Acquiring Diplomate status requires first having studied a minimum of 300 hours of AK, with at least two different certified teaching diplomates and including a set number of Advanced syllabus hours. The candidate must also have written two research or clinical papers accepted for publication in peer-reviewed journals.
The exam is made up of five written papers covering different areas of AK knowledge, taken in one sitting. Once having passed all five papers the candidate must then undertake an extensive and detailed practical exam in the presence of three different members of the International Board of Examiners.
Once having obtained Diplomate status, the candidate must then work under the tutelage of a certified teaching diplomate and obtain sufficient teaching skills before being considered eligible for Certified Teaching Diplomate status.