To receive a doctorate in this program, students must have an undergraduate degree at an accredited university, with the inclusion of premedical prerequisite classes such as physiology, anatomy and biology courses. Upon completion of the undergraduate degree, applications to Naturopathic medical schools are evaluated for high grade point averages, volunteer-work, extra-curricular activities, involvement in the community, and a passion for health. Once chosen, they undergo an interview process and then have the opportunity to be officially accepted as a naturopathic medical student. The program itself is four years, and the students learn each of the modalities listed above, as well as taking a parallel of classes to conventional medicine including psychology, biochemistry, anatomy, physiology, and embryology. The students must preceptor with a health care professional each year. The fourth year of school they work in the clinic to obtain experience before completion as an intern under the supervision of a qualified practitioner. Two separate rounds of OSCEs and NPLEX board exams are also required upon completion, along with provincial board exams, in which test history taking, physical exam skills, and proper diagnoses in both written and practical exam settings.