Will applicants still be able to apply through a Combination Route of Formal Education and an Apprenticeship (Route #4)?

Yes. The Combination of Formal Education and an Apprenticeship (Route #4) will remain a valid route to eligibility and certification through the NCCAOM. This route allows an individual to marry formal education through an ACAOM accredited college, university, or other institution, and training through an apprenticeship program with one or more preceptors as outlined in the NCCAOM^® Certification Handbook. For those applicants receiving their formal education outside the United States, the educational institution must meet the criteria specified by the NCCAOM for international education. These criteria can be found in the NCCAOM^® Certification Handbook.