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Traditional Chinese Medicine Career Guide
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Traditional Chinese Medicine is a comprehensive medical system that has been utilized since the beginning of Asian civilization. Proponents of the practice were often influenced by the Taoist, Buddhist and Hindu philosophical systems. They believe that to remain healthy, the body must maintain a balance between opposites such as hot/cold, dry/damp, male/female, an imbalance of which results in a blockage in Qi. Yet many of their beliefs are being found by modern practitioners to correlate well with the Western bio-medical model. Traditional Chinese Medicine physicians use acupuncture, herbs, medical massage, Qi Gong, Tai Chi and energy healing among many other techniques to clear the Qi and bring balance back to the body. TCM is generally known as a form of Alternative or Complementary medicine.
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Traditional Chinese Medicine believes that mankind is innately connected to the natural world. In the early 20 th century, China's Nationalist government, fearing that this nature oriented medicine would be left behind by its more techology and science driven counterpart, banned the practice of Chinese Medicine. Thirty years later, however, Mao Zedong realized that China could never discard its traditional medical practices, and allowed the top ten physicians in the country to create a standardized form of the classical Chinese medicine. He called this form Traditional Chinese Medicine.
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Practitioners of Traditional Chinese Medicine use a variety of methods to diagnose illness. Many use techniques such as measuring the radial artery pulse, observing the patient's tongue and complexion, comparing temperature differences in various parts of the body, and even using a person's odor as an indicator of illness. Once a diagnosis has been made, the practitioner may use a variety of alternative methods, including acupuncture, moxibustion, cupping, electro therapy, energy healing, herbal medicine, Tui Na, Tai Chi and Qi Gong. Even methods of balanced living like Feng Shui may be incorporated.
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- Abdominal Pain
- Allergies
- Amenorrhea
- Anxiety
- Arthritis
- Asthma
- Bell's Palsy
- Chronic Fatigue Syndrome (CFS)
- Common Cold
- Constipation
- Cough
- Depression
- Diabetes
- Diarrhea
- Dizziness
- Dysmenorrhea (Menstrual Pain/Cramps)
- Ear Infections
- Epigastric Pain
- Eye Disorders
- Female Infertility
- Gallstones
- Glaucoma
- Headache
- Hypertension
- Hypochondriac Pain
- Insomnia
- Leukorrhea
- Low Back Pain
- Meniere's Disease
- Menopause
- Morning Sickness
- Multiple Sclerosis (MS)
- Neck Pain
- Optic Nerve Atrophy
- Otitis Media
- Pregnancy
- PMS
- Shingles
- Sinusitis
- Stroke
- Tinnitus
- TMJ
- Trigeminal Neuralgia
- Urinary Disorders
- Uterine Bleeding
- Vertigo
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- Does not rely on pharmaceutical products to cure illness
- Generally less expensive than traditional medical treatment
- Improves general health
- Can be used to treat side effects caused by Western treatments
- Looks at a person's health holistically
- Usable in combination with Western medicine
- Treats the root cause of disease, not just the symptoms
- Can be used as a form of health maintenance
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Side-Effects/Contra-Indications
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- Patients must provide practitioners with detailed information about major illnesses or conditions.
- Some herbal remedies may not mix with a person's constitution and should be avoided.
- Some massage styles will cause soreness that may last one or two days.
- Acupuncture may cause temporary bruising
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Learning Traditional Chinese Medicine encompasses subjects ranging from Eastern and Western medical terminology to herbal pharmacopoeia and meridian theory. Students will learn to properly diagnose and incorporate treatments such as acupuncture, Tui Na, Qi Gong and a wide array of herbal remedies. Most accrediting agencies require Oriental Medicine students to complete three to four years of training, with at least 2,175 hours of class work. They must also complete a clinical internship before being awarded a Master's Degree in TCM.
Degree/License offered : Licensed Acupuncturist (L.Ac.), Master's Degree in Traditional Chinese Medicine, Oriental Medical Doctor, Certifications in Various Specialties (Tui Na, Qi Gong, Tai Chi, etc.)
Length of study : 3-4 years
Cost/Financial Aid : $10,000-14,000 per year for comprehensive TCM programs and certification.
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Traditional Chinese medicine has been in effective use for thousands of years. Modern research is rapidly discovering its scientific validity.
A number of different studies conducted in China have shown Chinese traditional medicine in the form of herbal remedies help MS patients realize improvements in their conditions, including less severity in symptoms, less need for drugs, and less need for antidepressants.
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Practitioner Training & Licensure:
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Traditional Chinese Medical professionals are most commonly licensed to perform acupuncture. This license also allows them to perform other manual techniques like Tui Na, a form of medical massage. Other areas of TCM like Herbal medicine and Qi Gong do not require a license to practice, but proper education and certification is recommended. Organizations like the National Commission for the Certification of Acupuncture and Oriental Medicine (NCCAOM) are trying to increase credentialing possibilities by offering certification in the many individual techniques used in TCM.
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Average Salary/ Hourly Rate:
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Traditional Chinese Medicine has a wide scope, and different fields enjoy different levels of pay. A typical session can range from $60 to upwards of $200 depending largely on the skill and experience of the practitioner. An acupuncturists' gross income averages $50,000-$105,000 per year, depending on whether they work privately or publicly.
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The state requirements in USA for licensure:
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The following is an outline of formal schooling and examination requirements for licensure in the various states. It does not provide complete information regarding eligibility requirements. For example, some states require applicants to graduate from an accredited college or fulfill an English language requirement. A few recognize apprenticeship as a route to licensure; most do not.
In 25 states, the practice of acupuncture is included within the scope of a physician’s license, and thus no further restrictions are imposed. In contrast, 15 states require further training. To become members of the American Academy of Medical Acupuncture, physicians must complete 300 training hours, 2 years of clinical experience, and pass a two-part exam. Membership in AAMA has become the standard for determining state credentialing, hospital privileges, liability insurance, and third party
reimbursement. California, however, requires practitioners to complete a separate exam. About 40 states have instituted training standards for certification of non-physicians, though requirements differ greatly from state to state.
ALASKA
- Formal schooling requirements: A course of study consistent with the core curriculum and guidelines of the CCAOM
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Department of Commerce and Economic Development
Division of Occupational Licensing - Acupuncture
PO Box 110806
Juneau, AK 99811-0806
(907) 465-2695
ARIZONA
- Formal schooling requirements: 1850 hours including 800 hours of clinical
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Arizona Board of Acupuncture Examiners
1400 W. Washington #230
Phoenix, AZ 85007
(602) 542-3095
ARKANSAS
- Formal schooling requirements: 4 academic years including 800 hours of clinical
- Undergraduate Requirements: 60 semester credit hours, including 30 credit hours in science
- Examination: NCCAOM examination in acupuncture and Chinese herbology
CALIFORNIA
- Formal schooling requirements: 4 academic years (2348 hours including 800 clinical) with a minimum of 1548 hours of theory including biology, organic biochemistry, physics, psychology, anatomy and physiology, pathology, nutrition and vitamins (400 hours); history of medicine, medical terminology (30 hours); clinical sciences such as internal medicine, pharmacology, neurology, surgery and clinical medicine including dentistry, nursing, chiropractic and homeopathy, western pharmacology and CPR (128 hours); Tai Chi, Qi Gong, traditional Oriental medicine theory and diagnosis, needling techniques, moxibustion, and acupressure (660 hours); herbology (300 hours including botany); practice management and ethics (30 hours)
- Undergraduate Requirements: None
- Examination: California examination
- Contact:
Department of Consumer Affairs
Medical Board, Acupuncture Committee
1424 Howe Ave. Suite 37
Sacramento, CA 95825-3233
(916) 263-2680
Additional California Information
For acupuncture, the schools in California conform to the standards set by the national accreditation body, ACAOM, that is recognized by the federal Department of Education. To be licensed, you must graduate from an accredited school and pass the national board exam. Unlike some states, California also requires additional hours of training in herbal medicine and the passing of an herbal medicine exam. The California schools all include this as part of their regular master's program.
In most cases, licensing of acupuncture is reciprocal -- i.e. if you're licensed in one state, you're licensed in all the states that license acupuncture. However, approximately 20 states do not license the profession and a few do not allow the independent practice of acupuncture. It's worth checking BEFORE you move. For the most accurate and up-to-date information concerning the laws governing acupuncture, the National Acupuncture Foundation publishes a book called "Acupuncture and Oriental Medicine Laws." Most schools have a current copy available in their library or career counseling center.
COLORADO
- Formal schooling requirements: NCCAOM certification
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Department of Regulatory Agencies
Office of Acupuncturists Registration
1560 Broadway, Suite 680
Denver, CO 80202 - 5140
(303) 894-2464
CONNECTICUT
- Formal schooling requirements: 1350 hours including 500 hours of clinical
- Undergraduate Requirements: 60 semester hours
- Examination: NCCAOM examination in acupuncture
- Contact:
Department of Public Health
Division of Medical Quality Assurance
410 Capitol Ave.
MS # 12 APP P.O. Box 34308
Hartford, CT 06134-0308
(860) 509-7562
DISTRICT OF COLUMBIA
- Formal schooling requirements: 3 academic years including 500 hours of clinical
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Advisory Committee on Acupuncture
D.C. Board of Medicine
614 H. Street. N.W. Room 108
Washington, DC 20001
(202) 727-5365
FLORIDA
- Formal schooling requirements: 3 years (2413 hours including 600 clinical) including 330 hours of biomedical clinical science (including 90 hours of pathology, 120 hours of anatomy and physiology, and 120 hours of western biomedical and diagnostic terminology); 1155 hours of traditional Oriental acupuncture diagnosis and treatment (including 705 hours of Oriental medical theory, diagnosis and treatment in acupuncture and related studies and 450 hours of herbal studies); 30 hours of adjunctive therapies, 200 hours electives of adjunctive therapies; 15 hours of universal precautions; 3 of HIV/AIDS, and 20 in Florida laws
- Effective July 1, 2001, a 4-year course of study in acupuncture and Oriental medicine including western anatomy, western physiology, western pathology, western biomedical terminology, first aid, and CPR
- Any person who enrolled before August 1, 1997 must have completed a 2-year course of study including courses in western anatomy, Western physiology, and Western pathology Undergraduate Requirements: 60 college credits
- Examination: NCCAOM examination in acupuncture
- Contact:
Division of Medical Quality Assurance
Board of Acupuncture
220 Capital Circle S.E., Bin #C 06
Tallahassee, FL 32399-32560761
(904) 488-6015
HAWAII
- Formal schooling requirements: 1500 hours including 2 academic years (600 hours) of didactic plus 12 months (900 hours) clinical
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Department of Commerce and Consumer Affairs
Professional and Vocational Licensing Division
Board of Acupuncture
PO Box 3469
Honolulu, Hawaii 96801
(808) 586-3000 (for application information)
ILLINOIS
- Formal schooling requirements: NCCAOM certification
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Illinois Department of Professional Regulation
320 W. Washington Street
Springfield, IL 62786
(217) 782-8556
IOWA
- Formal schooling requirements: 2 years
- Undergraduate Requirements: 60 semester hours including at least 30 semester hours from an accredited institution of higher education other than accupuncture school. Of the 60 semester hours, 12 shall be in the biosciences such as human anatomy, physiology, and general or advanced biology
- Examination: NCCAOM examination in acupuncture
- Contact:
Licensure and Administration
Iowa Board of Medical Examiners
1209 E. Court Avenue
Des Moines, IA 50319-0180
(515) 281-6489
LOUISIANA
- Formal schooling requirements: 36 months
- Undergraduate Requirements: None specified
- Examination: None
- Contact:
Louisiana State Board of Medical Examiners
830 Union Street, Suite 100
New Orleans, LA 70112-1449
(504) 524-6763
MAINE
- Formal schooling requirements: 1000 hours of didactic plus 300 hours of clinical
- Undergraduate Requirements: Baccalaureate degree, a professional nursing license or physician's assistant training and examination
- Examination: NCCAOM examination in acupuncture
- Contact:
Dept. of Professional and Financial Regulation
Office of Licensing and Enforcement, State House Station #35
Augusta, ME 04333
(207) 624-8603
MARYLAND
- Formal schooling requirements: 1800 hours, including 300 clinical hours
- Undergraduate Requirements: None specified
- Examination: NCCAOM examination in acupuncture
- Contact:
State Board of Acupuncture
Room 320
4201 Patterson Avenue
Baltimore, MD 21215
(410) 764-4766
MASSACHUSETTS
- Formal schooling requirements: 1350 clinical/didactic hours combined including 100 hours of clinic with sole responsibility for diagnosis and treatment of patients, 30 hours of herbal training Undergraduate Requirements: 2 academic years including human anatomy and physiology and general biology (2 hours each)
- Board Certification for Chinese Herbology: completion of ACAOM herbology program or its equivalent
- Examination: NCCAOM examination in acupuncture
- Contact:
Board of Registration in Medicine
Acupuncture Unit
10 West Street 3d Floor
Boston, MA 02111
(617)727-3086, #363
MINNESOTA
- Formal schooling requirements: NCCAOM certification
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Minnesota Board of Medical Practice
University Park Plaza
2829 University Ave. SE - Suite 400
Minneapolis, MN 55414-3246
MISSOURI
- Formal schooling requirements: NCCAOM certification
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
State Board of Chiropractic Examiners
PO Box 672
Jefferson City, MO 65102-0672
(573) 751-2104
MONTANA
- Formal schooling requirements: 1000 hours
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Department of Commerce
Board of Medical Examiners
111 N. Jackson
PO Box 200513
Helena, MT 59620-0513
(406) 444-4284
NEVADA
- Formal schooling requirements: DOM - 3-year course in acupuncture or a 4-year course in Oriental medicine plus 6 years of practice; Acupuncture Assistant - 3-year course in acupuncture
- Undergraduate Requirements: None
- Examination: Nevada examination
- Contact:
Nevada State Board of Oriental Medicine
201 Sarah Drive
Carson City, NV 89706
(702) 486-4279
NEW HAMPSHIRE
- Formal schooling requirements: ACAOM or board approved, including anatomy and physiology
- Undergraduate requirements: Baccalaureate, registered nurse or physician's assistant degree
- Examination: NCCAOM examination in acupuncture
- Contact:
New Hampshire Board of Acupuncture Licensing
Department of Health and Human Services
6 Hazen Drive
Concord, NH 03301-6527
(603) 271-5127
NEW JERSEY
- Formal schooling requirements: 2 year program
- Undergraduate Requirements: Baccalaureate degree
- Examination: NCCAOM examination in acupuncture
- Contact:
Board of Medical Examiners
Department of Law and Public Safety
Acupuncture Examining Board
140 East Front Street, 2nd Floor
Trenton, NJ 08608
(609) 826-7100
NEW MEXICO
- Formal schooling requirements: Entered prior to September 30, 1993, and application for licensing prior to July 15, 2000: 1800 clock hours, including 950 hours of didactic and 750 hours of clinical Entered after September 30, 1993: 2400 clock hours of classes including 1100 hours of didactic and 900 hours of clinical
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture and Chinese herbology
- Contact:
New Mexico Board of Acupuncture and Oriental Medicine
PO Box 25101
Santa Fe, NM 87504
(505) 476-7100
NEW YORK
- Formal schooling requirements: 3-year program of didactic and clinical work
- Undergraduate Requirements: 60 semester hours including 9 semester hours of biosciences
- Examination: NCCAOM examination in acupuncture
- Contact:
NY State Board for Acupuncture
State Education Department
Cultural Educational Center Room 3103
Albany, NY 12230
(518) 473-0221
NORTH CAROLINA
- Formal schooling requirements: 3-year program
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
North Carolina Acupuncture Licensing Board
1418 Aversboro Rd.
Garner, NC 27529-4547
(919) 779-5642
OREGON
- Formal schooling requirements: ACAOM accredited or candidacy status or equivalent
- Undergraduate: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Board of Medical Examiners
620 Crown Plaza
1500 SW First Avenue
Portland, OR 97201-5770
(503) 229-5770
PENNSYLVANIA
- Formal schooling requirements: 2 academic years
- Undergraduate Requirements: 2 years
- Examination: NCCAOM examination in acupuncture
- Contact:
Board of Osteopathic Examiners/Board of Medical Examiners
PO Box 2649
Harrisburg, PA 17105
(717) 783-4858
RHODE ISLAND
- Formal schooling requirements: Satisfactory to the department
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
State of Rhode Island & Providence Plantations
Department of Health, Cannon Building
Three Capitol Hill Rm. 104
Providence, RI 02908
(401) 277-2827
SOUTH CAROLINA
- Formal schooling requirements: NCCAOM certification.
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Department of Labor, Licensing and Regulation
Board of Medical Examiners 110 Centerview Dr. Suite 202
PO Box 11289
Columbia, SC 29211-1289
(803) 896-4500
TEXAS
- Formal schooling requirements: 1800 didactic, including anatomy-histology, bacteriology, physiology, symptomatology, pathology, meridian and point locations, hygiene, and public health plus at least two terms of clinical
- Undergraduate Requirements: 60 semester hours including basic science courses
- Examination: NCCAOM examination in acupuncture and Chinese herbology
- Contact:
Texas State Board of Medical Examiners
PO Box 2018 MC-231
Austin, TX 78768-2018
(512) 305-7067
UTAH
- Formal schooling requirements: NCCAOM certification
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Division of Occupational and Professional Licensing
160 East 300 South, Box 146741
Salt Lake City, UT 84114-6741
(801) 530-6740
VERMONT
- Formal schooling requirements: 3-year program including 800 hours of clinical
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Office of Professional Regulation
109 State Street
Montpelier, VT 05609-1106
(802) 828-2373
VIRGINIA
- Formal schooling requirements: Graduate of ACAOM accredited school: 1000 hours with 700 didactic and 250 clinical hours in no less than 18 months. Individuals who graduated after July 1, 1990 must document 90 semester credit hours of full time study
- Non-accredited school: 2 year course with 1000 hours (700 didactic and 250 clinical) and 5 years of licensed practice in another state
- Undergraduate Requirements: 2 academic years of not less than 60 semester credit hours including 18 semester hours in biological sciences (3 hours each in anatomy and physiology)
- Examination: NCCAOM examination in acupuncture
- Contact:
Virginia Board of Medicine
6606 W. Broad Street 4th Floor
Richmond, VA 23230-1717
(804) 662-9908
WASHINGTON
- Formal schooling requirements: 2 years of academic coursework including 75 credits of acupuncture sciences (750 hours) and 45 credits (450 hours) of Western sciences including anatomy, physiology, bacteriology, biochemistry, pathology, hygiene, survey of Western clinical sciences and CPR; 1 academic year of clinical including 29 quarter credits of supervised practice with 100 hours of observation and 400 documented patient treatments with 100 different patients
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Department of Health
1300 S.E. Quince Street
PO Box 47868
Olympia, WA 98504-7868
(360) 664-3230
WEST VIRGINIA
- Formal schooling requirements: 1800 hours including 300 clinical hours
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Board Secretary
PO Box 252
Huntington, WV 25707-0252
(304) 529-4558
WISCONSIN
- Formal schooling requirements: 2 years
- Undergraduate Requirements: None
- Examination: NCCAOM examination in acupuncture
- Contact:
Dept. of Regulation and Licensure
Bureau of Health Service Professions
Acupuncture Certification
PO Box 8935
1400 E. Washington Ave.
Madison, WI 53708
(608) 266-0070
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