Naturopathic physicians who practice in unlicensed states are not allowed to practice as physicians. They can still use their skills and knowledge to help people improve their lives, but they usually limit their practices to homeopathy or nutritional counseling.
The American Naturopathic Medical Association (ANMA) is not in favor of licensure. This group is composed of a broader range of naturopaths, including those who do not hold ND degrees, those who have gotten their education through correspondence programs, and those who believe naturopathy treatments should involve only natural methods and nonprescription substances. Instead of licen-sure, the ANMA offers and promotes certification through its Amer-ican Naturopathic Certification Board. Certification is available at two levels, based on education and experience, and it requires pass-ing a written examination. Continupass-ing education is needed to keep current certification.
Other Requirements
A primary requirement for a successful naturopath is a strong desire to help people improve their lives. You must also have a fundamental belief in the whole-person approach to healing. Because counseling plays such an important role in treatment, naturopathic physicians need excellent listening and communication skills. Keen powers of observation and good decision-making abilities are essential to accu-rate medical assessment. Like other medical professions, naturopathy
Careers in Focus: Complementary and Alternative Health Care requires a commitment to lifelong learning. Idealism and a firm belief in the efficacy of natural approaches to medicine are important. You must have the courage of your convictions and be willing to stand up for your beliefs. Naturopathy has become much more respected within the medical profession in recent years, but it is still not accepted by some conventional doctors.
exPLOriNG
Do some reading on the history and practice of naturopathy. You can visit the National Center for Complementary and Alternative Medicine’s Web site (http://nccam.nih.gov) to learn about develop-ments in the field of naturopathy and other alternative medicines.
Make an appointment for a medical checkup with a naturopathic physician. Find out what the practice of naturopathy is like, and think about whether you would like to practice medicine this way.
Ask a naturopath to talk with you about the field. Perhaps that per-son will be willing to be a mentor for you.
Visit the naturopathic colleges that interest you. Sit in on classes.
Talk to students about their experiences. Find out what they like and what they don’t like. Talk to the faculty and learn about their approaches to teaching. Ask what they see as the best opportunities in the field.
eMPLOyers
More than 3,000 naturopathic doctors are employed in the United States. Most naturopaths go into private or group practice. A few NDs find positions in natural health clinics. Due to the small num-ber of accredited doctoral programs, only a very small percentage of naturopaths become teachers. The federal government is encourag-ing research into the efficacy of alternative health care approaches.
More research opportunities are becoming available, and an increas-ing number of naturopaths are pursuincreas-ing this aspect of the profession.
The thriving natural food industry is providing more opportunities for naturopaths as consultants. The majority of NDs work in the states that license them; however, naturopathic physicians can be found throughout the country.
startiNG Out
The career services office of the naturopathic college you attend can help you in searching for that first job. Join professional organiza-tions, attend meetings, and get to know people in your field.
Net-working is one of the most powerful ways of finding a new position.
Get to know professionals in other areas of alternative health care.
As other alternative health care modalities expand, they will be more likely to include naturopaths in alternative clinics.
As a newly licensed naturopathic physician, you might begin working on a salary or income-sharing basis in a clinic or in an established practice with another naturopath or other health care professional. This would allow you to start practicing without the major financial investment of equipping an office. You might be able to purchase the practice of an ND who is retiring or moving.
This is usually easier than starting a new solo practice because the practice will already have patients. However, some newly licensed practitioners do start immediately in private practice.
aDvaNCeMeNt
Because most naturopaths work in private or group practice, advancement frequently depends on the physician’s dedication to building a patient base. NDs in private practice need a general sense of how to run a successful business. They must promote their prac-tices within the community and develop a network of contacts with conventional medical doctors or other alternative practitioners who may refer patients to them.
Some naturopaths advance by starting their own clinics with other naturopaths or with other alternative health practitioners. In any medical field, learning is lifelong, and many naturopaths derive a sense of professional satisfaction from keeping up on changes in allopathic medicine and in natural health research. A few very expe-rienced NDs write textbooks or become professors at the accredited universities. With the growing government interest in research into natural health care, more naturopathic physicians will find oppor-tunities for advancement as researchers.
earNiNGs
Most naturopaths can make a comfortable living in private practice, but generally naturopathic medicine is not as financially rewarding as some other branches of medicine. Financial success as a naturopath requires dedication to building a practice and promoting natural health treatment. Although a well-established naturopath in an urban area may make about $200,000 a year, most earn less. A beginning natu-ropath may have an annual income of around $20,000 to $30,000.
After some years of practice, NDs generally earn between $60,000 and $80,000 per year, according to the Association of Accredited
Naturopathic Medical Colleges. NDs who run their own practices take their earnings once expenses such as rent or mortgages, insur-ance premiums, equipment costs, and staff salaries have been paid.
For an example of the difference between a clinic’s income and that of the ND, consider an established practice in Seattle, Washington, advertised for sale on the Canadian College of Naturopathic Medicine Web site (http://www.ccnm.edu). The clinic’s gross receipts were listed as $250,000+, but the ND could expect to earn much less, with a net income listed as $90,000 per year.
Income also depends on such factors as the size and geographic location of a practice. In states that license NDs, the population is typically more interested in natural health. In those states, naturo-paths may have larger practices than in states that do not license, and thus they have higher incomes.
Since most naturopathic physicians are in private practice, they must provide their own benefits. Those who are employed by uni-versities, research institutes, or clinics run by others may receive benefits, such as vacation and sick pay, insurance, and contributions to retirement accounts.
wOrk eNvirONMeNt
Naturopathic physicians work in clean, quiet, comfortable offices.
Most solo practitioners and group practices have an office suite. The suite generally has a reception area. In clinics, several profession-als may share this area. The suite profession-also contains examining rooms and treatment rooms. In a clinic where several professionals work, there sometimes are separate offices for the individual professionals.
Many naturopaths have an assistant or office staff. Those who are in private practices or partnerships need to have good business skills and self-discipline to be successful.
Naturopaths who work in clinics, research settings, or universi-ties need to work well in a group environment. They frequently work under supervision or in a team with other professionals. They may have offices of their own, or they may share offices with team mem-bers, depending on the facility. In these organizations, the physical work environment varies, but it will generally be clean and comfort-able. Because they are larger, these settings may be noisier than the smaller practices.
Most naturopathic physicians work about 42 hours per week, although many put in longer hours. Larger organizations may deter-mine the hours of work, but NDs in private practice can set their own hours. Evening and weekend hours are sometimes scheduled to accommodate patients’ needs.
Careers in Focus: Complementary and Alternative Health Care
OutLOOk
While the U.S. Bureau of Labor Statistics does not provide specific information on the employment outlook for naturopathic physi-cians, it does project overall employment in the field of health care occupations to grow much faster than the average for all industries over the next several years.
As public interest in alternative health care grows, many health-conscious individuals are attracted to naturopathy because of its natu-ral, holistic, preventive approach. Additionally, the average life span is increasing. As a result, the number of older people is also increasing.
The elderly frequently have more health care needs, and the growth of this segment of the population is likely to increase the demand for NDs who provide personalized and attentive care. Another sign that the future is bright for naturopaths is the growing number of insur-ance policies that provide coverage for alternative health care services.
Coverage still varies according to the insurer, but in states where NDs are licensed, more companies are paying for their services.
All of these factors should contribute to the employment of naturo-pathic physicians to grow faster than the average in the 21st century.
According to Robert Lofft, former executive director of the Council on Naturopathic Medical Education, “NDs are in great demand. Many cannot accept any more patients. The demand is outpacing the supply.”
While the demand for naturopathy is increasing, college enrollments are also growing. New NDs may find increasing competition in geo-graphic areas where other practitioners are already located.
FOr MOre iNFOrMatiON
For information about naturopathic medicine, accredited schools, and state licensing status, contact
American Association of Naturopathic Physicians 4435 Wisconsin Avenue, NW, Suite 403
Washington, DC 20016-1851 Tel: 202-237-8150
Email: [email protected] http://www.naturopathic.org
For information on certification, contact American Naturopathic Certification Board 101 East Broadway, Suite 415
Missoula, MT 59802-4510 Tel: 406-543-6154
Email: [email protected] http://www.ancb.net
For information on accredited programs and education, contact American Naturopathic Medical Accreditation Board
2035 East Windmill Lane, Suite B Las Vegas, NV 89123-2077 Tel: 702-914-5770
Email: [email protected] http://www.anmab.org
For more information on the ANMA, approved schools, and cer-tification, contact
American Naturopathic Medical Association (ANMA) PO Box 96273
Las Vegas, NV 89193-6273 Tel: 702-897-7053
http://www.anma.org
For information on accredited educational programs, contact Association of Naturopathic Medical Colleges
4435 Wisconsin Avenue, NW, Suite 403 Washington, DC 20016-1851
Tel: 866-538-2267 Email: [email protected] http://www.aanmc.org
For general information and information on accreditation of natu-ropathic colleges, contact
Council on Naturopathic Medical Education PO Box 178
Great Barrington, MA 01230-0178 Tel: 413-528-8877
Email: [email protected] http://www.cnme.org
For more information on alternative medicines, contact
National Center for Complementary and Alternative Medicine 9000 Rockville Pike
Bethesda, MD 20892-0001 Email: [email protected] http://nccam.nih.gov
For comprehensive Internet information on alternative and conven-tional health care and extensive links, visit
HealthWorld Online http://www.healthy.net
Careers in Focus: Complementary and Alternative Health Care
IntervIew
Kristina Conner, ND, is an instructor in naturopathic medicine at the National University of Health Sciences (http://www.nuhs.edu) in Lombard, Illinois. She discussed her career with the editors of Careers in Focus: Complementary and Alternative Health Care.
Q. How long have you worked as an ND? Please tell us about your practice and your work as an educator.
A. I graduated from naturopathic school seven years ago. Since then, I have been working as a naturopathic physician in private practice or academics. I completed a residency at the Univer-sity of Bridgeport College of Naturopathic Medicine, then con-tinued to work there as clinic coordinator and clinical faculty. I spent some time in private practice before starting my current position. I am a faculty member at the National University of Health Sciences—the newest accredited program for naturo-pathic medicine. I teach in the subject areas of naturonaturo-pathic counseling, hydrotherapy, homeopathy, primary care, nutrition, and naturopathic foundations.
Q. What is one thing that young people may not know about a career in naturopathy?
A. One thing young people may not realize are all of the options possible in the field of naturopathic medicine. A big miscon-ception among the public is that we are not “real” doctors, only useful to certain people or conditions. Despite the fact that we are licensed as physicians in only 14 states, the Dis-trict of Columbia, Puerto Rico, and the U.S. Virgin Islands, all naturopathic training is comprehensive and rigorous. And naturopathic medicine is a very diverse field, and becoming more so every day. Naturopathic physicians treat a wide range of patients who have all types of conditions. Although natu-ropathic medicine by itself is not always curative for a given condition, it can always play a role in achieving and maintaining health.
Q. What are some of the pros and cons of your job?
A. A large pro for me in my position is the opportunity to help patients at a fundamental level, to restore health and practice true preventative medicine. Through teaching, I am able to assist students in their transition to physician-hood. By doing this, I am able to impact a large number of people, thinking of all the patients that those students will serve when they are practicing.
0 Careers in Focus: Complementary and Alternative Health Care The biggest challenge as an ND is there are few of us in a still-developing profession. This is both frustrating and exciting to be a part of. Yet, we have made a large impact in the competi-tive health care world, while we rapidly grow in numbers and become more organized.
Q. How did you train for this field?
A. I have an undergraduate degree in liberal arts, which I believe is excellent training for medicine. Since I do not have a science degree, I needed to complete some science prerequisites sepa-rately. I attended Bastyr University for my doctorate degree in naturopathic medicine. Then I completed my residency in fam-ily and integrated medicine. I find that the training never really ends, though, as there is always something new to learn.
Q. What advice would you give to young people who are interested in the field?
A. First, I would commend any student interested in the field, since that shows independent thinking, something our health-care system desperately needs. Then I would recommend that a student obtain an undergraduate degree that encourages that type of thought; a well-educated person makes an excellent naturopathic doctor. Next, I would encourage the student to learn about naturopathic medicine by becoming a patient, speaking with practitioners, and reading publications about naturopathic medicine or written by naturopathic doctors.
Visit naturopathic schools and see which one is right for you.
And finally, follow your heart—if you love and respect naturo-pathic medicine, you will be successful as a practitioner.
Q. What is the future employment outlook for naturopathy?
A. The future employment outlook is excellent for naturopathic medicine, as the public demand grows for individualized, natural approaches to reach and maintain a healthy lifestyle. This is especially true in areas where there are few NDs despite the need, like here in Illinois and many other Midwestern states.
And in states with many NDs, such as Washington, Oregon, and Arizona, we are becoming an even more integral part of the health care system. The opportunities for naturopathic physicians are numerous, including private practice, integrative practice, research, academics, consultation, and public health.