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Licensed Naturopathic Doctors are the only providers of natural medicine that have physician-level training. A qualified ND will have undergone rigorous training through a four year medical program at a naturopathic medical school accredited by the Council on Naturopathic Medical Education (CNME). There are seven accredited naturopathic medical schools in North America. In addition to completing a standard medical curriculum, Naturopathic Doctors receive additional coursework in natural therapeutic modalities. Upon graduation from one of these accredited colleges, an ND must sit for the Naturopathic Physicians Licensing Examination (NPLEX),administered by the North American Board of Naturopathic Examiners (NABNE), to acquire licensure. Naturopathic Doctors are thoroughly trained in all aspects of medical care, including the use of pharmaceuticals and pharmaceutical interactions with natural products.

The naturopathic physician prioritizes a treatment plan that is both most effective and least invasive for his or her patients. When possible, the naturopathic physician uses the most natural and gentle therapies to treat illness or imbalance, but he or she will use a combination of natural and conventional treatments to bring their patients back to health when this combination proves best for patient outcomes.