A person who has been formally trained in chiropractic is called a Doctor of Chiropractic and has education and training in the field of health care, specializing in complications of the musculoskeletal and nervous systems. They can be formally trained in a medical institution or have training from one of the accredited colleges specifically meant for chiropractic. The Council on Chiropractic Education manages and approves courses. Chiropractors undergo severe and prolonged clinical training to better adapt to the practical practice. Manipulation is mastered expertly before a chiropractic physician begins practicing.