Licensed acupuncturists have one of the lowest incidences of malpractice suits among medical professions. Be sure to ask your acupuncturist about their training (how many academic and clinical hours they trained) to ensure the best quality of care. Nationally, acupuncturists are required to complete a minimum of 3 years of academic and clinical training or 5 years of apprenticeship. They must also pass national or state certification exams, much like allopathic physician’s board exams, in order to practice. In Missouri, those who met this standard will be designated as Licensed Acupuncturists (L.Ac.).