After completing four years of undergraduate studies, chiropractic students then go on to complete four to five additional years of graduate studies at an accredited Chiropractic College or University. In addition to their academic and clinical studies, chiropractic students undergo several hundred hours of patient care and management in a clinical setting, and then must take rigorous National Board Exams and State Board Examinations to achieve licensure. Once licensed, chiropractors are often required to receive additional education each year, depending on the state in which they practice.
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