tag:blogger.com,1999:blog-28787909.post7512395574264600494..comments2024-03-16T00:21:43.240+00:00Comments on Separated by a Common Language: physicians' titleslynneguisthttp://www.blogger.com/profile/10171345732985610861noreply@blogger.comBlogger25125tag:blogger.com,1999:blog-28787909.post-70205890999359712352020-12-15T13:41:59.964+00:002020-12-15T13:41:59.964+00:00My daughter is a med-peds doctor, a rising special...My daughter is a med-peds doctor, a rising specialty that is meant to replace the old GP. She is qualified in both internal medicine and pediatrics, and had to take an extra year of residency. Her practice sees both children and adults.Deborahhttps://www.blogger.com/profile/12399778612730674599noreply@blogger.comtag:blogger.com,1999:blog-28787909.post-33566970333877036482020-12-14T06:37:51.984+00:002020-12-14T06:37:51.984+00:00the fellow is someone who is often just below the ...the fellow is someone who is often just below the level of attending physician - a physician who has already completed medical school and a full residency and then been accepted to a competitive research fellowship to specialize even further before practicing as a full attending physician. So having a fellow see you means you have someone who has just recently completed rigorous training (their entire residency) and often has time dedicated to thinking deeply and critically about the most up-to-date research around your case. Alexnoreply@blogger.comtag:blogger.com,1999:blog-28787909.post-10217234044718054912018-11-30T18:00:32.302+00:002018-11-30T18:00:32.302+00:00This afternoon my wife and I went to our health ce...This afternoon my wife and I went to our <b>health centre</b>. This is where our GPs work; if it was smaller it would be called a <b>surgery</b>. The bloods have by now been sent to a laboratory in the city's largest hospital. All is frictionless since both health centre and hospital come under the regional division of NHS Scotland. And all is, of course, free of charge.<br /><br />The woman who extracted my blood sample can be described as a <b>practice nurse</b>. This describes not her status but where she works: in a <b>general practice</b> establishment. Jan confirmed to me that all nurses entering the profession now have the same qualification as a minimum. In the past there was a lower qualification requiring only two years of study, so there just might be some second-tier nurses around who haven't retired.<br /><br />The centre's website identifies the <b>nursing staff</b> as two <b>practice nurses</b> and one <b>health care assistant</b>. These terms really do mark a distinction in qualification, but all the routine tasks may be performed by either a nurse or a health care assistant. The young woman who took my wife's blood is new to the practice, so I don't know which she is. <br /><br />The three longer-established staff are listed with these qualifications:<br /><br />Practice Nurse A: <b>BA RGN DN FPCert Asthma Diploma</b><br />Practice Nurse B: <b>RGN Dip Asthma, DIP Coronary Heart Disease, Diabetes, Travel</b><br />Health Care Assistant: <b>SVQ3</b><br /><br />I'm pretty sure that a <b>sister</b> is simply a senior nurse with managerial responsibility. So the top nurse in a ward is a <b>ward sister</b>. At the top of all the nursing staff of a hospital, there used to be a very senior nurse with the title <b>matron</b>.<br /><br />Nurses may continue to acquire qualifications though their career. Some become <b>nurse practitioners</b>, qualified to do the work of a doctor — albeit within a strictly defined field of specialty.<br /><br />The NHS employs the overwhelming majority of nurses in Britain. (It's the biggest employer in the country — I believe the biggest in Europe.) So they're all <b>RGN</b>. I can't see how any private hospital would consider employing nurses with lesser qualification. I suspect it wouldn't be allowed, anyway.David Crosbiehttps://www.blogger.com/profile/01858358459416955921noreply@blogger.comtag:blogger.com,1999:blog-28787909.post-72192907150444343412018-11-30T02:52:38.843+00:002018-11-30T02:52:38.843+00:00Similarly, if you were to see a gastroenterologist...<i>Similarly, if you were to see a gastroenterologist in the UK, you would be referred to Dr Guts, not Mr Entrails, as Gastroenterology is a medical specialty.</i><br /><br />Last year I had an endoscopy — conducted by a <b>nurse practitioner</b>, who is qualified to do almost anything Dr Guts might do — within her defined field of specialty. She isn't <b>Dr</b> Colon, but is she <b>Ms</b> Colon or <b>Nurse</b> Colon?David Crosbiehttps://www.blogger.com/profile/01858358459416955921noreply@blogger.comtag:blogger.com,1999:blog-28787909.post-21663815474347910772018-11-29T01:28:32.914+00:002018-11-29T01:28:32.914+00:00This is brilliant, it did make me go back and watc...This is brilliant, it did make me go back and watch doc martin ep 1 again but i noticed that the cadre of nurses in usE was completely skipped. RN, LPN, NP and sister/nurse was left out. Is BrE/NHS buried in different kinds of nures too? I remember it was a subplot for one of the nurses on ERwyld elfin storieshttps://www.blogger.com/profile/01214724203485641541noreply@blogger.comtag:blogger.com,1999:blog-28787909.post-82992782332392923542018-02-22T14:41:07.206+00:002018-02-22T14:41:07.206+00:00I doubt the structures are similar enough to say t...I doubt the structures are similar enough to say there's one-to-one equivalence. But as far as I understand it, it might be similar to having a fellowship: https://en.wikipedia.org/wiki/Fellowship_(medicine)lynneguisthttps://www.blogger.com/profile/10171345732985610861noreply@blogger.comtag:blogger.com,1999:blog-28787909.post-79398003610141785382018-02-22T14:34:52.177+00:002018-02-22T14:34:52.177+00:00and what would the US equivalent of a British Spec...and what would the US equivalent of a British Specialty Registrar be?Unknownhttps://www.blogger.com/profile/00147090838967078202noreply@blogger.comtag:blogger.com,1999:blog-28787909.post-18877562195951839392017-04-21T01:38:12.435+01:002017-04-21T01:38:12.435+01:00Yes, my good friend who is an OB/BYN got his B.A. ...Yes, my good friend who is an OB/BYN got his B.A. in English Literature before going to medical school. Of course he had taken plenty of science classes, but the medical school said they liked the fact that he had breadth of knowledge.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-28787909.post-35248051472848637652016-07-19T23:16:12.911+01:002016-07-19T23:16:12.911+01:00No, sorry,
Dr. T is correct.
All surgeons in th...No, sorry, <br />Dr. T is correct.<br /><br /><br />All surgeons in the UK are addressed as Ms. Miss, Mrs. or Mr. (or Professor , if they are indeed Professors. <br /><br />All Physicians (i.e. NOT surgeons) are addressed as Dr. Whatever. again if they happen to be professor, they are addressed as such.florence Nightingalenoreply@blogger.comtag:blogger.com,1999:blog-28787909.post-77873169349894414152011-03-28T16:44:16.590+01:002011-03-28T16:44:16.590+01:00I think you will find that the title Mr in medical...I think you will find that the title Mr in medical practice is reserved for surgical consultants. The origins of this are indeed based in snobbery but not as you suggest of the inverted type. Surgery was originally performed by barbers and the like, people regarded unworthy of academic titles. Of course this has indeed in the meantime evolved into an inverted snobbery. But if I am not mistaken you are wrong to suggest that all medical consultants are Mr (or Miss or Ms) only surgical consultants. I may be wrong in this but I think not. Dr TAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-28787909.post-64221176254210665882008-04-29T12:32:00.000+01:002008-04-29T12:32:00.000+01:00Thanks, Dr Kim, I stand corrected.Thanks, Dr Kim, I stand corrected.lynneguisthttps://www.blogger.com/profile/10171345732985610861noreply@blogger.comtag:blogger.com,1999:blog-28787909.post-64831255441412196232008-04-29T01:40:00.000+01:002008-04-29T01:40:00.000+01:00Lynneguist, potentilla was right. I am a doctor in...Lynneguist, potentilla was right. I am a doctor in the UK (incidentally currently doing locum work in canada) and so feel qualified to comment.<BR/><BR/>Gynaecologists are called 'Mr' or 'Ms' (etc) because they are surgeons. Obstetrics & gynaecology is a surgical specialty. I have no idea why the neonatal paediatricians you saw would be referred to as such. Paediatrics is a medical* specialty and hence paediatricians are all called 'Dr'. Perhaps you came across a paediatric surgeon or the neonatologist was an obstetrician? Similarly, if you were to see a gastroenterologist in the UK, you would be referred to Dr Guts, not Mr Entrails, as Gastroenterology is a medical specialty. Mr Entrails would be perhaps a colorectal surgeon or an upper GI surgeon in a tertiary centre, or a general surgeon in a smaller district hospital. <BR/><BR/>As the wikipedia quote you used correctly points out, the reason that surgeons are referred to as 'Mr' and 'Miss/Ms' (I've yet to come across a 'Mrs' & I'm not actually sure if that title is used) is a throwback to the time of the barber surgeon, who was an unqualified, cowboy kind of doctor. Physicians have traditionally been the ones to have studied and hold medical qualifications and have always been referred to as 'Dr'.<BR/><BR/><BR/><BR/>*The term 'medicine' can be used to encompass both medicine and surgery, but 'medicine' can also be used to mean non-surgical. Hence general physicians (those who practice general(BrE)/internal (AmE) medicine) and also called 'medics'. All the specialties & all the Royal Colleges fall into either the medical or surgical camps.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-28787909.post-5980553497596060892008-02-08T01:06:00.000+00:002008-02-08T01:06:00.000+00:00Forty years ago (although it may still be true tod...Forty years ago (although it may still be true today), students at Harvard University typically referred to their professors as "Mr. Smith" (or, rarely in those days, "Mrs./Miss Jones") never "Professor Smith" or "Dr. Smith," even though almost all the faculty had doctorates.<BR/><BR/>I think this might have been a sort of reverse snobbery--<I>of course</I> the faculty was highly educated, one didn't need to make a big deal out of it--just as one only learned in whispered confidences (or drunken confessions) that one's roommate had a trust fund waiting at graduation.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-28787909.post-22312264705189443202008-01-07T17:51:00.000+00:002008-01-07T17:51:00.000+00:00My husband and I enjoy reading your blog, but this...My husband and I enjoy reading your blog, but this entry was particularly timely. Last night we watched the Dr. Who episode "Smith and Jones" and it takes place in a hospital. We completely understood the rankings of the medical residents/students vs. their head guy running the rounds (Mister). Thanks so much, Lynn!Kimhttps://www.blogger.com/profile/03658570531652539325noreply@blogger.comtag:blogger.com,1999:blog-28787909.post-53962429851366632882008-01-06T22:21:00.000+00:002008-01-06T22:21:00.000+00:00Sorry potentilla, but I have lots of documentary e...Sorry potentilla, but I have lots of documentary evidence (in my hospital notes) that all of the consultant gyn(a)ecologists, obstetricians and neonatal p(a)ediatricians at our hospital are Mr/Miss/Mrs by the other staff members--not just surgeons. Janet's experience seems to back this up too.lynneguisthttps://www.blogger.com/profile/10171345732985610861noreply@blogger.comtag:blogger.com,1999:blog-28787909.post-7635794438007429652008-01-06T21:38:00.000+00:002008-01-06T21:38:00.000+00:00John's just been in (the) hospital as well.I calle...John's just been in (the) hospital as well.<BR/><BR/>I called his consultant "Doctor" by accident once, and was quickly corrected. Also, I'm wondering if it's true that ALL of them wear bow ties?!?!? I haven't seen a consultant without a bow tie yet.<BR/><BR/>Great post -- as usual!<BR/><BR/>JanetJanethttps://www.blogger.com/profile/16494516976868488211noreply@blogger.comtag:blogger.com,1999:blog-28787909.post-75067183541889158332008-01-05T01:43:00.000+00:002008-01-05T01:43:00.000+00:00Something similar happens with NCOs in the British...Something similar happens with NCOs in the British armed forces: you go from Mr to Private to Corporal to Sergeant to Staff Sergeant and then back to Mr :-)Unknownhttps://www.blogger.com/profile/07136909835648629963noreply@blogger.comtag:blogger.com,1999:blog-28787909.post-15244970979054349842008-01-03T04:30:00.000+00:002008-01-03T04:30:00.000+00:00I am a Canadian medical student and really enjoyed...I am a Canadian medical student and really enjoyed your post. I find the Canadian system similar to the American system more so than the British in terms of the semantics. I do agree with jm's post regarding "pre-med" being a track. This is because when you do your undergraduate degree there is no gurantee that you will be accepted into medical school (apart from a few US programs that have a 7year combined undergrad+medical degree with guaranteed acceptance). So once you obtain your undergrad or Bachelor's you apply for medical school to obtain a medical degree. There are many exceptions however, in Canada you can apply to medical school after your 2nd/3rd year of undergrad. Also in Quebec, you can apply after CEGEP which is like prep-school or first-year of college and fast-track straight to medical school. I won't get into the details...because I would go on for hours. <BR/><BR/>Also, here in Canada we refer to family doctors as GP's as well. And all are family doctors as opposed to the US where a general internist can also be your primary-care physician. In Canada, general internists mostly practice in the hospital and their residency tends to be a year or two longer than in the states (depending on the province). <BR/><BR/>As to seeing the medical student, resident, fellow or staff/attending physician it all depends where you are being seen. There is no general intern year in Canada anymore, you are accepted into a residency program. Similarly in the US it may still be referred to as "internship year" but it is part of your residency program and can be alternately called first-year residency. Fellows are those that are subspecializing within their specialty. For examply, an ENT surgeon who does a fellowship in nose specialities. Usually fellowships are helpful especially if you would like to work in a large academic/tertiary/quaternary centre. <BR/>The confusing thing is when an internist does a fellowship in cardiology and then subspecializes within cardiology to do a fellowship in interventional cardiology for example. That is because the subspecialties withing internal medicine and pediatrics are called fellowships as well as any additional subspecialty training you do. A bit confusing I know. <BR/><BR/>However, higher year residents and fellows tend to be extremely competent and proficient - which explains why you may see residents and fellows for the most part especially in academic centres. The staff is there because ultimately the care and decisions made are legally the staff's responsibility. For the most part however, residents and fellows mak decisions, prescribe appropriate treatments that staff often agree with and give the go ahead for.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-28787909.post-29431639473394304602007-12-29T11:20:00.000+00:002007-12-29T11:20:00.000+00:00whereas surgeons and other consultants go back to ...<I>whereas surgeons and other consultants go back to being Mr or Mrs or Miss</I><BR/><BR/>No, only surgeons. All other consultants are Dr. (And yes, female surgeons are Mrs or Miss, or for all I know Ms).<BR/><BR/>The reason for the discrepancy between titles in your hospital and titles on the various NHS sites describing MMC is probably that MMC (and especially MTAS, the related process for placing junior doctors) has been a total disaster and is currently sort of half-implemented and having all sorts of luminaries do reviews of it. I can direct you to various sites giving more abstruse detail if you are interested.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-28787909.post-53609054687122922832007-12-25T02:56:00.000+00:002007-12-25T02:56:00.000+00:00In the US students don't graduate college with a "...In the US students don't graduate college with a "pre-med" degree. They are on a "pre-med" track. They usually get a degree in chemistry, biology, biochemstry, bioengineering, or something similar. <BR/><BR/>They can really graduate with any degree as long as they have taken certain prerequisite classes such as the dreaded organic chemistry, and have passing scores on the MCATs as well as fulfill whatever other requirements there are. <BR/><BR/>Same goes for pre-law kids. Usually they are political science, public affairs, criminal justice, or psychology majors.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-28787909.post-53339763041915045072007-12-22T21:31:00.000+00:002007-12-22T21:31:00.000+00:00There are Interns, at least in surgery. They are u...There are Interns, at least in surgery. They are uniformly raw and troublesome. Fellows are usually doing a Fellowship, they could operate on their own, but are going for specialized training to be specifically certified, as for total joints, or hands, or pediatrics, or transplants, working with Attending surgeons.<BR/><BR/>Worked with a Brit surgeon who was amused that he'd gotten himself all the way to Mr in England, came to the States, and now gets Dr. Orthopedic Surgeon. <BR/><BR/>Insurance definitions are changing the titles by fiat, but here in the US, once they pass the boards, we call 'em Doctor to their face. Quack to their back.Zhoenhttps://www.blogger.com/profile/03515663141425057088noreply@blogger.comtag:blogger.com,1999:blog-28787909.post-34880589577807805192007-12-22T16:22:00.000+00:002007-12-22T16:22:00.000+00:00In everyday speech I distinguish "the quack" from ...In everyday speech I distinguish "the quack" from "the sawbones". The trick is not to use these cheerful dismissives in front of the medical tradesmen.<BR/><BR/>P.S. I do hope that yours are tradesmen supreme.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-28787909.post-27100447011448807982007-12-22T14:35:00.000+00:002007-12-22T14:35:00.000+00:00There is a species of doctor in the US (who take u...There is a species of doctor in the US (who take umbrage at he suggestion that they are not, in fact, doctors) that have their positions for some term less than one year, yet are not residents, as far as I can determine: the Fellow.<BR/><BR/>Since I was required to see my Doctor (the one officially assigned to my case) every year, I would never see the same "Fellow" twice. The visits would consist of nurses' evaluation [wait] Fellow's evaluation {wait...wait] the Doctor pops in and makes it all offical [go home]. This may be more of an academic taxon, but I couldn't help be amused at 'fellow' (apparently a unisex term) being given such exalted status.jhmhttps://www.blogger.com/profile/15024302748759726815noreply@blogger.comtag:blogger.com,1999:blog-28787909.post-46491624002487447292007-12-22T05:38:00.000+00:002007-12-22T05:38:00.000+00:00Americans don't talk about their GPs because they ...Americans don't talk about their GPs because they don't have any. There may be some older doctors still in general practice, but newer primary-care doctors are all specialists, either <I>family practitioners</I>, the specialty that has essentially replaced general practice, or else <I>internists</I>, who practice internal medicine. Most internists treat only adults, but some have enough pediatrics training to treat children as well.<BR/><BR/><I>Intern</I> was once a technical term for the first year of hospital residency after graduating from medical school, but all such people are now <I>residents</I>, with <I>intern</I> surviving as a slang term, sort of like <I>freshman</I> in AmE. Consequently the former <I>first-year resident</I> is now a <I>second-year resident</I>, and so on.<BR/><BR/>I've certainly had the experience of being sent to Dr. Guts and meeting his younger associate Dr. Bowles instead, or perhaps Bowles first and Guts afterwards. In addition, more and more U.S. insurance companies are offering plans in which you do not need to be referred to a specialist by a primary-care doctor, but can choose your own specialist.John Cowanhttps://www.blogger.com/profile/11452247999156925669noreply@blogger.comtag:blogger.com,1999:blog-28787909.post-4490145609196723222007-12-22T05:00:00.000+00:002007-12-22T05:00:00.000+00:00So glad you're out of the hospital! (And so of co...So glad you're out of the hospital! (And so of course you can tell I'm American). I lurk usually, but the happy news made me de-cloak. <BR/><BR/>I wonder if the use of "mister" as the surgeon's title in Great Britain tends to lead to even more self-selection of males as surgeons. Of course, even in the US, there are not many female surgeons. Still, I am glad that "doctor" feels so gender neutral.Unknownhttps://www.blogger.com/profile/13685879787937904046noreply@blogger.com