Doctor of Osteopathic Medicine
Updated: 12/11/2025, 5:05:53 PM Wikipedia source
Doctor of Osteopathic Medicine (DO or D.O.; referred to in Australia as DO USA) is a medical degree conferred by the 42 osteopathic medical schools in the United States. DO and Doctor of Medicine (MD) degrees are equivalent: a DO graduate may become licensed as a physician or surgeon and thus have full medical and surgical practicing rights in all 50 US states. As of 2023, there were 186,871 osteopathic physicians and medical students in DO programs across the United States. Osteopathic medicine (as defined and regulated in the United States) emerged historically from the quasi-medical practice of osteopathy, but is now aligned with conventional, science-based medicine. As of 2024, 28% of all U.S. medical students were DO students, while 11% of all U.S. physicians were osteopathic physicians. The curricula at DO-granting medical schools are equivalent to those at MD-granting medical schools, which focus the first two years on the biomedical and clinical sciences, then two years on core clinical training in the clinical specialties. One notable difference between DO and MD training is that DOs spend an additional 300–500 hours to study pseudoscientific hands-on manipulation of the human musculoskeletal system (osteopathic manipulative technique) alongside conventional evidence-based medicine and surgery like their MD peers. However, most DOs do not practice this manipulation. Upon completing medical school, a DO graduate can enter an internship or residency training program, which may be followed by fellowship training. DO graduates attend the same graduate medical education programs as their MD counterparts.
Tables
| Country | Year of latest policy | Medical practice rights | Requirements for licensure | |
| Argentina | 2006 | Unlimited | Foreign physicians must submit credentials to various agencies and then appear before any of the National Universities to have their diploma recognized. | |
| Australia | 2013 | Unlimited | According to documents published online, the Medical Board of Australia has "agreed to accept the DO USA as a primary medical qualification for medical registration provided that the DO USA was awarded by a medical school which has been accredited by the Commission on Osteopathic College Accreditation". | |
| Austria | 2009 | Unlimited | Hospital must have position unable to be filled by an Austrian physician. | |
| Bahamas | 2004 | Unlimited | US license recognized. | |
| Bahrain | 2010 | Unlimited | US license recognized. | |
| Bangladesh | 2000s | Unlimited | US license recognized. | |
| Barbados | 1995 | Limited | Osteopathic manipulative medicine (OMM) only. | |
| Belize | 2009 | Unlimited | Must complete a Belizean residency for permanent license eligibility. | |
| Bermuda | 1997 | Unlimited | Required at least 2 years of GME and examination or interview by the council's Examination Committee. Non-Bermudans must have approval from the Ministry of Labour and Home Affairs to work on the island. | |
| Botswana | 2019 | Unlimited | ||
| Brazil | 2007 | Unlimited | Completion of Brazilian board exam, establishing residency and some training in a Brazilian hospital is required. | |
| Canada | Alberta | Unlimited | Requires at least 2 years of GME accredited by the ACGME or AOA and must have passed the Universities Coordinating Council Exam, a basic sciences exam, and have passed all three parts of the Licentiate of the Medical Council of Canada. | |
| British Columbia | Unlimited | Requires at least 1 year of GME approved by the AOA or the ACGME, completed at least 1 year of GME in Canada, passed all three parts of the LMCC. | ||
| Manitoba | Unlimited | US license recognized. | ||
| New Brunswick | Unlimited | Requires at least 2 years of GME approved by the AOA or the ACGME and has passed all 3 parts of the LMCC. Reciprocity pathway for DO physicians with a Maine license. | ||
| Newfoundland | Unlimited | The Medical Act 2011 allows full licensure of osteopathic physicians, both for the country's full registry and its educational registry. | ||
| NW Territories | Unlimited | US license recognized. | ||
| Nova Scotia | Unlimited | Requires a Canadian or ACGME residency. | ||
| Ontario | Unlimited | Requires a Canadian or ACGME residency. | ||
| Prince Edward Island | Unlimited | |||
| Quebec | Unlimited | Requires 1 year of GME approved by the AOA or ACGME, 1 year of GME in Quebec passed the written, oral and clinical board examination of the College of Family Physicians of Canada, and must speak French fluently. | ||
| Saskatchewan | Unlimited | |||
| Yukon | Unlimited | US license recognized. | ||
| Cayman Islands (UK) | 1983 | Unlimited | US license recognized. | |
| Central African Republic | 1990 | Unlimited | US licensure and annual attendance at the National Congress for Physicians. | |
| Chile | 2008 | Unlimited | A written exam in Spanish is required, besides a series of practical tests involving common procedures (CPR, intubation, lumbar puncture, etc.). | |
| China | 2009 | Unlimited | United States DO physicians are permitted to apply for short-term medical practice licensure. | |
| Colombia | 1996 | Unlimited | Same requirements as other foreign physicians. | |
| Costa Rica | 2009 | Unlimited | Same requirements as other foreign physicians. | |
| Dominican Republic | 2000 | Unlimited | US license & board certification recognized. | |
| Ecuador | 1990 | Unlimited | Same requirements as other foreign physicians. Reciprocity exists in most Latin American countries. | |
| Eswatini | 2019 | Unlimited | ||
| Ethiopia | 2011 | Unlimited | Must renew the license every 5 years. | |
| Finland | 1996 | Unlimited | Same requirements as other foreign physicians. | |
| France | 2009 | Limited | OMM only. The French government does not recognize the full scope of practice of osteopathic medicine. | |
| The Gambia | 2011 | Unlimited | ||
| Germany | 2008 | Unlimited | Same requirements as other foreign physicians. Depends on the need. Decisions are made on an individual basis. | |
| Ghana | 2019 | Unlimited | ||
| Greece | 2009 | Unlimited | Greek citizenship is required, unless, in rare instances, there exists a crucial need for certain types of specialist physicians. Further, a work permit must be obtained, a difficult task, and speaking Greek is an unwritten requirement. These are the same requirements as other foreign physicians. | |
| Grenada | 2007 | Unlimited | US license recognized. | |
| Guyana | 1996 | Unlimited | Case-by-case basis. | |
| Honduras | 2009 | Unlimited | Universidad Nacional Autónoma de Honduras must accredit all foreign titles. After accreditation is completed, the applicant must seek registration with the Medical College of Honduras (MCH). | |
| Hong Kong | 1998 | Unlimited | Written examination. Personal interview. Training approval. | |
| India | 2019 | Unlimited | The Doctor of Osteopathic Medicine (DO) degree is fully recognized for medical and surgical practice. In 2019, the Indian National Medical Commission (NMC) approved that a DO graduate may practice the full scope of medicine in India only if they have completed Accreditation Council for Graduate Medical Education (ACGME) residencies, which are already recognized by the NMC. According to the Indian Medical Act of 1956, "Provided further that a person seeking provisional or permanent registration shall not have to qualify the Screening Test if he/she holds an Under Graduate medical qualification from Australia/Canada/New Zealand/United Kingdom/United States of America and the holder thereof also been awarded a Post Graduate medical qualification in Australia/Canada/New Zealand/United Kingdom/United States of America and has been recognized for enrolment as medical practitioner in that country." A U.S.-granted MD or DO satisfies the undergraduate qualification requirement of this law, and ACGME residencies fulfill the postgraduate qualification clause. At the time, the Commission requested additional time to decide on recognizing residencies under the American Osteopathic Association (AOA) for those DOs who graduated from AOA residencies prior to the 2020 AOA-ACGME merger. In 2023, the NMC formally approved the now-discontinued AOA residency system, recognizing AOA credentials for DOs who completed their training under this system before the merger. | |
| Indonesia | 1992 | Unlimited and restricted | Foreign physicians affiliated with a university project or a mission have unlimited practice rights. No private practice is allowed. | |
| Iran | 2009 | Unlimited | Iranian citizens who have received both the DO degree from a US osteopathic school and are board-certified in a clinical specialty. Osteopathic degrees from other countries are not accepted. The process of evaluation of the medical education and clinical training is under the jurisdiction of the Ministry of Health and Medical Education (MoHME). | |
| Israel | 2007 | Unlimited | Same requirements as other foreign physicians. Hebrew required. | |
| Italy | 2009 | Unlimited | Physicians are discouraged from seeking employment in Italy without firm contracts and work permits. If there is a US state law outlining reciprocity with Italy, a statement to this effect from the Italian Consulate will warrant better chances. | |
| Jamaica | 1994 | Limited and restricted | DO physicians were permitted to supply some services while participating in a specific mission project. | |
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