You're answer is only partially correct. While most foreign DO's are not full physicians however they are not chiropractors by any stretch of the imagination, just ask one of them. In England some of the MDs study at one of the schools to get the osteopathic training. In Germany, Austria and France there a large number of MDs which are taking osteopathic training. The faculty from PCOM fly over to Germany to teach the MDs osteopathic principles and practice as well as others. American DOs are accepted in the European Union due to the efforts of Peter Adler-Michaelson, an American D.O. who teaches at PCOM.