An alternative pathway to certification exists for candidates who have not completed an internship. For those interested, information can be found by contacting the American Osteopathic Association. Licensure All osteopathic doctors must pass a state medical board examination to receive a license to practice medicine. The examination and other requirements may vary by state. Most states accept the Comprehensive Osteopathic Medical Licensing Examination-USA for initial licensure.
Some states require completion of an internship as a condition of licensure.