In the United States, many of the individual states license those who practice TCM. There are also national certification tests, for those who practice in a state without licensing procedures. Certain states such as California are more strict with licensing. Certification exams are costly and once certified, must take a recertification exam every four years.

The National Accreditation Commission for Schools and Colleges of Acupuncture and Oriental Medicine (NACSCAOM) accredits schools which offer masters or diplomate programs in TCM (acupuncture, herbal medicine, or both). NACSCAOM's findings are recognized by the U.S. Secretary of Education as well as by the Commission on Recognition of Postsecondary Accreditation (CORPA). (Students at NACSCAOM-accredited schools can apply for federal student loans, for example.)

In Canada, there is also a licensing system similar to the U.S. You could be licensed as follows :
- Doctor of Traditional Chinese Medicine (Dr.TCM)
- Registered TCM practitioner (R.TCM.P.)
- Registered TCM herbalist (R.TCM.H.)
- Registered Acupuncturist (R.Ac.).

Samples of Schools with accredited programs in the United States

1. Pacific College of Oriental Medicine -- San Diego, California
Pacific College offers the Master of Science degree in Traditional Oriental Medicine including acupuncture, herbology, and clinical practice which is ACAOM accredited and leads to state and national licensure.
http://www.pacificcollege.edu/

2. Texas College of Traditional Chinese Medicine -- Austin, Texas
Texas College of Traditional Chinese Medicine offers Master of Science in Oriental Medicine. It was founded in 1990 and became a candidate for ACAOM accreditation in 1994 and was accredited in 1996. In 2000, TCM World magazine recognized TCTCM as one of the top three TCM schools in the country. The College is a member of the Council of Colleges of Acupuncture and Oriental Medicine (CCAOM)
http://www.texastcm.edu/

3. Samra University of Oriental Medicine -- Los Angeles, California
Offer master's degree program in Chinese medicine in three languages, English, Chinese and Korean. The oldest school of its kind in the America. No TOEFL requirment for entering the program in Chinese and Korean language.
http://www.samra.edu

Links to pages with more schools

1. Entire Listings of Schools in Canada and the U.S.
This listing is the very best that I have found on a comprehensive list of schools in the U.S. and Canada. There are over 100 schools listed. However, the loading time for the page is very slow, there are over 200 pictures.
http://www.naturalhealers.com/featured.shtml

2. Comprehensive list of accredited schools in the U.S.
http://www.acuxo.com/resources.asp?category=Schools-USA

3. Alternative Medicine and College Education Program
The following website contains many other links to accredited programs in the United States for further education.
http://www.newagedirectory.com/amed/degree.htm