This definition appears very rarely
The International Osteopathic Association (IOA), based in North York, Ontario, Canada, is an international professional association that promotes the highest standards of ethics and patient care in manual osteopathy, contributing to the health and well-being of millions of manual osteopathy patients. On behalf of its members, IOA lobbies for pro-osteopathy legislation and policies, promotes a positive public image of manual osteopathy, supports research, and offers leadership for the advancement of the manual osteopathy profession. IOA issues international certificates of registration to manual osteopaths who are graduated from accredited manual osteopathy educational programs and who have successfully passed licensing exams. Manual osteopaths registered with IOA adhere to the code of ethics and professional guidelines set up by IOA.