There are two ranks in shamanist. The one shelf and the two shelf rank. Your rank is determined by what your ci-hue gives you. A shaman is similar to a medical doctor, because they both help the sick, but in different ways. A shaman can cure the sick spiritually, but cannot cure diseases.
Doctors can cure diseases but are of no use when it comes to spiritual illnesses.
They both can help someone with burns, infections, and broken bones. Although there are many differences, there are still many things alike. For example, before a shaman goes into the spiritual world, he mentions the two snakes entwined on a cross, like what you see in hospitals. There are many types of spiritual sicknesses which can affect a person. A shaman is someone who helps the sick spiritually by going into the spiritual world.