The remainder are in group practice or work for other chiropractors. A small number teach, conduct research at chiropractic colleges, or work in hospitals and HMO's. Many chiropractors are located in small communities. There are geographic imbalances in the distribution of chiropractors, in part because many establish practices close to colleges of chiropractic. Training, Other Qualifications, and Advancement All States and the District of Columbia regulate the practice of chiropractic and grant licenses to chiropractors who meet educational requirements and pass a State board examination.
Chiropractors can only practice in States where they are licensed.
Some States have reciprocity agreements that permit chiropractors licensed in another State to obtain a license without further examination. All State boards recognize academic training in chiropractic colleges accredited by the Council on Chiropractic Education. For licensure, most State boards recognize either all or part of the three-part test administered by the National Board of Chiropractic Examiners. State examinations may supplement the National Board tests, depending on State requirements. To maintain licensure, almost all States require completion of a specified number of hours of continuing education each year.