Doctor of Naturopathic Medicine

The naturopathic medicine program at Bastyr University is taught in a systems-based approach designed to provide integration across scientific disciplines and between biomedical and clinical sciences. This approach fosters the development of critical clinical reasoning through an active learning environment. Naturopathic medical students are expected to be able to preview learning materials and gain a basic understanding before coming to class to apply the information (the “flipped classroom”). The integrated curriculum also takes advantage of hybrid learning in which online educational technology is paired with face-to-face learning, to provide the student with flexible learning time and varied methods of instruction to support different types of learners.

Students entering this program should be comfortable with computer technologies and programs. It is strongly advised that students have a personal computing device with Internet access and the common word processing and associated programs in order to fully participate in hybrid learning.

Basic Sciences

Basic and biomedical science modules within the naturopathic medicine program provide integration across science disciplines and with clinical coursework. First-year basic science modules provide a foundation of core principles in anatomy, histology, embryology, biochemistry, and physiology that are integrated in the context of body systems. Second-year modules use the systems approach to integrate the principles of pathology, immunology, and infectious diseases. Throughout the curriculum, science concepts are applied to clinical situations through integrated case discussions.

The basic science faculty encourages and expects students to advance beyond the simple learning of scientific facts and to integrate systematically the information from basic science disciplines into a unified model of human organization and function. This educational scheme requires students to assume an active role in the learning process and encourages them to adopt this inquisitive behavior for a lifetime. Problem solving, clinical cases, and examples are an integral part of the basic science curriculum. This educational process is an expression of Bastyr University’s basic philosophy of a holistic approach to human behavior, health, and therapeutics. The basic science faculty encourages students to become totally absorbed in an integrated approach to learning and understanding. Instructors are readily available to facilitate this process on an individual basis.

The department also offers science courses that satisfy prerequisite requirements, including courses in General Chemistry and Organic Chemistry.

Behavioral Medicine

By definition, naturopathic medicine is a comprehensive, whole-person, integrative form of medicine which recognizes the behavioral, socio/cultural/political, cognitive, and emotional factors in health. The emerging field of behavioral medicine views health and illness through an interdisciplinary lens that integrates biomedical, psychosocial, and behavioral sciences. The behavioral medicine curriculum within the naturopathic medicine program provides training in the development of the patient-physician therapeutic alliance, understanding of the biological basis of lifestyle change and behavior, the psychosocial factors of chronic disease, the socio-cultural determinants of health, and psychophysiology and mind-body medicine, all within the context of a primary care naturopathic physician. Courses in Behavioral Medicine are offered in conjunction with the Department of Counseling and Health Psychology.

Botanical Medicine

Botanical medicine is a core modality for naturopathic physicians to use in optimizing the health and well-being of their patients. Medicinal plants have been used as food and medicine by all peoples on all continents. The importance of plants to humans has been recorded in cave paintings 60,000 years old. A contemporary renaissance in herbal medicine weds traditional use and wisdom with modern analytical methodologies for optimal medical applications for today. Empirical knowledge of plant therapeutics is based on Western and holistic thought, rather than reductionist paradigms, and is linked with contemporary scientific knowledge.

The core curriculum in botanical medicine for naturopathic medical students covers fundamental plant identification and nomenclature, pharmacognosy, therapeutic actions, extraction principles, dosage considerations, contraindications, toxicology, herb-drug interactions, clinical applications, and treatment regimens. Clinical therapeutics draw from traditional uses, naturopathic formulae and use, and from international scientific and clinical research, as well as advances in phytotherapy. Herbal medicine making is incorporated into the third-year systems modules, which focus on treatment. Completion of the required curriculum, along with the required clinical experience, prepares the student for effective and safe clinical utilization of preventive and therapeutic botanicals.

A variety of botanical medicine elective and special topic courses are offered to students in the naturopathic medicine program and other programs, along with independent study options.

The Bastyr University Gardens are managed by the botanical medicine department, with support from the University and donations. The gardens are maintained primarily by the garden supervisor, assistant supervisors, and work-study students. The botanical medicine department continues to build an herbarium, although the vast University of Washington herbarium is used as one of Bastyr’s teaching venues. The department supports a botanical medicine lab to expand class experience and provide a space for students to continue exploring their work and passion for herbs.

Clinical Sciences

Clinical sciences provide training in the knowledge, skills, and attitudes necessary to become a competent naturopathic physician. Systems-based modules use case-based teaching to help students use critical clinical thinking to understand human disease, promote health, and prevent and treat illness. Evidence-informed practice and the naturopathic principles, therapeutic order, and fundamentals of health are all part of the identification and management of disease and the obstacles to cure. This includes the traditional “ologies” (pulmonology, gastroenterology, neurology, etc.) as well as diet and nutrient therapy, botanical medicine formulation, clinical pharmacology, diagnostic testing and imaging, and problem-focused physical exam skills.

Homeopathic Medicine

Homeopathic medicine is a gentle non-toxic therapy that is one of the naturopathic medicine modalities. Homeopathic medicines stimulate a person’s inherent healing mechanisms. The entire range of mental, emotional, and physical symptoms is considered with each patient, and the remedy is then chosen that addresses the complex pattern of the patient, while emphasizing the uniqueness of the individual.

The homeopathic curriculum at Bastyr University includes the basic principles and philosophy of homeopathy, materia medica of commonly used homeopathic medicines, use of the homeopathic repertory, taking a homeopathic case, and homeopathic case analysis. Practical therapeutics for common medical conditions are incorporated into the systems modules in the third year, focused on treatment.

Nutrition

Naturopathic doctors believe that food is your best medicine. Part of every treatment plan is supporting the fundamentals of health, such as diet, exercise, sleep, and relationships. The nutrition curriculum in the naturopathic medicine program includes exploring the relationship with food, dietary assessment, macro- and micronutrients, and diet and nutrient therapy for the common presenting concerns seen in naturopathic practice. 

Physical Medicine

Physical medicine is an integral part of naturopathic medicine. It includes various modalities, such as hydrotherapy, osseous and soft-tissue manipulation, sports medicine, and therapeutic exercise. The course of study and clinical training in physical medicine enable students to develop a solid foundation for entry into the practice of naturopathic medicine. The curriculum offers sufficient hours in manipulation to satisfy the state of Washington’s licensing requirement as a naturopathic physician.

The physical medicine curriculum begins by teaching students the art of touch and palpation, introduction to basic Swedish massage techniques, and soft-tissue manipulation, and then progresses to osseous manipulation. 

Electives Requirements

Students in the naturopathic medicine program are required to complete 8 elective credits (included in the 299.5 credit totals) during their course of study. Up to 3 of these credits may be satisfied by independent study. It is recommended that elective credits be spread out over the length of the student’s program. Courses designated as elective and special topics may fulfill this 8-credit requirement, as well as additional clinic shifts during the student’s clinical training. Elective credits covering waived course credits may be from any discipline. A student may take elective credits from any program/department.

Clinical Entrance Prerequisites

Questions about didactic prerequisites for clinical ND training should be addressed to the registrar’s office on campus. Students must have completed TB screening, received a hepatitis B vaccination or signed a waiver, completed a background check and confidentiality form, and completed online compliance trainings provided by Bastyr University. Proof of current CPR-Basic Life Support and First Aid training is also required. The criminal background check is conducted prior to enrolling in clinical rotations. For more information, see Felony Conviction Disclosure and Background Checks in the Academic Policy and Procedure Manual. Failure to remediate non-passing grades for this course may be considered grounds for dismissal from the program. Students are required to pass a Clinic Entry Assessment to enter clinic and a Clinic Exit Assessment to graduate. 

Clinic Requirements

Students in the four-year program begin clinical training in their first year. Clinical training begins with observation, in which the student follows supervisors through their rotations. The next year clinical training builds to active observation, with clinical skills demonstrated by the student and evaluated by the supervisor. The training supports students to gradually and continually develop and expand their clinical skills and competence throughout their roles as early, intermediate, and experienced student clinicians. Students are required to successfully complete a minimum of 1,204 hours of clinical training. Students must pass a Clinic Exit Assessment at the end of their fourth year. Failure to remediate non-passing grades for this course may be considered grounds for dismissal from the program.

Graduation Requirements

The curriculum of the naturopathic medicine program requires completion of 299.5 credits for graduation. This includes 239.5 core course credits, 8 elective credits, and 52 clinical credits. Students must achieve competency (grade of AC) in all 299.5 credits required in the curriculum. Students must complete all required clinical competencies in order to graduate. Students must complete at least two-thirds of their credits in residence at Bastyr University. All requirements must be completed within a total of six years. Students may petition for an additional year by writing a letter to the dean. These may be granted in cases of medical or family emergencies.

Naturopathic Medicine Four-Year Program Track

At the time of enrollment, all naturopathic medicine students are registered for the four-year track. Students are required to follow the approved program track. Any deviation from the program track, including adding or dropping required classes, must have prior approval from the associate dean of academics.

Naturopathic Medicine Extended Program Tracks

Students who are accepted into the program and decide not to complete the program in four years must choose one of the following approved options:

• Extended Track - Preclinical Option
• Extended Track - Clinical Option

At the time of enrollment, naturopathic medicine students are registered for the four-year track. Students in their preclinical training who wish to change to an extended track must complete the ND change of status form (available in the registrar’s office) and then meet with their registrar advisor. Changes may affect financial aid packages as well as the sequencing of courses. This five-year track extends the first two years of preclinical training into three years. As long as a student remains on an approved program track, there should be no course scheduling conflicts. Students must remain on track in order to graduate on time. Students may not register off track or ahead of track without approval from the associate academic dean.

Community medicine is training obtained at other than our teaching clinics. This occurs in external sites as well as in preceptor opportunities. Student clinicians can choose to do rotations in external sites that serve specific populations, such as Spanish Language, people experiencing homelessness, seniors, immigrant populations, and high school students. Some external sites may have additional entrance requirements. Preceptorships are required opportunities to work with practicing naturopathic physicians and other provides in their clinics.

Post-Graduate Medicine refers to Bastyr’s residency program, which is continued training for graduates of the ND program. Bastyr oversees over 30 residency sites located in California, Connecticut, Illinois, Indiana, Montana, Vermont, Utah, Washington, and British Columbia, Canada, and includes our teaching clinics in Seattle and San Diego. 

Students who have completed their first two years or have been accepted into a second clinical degree program may change to the extended track–clinical option. Students must complete the ND change of status form (available in the Office of the Registrar) and then meet with their academic advisor. Changes may affect financial aid packages as well as the sequencing of courses. This five-year track extends the second two years of the program into three. As long as a student remains on an approved program track, there should be no course scheduling conflicts. Students must remain on track in order to graduate on time. Students may not register off track or ahead of track without approval from the associate academic dean.

Total Credit Hours: 52