Bing said:
I never knew whether to call my dentist Doctor or not... Now I know
Though I thought it is consultants who are 'Mr', and not all surgeons are consultants - or should I just shut up ?
This is a brief way it works and has arisen... and it is slightly confusing to outsiders....even to members of the medical profession outside of the World of British or ex-British influence. I'll try to explain...
Basically, centuries ago, Doctors were only clever people like "Mad Professor" and they were called "Physicians". They treated people's aliments by "clever" means and had their own exclusive professional bodies or "Colleges" and assumed or were given the title "Doctor".
However, this is very different to the title "Doctor" that someone gets if they have a PhD....which could be in any subject at all.
Now, centuries ago, if you had an aliment that could actually only be addressed by having it
CUT OUT you'd see somone quite different...who coincidentally also happened to be your Barber! These people eventually became known as "Barber-Surgeons". Initially, these people were completely unregulated but obviously that situation couldn't continue and so their own professional bodies had to be adopted (but still looked down upon by the Physicians i.e the Doctors) and "Colleges of Surgeons" came into being. Later "Royal Colleges". The people who belonged to these Colleges weren't Physicians and so couldn't be called "Doctor" and so they remained "Mister".
Following me so far?
Now, jumping forward to the modern day, when a medical student qualifies in this country as a "Doctor" they are essentially qualifying in 2 Degrees. They get a Bachelor of Medicine (i.e Physician) and a Bachelor of Surgery (i.e a Surgeon). But, they are given the title "Doctor"....but it actually
only a courtesy title because the haven't got a PhD. You could have a PhD in Ancient Greek Art and that would actually be a
true Doctorate...what we come out of Med School with isn't a true Doctorate.
Now, this is where it gets more difficult to follow...much more now I come to think of it!
Basically, once we've all got our primary medical qualification we then go off and specialise in different things....Surgeons, GPs , Physicians, Obs and Gynae, Psychiatrists....you name it!
Now, the important thing (with one exception) is that
ALL non-surgeons remain within their Colleges and remain true to the "Physicians" of old and remain "Doctors". However, people who specialise in becoming surgeons are different.
We go through a training and exams that are governed by the Royal Colleges of Surgeons. But remember these Colleges had their origins in organisations like the Guild of Barber-Surgeons and so weren't allowed to use the term "Doctor"...by the Physicians.
Surgeons, however, would have to go through a long and rigorous training with extremely tough exams, regulated by the Royal Colleges of Surgeons. For example, one of my Primary exams for one of my Surgeon's exam traditionally had a pass rate of just 6% when I did it. If one passed the exams one would be admitted to the College as a "Fellow" of that college and allowed to call oneself "Mr" or "Miss" instead of just the courtesy title "Dr" which one would have until passing the exams to become a Fellow of one of these Colleges. So, one would regard it as a real mark of achievement.
However, because the Royal Colleges of Physicians were not part of this...i.e they were always all "Doctors"...their Members and Fellows are always termed "Doctor".
But amongst Surgeons because the exams were so tough to get admitted to our Colleges as Fellows (FRCS) we inevitably feel almost
insulted if someone still addresses us by the (mere) term "Dr"" !
But for Physicians...even Fellows of their Colleges... they remain "Dr", as to be called anything else would be an insult and degrade them to the level of us (mere) Barber up-starts! :lol:
Now, someone could be in training to become a surgeon and not yet have passed all of the required exams etc yet and so still be called "Dr" instead of "Mr/Miss". Or they could be a very highly qualified Consultant Physician and their correct title would still be "Dr"...the same as the day they very first qualified.
So, that's it in a nut-shell!
Now, there are slight subtle nuances to the above...
(Consultants in Obs and Gynae tend to be called "Mr or Miss".... However, they may not actually have earned their true "Badge of Honour" as an FRCS because they have their own College! In years gone by they probably would have been FRCS and so got their Mr or Miss title via that route. But with their own College of Obs and Gynae they can circumvent the traditional surgical route yet they still take the title "Mr or Miss". )
So, I know it probably seems confusing and I may not have explained it very well but the titles "Mr/Miss" or "Dr" actually has nothing to do with whether a particular doctor is a consultant or not. It depends on their speciality...and then if they're a surgeon on their level of training and the exams that they've passed.