There is a big difference. A licensed acupuncturist has at least 3, 000 hours of training in acupuncture and Chinese Medicine, and completely understands the levels of sophistication of Chinese Medicine, and is well equipped to treat any problem using Chinese Medicine. A physician that does acupuncture is not a licensed acupuncture, but is certified to practice acupuncture. They undergo 300 hours of training, some of which is done by watching videos. They are generally trained in the very basics of acupuncture, if that. The bottom line with this is that a licensed acupuncturist is far more skilled at the nuances of Chinese Medicine, and will have a far better chance of effecting a positive response than would a physician certified in acupuncture.