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Acupuncture and Chinese Medicine Career Guide
 

 




Acupuncture and Chinese Medicine

Acupuncture is one facet of a larger discipline. It is a component of Chinese medicine, which includes regionally-focused herbology, bodywork and therapies based on traditional Asian medical principles. It is estimated that 25% of the Asian population uses acupuncture or one of its relatives.

Oriental medicine considers the body as energy rather than biochemical processes. It works on the premise that Qi (Chi) is vital energy that flows along meridians located in different areas of the body. When there is an imbalance or blockage in the meridians, illness occurs. Acupuncture works because it unblocks those meridians, allowing the Qi to once again flow unimpeded. There are a number of different types of acupuncture, each unique in its own way:

  1. Traditional - the most common and most practiced method of acupuncture.
  2. Japanese - this style uses fewer needles with less stimulation. The needles are also thinner.
  3. Korean Hand Acupuncture - focuses on points in the hand that control certain areas of the body.
  4. Auricular Acupuncture - Uses points in the ear for treating illness. Addictions and pain are particularly responsive to this kind of acupuncture.
History:

Chinese medicine has been in use for more than three millennia. It is a belief system in many parts of Asia, and has made the ideas of 'yin' and 'yang' popular around the world. In Chinese medicine, and particularly in acupuncture, the body has the natural capacity to heal itself, as long as its energy force (Qi) is allowed to flow unimpeded. In acupuncture, thin, metallic needles are manipulated either by hand or electrically to unblock the Qi. In the United States, acupuncture became popular in 1971, after a New York Times reporter covered the subject and brought it to nationwide attention.

Treatment:

The first visit to an acupuncturist involves more talking than anything else, as the practicioner wants to know the medical condition and history of his patient. In order to get a complete picture, he will ask for a family history and current medications. He will use pulse and tongue diagnosis in addition to palpation of points to make an accurate diagnosis. Once the information has been gathered, the acupuncturist will use hair-thin needles to unblock areas of the body that the practitioner believes to be blocked. Little or no pain should be expected.

Treatment may continue as necessary for days or weeks, depending on the severity and nature of the problem, and the attitude of the patient.

Conditions Treated:
  • Headaches
  • Migraines
  • Hypertension
  • Asthma
  • Food allergies
  • Ulcers
  • Indigestion
  • Diarrhea/constipation
  • PMS
  • Infertility
  • Irregular menstruation
  • Angina
  • Neuralgia
  • Insomnia
  • Sinusitis
  • Vertigo
  • Anorexia
  • Cough
  • Stress Incontinence
  • UTIs
  • Conjunctivitis
  • Sciatica
  • Osteoarthritis
Benefits:
  • Acupuncture can help eliminate the need for pain medication, avoiding addictions that often go along with them.
  • Patients of acupuncture recover faster from injuries.
  • Acupuncture helps strengthen the immune system and leads to patients being able to better combat colds and minor infections.
  • Acupuncture treatment can often make people feel better even when not affected by a physical disorder.
Side-Effects/Contra-Indications
  • For those particularly afraid of needles, acupuncture may not be the first choice for treatment.
  • Although there are no "absolute" contra-indications, avoid acupuncture: in the first trimester of pregnancy; if you suffer from congestive heart failure; if you have a severe infection.
  • People need to make sure to use a licensed acupuncturist, or ensure that they know the qualifications of the practitioner treating them, as needles of any size can cause damage if manipulated improperly.
Education and Schools:

Since acupuncture is beginning to reach more acceptance among the medical community and those who use it, schooling requirements are becoming standardized and accepted as well. In the United States, students are usually expected to complete some formal schooling before beginning an acupuncture program, although how much schooling is required is very particular. Some states require students to complete 60 semester hours, others require a four year bachelor's degree. Many times, acupuncture training includes classes in CPR, Tai Chi, herbology, and ethics, along with more field-specific coursework such as acupressure and needling techniques. Before testing to become an acupuncturist, students must take anywhere from 1500-2500 hours of didactic study and up to 900 hours (12 months) of clinical training before taking the NCCAOM exam in acupuncture.

Although there are many students of acupuncture who have no prior knowledge in medicine or Chinese healing, many studying to become acupuncturists are physicians or in the process of becoming a doctor. Some states will not allow anyone else to study acupuncture, including Maine, New Hampshire, and New Jersey.

Degree/License offered : Master of Science in Acupuncture

Length of study : 2-4 years

Cost/Financial Aid : Costs vary widely from school to school. The current range is anywhere from $6,000-$12,000 per year for tuition, books and other necessary purchases. Those attending a school that is accredited by the ACAOM (Accreditation Commission for Acupuncture and Oriental Medicine) might be eligible for federal aid.

Research:

There have been a number of research attempts in recent years to determine the effectiveness of acupuncture including:

  1. Whether it works for certain chronic conditions, such as low-back pain, osteoarthritis, and headache, and, if it works, how.
  2. How to better determine the neurological properties of the meridians and acupuncture points used.
  3. How to improve the quality of research in the field.
  4. The process that occurs in the brain during an acupuncture treatment.
Resource Links:
  1. American Academy of Medical Acupuncture: www.medicalacupuncture.org/
  2. Journal of Medical Acupuncture (AAMA): www.medicalacupuncture.org/aama_marf/journal/index.html
  3. General reference: www.acupuncture.com
  4. Database for acupuncture research: www.acubriefs.com
  5. National Center for Complementary and Alternative Medicine, NIH nccam.nih.gov/health/acupuncture
Practitioner Training & Licensure:

In 25 states, physicians are qualified to use acupuncture with their medical licenses. Other states require physicians to complete specific training in acupuncture, including some 300 or more hours of class work and clinical experience. Although most states now have statutes regulating the art of acupuncture, some states, such as Michigan and Kansas, currently only allow practitioners to work through the assistance of the Board of Medical Examiners. In addition, there are states that do not recognize acupuncturists as licensed medical practitioners, and in these states, acupuncturists will often work under the supervision of a licensed physician.

Average Salary/ Hourly Rate:

Depending on where they work, acupuncturists can make anywhere from $30,000 to over $100,000 per year. A large hospital will pay more than a non-profit organization. In terms of hourly pay, different areas of the country will vary in how much clients are willing to pay, but generally, a licensed acupuncturist can make between $75-$95/hour for initial visits, which are more intensive, and $50-$60/hour for follow-ups.

The state requirements in the USA for licensure:

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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