Thirty-eight state boards recognize only academic training in chiropractic colleges accredited by the Council on Chiropractic Education. Some states require specific college courses such as English, chemistry, biology, or physics. Several states require that chiropractors pass a basic science examination. The National Board of Chiropractic Examiners' test given to chiropractic students is accepted by 48 state boards in place of a state examination. All chiropractic colleges require applicants to have a minimum of 2 years of undergraduate study, including courses in English, the social sciences, chemistry, biology, physics, and mathematics.
Chiropractic colleges emphasize courses in manipulation and spinal adjustments.
Most offer a broader curriculum, however, including subjects such as physiotherapy and nutrition. During the first 2 years, most chiropractic colleges emphasize classroom and laboratory work in subjects such as anatomy, physiology, and biochemistry, while the last 2 years stress clinical experience. Persons desiring to become chiropractors should be able to work independently and handle responsibility. The ability to work with detail is important. Sympathy and understanding are desirable qualities for dealing effectively with patients.