2020-2021 Course Catalog 
    Aug 01, 2021  
2020-2021 Course Catalog

Doctor of Naturopathic Medicine, ND

The Doctor of Naturopathic Medicine (ND) degree is an intensive four-year program that fosters the development of a uniquely skilled type of physician, one who is capable of delivering comprehensive health care with a heart. Our approach is personalized care with the intent to change lives. We teach our students to think, critique and develop their individual strengths as healers; to customize evidence-informed therapeutic options to each patient’s situation and preferences; and to motivate and educate patients on how to live with less pain, burden and suffering.

Once the immediate needs of a patient are addressed, our physicians move on to wellness coaching and motivating their patients to live, eat, sleep and exercise better; manage stress; and reduce risk factors for chronic disease. Ultimately, we train our physicians to provide positive transformation, improve quality of life, and reduce burden where possible. This is primary care of the future, where terrible burdens of current chronic disease epidemics are delayed or altogether curbed by fundamental changes in lifestyle.

Our entire program is focused on how to succeed in practice, how to curb the current epidemic of chronic disease, and how to make a meaningful and positive impact on the communities we serve.

NUNM Health Centers

The strong support of our state and county health authorities sets NUNM apart from other naturopathic medical schools. Our students intern in our state-credentialed Tier 4 Patient-Centered Primary Care Home (PCPCH), which has become an exemplary model for how primary care should be organized and delivered. Our interns are trained to use electronic medical records (EMR) equipped with evidence-informed therapeutics, evaluation and clinical decision guidance tools, and referrals to investigations and medical specialists—all in real time. Our EMR system allows for collaboration with major hospitals in the Portland area—and links to health providers all across the nation. At NUNM’s primary care home, students learn how to anticipate, guide and coordinate the care of even the most complex of cases with specialists, behavioral and mental health providers, and community partners.

Program Overview

Our ND program combines primary care with the foundation of evidence-informed traditional nature cure. We focus on experiential education and our students benefit from a preceptorship program, simulation labs, diverse clinical experiences, internships and research.

Our curriculum is delivered in an innovative, clinically integrated system where students encounter real patients and clinical scenarios as early as their first quarter—followed by progressive and challenging clinical rotations during the first three years of the program. This design prepares students to smoothly transition into the role of physician in their fourth year, under the watchful mentorship of more than 65 accomplished academic and clinical teachers.

Students in the ND program experience a rigorous biomedical education, an inspiring journey into healing philosophy and practice delivered through the core themes of cultural literacy, ethics and professionalism, evidence-informed practice, naturopathic philosophy, and practitioner cultivation. Each theme is led by one or more of our dedicated faculty to ensure that every block of the curriculum prepares the physicians of tomorrow to thrive in the current and challenging environments of healthcare provision in the U.S.

Stepping Stones

First-year classroom studies include the normal structure and function of the body with a solid introduction to naturopathic theory, philosophy, therapeutics and medical systems. Students enter the clinic in an observational capacity and begin preceptorships in the first year.

The second- and third-year didactic curriculum focuses on organ system block courses that integrate all aspects of the normal and abnormally functioning system, including pathophysiology, prevention, evaluation and diagnosis of disease. Therapeutic modalities, including botanical medicine, clinical nutrition, physical medicine, homeopathy, hydrotherapy, and other natural and pharmacological methods are woven throughout all organ systems courses. All courses highlight cultural competency, ethics, evidence-informed decision-making, medical jurisprudence, naturopathic philosophy, communication skills and professionalism, while emphasizing a whole-system approach to optimal health and wellness.

Second-year clinical experience continues with preceptorships and hydrotherapeutics. After the completion of second-year coursework, students are eligible to sit for the NPLEX Part 1 Biomedical Science exam.

The third-year clinical curriculum consists of practical training as a secondary intern in a variety of supervised settings, ranging from community-based clinics to the on-campus medical health center. To advance to secondary status, students must pass a clinical proficiency examination, or OSCE 1 (Objective Structured Clinical Examination).

The fourth year is focused on clinical training as a primary intern as well as elective coursework. To attain primary status, students must pass the OSCE 2 exam, with a final OSCE examination required for graduation. Our graduates complete 1,254 clinic hours, which include more than 500 supervised patient contacts.

Because the program is rigorous and the course load heavy, students may apply to complete the ND degree in five rather than four years. In some cases, students may be required to be in the five-year track. Students may take no more than seven years to complete the ND program.

While at NUNM, students may undertake any two programs concurrently (e.g., ND/MSOM, ND/MSiMR, MSOM/MScN, etc.). Contact the Office of Admissions for more information.

ND Course Descriptions

Course codes ending in a “T” designate tutorial; course codes ending in an “L” designate lab. If a student fails a lecture portion of a block course, the student will need to retake all three sections—lecture, tutorial and lab. If a student fails a tutorial or lab portion of a block course, the student will only need to retake the tutorial or lab.


ND students are required to complete 16 elective credits for the purpose of enhancing the breadth of their education. Students may take graduate-level electives through the College of Naturopathic Medicine, College of Classical Chinese Medicine, and School of Undergraduate and Graduate Studies (as long as course prerequisites are met).

Students enrolled in concurrent programs are required to complete the number of elective credit hours of the program that has the greater number of electives between the two programs. 

Naturopathic Medicine Certificate Programs

ND students in good academic standing are eligible to apply for admission into the Homeopathic Medicine and Natural Childbirth/Midwifery Certificate programs. Due to space constraints, admission is limited. These are not degree programs. Contact the Office of Admissions for further information.

Homeopathic Medicine Certificate

The Homeopathy Certificate is open to current naturopathic medicine students, and begins to prepare the recipient to apply for the Homeopathic Academy of Naturopathic Physicians (HANP) credential after they graduate. The certificate requires a student to take all elective homeopathy courses in addition to the homeopathy hours integrated in the ND block curriculum. There are additional requirements for case analysis and written papers to complete this certificate. Students are required to apply to be included in the program, to ensure that they can be scheduled in the required courses while they are pursuing their naturopathic medicine degree. Contact the Registrar’s Office for further information.

Natural Childbirth/Midwifery Certificate

The natural childbirth/midwifery program at NUNM is a synthesis of the philosophies of natural medicine and traditional midwifery. Although NUNM’s program is didactic only, and does not include the experiential aspects of training, it prepares students to seek further education through clinical preceptorships, should they so choose. With dual training as a naturopathic physician and midwife, naturopathic midwives are uniquely qualified to provide comprehensive health care for women and their families throughout their lives.

The Natural Childbirth/Midwifery Certificate program provides the didactic education necessary for a graduate to complete requirements to sit for the American College of Naturopathic Obstetricians (ACNO) licensing examination. These courses are in addition to the required Reproductive Systems block course in the ND program, and are comprised of six elective courses. Students receive instruction in the natural process of pregnancy, labor and birth, while also being trained in detection and management of unusual and emergency situations. Students intending to include natural childbirth in their practices must complete the entire didactic sequence of coursework to familiarize themselves with the management of pregnancy, childbirth, postpartum and neonatal periods.

Program coursework meets Oregon licensure requirements for the certificate of natural childbirth, and is recognized by Washington state midwifery requirements. Both states also require practical clinical experience, which is not included in this certificate program. Individuals interested in practicing naturopathic midwifery in other areas should contact local governing agencies to inquire about requirements.

Students must be in good academic standing and may apply for the program in their third year of the naturopathic medicine program. Although NUNM does not formally offer a clinical component, the College of Naturopathic Medicine can assist with connecting students with qualified preceptors in the community. Students who are interested in a clinical preceptorship will be interviewed by the preceptor. Unfortunately, due to limited available positions, not all students will be offered a clinical preceptorship.

ND Graduate Medical Education (Residency) Program

At the end of their accredited naturopathic medical program, NDs can become licensed for practice once they have successfully passed their NPLEX board exams and have completed state licensure requirements. However, postgraduate education and training is highly encouraged. There are increasing opportunities for further clinical education in the form of naturopathic residencies, and NUNM leads the profession—we developed and administer the first and largest graduate medical education program certified by the Council on Naturopathic Medical Education (CNME). Currently, residency placement is a highly competitive process. In addition to earning a Doctor of Naturopathic Medicine degree from an accredited institution, candidates must demonstrate professionalism, maturity, commitment to serve, excellent clinical abilities, and an aptitude for enhancing their clinical skills. NUNM is committed to assisting the profession in developing an adequate number of residency opportunities to allow the graduates of all accredited naturopathic degree programs to receive the benefits of graduate medical education.

For information about applying to an NUNM residency position, other opportunities, and application requirements and deadlines; please visit nunm.edu/residency-nd and aanmc.org/naturopathic-residencies/residency-timeline.

ND Four-Year Curriculum

First Year


First-Year Fall Totals - Clinic: 10 | Tutorial: 56 | Lab: 44 | Lecture: 238 | Total Hours: 348 | Credits: 26.75


First-Year Winter Totals - Clinic: 10 | Tutorial: 74.50 | Lab: 68 | Lecture: 238 | Total Hours: 390.50 | Credits: 29.29


First-Year Spring Totals - Clinic: 10 | Tutorial: 76 | Lab: 30 | Lecture: 224 | Total Hours: 340 | Credits: 26.67

First-Year Totals - Clinic: 30 | Tutorial: 206.50 | Lab: 142 | Lecture: 700 | Total Hours: 1078.50 | Credits: 82.71

Second Year


Second-Year Fall Totals - Tutorial: 90 | Lab: 78 | Lecture: 174 | Total Hours: 342 | Credits: 25.25


Second-Year Winter Totals - Clinic: 48 | Tutorial: 66 | Lab: 24 | Lecture: 186 | Total Hours: 324 | Credits: 24


Second-Year Spring Totals - Tutorial: 96 | Lab: 6 | Lecture: 255 | Total Hours: 357 | Credits: 29.50

Second-Year Totals - Clinic: 48 | Tutorial: 252 | Lab: 108 | Lecture: 615 | Total Hours: 1023 | Credits: 78.75

Third Year


Third-Year Fall Totals - Clinic: 60 | Tutorial: 84 | Lab: 12 | Lecture: 180 | Total Hours: 336 | Credits: 25.00


Third-Year Winter Totals - Clinic: 60 | Tutorial: 48 | Lab: 30 | Lecture: 174 | Total Hours: 312 | Credits: 22.25


Third-Year Spring Totals - Clinic: 60 | Tutorial: 84 | Lab: 12 | Lecture: 162 | Total Hours: 318 | Credits: 23.50

Third-Year Totals - Clinic: 180 | Tutorial: 216 | Lab: 54 | Lecture: 516 | Total Hours: 966 | Credits: 70.75

Fourth Year


Fourth-Year Summer Totals - Clinic: 300 | Tutorial: 18 | Lecture: 48 | Total Hours: 366 | Credits: 18.00


Fourth-Year Fall Totals - Clinic: 180 | Tutorial: 18 | Lecture: 54 | Total Hours: 252 | Credits: 13.50


Fourth-Year Winter Totals - Clinic: 180 | Tutorial: 18 | Lecture: 90 | Total Hours: 288 | Credits: 16.50


Fourth-Year Spring Totals - Clinic: 336 | Tutorial: 18 | Lecture: 72 | Total Hours: 426 | Credits: 21.50

Fourth-Year Totals - Clinic: 996 | Tutorial: 72 | Lecture: 264 | Total Hours: 1332 | Credits: 69.50

*May be taken in any year or quarter; 16 elective credits required
**One rotation to be taken in priority term
***These hours are cumulative and may be earned in a term other than term registered

Program Totals - Clinic: 1254 | Tutorial: 746.50 | Lab: 304 | Lecture: 2095 | Total Hours: 4399.50 | Credits: 301.71