We offer a four-year, 2,108-hour practitioner training program, culminating in certification as a Structural Medicine Specialist.TM The program consists of eight to nine five-day weekends per year, held in Twisp, Washington. After the second and third year, there is a retreat intensive. Some training may take place in the Seattle area. Between segments and practicum, students engage in Independent Study and document their findings in short essays. Learn about our training program, career rewards and application process.