Hi my name is Anneka and I am a 4th year student at the L.S.O. (London School of Osteopathy). The academic side of the osteopathic course is very difficult; L.S.O. guidelines for study ask students that in 1st year 17 hours per week is expected accumulating to 30 hours per week in the 5th year. I must admit that the practical side of both courses are identical, patient examination, case history taking, medical science, pathology, neurology, C.V.S., respiratory exam, red flags and how and when to and not manipulate. I would put this down to the standard of osteopathic tutors on both courses. Both courses employ full time clinicians who are very highly regarded on their respected fields of expertise. I would advise any prospective students to insure that their college of choice has the degree and R.Q. status!