Hi - I believe they have a higher education like a masters or PHD, and stay in touch with current research to assist their clients with the latest clinical knowledge. I'm in Australia so it could just be a fancy name but mine has Masters in MSK - This focuses on musculoskeletal disorders- he provides a wholistic approach, as in he wanted to get to know me and my past, wanted my reports and blood test results etc to see the full picture before providing me with a management plan to assist me. Early days but he has been so helpful and understands Fibro