Family physicians  in the United States must hold either an M.D. or D.O. degree. Physicians who specialize in family  drug must successfully complete an accredited three or four time long family  drug  occupancy in the United States in addition to their medical degree. They're  also eligible to sit for a board  instrument examination, which is now  needed by  utmost hospitals and health plans. American Board of Family Medicine requires its diplomates to maintain  instrument through an ongoing process of continuing medical education, medical knowledge review, patient care oversight through map  checkups, practice- grounded  literacy through quality  enhancement  systems and  regaining the board  instrument examination every 7 to 10 times. The American Osteopathic Board of Family Physicians requires its diplomates to maintain  instrument and  suffer the process of recertification every 8 times.  Physicians certified in family  drug in Canada are certified through the College of Family Physicians of Canada, after two times of  fresh education. Continuing education is also a  demand for  conservation of  instrument. The term" family  drug" or " family croaker " is used in the United States, Mexico, South America,  numerous European and Asian countries. In Sweden, instrument in family  drug requires five times working with a instructor, after the medical degree.