Considered general practitioners. The Albularyo has a fervent religiosity, in the God or spirits guiding him in his healing practices, profusely infused with good doses of prayers, bulongs or orasyons, rituals and/or sacrificial offerings. Often lacking in formal education, his skills are based on and honed from hand-me-down practices and lore, with a long period of understudy or apprenticeship with a family elder or a local healer