Naturopathic physicians require a minimum total of 7 years (more commonly 8 years) of post-secondary education. This includes a completed or mostly complete undergraduate degree at an accredited institution with the last remaining four at an accredited naturopathic medical college for the ND degree. As of this writing, in North America, there are only seven colleges that meet the Council on Naturopathic Medical Education (CNME) standards for qualifying ND degrees. Licensure in British Columbia (BC) requires a minimum of four years of full-time Naturopathic study along with substantial clinical clerkship. In BC, all board-certified naturopathic physicians are required to pass clinical board exams set out by the North American Board of Naturopathic Examiners (NABNE).