to naturopathic medicine as a second career can have some major advantages, not the least of which is the breadth of knowledge and experience you bring from your previous career. As an adult who has worked in the "real" world, you already have an entire web of valuable connections, both personal and professional, upon which to draw.

Naturopathic doctors practice integrated medicine. From a medial standpoint, this means working with other doctors to find the approach that will best help the patient. But in the bigger picture, integrated medicine also means being a part of the larger community, forging and drawing upon the connections that keep a society balanced, healthy and vibrant.

Were you previously a teacher? Then you may have great insight into the eating and exercise habits of children, and you'll know who to talk to about improving the nutritional value of school lunches! An accountant? Then you’ll know how to balance a budget and maintain a healthy bottom line for your clinic! A local politician? Then you already have an extensive network of contacts and connections to help you expand your practice! Whatever your previous career, the connections it helped you make will allow you to become an even better naturopathic doctor.

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Q: Is it possible to go to medical (MD) and naturopathic medical (ND) school simultaneously? If not, does it make sense to go to MD school before ND school, or vice versa?

A: It would be pretty much impossible to attend MD and ND school at the same time. Both involve challenging, full-time course loads, not to mention labs and clinics. Med school, whether you're studying to be an MD or an ND, is a life-altering experience and one that should not be approached with anything less than complete commitment. The ability to fully focus on what you are being taught, rather than having to worry about getting to your next class on time, will be invaluable to your education.

As to which degree to obtain first, it really depends on where you plan to focus your efforts as a doctor. Having degrees in both allopathic and naturopathic medicine would be tremendously beneficial, especially as our society moves increasingly toward integrating the two. It might be useful to think about an area in which you'd like to specialize, if any: pediatrics, oncology, research, etc. Most NDs are general practitioners, although some do specialize in certain areas. MDs too can opt to serve either as general practitioners or specialists. Determining how you wish to practice medicine, and in what type of setting (hospital, clinic, etc.) might help you decide which medical education to pursue first.

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Q: I am a 55-year-old student currently taking pre-med courses, which I will complete at the end of 2011. I was initially planning on getting a master's degree to become a physician's assistant, but lately I have been contemplating becoming an ND. Personally, I believe that age is not a barrier – more often willingness and drive are the prohibitory issues. If I choose to apply to one of the AANMC schools, will age be an obstacle for my ambitions?

A: As an "older" student, you will not find age to be a problem in applying to naturopathic medical school, completing your education or practicing as an ND. While it is becoming more common for ND students to begin their studies straight out of undergrad, naturopathic medicine has a strong history of people who come to it as a second or third career. In 2009, while the average ND school applicant was 29 years old, potential students ran the gamut from 18 to 65 years of age. So if you do decide to apply, you'll be in good company, no matter what age you are!

And here's something else to keep in mind: Having a few extra miles under your belt can really serve as a strength. With added years comes additional wisdom and a rich history of life experiences and insights for your doctor’s bag, all of which are essential components in the makeup of a good ND. Individuals like Betty Jo Radelet, DC, ND, prove that it's more than possible to come to naturopathic medicine later in life and still create an admirable, fulfilling career. So if you're interested in a career in naturopathic medicine, do not let your age be a deterrent! Find out more about the schools of the AANMC, and get in touch with an admissions representative to discuss your options.

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Q: How will naturopathic physicians fit into the new federal health care reform?

A: It's hard to know exactly what the ramifications of the reform will be, because it's an enormous piece of legislation. Now that the bill is passed, it's to be fleshed out in detail by the U.S. Department of Health and Human Services (HHS); over the next few years, this entity will write the rules and regulations that will dictate specifically how the new legislation will be applied.

That being said, several parts of the health care reform bill include language that provides potentially important opportunities for NDs. Among them are:

  • A non-discrimination clause forbidding insurance companies in all U.S. states from discriminating against any naturopathic practitioner licensed in that jurisdiction;
  • A call for increasing comparative effectiveness research, which will require CAM practices to be researched and proven via that research;
  • Recognition of the shortage of primary care practitioners in the U.S., and the need for NDs to be a part of the solution; and
  • Incentives for employers to create wellness plans for their employees — wellness plans that value preventive health care and potentially include NDs as resources for living more healthfully.

For more information on the Patient Protection and Affordable Care Act (HR 3590), read the complete bill. And to hear Jane Guiltinan, ND, provide her take on the subject, listen to our June 2010 Webinar, The Future of Naturopathic Medicine (time frame 1:14 to 1:17).

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Q: How does ND school compare to MD school?

A: Although many prospective medical students don’t realize it, NDs are trained to be primary care practitioners first and foremost. That means that ND students receive training in the biomedical sciences that is every bit as thorough as that provided to medical (MD) students. Additionally, naturopathic medical education is imbued with a unique philosophy grounded in the six principles of naturopathic medicine, so future NDs receive training in particular holistic, nontoxic approaches to disease prevention, as well as intensive, hands-on clinical training. Read more about the similarities and differences in ND and MD educations in Comparing ND and MD Curricula: A Question of Degree.

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Q: I just read about the new Oregon law allowing NDs to prescribe synthetic medications. Doesn't this go against naturopathic philosophies and practices? Why would NDs want to use synthetics? 

A: Although NDs obviously prefer to take a natural approach to healing, and almost always do so, the fact remains that there are some situations in which the best and safest course of action for medical treatment may include synthetic prescriptions, either short- or long-term. Many NDs serve as the primary care providers for their patients, so if a patient’s condition necessitates a synthetic prescription, then it is in the patient’s best interest for the ND to be able to provide it. Additionally, there are emergency situations that require NDs to have access to key medications that can save a patient’s life.
 
Just because Oregon NDs will now be able to prescribe synthetics, this neither means that they will elect to do so, nor that they will be required to do so. In some other states, where NDs have had prescribing authority for some time, some naturopathic physicians choose never to use that option because they feel it to be unnecessary. And in those instances when an ND does prescribe a synthetic, it may be for something like asthma medications for asthmatics, or antibiotics for very severe infections (not at the first hint of a sore throat).
 
Also, as naturopathic medicine continues to grow, the ability to prescribe synthetic medications helps to establish NDs’ credibility in the eyes of the conventional medical community. This in turn encourages more collaboration between the two styles of medicine and allows for better co-management with other heath care providers and with pharmacists, which benefits all patients.
 
Oregon’s legislative measure is part of a trend to expand NDs’ prescribing authority. The Canadian provinces of Ontario and British Columbia, for example, both expanded NDs’ prescribing authority in early 2009 “in recognition of the education and skills of NDs and the importance of full scope of practice in meeting the needs of patients.” According to BC Minister of Health George Abbott, “Expanding the role of naturopathic physicians allows BC’s health system to offer more options for patients. British Columbian patients themselves made it clear during the Conversation on Health that they want increased choice and better access to health services.” Read more about Canadian naturopaths gaining prescribing authority in our Top 10 CAM News Stories of 2009.
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Q: What's it like being an ND student while raising a family?

A: Naturopathic medical school is a challenging, absorbing time commitment lasting at least four years. When planning your time as an ND student, it is important to remember that you are studying to become a doctor: this is med school, and the demands on your time will be significant. However, if you already have a family, or if you should choose to start one while in naturopathic med school, know that these are fairly common situations, and the AANMC-member schools are very supportive of students with spouses and children.

Several of the colleges provide parent centers for nursing and napping, and even portable voice monitors for nursing parents to place in classrooms to avoid missing important course instruction. Child care options often exist either on or close to campus. And students always find support among their peers, who invariably help with meals, babysitting and other tasks. Some AANMC-member schools also have support organizations for significant others, and school-wide events often offer activities for children as well as adults. In addition to organized committees and support groups, you’re likely to find fellow students who share like-minded family values, such as this group of Bastyr University mothers, who joined together to celebrate World Breastfeeding Week.

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Q: Are new NDs graduating today finding job opportunities?

A: Naturopathic medicine is a growing field, and there are opportunities for NDs in a broad range of areas. Some NDs opt to complete residencies after graduation, and these opportunities to complete postdoctoral naturopathic medicine residency programs exist all over North America. Other NDs go directly into private practice, sometimes with fellow classmates or with more seasoned NDs in established clinics. Networking is always key, and most AANMC-member schools provide alumni with online job boards to facilitate the process:

The fact is, as the age demographics of our society shift, a great demand for health care professionals of all types is being created, and the need for doctors who practice preventative medicine is becoming even greater. Many opportunities for new NDs exist, and it is up to the individual to take advantage of them. As a naturopathic doctor, you will be called upon to show initiative and to determine the direction of your own career. Now is a great moment in history to help shape the future of medicine. Read more about naturopathic doctor career paths.

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Q: I am a college student just beginning my college career. I am a chemistry major and psychology minor, and I am very interested in attending graduate school with the goal of becoming a ND. Am I preparing myself adequately? What academic prerequisites are required to enter naturopathic medical school?

A: Yes, you are off to strong start! Having a solid science major such as chemistry should academically prepare you for entry into one of the accredited ND schools. And your minor in psychology should give you some additional insight into your patients’ mental wellbeing, certainly a beneficial ability in a good doctor.

Upon entering medical school, the typical ND student has completed three years of premedical training and earned a bachelor of science degree. While no specific major is required for admission, you are expected to have completed courses in physics, biochemistry, math and psychology, with a strong emphasis on chemistry and biology, as well as the standard courses in English and the humanities. Be sure to check with each school you are considering in order to ensure that all of their individual prerequisite requirements are met.

Additional courses that may help you prepare for the naturopathic course of study include anatomy, physiology, biochemistry, botany and developmental psychology. In addition to prerequisite course work, admissions advisors also look for prospective students who demonstrate appropriate observational and communication skills, motor function, intellectual-conceptual abilities, integrative and quantitative abilities and behavioral and social maturity. 

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Q: Are there any efforts underway to nationally market the services of naturopathic medicine? Are there any lobbying groups or ND organizations exploring a means to get the word to the masses about the benefits of naturopathic medicine?

A: Thanks for asking, and yes there are a few such organizations. At the national level, there exist two primary associations represent the interests of the profession in North America. Both provide a solid, membership-based foundation for licensed NDs, advocate licensure for the profession and expand awareness among the general public. And depending upon where you live, many of the state- and province-level naturopathic doctor associations also play active roles in spreading awareness about naturopathic medicine and advancing legal efforts to license naturopathic doctors. The two national associations are:

  • The Canadian Association of Naturopathic Doctors (CAND) has been instrumental in getting the word out to the masses over the past couple of years by airing a brilliant television spot about naturopathic medicine, which was generously funded by a donor. It also promotes the profession at a national level, including the annual Naturopathic Medicine Week.

    The CAND also provides a political link between the profession and the federal government. It coordinates the participation of qualified naturopathic doctors in current regulatory reform and lobbies federal ministries, all political parties and the Canadian Revenue Agency on behalf of naturopathic doctors. The CAND also assists the provincial naturopathic associations in their efforts to obtain or improve regulation for the profession across the country.

  • The American Association of Naturopathic Physicians (AANP) has recently teamed up with the award-winning program American Health Journal to produce a documentary series about naturopathic medicine. The program will air over the course of thirteen weeks across the United States on Turner’s Healthy Living Channel and PBS.

    The AANP also advocates for expansion of naturopathic medicine in the federal care reform debate and works diligently for the passage of legislation that supports the licensure of naturopathic doctors in several key states.


Some other like-minded friends of naturopathic medicine that you may wish to bookmark …

  • NaturopathicExperts.com is the newest group on the naturopathic scene. This website advocates NDs as the #1 go-to source for patients seeking natural health care. It educates readers about what to expect when they visit an ND, what changes such care can make in their health and their lives and how to get started integrating naturopathic medicine into their lives.
     
  • Naturopathic Medicine Network (PandaMedicine.com) is a long-standing, independent organization dedicated to the advancement of naturopathic medicine worldwide. Founded by an ND during his med school years, the site has become known for its online forum, where folks can connect and respond to each other’s questions about naturopathic medicine.
     
  • Discovering Naturopathya Student’s Perspective is a blog expressing the thoughts and insights of an ND student as he progresses through the four-year naturopathic medicine program at Canadian College of Naturopathic Medicine (CCNM). It includes resources for those interested in becoming naturopathic doctors and for current students and patients.
     
  • Natural Health Almanac by Dr. Ben is another blog started by an ND student, who is now a practicing physician. From detox to hydrotherapy, he shares specific examples of what natural medicine may do for you.
  • The Integrator Blog is a spot to read news, reports and opinions related to integrated health care (though not naturopathic medicine specifically).
     
  • Association of Accredited Naturopathic Medical Colleges (AANMC) supports member colleges in an effort to continually improve their quality of education and enhance their visibility among prospective medical students.
 
If you’d like to become an active advocate for naturopathic medicine, you can contact any of the organizations mentioned above. Most of them accept donations of either time or money, and all can be excellent ways of familiarizing yourself with the world of naturopathic medicine and making valuable connections in the field. And if think a naturopathic medicine resource would be beneficial in your local college, university or organization(s), please put them in contact with us at AANMC.
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 Q: What are some statistics on enrollment in the accredited naturopathic colleges this year versus five years ago?

A: The applicant pool for North American naturopathic medical schools has grown significantly over the past five years. From the 2002–03 academic year to that of 2007–08, first-year student enrollment jumped from 265 to 507 – a 91 percent increase. The bulk of this growth occurred during two specific terms: fall 2003 and fall 2005. These academic seasons each resulted in a 34 percent enrollment increase.

Fall 2005 also marked the opening of a new (sixth) ND school in North America: Boucher Institute for Naturopathic Medicine (Boucher Institute) in Vancouver, BC. And in March 2008, a seventh ND school, National University of Health Sciences (NUHS) near Chicago, Ill., was granted candidacy status for CNME accreditation for their new ND program. 

Among new first-year naturopathic medical students, the average GPA is about 3.2. Women make up 77 percent of the incoming classes, while men account for 23 percent. Ages range from 21 to 59, with a mean age of 31. While the most common degrees represented among the new students are bachelor of science in biology and pre-med, many other backgrounds are also evident, ranging from the fine arts to engineering.

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 Q: Once I become a doctor of naturopathic medicine (ND), will my patients have to choose between natural medicine and conventional medicine?

A: Absolutely not. With the use of natural medicine steadily on the rise, more people are realizing that both natural and conventional approaches together can play a significant and instrumental role in meeting most or all of their health care needs. Patients are therefore seeking integrative approaches to managing their own health. And the medical establishment is adapting.

To learn specifics about how natural and conventional therapies can work together for you and your future patients, and to hear some common misconceptions addressed, read “The facts about natural medicine” by Jane Guiltinan, ND, core faculty member at Bastyr University’s School of Naturopathic Medicine, and immediate past president of the AANP (The American Association of Naturopathic Physicians).

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Q: I'm ready to pursue a formal, accredited program; what course of action do you suggest?

I am interested in pursuing a degree in naturopathic medicine. I have taken home study courses for my own knowledge but am now ready to pursue a formal, accredited program. As a massage therapist without a bachelor's degree, what course of action do you suggest? What should I get my undergraduate degree in, and from where ... does it mater?

A: Congratulations on your decision to take the next step beyond your distance learning courses! You ask some very good questions.

To begin, I suggest you investigate more than one of the naturopathic medicine (ND) schools by visiting their campuses if possible. Another very convenient way to get a taste of all the schools is to visit our summer Prospective Student Day or one of our Informational Forums in the fall, found in various cities across the US. Find event dates and locations.

The most important consideration for choosing your undergraduate major will be the science component, as most ND admissions advisors look for a strong science background in their incoming students. A pre-med track could be beneficial, though not required.

Entry requirements vary slightly with each ND school, with the undergrad science requirements weighing heavier with some than others. If you have an idea which school(s) you may be interested in attending, I advise you to inquire with an admission advisor at that school. They will be able to give you even more specifics.

To address the 'where' question: your bachelor's degree simply needs to be from an accredited college. Depending on which ND school you choose to attend, you may want to choose an undergrad university that's in or near the same city, or possibly even the same school. Two of the ND schools also offer undergrad degree programs that would well prepare you:

Bastyr University: undergrad degrees in acupuncture and Oriental medicine, health psychology, herbal sciences, and nutrition. View all of Bastyr's academic degree programs.

University of Bridgeport: undergrad degrees in psychology, biology (with a concentration in pre-med or pre-naturopathy). View all of Bridgeport's academic degree programs.

It's quite a benefit that you're already working in the natural health field as a massage therapist! AANMC has profiled one very successful naturopathic doctor who first practiced as a massage therapist, as a means of supporting herself through ND school. You may take an interest in her story. Read the Alumni Career Spotlight interview.

 

I hope this helps you to begin planning your education.

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Q: Will I have opportunities to apply my naturopathic medical education internationally? To take my abilities and training outside of the US remains a goal of mine.

A: There are, without a doubt, many naturopathic students and practicing doctors who share your interest! I've heard of, and met, several NDs who have gone to work overseas. Sometimes it’s for a brief educational or cultural experience. Other times it’s a long-term lifestyle choice, stemming either from a desire to see the world (by staffing a cruise ship spa or clinic), or even more frequently, to help others (by offering their health care services to extremely impoverished communities or villages).

Whatever the motivation or location, the experience of these physicians always becomes one that’s rich and colorful, rewarding, and mutually beneficial. A variety of examples include:

  • Natural Doctors International (NDI) has established its first naturopathic clinic in Nicaragua. Unlike many international medical groups, NDI is a permanently-situated clinic. This allows it to serve the community in a dependable a sustainable way, while simultaneously providing ongoing work-travel opportunities for doctors and students. NDI has plans to open clinics in multiple locations as needed. For more about NDI, read AANMC’s interview with Tabatha Parker, ND, medical director.
     
  • In a shorter-term situation dedicated to immediate crisis relief, Eric Udell, ND, traveled to Sri Lanka with an ND-student group to provide aid following the tsunami. Dr. Udell served as part of the American team of the France-based group, Homeopaths Without Borders. Read more about the experience and the conditions this team treated.
     
  • AANMC has interviewed another ND who practices in the US, but travels to Europe every year to learn new European treatment methods and therapies to bring back with her to the US. Read Sharon Stills’ Alumni Career Spotlight. (See the section: “Educating herself, educating others.”)
     
  • Some ND students have the opportunity to take a three-credit herbal elective course offered every summer in Tuscany, Italy. The course is a balance of classroom learning, rigorous field studies and cultural events that ultimately serve to increase the students’ understanding of product quality beyond typical US standards and exposure to herbal products. Read more about the course and its benefits.
     
  • One ND school sponsors a Venture Grant program, which gives students a chance to receive financing for self-designed educational ventures abroad. Recent grant recipients include three students who traveled to Ecuador to study the shamanic concepts of health and healing, and another student who traveled to Hawaii to study the native dietary habits and their impact on health. Read more about the students’ learning and traveling experiences.
     
  • Yet another group of students is continuing the humanitarian mission of the late Chris Halperin by founding an HIV/AIDS medical clinic in Kenya in Halperin’s name. Read more about their mission.
     
  • For even more examples, you may reference a past Your Questions Answered column: How can I serve those who need it the most?

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Q: What is common salary for an ND?

I am wondering about the salary of NDs because I don't want to be working just to pay my student loans back. I want to allow myself to help others without finances clouding my mind. Can you tell me what is common salary for an ND?

A: You address a very valid concern – salary. There exists a very wide income range among practicing NDs. (It’s important to note that many NDs are not salaried, but rather are self-employed.) The wide income range is largely due to personal choice and values/priorities; some opt to make financial wealth a higher priority, whereas others do not.)

On average, here’s what we’ve learned from industry data: An established ND who runs or partners in a large, busy practice makes an average estimated net income (salary) of $80,000 to $90,000 per year – and may make upwards of $200,000. A beginning ND, just starting up his or her practice, working part-time or building a staff, would generally earn less than these averages for the first years of practice. Early residency positions reflect incomes between $20,000 to $30,000 per year.

Please understand that the dollar figure can and does vary greatly depending on several factors, including the region in which you locate your practice, the type of clientele you attract and serve, your own fee schedule, your business objectives and marketing plan, and your willingness to work with insurance carriers. Other significant factors known to impact an ND's income include:

  • Full-time or part-time? Many NDs are content to work part-time by choice, and many even choose this career path in order to achieve a healthy life/work balance. Naturally, number of hours worked per week is a large contributing factor to one’s annual income. In such cases it makes sense to consider earnings hourly rather than annually. For example, suggested ND rate guideline in Canadian provinces is about $125 to $180 per hour spent with a patient.
     
  • Location. Urban areas tend to have higher demand for naturopathic medicine, but more competition and sometimes higher rental rates for clinic space. Whereas rural areas may have less demand for naturopathic medicine, but also tend to have a shortage of MDs, which an ND can capitalize on.
     
  • Services performed. An ND who also performs acupuncture and parenteral therapy, for example, may see more patient visits than a doctor who relies only on nutrition and lifestyle counseling.
     
  • Type of business. Sole proprietors of solo clinics incur more expense upon start-up, but revenue goes directly back to their clinic or into their pockets. Whereas a starting ND who joins an already existing or interdisciplinary practice as an associate, which is the growing trend for many younger NDs, incurs no start-up or staffing costs, but retains a lower percentage of income per patient.

    The vastly larger pool of NDs in practice today gives recent graduates more opportunities to begin their careers by joining existing practices. Learn more about growth of the profession.
     
  • On-site dispensary. Providing patients with vitamin, supplement and herbal products can be a solid way for many NDs to supplement their patient-income.
     
  • Clinic marketing. A standard ad in the yellow pages is not sufficient to draw a clinic full of patients. This is where practice management becomes key.
     
  • Professional involvement. NDs who teach, conduct research, write books and articles, and give lectures not only supplement their income doing what they love, but also grow their clinic patient population by referral, credibility, and sheer visibility.

The information above has been compiled from these sources: Survey of Naturopathic Physicians, AANMC, (Summer 2004); member survey conducted by the American Association of Naturopathic Physicians (AANP), the Canadian Association of Naturopathic Doctors (CAND) and several AANMC-member colleges; and ExploreHealthCareers.org.

In addition to income statistics, other important career factors to consider, as reported by practicing NDs, are income satisfaction and career satisfaction.

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Q: How can I serve those who need it the most?

I've noticed that often people begin training for the medical profession with high aims — but often those aims end up buried under a deluge of financial concerns, the drive for more money, a more lucrative practice, cutting-edge technique at the expense of those people the techniques should be intended to serve. I understand that medical school is expensive, that students have to work to recover the money that they've spent on their education, but I don't want to end up thinking that way, to spend time and money being trained to think that way. I want to become a doctor, but only if I am able to serve the needs of those who need medical care the most but have the least access to it — the poor.

How will obtaining an ND degree allow me to meet this aim? How have other students reached similar goals in the past?

A: You make a good observation and bring up a valid concern. The paths to wealth and/or giving back are different for every ND graduate, depending on their own choices and values. Certainly some of our alumni do go on to operate thriving and financially lucrative practices, charging higher fees by treating wealthy and/or well-insured clientele.

However I've encountered plenty of other alumni who’ve chosen to dedicate themselves to serving those lower-income patients who need it most – either in the US or abroad – as you plan to do.

You’ll find several low-income clinics in both urban and rural areas throughout the US that are staffed by NDs and other practitioners. Some work there full-time; others volunteer there part-time, while earning income from their private practice. Still other NDs volunteer to travel abroad and offer health care services, either permanently or in temporary relief clinics.

Here are just a couple of examples:

With your aim to help and to heal, I wish you long-lasting and deep-reaching success. 

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Q: Could you recommend any classes or literature you feel would be helpful prior to my enrollment in the naturopathic physician program?

My high school is located in rural Oklahoma, and information here is a bit scarce if you aren't interested in agriculture, or more specifically, in livestock. I am a high school senior this year and my future plans include state college for six years with the goal of a physical therapy license or physician assistant certification. Naturopathic Medical school is the destination after that. I have sent for and planned according to the outlined course requirements therein.

Could you recommend any other classes or literature you feel would be helpful prior to my enrollment in the naturopathic physician program? Anything you could suggest would be tremendously helpful. Thank you for your time and consideration!

A: Thanks for your inquiry. You sound like you're off to a smart and early start planning for your future. The academic path you've described, with either of the licenses/certifications you mention, should well prepare you for naturopathic doctor (ND) studies. The courses you take along the way will give you the basic science foundation you'll need. I commend your early thirst for knowledge of the ND profession!

Suggested literature and other resources:

It's remarkable that you've already managed to find out so much about natural medicine and researched the universities as you have so early on. Again, thanks for your interest!

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Q: Can you help me find an ND near me?

Would you be able to assist me in locating a naturopathic doctor in the Rhode Island or Massachusetts area? My sister has had fibromyalgia and chronic fatigue for eight years now and needs to get back on her feet. I hope to hear from you soon.

A: Sure, the absolute best place to find a qualified naturopathic doctor in North America is through the profession’s national associations. These associations maintain active and current databases of practicing naturopathic doctors (NDs), searchable by name and location.

You’ll find other ND directories on the Web, but I recommend using these two professional associations to ensure that the doctors you find are accredited and have met rigorous professional standards, regardless of the state or province in which they practice.

Or if you wish to select an ND who graduated from a particular ND school, most of our AANMC-member schools post their own alumni directories on their websites. This is another good way to find a practicing and licensed ND.

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Q: What about advanced standing?

I am a licensed doctor of osteopathy (DO), board certified in Family Practice (FP), and living and practicing in Washington state. I am interested in attending an AANMC approved college for a ND degree. How long is the course of study for a degreed medical professional? And what does it entail?

A: Thanks for writing, and you’re not alone! I receive many questions from health care practitioners such as yourself – other osteopaths, chiropractors and medical doctors, as well as acupuncturists and nurse practitioners – seeking to expand their knowledge and their practice with a degree in naturopathic medicine. And many are eligible for advanced standing credit upon entering any of the AANMC-member schools.

The type and amount of advanced standing will depend upon what type of medical degree you have (MD, DO, DC), and on what college you attended. Advanced standing for students who hold one of these medical degrees can vary. You may have as little as 2 1/2 years to as much as 3 1/2 years.

My suggestion is for you to contact the individual schools directly. An admissions advisor will be able to review your qualifications in lieu of their school’s criteria, and let you know just where you stand. Contact:

E-mail Bastyr University admissions.
E-mail Boucher Institute admissions.
E-mail Canadian College admissions.
E-mail National College admissions.
E-mail Southwest College admissions.
E-mail University of Bridgeport admissions.

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Q: What about online degree programs?

I was wondering if there's a significant difference in getting an ND degree from a 4-year school versus an online program that is also accredited? I noticed that the AANMC does not accredit any online programs. Is there a particular reason why? If I were to do an accredited online program, would I have a hard time getting a job as an ND?

A: Good observation. Yes, you are right – AANMC does NOT recognize any online degree programs. And yes, there is a very particular reason why: Physicians carry an awesome responsibility, and must be trained accordingly. Physicians diagnose and treat diseases, and any mistakes that they make can have major repercussions for their patients. A physician’s education and training must adequately qualify them for this role.

AANMC believes that becoming a naturopathic physician is not something that can adequately be accomplished through an online or correspondence course. It is a major undertaking requiring years of academic preparation and hands-on clinical experience. Naturopathic medical students study the same core medical sciences as MD students.

Understand more about the world of naturopathic medicine, as it applies to AANMC school requirements, accreditation, and the implications for your career as a practicing ND.

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Q: Are there any efforts underway to nationally market the services of naturopathic medicine? Are there any lobbying groups or ND organizations exploring a means to get the word to the masses about the benefits of naturopathic medicine?

A: Thanks for asking, and yes there are a few such organizations out here. At the national level, there exist two primary agencies representing the interests of the profession in North America. Both organizations provide a solid, membership-based foundation for licensed NDs, advocate licensure for the profession and expand awareness among the general public. And depending upon where you live, many of the state- and province-level naturopathic doctor associations also play an active role in spreading awareness about naturopathic medicine and advancing legal efforts to license naturopathic doctors. The two associations are:

  • The Canadian Association of Naturopathic Doctors (CAND) has been instrumental in getting the word out to the masses over the past couple of years by airing a brilliant television spot about naturopathic medicine, which was generously funded by a donor. It also promotes the profession at a national level, including the annual Naturopathic Medicine Week. The CAND also participated in national-level legislation to achieve the inclusion of naturopathic physicians under the Regulated Health Professions Act, effective January 2008. This act is essential in maintaining NDs’ current scope of practice in Canada.
  • The American Association of Naturopathic Physicians (AANP)has recently teamed up with the award-winning program American Health Journal to produce a documentary series about naturopathic medicine. The program will air over the course of thirteen weeks across the United States on Turner’s Healthy Living Channel and PBS. The AANP also invests tremendous energy in advocating legislation that supports licensure efforts in several key states.

Some other like-minded friends of naturopathic medicine that you may wish to bookmark …

  • NaturopathicExperts.com is the newest group on the naturopathic scene. This website advocates NDs as the #1 go-to source for patients seeking natural health care. It educates readers about what to expect when they visit an ND, what changes such care can make in their health and their lives and how to get started integrating naturopathic medicine into their lives.
  • Naturopathic Medicine Network (PandaMedicine.com) is a long-standing, independent organization dedicated to the advancement of naturopathic medicine worldwide. Founded by an ND during his med school years, the site has become known for its online forum, where folks can connect and respond to each other’s questions about naturopathic medicine.
  • Discovering Naturopathya Student’s Perspectiveis a blog expressing the thoughts and insights of an ND student as he progresses through the four-year naturopathic medicine program at Canadian College of Naturopathic Medicine (CCNM). It includes resources for those interested in becoming naturopathic doctors and for current students and patients.
  • Natural Health Almanac by Dr. Ben is another blog started by an ND student, who is now a practicing physician. From detox to hydrotherapy, he shares specific examples of what natural medicine may do for you.
  • The Integrator Blog is a spot to read news, reports and opinions related to integrated health care (though not naturopathic medicine specifically).
  • Association of Accredited Naturopathic Medical Colleges (AANMC) supports member colleges in an effort to continually improve their quality of education and enhance their visibility among prospective medical students. 
If you’d like to become an active advocate for naturopathic medicine, you can contact any of the organizations mentioned above. Most of them accept donations of either time or money, and all can be excellent ways of familiarizing yourself with the world of naturopathic medicine and making valuable connections in the field. And if think a naturopathic medicine resource would be beneficial in your local college, university or organization(s), please put them in contact with us at AANMC.
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More of your questions answered, coming soon.

Learn more about the AANMC member colleges and universities.