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Doctor is an academic title that originates from the Latin word of the same spelling and meaning. The word is originally an agentive noun of the Latin verb 'to teach'. It has been used as an academic title in Europe since the 13th century, when the first
doctorate A doctorate (from Latin ''docere'', "to teach"), doctor's degree (from Latin ''doctor'', "teacher"), or doctoral degree is an academic degree awarded by universities and some other educational institutions, derived from the ancient formalism ''l ...
s were awarded at the
University of Bologna The University of Bologna ( it, Alma Mater Studiorum – Università di Bologna, UNIBO) is a public research university in Bologna, Italy. Founded in 1088 by an organised guild of students (''studiorum''), it is the oldest university in continuo ...
and the
University of Paris , image_name = Coat of arms of the University of Paris.svg , image_size = 150px , caption = Coat of Arms , latin_name = Universitas magistrorum et scholarium Parisiensis , motto = ''Hic et ubique terrarum'' (Latin) , mottoeng = Here and a ...
. Having become established in European
universities A university () is an institution of higher (or tertiary) education and research which awards academic degrees in several academic disciplines. Universities typically offer both undergraduate and postgraduate programs. In the United States, t ...
, this usage spread around the world. Contracted "Dr" or "Dr.", it is used as a designation for a person who has obtained a doctorate (commonly a PhD/DPhil). In many parts of the world it is also used by medical practitioners, regardless of whether they hold a doctoral-level
degree Degree may refer to: As a unit of measurement * Degree (angle), a unit of angle measurement ** Degree of geographical latitude ** Degree of geographical longitude * Degree symbol (°), a notation used in science, engineering, and mathematics ...
.


Origins

The doctorate ( la, doceō, lit=I teach) appeared in
medieval Europe In the history of Europe, the Middle Ages or medieval period lasted approximately from the late 5th to the late 15th centuries, similar to the post-classical period of global history. It began with the fall of the Western Roman Empire a ...
as a license to teach ( la, licentia docendi, links=no) at a
medieval university A medieval university was a corporation organized during the Middle Ages for the purposes of higher education. The first Western European institutions generally considered to be universities were established in present-day Italy (including the ...
. Its roots can be traced to the
early church Early Christianity (up to the First Council of Nicaea in 325) spread from the Levant, across the Roman Empire, and beyond. Originally, this progression was closely connected to already established Jewish centers in the Holy Land and the Jewish ...
when the term "doctor" referred to the Apostles,
church fathers The Church Fathers, Early Church Fathers, Christian Fathers, or Fathers of the Church were ancient and influential Christian theologians and writers who established the intellectual and doctrinal foundations of Christianity. The historical per ...
and other
Christian Christians () are people who follow or adhere to Christianity, a monotheistic Abrahamic religion based on the life and teachings of Jesus Christ. The words ''Christ'' and ''Christian'' derive from the Koine Greek title ''Christós'' (Χρι ...
authorities who taught and interpreted the
Bible The Bible (from Koine Greek , , 'the books') is a collection of religious texts or scriptures that are held to be sacred in Christianity, Judaism, Samaritanism, and many other religions. The Bible is an anthologya compilation of texts of a ...
. The right to grant a ''licentia docendi'' was originally reserved to the
church Church may refer to: Religion * Church (building), a building for Christian religious activities * Church (congregation), a local congregation of a Christian denomination * Church service, a formalized period of Christian communal worship * C ...
which required the applicant to pass a test, take an
Oath of allegiance An oath of allegiance is an oath whereby a subject or citizen acknowledges a duty of allegiance and swears loyalty to a monarch or a country. In modern republics, oaths are sworn to the country in general, or to the country's constitution. For ...
and pay a fee. The
Third Council of the Lateran The Third Council of the Lateran met in Rome in March 1179. Pope Alexander III presided and 302 bishops attended. The Catholic Church regards it as the eleventh ecumenical council. By agreement reached at the Peace of Venice in 1177 the bitter ...
of 1179 guaranteed the access – now largely free of charge – of all able applicants, who were, however, still tested for aptitude by the ecclesiastic scholastic. This right remained a bone of contention between church authorities and the slowly emancipating universities, but was granted by the
pope The pope ( la, papa, from el, πάππας, translit=pappas, 'father'), also known as supreme pontiff ( or ), Roman pontiff () or sovereign pontiff, is the bishop of Rome (or historically the patriarch of Rome), head of the worldwide Cathol ...
to the
University of Paris , image_name = Coat of arms of the University of Paris.svg , image_size = 150px , caption = Coat of Arms , latin_name = Universitas magistrorum et scholarium Parisiensis , motto = ''Hic et ubique terrarum'' (Latin) , mottoeng = Here and a ...
in 1213 where it became a universal license to teach (''licentia ubiquie docendi''). However, while the licentia continued to hold a higher prestige than the
bachelor's degree A bachelor's degree (from Middle Latin ''baccalaureus'') or baccalaureate (from Modern Latin ''baccalaureatus'') is an undergraduate academic degree awarded by colleges and universities upon completion of a course of study lasting three to six ...
(''Baccalaureus''), it was ultimately reduced to an intermediate step to the Magister and doctorate, both of which now became the exclusive qualification for teaching. The earliest doctoral degrees (theology, law, and medicine) reflected the historical separation of all university study into these three fields. Over time the
Doctor of Divinity A Doctor of Divinity (D.D. or DDiv; la, Doctor Divinitatis) is the holder of an advanced academic degree in divinity. In the United Kingdom, it is considered an advanced doctoral degree. At the University of Oxford, doctors of divinity are ran ...
has gradually become less common and studies outside theology, law, and medicine have become more common (such studies were then called "philosophy", but are now classified as
science Science is a systematic endeavor that builds and organizes knowledge in the form of testable explanations and predictions about the universe. Science may be as old as the human species, and some of the earliest archeological evidence for ...
s and
humanities Humanities are academic disciplines that study aspects of human society and culture. In the Renaissance, the term contrasted with divinity and referred to what is now called classics, the main area of secular study in universities at the t ...
– however this usage survives in the degree of
Doctor of Philosophy A Doctor of Philosophy (PhD, Ph.D., or DPhil; Latin: or ') is the most common Academic degree, degree at the highest academic level awarded following a course of study. PhDs are awarded for programs across the whole breadth of academic fields ...
). The PhD was originally a
degree Degree may refer to: As a unit of measurement * Degree (angle), a unit of angle measurement ** Degree of geographical latitude ** Degree of geographical longitude * Degree symbol (°), a notation used in science, engineering, and mathematics ...
granted by a
university A university () is an institution of higher (or tertiary) education and research which awards academic degrees in several academic disciplines. Universities typically offer both undergraduate and postgraduate programs. In the United States, t ...
to learned individuals who had achieved the approval of their peers and who had demonstrated a long and productive career in the field of philosophy (in the broad sense of the term, meaning the pursuit of knowledge). The appellation "Doctor" (from Latin: teacher) was usually awarded only when the individual was in middle age. It indicated a life dedicated to learning, knowledge, and the spread of knowledge. The PhD entered widespread use in the 19th century at Friedrich Wilhelm University in Berlin as a degree to be granted to someone who had undertaken original research in the sciences or humanities. Prior to the formal degree, the contemporary doctorate (PhD), arguably, arose in Leipzig as a successor to the
Master's degree A master's degree (from Latin ) is an academic degree awarded by universities or colleges upon completion of a course of study demonstrating mastery or a high-order overview of a specific field of study or area of professional practice.
in 1652 (Dr. habil). In some European countries, such as Italy and Portugal, "Doctor" became a title given to all or most degree holders, not just those with doctorates. As a result, the title is now used by many professionals in these countries, including those such as lawyers who are not normally granted the title elsewhere. The title is also used for lawyers in South America, where they have traditionally earned doctoral degrees, as well as in the former Portuguese territory of
Macau Macau or Macao (; ; ; ), officially the Macao Special Administrative Region of the People's Republic of China (MSAR), is a city and special administrative region of China in the western Pearl River Delta by the South China Sea. With a pop ...
in China.


Development in English-speaking countries

The primary meaning of ''Doctor'' in English has historically been with reference to the holder of a doctoral degree. These particularly referred to the ancient faculties of divinity, law and medicine, sometimes with the addition of music, which were the only doctoral degrees offered until the 19th century. During the 19th century, PhDs became increasingly common in Britain, although to obtain the degree it was necessary to travel to continental Europe or (from 1861) to the United States, as the degree was not awarded in the UK until 1917. However, the title, not being protected by law, was adopted by quacks. As a result, by the mid 19th century, it was normal in the UK to omit the title "Dr" when addressing letters to those holding doctoral degrees, and instead write the abbreviated form of the degree after the name, e.g. "The Reverend Robert Phelps, D.D.", "Thomas Elliotson, Esq. M.D.", or "John Lindsey, Esq. Ph.D.", in order to avoid classing academic doctors "with the village apothecary and the farrier" and various "quacks in literature, science, or art". In the US it similarly became customary to use post-nominals rather than the title of Doctor when addressing letters. All those with doctoral degrees continued to use the title professionally and socially. Despite being historically associated with doctorates in law, the title of ''doctor'' for lawyers has not customarily been used in English-speaking countries, where lawyers were traditionally not required to have a university degree and were trained by other lawyers by apprenticeship or in the Inns of Court. The exception being those areas where, up to the 19th century, civil law rather than common law was the governing tradition, including
admiralty law Admiralty law or maritime law is a body of law that governs nautical issues and private maritime disputes. Admiralty law consists of both domestic law on maritime activities, and private international law governing the relationships between priva ...
, probate and ecclesiastical law: such cases were heard in the
Doctor's Commons Doctors' Commons, also called the College of Civilians, was a society of lawyers practising civil law (legal system), civil (as opposed to common) law in London, namely ecclesiastical and admiralty law. Like the Inns of Court of the common lawyer ...
, and argued by advocates who held degrees either of doctor of civil law at Oxford or doctor of law at Cambridge. As such, lawyers practicing common law in England were not doctoral candidates and had not earned a doctorate. When university degrees became more common for those wanting to qualify as a lawyer in England, the degree awarded was the
Bachelor of Laws Bachelor of Laws ( la, Legum Baccalaureus; LL.B.) is an undergraduate law degree in the United Kingdom and most common law jurisdictions. Bachelor of Laws is also the name of the law degree awarded by universities in the People's Republic of Chi ...
(LLB). Similarly in the US, even though degrees became standard for lawyers much earlier, the degree was again the LLB, only becoming the
Juris Doctor The Juris Doctor (J.D. or JD), also known as Doctor of Jurisprudence (J.D., JD, D.Jur., or DJur), is a graduate-entry professional degree in law and one of several Doctor of Law degrees. The J.D. is the standard degree obtained to practice law ...
(JD) generally in the latter half of the 20th century. In many English-speaking countries, it is common to refer to physicians by the title of doctor, even when they do not hold a doctoral level qualification. The word ''Doctor'' has long had a secondary meaning in English of
physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
, e.g. in
Johnson's Dictionary ''A Dictionary of the English Language'', sometimes published as ''Johnson's Dictionary'', was published on 15 April 1755 and written by Samuel Johnson. It is among the most influential dictionaries in the history of the English language. The ...
, which quotes its use with this meaning by
Shakespeare William Shakespeare ( 26 April 1564 – 23 April 1616) was an English playwright, poet and actor. He is widely regarded as the greatest writer in the English language and the world's pre-eminent dramatist. He is often called England's nation ...
. In the US, the medical societies established the proprietary medical colleges in the 19th century to award their own MDs, but in the UK and the British Empire, where degree granting was strictly controlled, this was not an option. The usage of the title to refer to medical practitioners, even when they didn't hold doctoral degrees, was common by the mid 18th century. However, the first official recognition of Doctor being applied as a title to medical practitioners regardless of whether they held a doctoral degree was in 1838, when the
Royal College of Physicians The Royal College of Physicians (RCP) is a British professional membership body dedicated to improving the practice of medicine, chiefly through the accreditation of physicians by examination. Founded by royal charter from King Henry VIII in 1 ...
resolved that it would "regard in the same light, and address by the same appellation, all who have obtained its diploma, whether they have graduated elsewhere or not." The
Medical Act 1858 The Medical Act (21 & 22 Vict c 90), ''An Act to Regulate the Qualifications of Practitioners in Medicine and Surgery'', also referred to as the Medical Act 1858, was an Act of the Parliament of the United Kingdom which created the General Medical ...
made it illegal for anyone not qualified in medicine to use a title that implied they were. This led to prosecutions of people making unauthorised use of the title "Dr". However, it also called into question the use of the title by licentiates of the Colleges of Physicians – all of whom were, under the new act, allowed to practice throughout the UK. In 1859, the London College reversed its earlier decision, resolving "That the title of Doctor shall not be given in any official document issued from this College to any person who is not possessed of the Degree of Doctor of Medicine". This was followed up in 1860 by new bylaws that stated "No Fellow, Member, or Licentiate of the College shall assume the title of Doctor of Medicine, or use any other name, title, designation or distinction implying that he is a Graduate in Medicine of an University, unless he be a Graduate in Medicine of an University". In Ireland, the question of whether the license of the
Royal College of Physicians of Ireland The Royal College of Physicians of Ireland (RCPI), ( ga, Coláiste Ríoga Lianna na hÉireann) is an Irish professional body dedicated to improving the practice of general medicine and related medical specialities, chiefly through the accredit ...
granted the title of Doctor of Medicine led to a court case in 1861, with the conclusion that it did not. The ''
British Medical Journal ''The BMJ'' is a weekly peer-reviewed medical trade journal, published by the trade union the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world's oldest general medical journals. Origi ...
'' (''BMJ'') observed, however, that anyone wanting the right to the title of "Doctor" could gain it "with a five-shilling degree of Doctor of Philosophy" from abroad, or could simply assume the title, as only "Doctor of Medicine" was actually protected. Debate continued as to the use of "Doctor" as a courtesy title by those who did not use it by right as holders of doctoral degrees, with the ''BMJ'' noting in 1876 that "We have again a sort of flood of letters for and against the use of the title of Doctor by physicians" and in 1882 that "There is not any other subject which appears to excite so wide spread an interest as this". In February 1876, a report recommended that the Royal College of Physicians should use the courtesy title of Doctor for all fellows and members, but this was rejected. Then in April of the same year, the college amended its bylaws to forbid any fellow, member, extra-licentiate or licentiate from using the title of Doctor unless they had a doctorate in medicine from a recognised university – closing the loophole the ''BMJ'' had identified. It was not until the early 20th century that this was reversed. In 1905 the
Royal College of Surgeons The Royal College of Surgeons is an ancient college (a form of corporation) established in England to regulate the activity of surgeons. Derivative organisations survive in many present and former members of the Commonwealth. These organisations a ...
passed a motion instructing their council "to take the necessary steps in conjunction with the Royal College of Physicians to ensure that all persons who pass the Conjoint examination shall be legally entitled to call themselves Doctors". The council of the surgeons' College felt it to be impractical to secure the legal right to the title as this would mean gaining the right to award MDs, but noted that the title had been used by the public to refer to medics for generations and was used without any legal right by Bachelors of Medicine – the only obstacle to licentiates of both colleges doing the same was the prohibition in the physicians' bylaws. On this occasion the College of Physicians refused to act, but they did finally relent in 1912, removing the clause forbidding the assumption of the title of Doctor. This was described in the American press as "the British apostles of red-tape have been forced to bow to the popular will". Regulation of the medical profession also took place in the United States in the latter half of the 19th century, preventing quacks from using the title of Doctor. However, medical usage of the title was far from exclusive, with it being acknowledged that other doctorate holders could use the title and that dentists and veterinarians frequently did. ''The Etiquette of To-day'', published in 1913, recommended addressing letters to physicians "(full name), M.D." and those to other people holding doctorates "Dr. (full name)", although both were "Dr." in the salutation and only physicians were explicitly said to include their title on their
visiting card A visiting card, also known as a calling card, is a small card used for social purposes. Before the 18th century, visitors making social calls left handwritten notes at the home of friends who were not at home. By the 1760s, the upper classes in ...
. By the 1920s there were a great variety of doctorates in the US, many of them taking entrants directly from high school, and ranging from the Doctor of Chiropractic (DC), which (at the time) required only two or three years of college-level education, up to the PhD. All doctoral degree holders, with the exception of the JD, were customarily addressed as "Doctor", but the title was also regularly used, without doctoral degrees, by pharmacists, ministers of religion, teachers and chiropodists, and sometimes by other professions such as beauty practitioners, patent medicine manufacturers, etc. By the 1940s, the widespread usage of the title in the US was under threat. A 1944 article claimed that "the Ph.D. has immediate and far-reaching value of social as well as economic nature" due to America's "national fondness for the tinsel of titles", but went on to note that some universities were moving away from using the title, concluding that "it is ungracious in most environments not to render unto the Doctor of Philosophy his 'Doctor' title". The same writer noted in a letter to the ''
Journal of Higher Education ''The Journal of Higher Education'' is a bimonthly peer-reviewed academic journal covering higher education. The journal was established in 1930. It is published by Taylor & Francis. Previously, it was published by Ohio State University Press. The ...
'' in 1948 that
Alfred University Alfred University is a private university in Alfred (village), New York, Alfred, New York. It has a total undergraduate population of approximately 1,600 students. The university hosts the New York State College of Ceramics, which includes The ...
had banned the use of the title for faculty (while retaining it for the president and deans) "in a strange move professedly designed to uphold and promote 'democracy' and 'Americanism. However, it was noted in 1959 that professors with PhDs were now generally addressed as "Doctor", with the title of "Professor" sometimes being substituted for those without doctorates, leading to a decline in the perceived value of that title. In the 1960s the inconsistent usage at American universities and colleges was mentioned in the ''New York Times Book Review'' and the editor of ''
Science Science is a systematic endeavor that builds and organizes knowledge in the form of testable explanations and predictions about the universe. Science may be as old as the human species, and some of the earliest archeological evidence for ...
'' noted that: "In some universities, administrators call all Ph.D.'s 'Mister,' but students and colleagues call them 'Doctor.' Often, but not always, Ph.D.'s are 'Misters' socially. In industry and government, both socially and professionally, they are 'Doctors,' as they are also in the pages of the ''New Yorker'', ''Time'', the ''Saturday Review'', and the New York ''Times''." In 1965, the
League of Women Voters The League of Women Voters (LWV or the League) is a nonprofit, nonpartisan political organization in the United States. Founded in 1920, its ongoing major activities include registering voters, providing voter information, and advocating for vot ...
designated medical doctors "Dr." and PhDs "Mr." at a hustings in Princeton, leading to a letter of protest in ''Science''; it was reported that the League believed PhDs would be embarrassed by the title, and that etiquette writers differed in whether PhDs used the title. In 1970, reverse snobbism in the face of the rising number of "discount doctorates" was linked to professors at prestigious universities wanting to be called "mister". In the late 1960s the rising number of American law schools awarding
Juris Doctor The Juris Doctor (J.D. or JD), also known as Doctor of Jurisprudence (J.D., JD, D.Jur., or DJur), is a graduate-entry professional degree in law and one of several Doctor of Law degrees. The J.D. is the standard degree obtained to practice law ...
(JD) degrees led to debate over whether lawyers could ethically use the title "Doctor". Initial informal ethics opinions, based on the Canons of Professional Ethics then in force, came down against this. These were then reinforced with a full ethics opinion that maintained the ban on using the title in legal practice as a form of self-laudation (except when dealing with countries where the use of "Doctor" by lawyers was standard practice), but allowed the use of the title in academia "if the school of graduation thinks of the J.D. degree as a doctor's degree". These opinions led to further debate. The introduction of the new Code of Professional Responsibility in 1969 seemed to settle the question – in states where this was adopted – in favour of allowing the use of the title. There was some dispute over whether only the PhD-level
Doctor of Juridical Science A Doctor of Juridical Science (SJD; ), or a Doctor of Science of Law (JSD; ), is a research doctorate in law equivalent to the more commonly awarded Doctor of Philosophy degree. Australia The S.J.D. is offered by the Australian National Unive ...
should properly be seen as granting the title, but ethics opinions made it clear that the new Code allowed JD-holders to be called "Doctor", while reaffirming that the older Canons did not. As not all state bars adopted the new Code, and some omitted the clause permitting the use of the title, confusion over whether lawyers could ethically use the title "Doctor" continued. The introduction of further
professional doctorate A doctorate (from Latin ''docere'', "to teach"), doctor's degree (from Latin ''doctor'', "teacher"), or doctoral degree is an academic degree awarded by universities and some other educational institutions, derived from the ancient formalism ''li ...
s in the US at
ISCED The International Standard Classification of Education (ISCED) is a statistical framework for organizing information on education maintained by the United Nations Educational, Scientific and Cultural Organization (UNESCO). It is a member of the in ...
level 7, the same as the MD and JD, has led to continuing debate about the use of the title by holders of such degrees, particularly in medical contexts. In 2018, a decision by ''
The Globe and Mail ''The Globe and Mail'' is a Canadian newspaper printed in five cities in western and central Canada. With a weekly readership of approximately 2 million in 2015, it is Canada's most widely read newspaper on weekdays and Saturdays, although it ...
'' newspaper in Canada to update its style guide so as to restrict the use of the title Doctor to medics led to a backlash on
Twitter Twitter is an online social media and social networking service owned and operated by American company Twitter, Inc., on which users post and interact with 280-character-long messages known as "tweets". Registered users can post, like, and ...
, particularly by women with PhDs, using the #ImmodestWomen
hashtag A hashtag is a metadata tag that is prefaced by the hash (also known as pound or octothorpe) sign, ''#''. On social media, hashtags are used on microblogging and photo-sharing services such as Twitter or Instagram as a form of user-generated ...
. This was widely reported on internationally and led to ''The Globe and Mail'' reverting to its earlier style of using Doctor for both physicians and PhD holders. The Canadian
University of Calgary The University of Calgary (U of C or UCalgary) is a public research university located in Calgary, Alberta, Canada. The University of Calgary started in 1944 as the Calgary branch of the University of Alberta, founded in 1908, prior to being ins ...
also announced that it would adopt the use of Doctor for those with doctoral degrees, breaking with the style recommended by the
Canadian Press The Canadian Press (CP; french: La Presse canadienne, ) is a Canadian national news agency headquartered in Toronto, Ontario. Established in 1917 as a vehicle for the time's Canadian newspapers to exchange news and information, The Canadian Pre ...
.


Doctor as a noun

Throughout much of the academic world, the term ''Doctor'' refers to someone who has earned a doctoral degree (highest degree) from a university. This is normally the
Doctor of Philosophy A Doctor of Philosophy (PhD, Ph.D., or DPhil; Latin: or ') is the most common Academic degree, degree at the highest academic level awarded following a course of study. PhDs are awarded for programs across the whole breadth of academic fields ...
, abbreviated PhD (sometimes Ph.D. in North America) from the Latin ''Philosophiae Doctor'' or DPhil from its English name, or equivalent research doctorates at level 8 of the
International Standard Classification of Education The International Standard Classification of Education (ISCED) is a statistical framework for organizing information on education maintained by the United Nations Educational, Scientific and Cultural Organization (UNESCO). It is a member of the in ...
2011 classifications (ISCED 2011) or level 6 of the ISCED 1997 classifications. Beyond academia (but specifically in the Anglo-Saxon world, Italy, and France), ''Doctor'' as a noun normally refers to a medical practitioner, who would usually hold a qualification at level 7 of ISCED 2011/level 5 of ISCED 1997 such as the British
MBBS Bachelor of Medicine, Bachelor of Surgery ( la, Medicinae Baccalaureus, Baccalaureus Chirurgiae; abbreviated most commonly MBBS), is the primary medical degree awarded by medical schools in countries that follow the tradition of the United King ...
or the American MD or DO.


Forms of address

When addressing several people, each of whom holds a doctoral title, one may use the plural contraction "Drs" (or "Drs." in
American English American English, sometimes called United States English or U.S. English, is the set of variety (linguistics), varieties of the English language native to the United States. English is the Languages of the United States, most widely spoken lan ...
) – or in some languages (for example, German) "Dres." (from the Latin doctores) may be used – for example, instead of Dr. Miller and Dr. Rubinstein: Drs. Miller and Rubinstein. When referring to relatives with the same surname the form "The Doctors Smith" can be used. The abbreviation Drs. can also refer to
doctorandus Doctorandus (drs., ; ) is a Dutch academic title according to the pre-Bachelor–Master system. The female form is doctoranda (dra., though this abbreviation is no longer used). The title is acquired by passing the ''doctoraalexamen'', the exam wh ...
, a
Dutch Dutch commonly refers to: * Something of, from, or related to the Netherlands * Dutch people () * Dutch language () Dutch may also refer to: Places * Dutch, West Virginia, a community in the United States * Pennsylvania Dutch Country People E ...
academic title that was replaced with the master title with the introduction of the master system. In English, Dr is not usually combined with other titles, except for
The Reverend The Reverend is an style (manner of address), honorific style most often placed before the names of Christian clergy and Minister of religion, ministers. There are sometimes differences in the way the style is used in different countries and c ...
in "The Revd Dr" before the surname of a minister of religion, e.g., "The Revd Dr Smith" or "The Revd John Smith, DD", and similarly "Rabbi Dr". In
Caribbean English Caribbean English (CE, CarE) is a set of dialects of the English language which are spoken in the Caribbean and Liberia, most countries on the Caribbean coast of Central America, and Guyana and Suriname on the coast of South America. Carib ...
, the usage "Dr. the Honourable" is common for politicians holding doctoral degrees. Usage in many other languages is similar to English but some, notably German, allow for the stacking of titles.


Usage by medical practitioners in the UK and culturally-related countries

In the
United Kingdom The United Kingdom of Great Britain and Northern Ireland, commonly known as the United Kingdom (UK) or Britain, is a country in Europe, off the north-western coast of the continental mainland. It comprises England, Scotland, Wales and North ...
,
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
,
Pakistan Pakistan ( ur, ), officially the Islamic Republic of Pakistan ( ur, , label=none), is a country in South Asia. It is the world's List of countries and dependencies by population, fifth-most populous country, with a population of almost 24 ...
,
Hong Kong Hong Kong ( (US) or (UK); , ), officially the Hong Kong Special Administrative Region of the People's Republic of China ( abbr. Hong Kong SAR or HKSAR), is a city and special administrative region of China on the eastern Pearl River Delt ...
,
Trinidad and Tobago Trinidad and Tobago (, ), officially the Republic of Trinidad and Tobago, is the southernmost island country in the Caribbean. Consisting of the main islands Trinidad and Tobago, and numerous much smaller islands, it is situated south of ...
,
South Africa South Africa, officially the Republic of South Africa (RSA), is the southernmost country in Africa. It is bounded to the south by of coastline that stretch along the South Atlantic and Indian Oceans; to the north by the neighbouring countri ...
,
Australia Australia, officially the Commonwealth of Australia, is a Sovereign state, sovereign country comprising the mainland of the Australia (continent), Australian continent, the island of Tasmania, and numerous List of islands of Australia, sma ...
,
New Zealand New Zealand ( mi, Aotearoa ) is an island country in the southwestern Pacific Ocean. It consists of two main landmasses—the North Island () and the South Island ()—and over 700 smaller islands. It is the sixth-largest island count ...
,
Ghana Ghana (; tw, Gaana, ee, Gana), officially the Republic of Ghana, is a country in West Africa. It abuts the Gulf of Guinea and the Atlantic Ocean to the south, sharing borders with Ivory Coast in the west, Burkina Faso in the north, and To ...
, and other countries whose cultures were recently linked to the UK, the title ''Dr'' is generally used both for those who hold doctoral degrees and for
registered medical practitioner A physician (American English), medical practitioner ( Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through t ...
s. History has dictated the use of the courtesy title ''Dr'' by physicians and general practitioners. However,
surgeons In modern medicine, a surgeon is a medical professional who performs surgery. Although there are different traditions in different times and places, a modern surgeon usually is also a licensed physician or received the same medical training as ...
do not use the title of ''Dr'' and, due to the origins of surgery with the
barber surgeon The barber surgeon, one of the most common European medical practitioners of the Middle Ages, was generally charged with caring for soldiers during and after battle. In this era, surgery was seldom conducted by physicians, but instead by barbers ...
s, instead use '' Mr,
Mrs Mrs. (American English) or Mrs (British English; standard English pronunciation: ) is a commonly used English honorific for women, usually for those who are married and who do not instead use another title (or rank), such as ''Doctor'', ''Prof ...
, Ms,
Miss Miss (pronounced ) is an English language honorific typically used for a girl, for an unmarried woman (when not using another title such as "Doctor" or "Dame"), or for a married woman retaining her maiden name. Originating in the 17th century, it ...
'', etc. This custom applies to surgeons of any grade who have passed the appropriate exams and is not the exclusive province of consultant-level surgeons. In recent times, other surgically orientated specialists, such as
gynaecologist Gynaecology or gynecology (see American and British English spelling differences, spelling differences) is the area of medicine that involves the treatment of women's diseases, especially those of the reproductive organs. It is often paired with ...
s, have also adopted these prefixes. A surgeon who is also a professor is usually known as "Professor" and, similarly, a surgeon who has been ennobled, knighted, created a baronet or appointed a dame uses the corresponding title (Lord, Sir, Dame).
Physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
s, on the other hand, when they pass their " MRCP(UK)" examinations, or equivalent, do not drop ''Dr'' but retain it, even as consultants. The status and rank of consultant surgeons, addressed as "Mister", and consultant physicians, addressed as "Doctor", is equivalent.


Worldwide usage


Asia


Bangladesh

In
Bangladesh Bangladesh (}, ), officially the People's Republic of Bangladesh, is a country in South Asia. It is the eighth-most populous country in the world, with a population exceeding 165 million people in an area of . Bangladesh is among the mos ...
, use of the title of Doctor (Dr.) is permitted for PhD degree holders and registered medical practitioners. According to an amendment, universities are allowed to approve or reject any subject proposed for a thesis by a candidate for the degree of "Doctor" in any subject. For registered medical practitioners, only MBBS and BDS degree holders are allowed to use the title "Dr." and be called "Medical Doctors". Registered veterinary practitioners may use the title "Dr." after earning the "Doctor of Veterinary Medicine" (DVM) degree. However, Registered Homeopath practitioners also use the title "Dr." even though, according to Homeopathic Practitioners Ordinance 1983, they are only permitted to use "Homeopath". Currently, Physiotherapy has no separate council and no authorized act at present permits the use of the prefix "Dr." for physiotherapist. According to Bangladesh Unani & Ayurvedic Practitioners Ordinance 1983, practitioners of the Unani system are called "Tabib" or "Hakim" and are strictly prohibited from using the title "Dr."; similarly, practitioners of Ayurvedic system are called "Vaid" or "Kabiraj" and are also strictly prohibited from using "Dr.". Currently, medical practitioners having MBBS degree or dental surgeons having BDS are legally permitted to use "Dr." prefix. Using "Dr." for other medical practitioners remains controversial.


Hong Kong

Hong Kong Hong Kong ( (US) or (UK); , ), officially the Hong Kong Special Administrative Region of the People's Republic of China ( abbr. Hong Kong SAR or HKSAR), is a city and special administrative region of China on the eastern Pearl River Delt ...
follows British practice in calling physicians "Doctor" even though many of them hold only a degree of Bachelor of Medicine and Bachelor of Surgery (MBBS or MBChB). An attempt by their professional body to prevent
chiropractors Chiropractic is a form of alternative medicine concerned with the diagnosis, treatment and prevention of mechanical disorders of the musculoskeletal system, especially of the spine. It has esoteric origins and is based on several pseudosc ...
from calling themselves "Doctor" failed in the courts, in part because it was pointed out that practicing chiropractors may hold an academic doctorate in their discipline, and it would be anomalous to prevent them using the title when holders of doctorates in non-medical disciplines faced no such restriction.


India

In
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
, the title is used by qualified professional medical practitioners in the fields of
allopathic Allopathic medicine, or allopathy, is an archaic term used to define science-based modern medicine. Citing: ''Gale Encyclopedia of Medicine'' (2008) and ''Mosby's Medical Dictionary'', 8th ed. (2009). There are regional variations in usage of th ...
medicine Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care pract ...
(MBBS), and
dentistry Dentistry, also known as dental medicine and oral medicine, is the branch of medicine focused on the teeth, gums, and mouth. It consists of the study, diagnosis, prevention, management, and treatment of diseases, disorders, and conditions o ...
(BDS) as well as by other practitioners like
Siddha ''Siddha'' (Sanskrit: '; "perfected one") is a term that is used widely in Indian religions and culture. It means "one who is accomplished." It refers to perfected masters who have achieved a high degree of physical as well as spiritual ...
(BSMS),
Yoga Yoga (; sa, योग, lit=yoke' or 'union ) is a group of physical, mental, and spiritual practices or disciplines which originated in ancient India and aim to control (yoke) and still the mind, recognizing a detached witness-consciou ...
and
Naturopathy Naturopathy, or naturopathic medicine, is a form of alternative medicine. A wide array of pseudoscientific practices branded as "natural", "non-invasive", or promoting "self-healing" are employed by its practitioners, who are known as naturop ...
(BNYS),
Ayurveda Ayurveda () is an alternative medicine system with historical roots in the Indian subcontinent. The theory and practice of Ayurveda is pseudoscientific. Ayurveda is heavily practiced in India and Nepal, where around 80% of the population repo ...
(BAMS),
Unani Unani or Yunani medicine (Urdu: ''tibb yūnānī'') is Perso-Arabic traditional medicine as practiced in Muslim culture in South Asia and modern day Central Asia. Unani medicine is pseudoscientific. The Indian Medical Association describes U ...
(BUMS) and
Homeopathy Homeopathy or homoeopathy is a pseudoscientific system of alternative medicine. It was conceived in 1796 by the German physician Samuel Hahnemann. Its practitioners, called homeopaths, believe that a substance that causes symptoms of a dis ...
(BHMS),
Veterinarians A veterinarian (vet), also known as a veterinary surgeon or veterinary physician, is a medical professional who practices veterinary medicine. They manage a wide range of health conditions and injuries in non-human animals. Along with this, vet ...
(BVSc) and holders of doctoral degrees, including PhDs and pharmacists with
PharmD A Doctor of Pharmacy (PharmD; New Latin: ''Pharmaciae Doctor'') is a professional doctorate in pharmacy. In some countries, it is a doctoral degree to practice the profession of pharmacy or to become a clinical pharmacist. In many countries th ...
s.
Physiotherapists Physical therapy (PT), also known as physiotherapy, is one of the allied health professions. It is provided by physical therapists who promote, maintain, or restore health through physical examination, diagnosis, management, prognosis, patient ...
(BPT) use 'Doctor' as a suffix accompanied by the prefix PT. The usage by pharmacists is legally disputed, while the
Supreme Court of India The Supreme Court of India ( IAST: ) is the supreme judicial authority of India and is the highest court of the Republic of India under the constitution. It is the most senior constitutional court, has the final decision in all legal matters ...
has ruled against the use of the title as a prefix by physiotherapists.


Indonesia

The Indonesian titles "dr." is used in front of the name of medical doctor who holds a specification as general practitioner, also when the doctor already holds his specialization to ___, such as "Sp.THT" or "Spesialis Telinga, Hidung, Tenggorokan" (ENT or Ear, Nose, and Throat Specialist). Dr. is used in front of the name as the title "Doktor" for doctorate title, the same level as PhD title.


Pakistan

In
Pakistan Pakistan ( ur, ), officially the Islamic Republic of Pakistan ( ur, , label=none), is a country in South Asia. It is the world's List of countries and dependencies by population, fifth-most populous country, with a population of almost 24 ...
, the title of Doctor (Dr.) can be used by PhD degree holders as well as medical, dental, optometry and veterinary doctors with
MBBS Bachelor of Medicine, Bachelor of Surgery ( la, Medicinae Baccalaureus, Baccalaureus Chirurgiae; abbreviated most commonly MBBS), is the primary medical degree awarded by medical schools in countries that follow the tradition of the United King ...
, BDS, OD and DVM degrees respectively. Usage by
physiotherapists Physical therapy (PT), also known as physiotherapy, is one of the allied health professions. It is provided by physical therapists who promote, maintain, or restore health through physical examination, diagnosis, management, prognosis, patient ...
DPT DPT may refer to: Science and medicine * Dpt (unit) (dioptre/diopter), most commonly a unit measuring refraction and power in a lens or curved mirror *Dermatopontin, a human extracellular matrix protein * Dipropyltryptamine, a psychedelic tryptami ...
degree respectively is disputed, with the
Pakistan Medical and Dental Council Pakistan Medical Commission is a statutory regulatory authority that maintains the official register of medical practitioners in Pakistan. Its chief function is to establish uniform minimum standards of basic and higher qualifications in medici ...
saying they should not use the title, but the
Pharmacy Council of Pakistan The Pharmacy Council of Pakistan (); acronym PCP) is a professional body for accreditation of pharmacy education and regulation of pharmacy profession in Pakistan. It was established under ''Pharmacy Act, 1967'' to protect, promote and maintai ...
(the regulatory body for pharmacists) and the Higher Education Commission permitting and encouraging its use.


Philippines

In the
Philippines The Philippines (; fil, Pilipinas, links=no), officially the Republic of the Philippines ( fil, Republika ng Pilipinas, links=no), * bik, Republika kan Filipinas * ceb, Republika sa Pilipinas * cbk, República de Filipinas * hil, Republ ...
, titles and names of occupations usually follow
Spanish Spanish might refer to: * Items from or related to Spain: **Spaniards are a nation and ethnic group indigenous to Spain **Spanish language, spoken in Spain and many Latin American countries **Spanish cuisine Other places * Spanish, Ontario, Can ...
naming conventions which utilize gender-specific terms. "''Doktór''" is the masculine form, which retains the abbreviation ''Dr.''; the feminine form is "''Doktóra''", and is abbreviated usually as "''Dra.''"; others, however, some being
Anglophones Speakers of English are also known as Anglophones, and the countries where English is natively spoken by the majority of the population are termed the '' Anglosphere''. Over two billion people speak English , making English the largest languag ...
who wish to sound modern and Westernised (or were raised in an almost exclusively English-speaking family environment), or some who advocate gender equality, would dispense with the distinction altogether. There does exist in
Filipino Filipino may refer to: * Something from or related to the Philippines ** Filipino language, standardized variety of 'Tagalog', the national language and one of the official languages of the Philippines. ** Filipinos, people who are citizens of th ...
an equivalent, gender-neutral term for the professional that carries the more general notion of "healer", traditional (for example, an '' albuláryo'') or otherwise: ''manggagámot''. Contracted "Dr" or "Dr.", it is also used as a designation for a person who has obtained a doctorate degree (e.g. PhD, EdD, DPA).


Sri Lanka

In
Sri Lanka Sri Lanka (, ; si, ශ්‍රී ලංකා, Śrī Laṅkā, translit-std=ISO (); ta, இலங்கை, Ilaṅkai, translit-std=ISO ()), formerly known as Ceylon and officially the Democratic Socialist Republic of Sri Lanka, is an ...
the title doctor "Dr." is used for PhD holders and medical practitioner such as physicians, surgeons, dentists and veterinarians. However, when addressing in native
Sinhalese Sinhala may refer to: * Something of or related to the Sinhalese people of Sri Lanka * Sinhalese people * Sinhala language, one of the three official languages used in Sri Lanka * Sinhala script, a writing system for the Sinhala language ** Sinha ...
a medical practitioner is addressed as "Vaidya" (වෛද්ය) or "Dosthara" (දොස්තර) while a PhD holder is addressed as "Aacharya" (ආචාර්ය). It is a common practice for married female medical practitioners to use the title "Dr (Mrs)" in a both professional and social capacity.


Thailand

The usage of Doctor (ดอกเตอร์) or Dr (ดร.) has been borrowed from English. It can be seen as a title in academic circles and in the mass media. In contrast to other academic titles (Professor, Associate Professor and assistant professor), the use of Doctor as a title has not been recognized by the
Royal Institute of Thailand The Royal Society ( th, ราชบัณฑิตยสภา, , ) is the national academy of Thailand in charge of academic works of the government. The secretariat of the society is the Office of the Royal Society ( th, สำนักง ...
. Therefore, this title, in theory, cannot be used officially. For example, in court of justice where strictly formal Thai language is used, Dr cannot be mentioned as a person's title.


The Americas


Brazil

The 'doctor' title is used by individuals holding a PhD degree. 'Doctor' is also used as a deferential title in Brazilian Portuguese.


Canada

Canada lies somewhere between British and American usage of the degree and terminology of "doctor". Holders of research doctorates – PhDs and similar degrees – commonly use the title "doctor". A number of regulated healthcare professionals can also use the title "doctor"; in Ontario these are limited by law to physicians, dentists, optometrists, chiropractors, doctorate-level psychologists and social workers. In Alberta, Registered Nurses or Nurse Practitioners with an earned doctoral degree may use the title "doctor" in conjunction with professional practice. Some professionals earn degrees with the title of doctor but which are considered, despite their name, to be at bachelor's-level, e.g. DDS, MD, JD. In Ontario, registered naturopathic doctors may only use the title "doctor" in written format if they also use the phrase, "naturopathic doctor" immediately following their name, while a 2006 amendment that would allow practitioners of Traditional Chinese Medicine to use the title has not, , entered into force. As of 2022, in Alberta, Doctors of Acupuncture may use the doctor title.


=Quebec

= The usage of the French ''Docteur'' and ''Docteure'', and their abbreviated forms ''Dr'', ''Dre'', ''D'' and ''D'', is controlled by the ''Code des professions''. As a pre-nominal title it can be used without any further explication by physicians, veterinarians, and dentists. It can also be used prenominally, when accompanied by the name of the profession immediately after the name, by professionals who require a doctorate for their professional licence, such as psychology, and chiropractic, e.g. ''Dr X, psychologue'' or ''Dr Y, chiropraticien''. Academic doctors, where the doctorate is not required to practice, bear the title only after their name; this is not abbreviated, e.g. ''M. Z, docteur en philosophie'' not ''M. Z, PhD''


United States

In the United States, the use of the title "Doctor" is dependent upon the setting. The title is commonly used socially by physicians and those holding doctoral degrees; however, there was formerly a division between
Letitia Baldrige Letitia "Tish" Baldrige (February 9, 1926 – October 29, 2012) was an American etiquette expert, public relations executive and author who was most famous for serving as Jacqueline Kennedy's Social Secretary. Known as the "Doyenne of De ...
and
Miss Manners Judith Martin (née Perlman; born September 13, 1938), better known by the pen name Miss Manners, is an American columnist, author, and etiquette authority. Early life and career Martin is the daughter of Helen and Jacob Perlman. Her father w ...
on its social usage by those who are not physicians. Baldrige saw this usage as acceptable, while in contrast, Miss Manners wrote that "only people of the medical profession correctly use the title of doctor socially," but supports those who wish to use it in social contexts in the spirit of addressing people according to their wishes. Miss Manners has since softened her approach, noting in her ''
The Washington Post ''The Washington Post'' (also known as the ''Post'' and, informally, ''WaPo'') is an American daily newspaper published in Washington, D.C. It is the most widely circulated newspaper within the Washington metropolitan area and has a large nati ...
'' column that there are two approaches: "having been earned, it should be used" and "that level of education being assumed, it need not be expressly mentioned"; while she maintains that everyone should be addressed according to their wishes, she no longer states that only medical professionals use the title correctly but instead acknowledges that the title has been earned by those with PhDs. The Emily Post Institute similarly advises that "Socially as well as professionally, medical doctors, dentists, and other professionals are addressed by, and introduced with, their titles. People who have earned a Ph.D. or any other academic, nonmedical doctoral degree have the choice of whether to use "Dr." both professionally and socially." Other advice columns have also noted that "it has become common to see someone with a Ph.D. addressed on the envelope as Dr., and as a consequence, deviation from convention has become acceptable." The 2017 book ''Etiquette Rules!'' gives identical forms for addressing a "doctor of medicine (MD), dental surgery (DDS), veterinary medicine (DVM), etc.", and the holder of a PhD, advising in both cases the use of initials after the name for formal correspondence and Dr. before the name for social correspondence. Although the usage of the title by Ph.D. graduates has become common, its use socially by holders of professional doctorates (other than those noted) is neither explicitly endorsed nor explicitly discouraged by writers on etiquette. Miss Manners has, however, stated that a physician who has had their license revoked should be addressed by their former preferred honorific (i.e. not according to their MD degree). It is unusual for those who hold honorary doctorates to use the title "Doctor". Publications from the office of the President of the United States of America also refer to PhD holders as Dr. Soandso, and
Jill Biden Jill Tracy Jacobs Biden (born June 3, 1951) is an American educator and the current first lady of the United States since 2021, as the wife of President Joe Biden. She was the second lady of the United States from 2009 to 2017 when her hus ...
, who holds an EdD, used the style "Dr. Jill Biden" as second lady and has continued to do so as
first lady First lady is an unofficial title usually used for the wife, and occasionally used for the daughter or other female relative, of a non-monarchical A monarchy is a form of government in which a person, the monarch, is head of state fo ...
. For addresses (defined as "the conventional forms of address as determined by social and official custom"),
NASA The National Aeronautics and Space Administration (NASA ) is an independent agency of the US federal government responsible for the civil space program, aeronautics research, and space research. NASA was established in 1958, succeeding t ...
uses "Dr. (full name)" in addresses for PhD holders while for physicians it uses "(full name), MD", although both are addressed as "Dr. (surname)" in the salutation (which is described as "informal"). The
National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late ...
similarly use "Dr. (surname)" in salutations for people with an MD, PhD or DDS. They advise using full name followed by degrees in addresses, explicitly stating not to use the title "Dr.", although an example in the following paragraph does use the title rather than giving degrees. Most newspapers in the US follow the
AP Stylebook The ''AP Stylebook'', also known by its full name ''The Associated Press Stylebook and Briefing on Media Law'', is an American English grammar style and usage guide created by American journalists working for or connected with the Associated Pr ...
and reserve the title for medical doctors in their house styles; notable exceptions include ''
The New York Times ''The New York Times'' (''the Times'', ''NYT'', or the Gray Lady) is a daily newspaper based in New York City with a worldwide readership reported in 2020 to comprise a declining 840,000 paid print subscribers, and a growing 6 million paid ...
'', which follows the preference of the individual when referring to PhD holders (although the title is not used for those with honorary doctorates), and ''
The Wall Street Journal ''The Wall Street Journal'' is an American business-focused, international daily newspaper based in New York City, with international editions also available in Chinese and Japanese. The ''Journal'', along with its Asian editions, is published ...
'', which similarly prefers "Dr." for PhD holders and physicians (if this is the person's choice) while stating explicitly that the title is not used for lawyers with JDs or people with honorary doctorates. Until 1989,
The Washington Post ''The Washington Post'' (also known as the ''Post'' and, informally, ''WaPo'') is an American daily newspaper published in Washington, D.C. It is the most widely circulated newspaper within the Washington metropolitan area and has a large nati ...
used the title for "practitioners of the healing arts (including chiropractors and osteopaths) but not for holders of PhDs or honorary degrees", after which it dropped its use entirely. Some sources state that AP style allows the use of Dr. for holders of non-medical doctoral degrees as long as their speciality is given. The expansion of professional doctorates in clinical fields in the late 20th and early 21st centuries has led to disputes between physicians and other medical professions over who can use the title in a clinical context. This has been interpreted by some as part of larger battles within medicine, such as who gets to treat patients first and who has prescribing authority. The
American Medical Association The American Medical Association (AMA) is a professional association and lobbying group of physicians and medical students. Founded in 1847, it is headquartered in Chicago, Illinois. Membership was approximately 240,000 in 2016. The AMA's state ...
calls for non-physicians (those not holding an MD or DO) who use the title "Doctor" and are in direct contact with patients to clarify that they are not physicians and to "define the nature of their doctorate degree", while the
American Osteopathic Association The American Osteopathic Association (AOA) is the representative member organization for the more than 176,000 osteopathic medical doctors (D.O.s) and osteopathic medical students in the United States. The AOA is headquartered in Chicago, Illinoi ...
opposes the use of the title by non-physicians in clinical settings absolutely as (in their view) "such use deceives the public". Contrary to this, the
Emergency Nurses Association The Emergency Nurses Association (ENA) is the premier professional organization that represents emergency nursing. Consisting of more than 50,000 members, ENA addresses issues relevant to emergency care, publishes professional guidelines, provides ...
has adopted as a position statement that "1. Nurses are entitled to have their educational degrees recognized and acknowledged in the same manner as other professions. 2. The proper title protection and use of accurate credentials is appropriate in the clinical setting. 3. When being addressed or introduced as doctor in the clinical environment, it is responsible practice for all healthcare providers to clarify their professional role. 4. Patients, families and the general public have a right and expectation to be informed regarding the credentials of their caregivers, including the use of the title "doctor"." The American Medical Association launched a campaign in 2011 for states to adopt "truth in advertising" legislation. As a result, many states now have laws in place that protect the title of doctor when offering medical services. In some jurisdictions, the use of the title in health care is limited to those who have both a doctorate and are licensed to practice medicine, and there is a requirement that the field of the doctorate be disclosed. Some other jurisdictions require the practitioner to hold a doctorate and to disclose the field, but make no stipulations as to licensing. Some states require name badges to be worn in medical facilities giving first name, licensure status, and staff position, although these laws may not explicitly address the use of the title "Doctor". Although lawyers in the United States do not customarily use the title, the law degree in that country is the
Juris Doctor The Juris Doctor (J.D. or JD), also known as Doctor of Jurisprudence (J.D., JD, D.Jur., or DJur), is a graduate-entry professional degree in law and one of several Doctor of Law degrees. The J.D. is the standard degree obtained to practice law ...
, a professional doctorate.Association of American Universities Data Exchange
Glossary of Terms for Graduate Education
. Accessed 26 May 2008; National Science Foundation (2006).
Time to Degree of U.S. Research Doctorate Recipients
," "InfoBrief, Science Resource Statistics" NSF 06-312, 2006, p. 7. (under "Data notes" mentions that the JD is a professional doctorate); San Diego County Bar Association (1969)

. Accessed 26 May 2008. (under "other references" discusses differences between academic and professional doctorate, and statement that the J.D. is a professional doctorate); University of Utah (2006)
University of Utah – The Graduate School – Graduate Handbook
. Accessed 28 May 2008. (the JD degree is listed under doctorate degrees); German Federal Ministry of Education
"U.S. Higher Education / Evaluation of the Almanac Chronicle of Higher Education"
. Accessed 26 May 2008. (report by the German Federal Ministry of Education analysing the Chronicle of Higher Education from the U.S. and stating that the JD is a professional doctorate); Encyclopædia Britannica. (2002). "Encyclopædia Britannica", 3:962:1a. (the JD is listed among other doctorate degrees).
Some JD holders in the United States use the title of doctor in professional situations, although ethics board decisions have varied on whether this is permissible or might mislead the public into believing the lawyer was medically qualified or had a PhD.American Bar Association
Model Code of Professional Responsibility
Disciplinary Rule 2–102(E). Cornell University Law School, LLI. Accessed 10 February 2009
It is also sometimes used by JD holders in academic situations. In 2011, ''
Mother Jones Mary G. Harris Jones (1837 (baptized) – November 30, 1930), known as Mother Jones from 1897 onwards, was an Irish-born American schoolteacher and dressmaker who became a prominent union organizer, community organizer, and activist. She h ...
'' published an article claiming that
Michele Bachmann Michele Marie Bachmann (; née Amble; born April 6, 1956) is an American politician who was the U.S. representative for from 2007 until 2015. A member of the Republican Party, she was a candidate for President of the United States in the 20 ...
was misrepresenting her qualifications by using the "bogus" title Dr. based on her JD The article was later amended to note that the use of the title by lawyers "is a (begrudgingly) accepted practice in some states and not in others", although they maintained that it was rarely used as it "suggests that you're a medical doctor or a Ph.D.—and therefore conveys a false level of expertise".
Ecclesiastical {{Short pages monitor