Parliament in 1993 by the Osteopaths Act. This legislation now provides the profession of osteopathy the same legal framework of statutory self-regulation as other healthcare professions such as medicine and dentistry. This Act provides for "protection of title". A person who expressly or implicitly describes themself as an osteopath, osteopathic practitioner, osteopathic physician, osteopathist, osteotherapist, or any kind of osteopath is guilty of an offence unless they are registered as an osteopath. The General Osteopathic Council (GOsC) regulates the practice of osteopathy under the terms of the Act. Under British law, an osteopath must be registered with the GOsC to practice in the United Kingdom. More than 5,300 osteopaths were registered in the UK as of 2021. The General Osteopathic Council has a statutory duty to promote, develop and regulate the profession of osteopathy in the UK. Its duty is to protect the interests of the public by ensuring that all osteopaths maintain high standards of safety, competence and professional conduct throughout their professional lives. In order to be registered with the General Osteopathic Council an osteopath must hold a recognized qualification that meets the standards as set out by law in the GOsC's Standard of Practice. Osteopathic medicine is regulated by the General Osteopathic Council, (GOsC) under the terms of the Osteopaths Act 1993 and statement from the GMC. Practising osteopaths will usually have a BS or MSc in osteopathy. Accelerated courses leading to accreditation are available for those with a medical degree and physiotherapists. The London College of Osteopathic Medicine teaches osteopathy only to those who are already physicians. United States An osteopathic physician in the United States is a physician trained in the full scope of medical practice, with a degree of Doctor of Osteopathic Medicine (DO). With the increased internationalization of osteopathy, the American Osteopathic Association (AOA) recommended in 2010 that the older terms osteopathy and osteopath be reserved for "informal or historical discussions and for referring to previously named entities in the profession and foreign-trained osteopaths", and replaced in the US by osteopathic medicine and osteopathic physician. The American Association of Colleges of Osteopathic Medicine made a similar recommendation. Those trained only in manual osteopathic treatment, generally to relieve muscular and skeletal conditions, are referred to as osteopaths, and are not permitted to use the title DO in the United States to avoid confusion with osteopathic physicians. See also Reiki Doctor of Osteopathic Medicine List