American Osteopathic Manual Practice Examining Board

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American Osteopathic Manual Practice Examining Board (AOMPEB) evaluates osteopathic manual practitioners in the United States of America.
10620 Southern Highlands Pkwy., Ste 110
Las Vegas, NV USA 89141

09/14/2026

Chiropractor, naturopath, Registered Manual Osteopath (and future naprapath) Dr. Sylvain Desforges, president of the Canadian Alliance of Alternative Medicine (ACMA) and a graduate of the National University of Medical Sciences (Spain), has generously donated $10,000 in prepaid Google advertising to promote Registered Manual Osteopaths (RMOs) across Canada. ❤️

The College of Registered Manual Osteopaths (CRMO), copyright holder of the RMO – Registered Manual Osteopath title since 2019, is working with ACMA to develop an RMO directory website and app that will help Canadians find qualified RMOs near them.

The RMO title was created to help protect the public by distinguishing properly educated manual osteopaths from inadequately trained practitioners. Some programs currently offer osteopathy certificates with as little as 46 hours of study or even a single weekend of training.

RMO represents one of the strictest standards for manual osteopathy in Canada. Applicants must complete over 2,000 hours of education and 1,000 hours of clinical practice, maintain CPR certification, undergo a criminal background check, complete training in insurance fraud and sexual abuse prevention, and pass both written and practical board examinations.

RMO is not limited to graduates of the National Academy of Osteopathy (Canada/USA) or National University of Medical Sciences (Spain/USA). It is open to graduates of any school who meet CRMO's educational and professional standards.

Our goal is simple: protect the public, strengthen the profession, and help Canadians identify and choose properly qualified manual osteopaths.

To learn how to become a Registered Manual Osteopath, contact CRMO Registrar Dr. Dasha Veprjitska at [email protected].

09/03/2026

RMO: Helping Protect the Public and Strengthen Manual Osteopathy

Did you know that there are individuals practicing as manual osteopaths in Canada who may not have adequate education or clinical training?

Unfortunately, we have documented cases of individuals calling themselves manual osteopaths after completing only a weekend course, and others after programs involving as little as 46 hours of instruction. We have helped closed a number of such schools over the years but new ones keep opening up. Situations like these highlight the importance of having a clear professional designation that the public can recognize and trust.

The RMO (Registered Manual Osteopath) designation is awarded by the College of Registered Manual Osteopaths (CRMO) and is now required by ACMA, as well as recognized or required by a number of other professional organizations, including the American Association of Osteopathic Manual Practitioners and the International Osteopathic Association.

Becoming an RMO is not simply a matter of paying a membership fee. Applicants must meet comprehensive educational and professional standards. These include more than 2,000 hours of osteopathic education, 1,000 hours of academically supervised clinical education, successful completion of written and practical board examinations, no criminal background, having sufficient malpractice insurance, and additional education in important areas such as insurance fraud prevention and sexual abuse prevention.

Our goal is simple: when members of the public see the RMO designation, we want them to understand that the practitioner has met established standards of education, clinical preparation, ethics, and professional competency.

We are also in the process of hiring a public relations firm to help educate Canadians through traditional and social media about the RMO designation. We plan to communicate its meaning to the public, insurance companies, government bodies, and other organizations so that RMO becomes a recognizable indication of a qualified manual osteopath.

Ultimately, the RMO designation is about public protection. Patients deserve to know that the person providing their manual osteopathic care has appropriate education, clinical training, and professional preparation. They deserve access to care that is safe, effective, and ethical.

Osteopathy also has important connections to Indigenous healing traditions and knowledge and it is considered a heritage of Indigenous Peoples. The College of Registered Manual Osteopaths is owned and operated by Indigenous Peoples and has a Council of Elders that provides oversight and guidance to its operations, including its commitment to respecting and protecting Indigenous Peoples' relationship with this profession.

By establishing meaningful standards and helping the public understand what RMO represents, we hope to protect patients while strengthening the credibility, professionalism, and future of manual osteopathy.

08/02/2026

Congratulations to the National Academy of Osteopathy in Canada on its beautiful new campus!

07/09/2026

Cranial osteopathy is a gentle, hands-on approach that aims to support the body's natural ability to heal and maintain balance. Using light, precise techniques, practitioners work to release tension and improve the mobility of the head, spine, and surrounding tissues. Many people report feeling more relaxed, sleeping better, experiencing fewer headaches or jaw problems, and enjoying an overall sense of well-being after treatment.

06/22/2026

Happy World osteopathy Day!

04/10/2026

Mandatory ROMP Title in the United States for National Health Licensing ❤️

Dear students and colleagues,

I hope you are all doing well. I wanted to share an important and positive update with you.

As you know, there are currently two national health licensing pathways for osteopathic manual practitioners in the United States: the GEHA Association pathway, which offers a more limited scope of practice, and the Indigenous Health Authority pathway, which provides an expanded scope when combined with naturopathic and Indigenous health education.

Some time ago, we established that obtaining the ROMP (Registered Osteopathic Manual Practitioner) title—issued by the American Association of Osteopathic Manual Practitioners—is mandatory for those wishing to join the GEHA Association.

I am very happy to share that this same requirement now applies to the Indigenous Health Authority pathway as well. Graduates of the triple degree program at the National University of Medical Sciences (USA) who wish to join this pathway will also need to obtain the ROMP title.

This is an important step forward in maintaining high standards within our profession. Before awarding the ROMP designation, the American Association of Osteopathic Manual Practitioners ensures that all applicants have graduated from an accredited manual osteopathy program and have successfully passed a board examination. This helps ensure that every practitioner meets the necessary level of knowledge, skill, and professionalism to provide safe, ethical care while protecting the public.

Thank you all for your continued dedication and commitment to excellence.

Dr. Shawn Pourgol, MBA, DC, DO, DN, PhD
Osteopath, Naprapath, Chiropractor & Founder of:
National Academy of Osteopathy (Canada, USA)
National University of Medical Sciences (USA, Spain, Panama)
Osteopathy Chronic Pain Clinics of Canada (380 clinics in 34 countries)
Florida Naprapathic Association
World Osteopathy Day

03/25/2026

Mandatory Practical Classes in the United States

I apologize if I have not been responding to your messages promptly. I am currently in Seville, Spain, working at the National University of Medical Sciences (Spain), and my days have been quite full.

As you know, we are integrating naturopathic medicine with manual osteopathy to provide our alumni with an expanded scope of practice in the United States. This allows them to offer services such as acupuncture, peptide therapy, herbs and supplements, and therapeutic modalities including laser, traction/distraction, and ultrasound, as well as homeopathy, HVLA techniques, and more. It also enables eligible graduates to use the title “Dr” across all 50 states.

This national pathway, which operates outside traditional state licensure, has been made possible through a federal exempt health authority framework. It allows qualified alumni to use the title “Dr” and practice with an expanded scope nationwide. In 23 states, alumni may practice naturopathic medicine without joining the federal health authority. In the remaining 27 states, joining the federal health authority is required in order to practice with an expanded scope and use the title “Dr.”

To meet the requirements of this federal pathway and certain state expectations, we must introduce mandatory practical, on-site training. These will be short courses in Florida (under 32 hours), typically one week per semester, focusing on osteopathic techniques (including HVLA), acupuncture, and therapeutic modalities as needed. This requirement applies only to students residing in the United States.

Students outside the U.S. may complete the program entirely online. However, if they relocate to the United States in the future, they will be required to complete these practical classes in order to qualify for participation in the federal pathway and related organizations.

As the National University of Medical Sciences (USA) is currently the only institution of its kind in the United States offering this combined pathway, the federal health authority accepts only our graduates at this time. Foreign-trained manual osteopaths who wish to practice in the United States with an expanded scope through this pathway must enroll in NUMSS (USA) to obtain the combined degree in naturopathic medicine and manual osteopathy.

Dr. Shawn Pourgol, MBA, DC, DO, DN, PhD
Osteopath, Naprapath, Chiropractor & Founder of:
National Academy of Osteopathy (Canada, USA)
National University of Medical Sciences (USA, Spain, Panama)
Osteopathy Chronic Pain Clinics of Canada (380 clinics in 34 countries)
Florida Naprapathic Association
World Osteopathy Day

03/23/2026

As I mentioned in my previous post, we have decided to implement a system in which osteopathic manual practitioners in the United States are also trained as naturopaths. This will allow for an expanded scope of practice, including therapeutic modalities such as ultrasound, electrotherapy, HVLA techniques, acupuncture, homeopathy, herbal and nutritional supplementation, peptide therapy, and more. It will also support the use of the title “Dr” and enable practitioners to address a broader range of conditions beyond musculoskeletal care.

To support this vision, we are introducing a dual degree program in naturopathic medicine and manual osteopathy, offered at a tuition lower than enrolling in each program separately. Our goal is to encourage future students to pursue both disciplines in an integrated manner.

The dual degree program is scheduled to begin in September 2026. The naturopathy component will be a four-year, full-time hybrid program, combining online education, in-person training, and apprenticeship.

The curriculum will be released soon, and our website and academic calendar will be updated within the next month.

I have always had a deep appreciation for nature. At one point, I even planned to establish a campus farm in Spain for our Doctor of Botanical Medicine program. Although I ultimately sold the Finca de Pourgol before it was completed, I hope to develop a similar farm in Florida in the future.

Yesterday was a wonderful reminder of that passion. I spent the day with my friends Andrea, Tanya and family at their mountain farm, enjoying fresh oranges, loquats, and bananas straight from the trees. Their daughter Astera, knowing how much I love poppies, picked a beautiful collection for me—a simple but truly meaningful gesture.

Dr. Shawn Pourgol, MBA, DC, DO, DN, PhD
Osteopath, Naprapath, Chiropractor & Founder of:
National Academy of Osteopathy (Canada, USA)
National University of Medical Sciences (USA, Spain, Panama)
Osteopathy Chronic Pain Clinics of Canada (380 clinics in 34 countries)
Florida Naprapathic Association
World Osteopathy Day

03/17/2026

The New Scope of Practice for Osteopathic Manual Practitioners in the United States

The American Association of Osteopathic Manual Practitioners (AAOMP) was requested by a federal health authority to develop and define a clear and standardized scope of practice for osteopathic manual practitioners affiliated with this authority.

I, Dr. Shawn Pourgol, MBA, DC, DO, DN, PhD, Founder of AAOMP and the National University of Medical Sciences (USA), developed this scope of practice in consultation with students, staff, faculty members, osteopathic manual practitioners, and other stakeholders.

This document serves as a guiding framework and may be updated, refined, or revised over time as required.

Two distinct scopes of practice have been established. The primary scope applies to all osteopathic manual practitioners and focuses on non-medical, biomechanical, and musculoskeletal care. The second is an expanded scope of practice, which will require additional education, training, and certification. Under this proposed expanded scope, qualified practitioners may be permitted to provide additional services such as ultrasound, electrotherapy, laser therapy, traction, high-velocity low-amplitude (HVLA) techniques, and guidance on herbal and nutritional supplements, including peptides.

This expanded scope of practice is currently under development and will be submitted for approval. It has not yet been approved.

We extend our sincere appreciation to all those who contributed their insights and feedback. While it is recognized that not all perspectives will align, the final framework reflects the preference of the majority, which supported an orthopedic-style, non-traditional, mechanically focused scope of practice limited to musculoskeletal conditions. The expanded scope, once approved, is intended to broaden this framework to include additional areas of care.

Address

10620 Southern Highlands Pkwy. , Ste 110
Las Vegas, NV
89141

Telephone

(702) 822-0331

Website

http://www.aompeb.org/

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