For instance: http://cme.med.harvard.edu/cgi-bin/hmscme.cgi?SECTION=CLASSES&ID=00241286&SO=N My girlfriend (entering U of Maryland Med in the Fall) and I (current LECOM MSI) are having a disagreement about how the legalities of an MD taking a course and practicing manipulation works. She says there MUST be some kind of certification that accompanies the course and I say NO, it's in their training and part of their scope of practice. Legally and officially how does this work. If there is no legal/technical certification for this than these MD's just go around saying they've had traning in Osteopathic manip? What's to keep anyone from just saying that have this training when they don't and charge more? Thanks P.S. what the hell are karma points?