All physiotherapists are university-trained professionals. After graduating University, a physiotherapist takes a series of postgraduate courses and examinations run by the Canadian Physiotherapy Association’s orthopedic division. Once these exams are successfully completed a physiotherapist earns a Diploma in Manual and Manipulative Therapy. This entitles the manual physiotherapist to become a fellow in the Canadian Academy of Manual Physical Therapist (F.C.A.M.P.T). This designation, which has a stringent examination process, has membership of less than 1% of the physiotherapists in Canada.