A physician—also known as doctor of medicine It is a professional doctorate / first professional degree in some countries, including the United States and Canada, although training is entered after obtaining from 90 to 120 credit hours of university level work (see second entry degree) and in most cases after having obtained a Bachelors Degree. In other countries, such as United Kingdom and, medical doctor, or simply doctor—practices the ancient profession A profession is a vocation founded upon specialised educational training, the purpose of which is to supply disinterested counsel and service to others, for a direct and definite compensation, wholly apart from expectation of other business gain of medicine Medicine is the science and art of healing humans. It includes a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Before scientific medicine, healing arts were practiced along with alchemical and ritual practices that developed out of religious and cultural traditions. The term &, which is concerned with maintaining or restoring human health At the time of the creation of the World Health Organization , in 1948, health was defined as being "a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity" through the study, diagnosis Medical diagnosis refers both to the process of attempting to determine the identity of a possible disease or disorder and to the opinion reached by this process, and treatment Therapy , or treatment, is the attempted remediation of a health problem, usually following a diagnosis. In the medical field, it is synonymous with the word "treatment". Among psychologists, the term may refer specifically to psychotherapy or "talk therapy" of disease A disease is an abnormal condition affecting the body of an organism. It is often construed to be a medical condition associated with specific symptoms and signs. It may be caused by external factors, such as infectious disease, or it may be caused by internal disfunctions, such as autoimmune diseases. Ecologically, disease is defined as or injury Injury is damage or harm caused to the structure or function of the body caused by an outside agent or force, which may be physical or chemical, and is either unintentional (For e.g. accidents at work, sports injury) or intentional (For e.g. suicide, homicide). A severe and life-threatening injury is referred to as a physical trauma. This properly requires both a detailed knowledge Knowledge is defined by the Oxford English Dictionary as expertise, and skills acquired by a person through experience or education; the theoretical or practical understanding of a subject; (ii) what is known in a particular field or in total; facts and information; or (iii) awareness or familiarity gained by experience of a fact or situation of the academic disciplines (such as anatomy Anatomy is a branch of biology and medicine that is the consideration of the structure of living things. It is a general term that includes human anatomy, animal anatomy (zootomy) and plant anatomy (phytotomy). In some of its facets anatomy is closely related to embryology, comparative anatomy and comparative embryology, through common roots in and physiology Physiology is the science of the functioning of living systems. It is a subcategory of biology. In physiology, the scientific method is applied to determine how organisms, organ systems, organs, cells and biomolecules carry out the chemical or physical function that they have in a living system. The word physiology is from Ancient Greek: φύσις) underlying diseases and their treatment—the science Science is, in its broadest sense, any systematic knowledge that is capable of resulting in a correct prediction or reliable outcome. In this sense, science may refer to a highly skilled technique, technology, or practice of medicine—and also a decent competence Competence is a standardized requirement for an individual to properly perform a specific job. It encompasses a combination of knowledge, skills and behavior utilized to improve performance. More generally, competence is the state or quality of being adequately or well qualified, having the ability to perform a specific role in its applied practice—the art or craft A craft is a skill, especially involving practical arts. It may refer to a trade or particular art of medicine.

Both the role of the physician and the meaning of the word itself vary significantly around the world, but as generally understood, the ethics of medicine Medical ethics is primarily a field of applied ethics, the study of moral values and judgments as they apply to medicine. As a scholarly discipline, medical ethics encompasses its practical application in clinical settings as well as work on its history, philosophy, theology, and sociology require that physicians show consideration Consideration is the concept of legal value in connection with contracts. It is anything of value promised to another when making a contract. It can take the form of money, physical objects, services, promised actions, abstinence from a future action and much more. Under the notion of "pre-existing duties," if either the promisor or the, compassion Compassion is a virtue —one in which the emotional capacities of empathy and sympathy (for the suffering of others) are regarded as a part of love itself, and a cornerstone of greater social interconnectedness and humanism —foundational to the highest principles in philosophy, society, and personhood and benevolence for their patients A patient is any person who receives medical attention, care, or treatment. The person is most often ill or injured and in need of treatment by a physician or other health care professional, although one who is visiting a physician for a routine check-up may also be viewed as a patient.

Life is short, and Art long; the crisis fleeting; experience perilous, and decision difficult. The physician must not only be prepared to do what is right himself, but also to make the patient, the attendants, and externals cooperate. —First aphorism of Hippocrates Hippocrates of Cos or Hippokrates of Kos - Greek: Ἱπποκράτης; Hippokrátēs was an ancient Greek physician of the Age of Pericles (Classical Athens), and is considered one of the most outstanding figures in the history of medicine. He is referred to as the Western father of medicine in recognition of his lasting contributions to the, c. 400 BCE, from the Hippocratic Corpus online (translated by Francis Adams)

Contents

Etymology

The word physician comes from the Ancient Greek Ancient Greek is the historical stage in the development of the Greek language spanning the Archaic , Classical (c. 5th–4th centuries BC), and Hellenistic (c. 3rd century BC – 6th century AD) periods of ancient Greece and the ancient world. It is predated in the 2nd millennium BC by Mycenaean Greek. Its Hellenistic phase is known as Koine (& word φύσις (physis) and its derived adjective physikos, meaning "nature" and "natural". From this, amongst other derivatives came the Vulgar Latin Vulgar Latin was the nonstandard form of the Latin language; because of its nonstandard nature, it had no official orthography, and only Classical Latin was used in writing. It is sometimes called colloquial Latin physicus, which meant a medical practitioner. After the Norman Conquest The Norman conquest of England began on 28 September 1066 with the invasion of the Kingdom of England by the troops of William the Conqueror, Duke of Normandy and their victory at the Battle of Hastings (on the other side of the Channel in Southeast England) on 14 October 1066 over King Harold II of England. Harold's army had been badly depleted, the word entered Middle English Middle English is the name given by historical linguists to the diverse forms of the English language in use between the late 11th century and about 1470, when the Chancery Standard, a form of London-based English, began to become widespread, a process aided by the introduction of the printing press into England by William Caxton in the late 1470s, via Old French Old French was the Romance dialect continuum spoken in territories that span roughly the northern half of modern France and parts of modern Belgium and Switzerland from the 9th century to the 14th century. It is a direct descendent of Old Gallo-Romance. It was then known as the langue d'oïl to distinguish it from the langue d'oc (Occitan language, fisicien, as early as 1100. Originally, physician meant a practitioner of physic (pronounced with a hard C). This archaic noun had entered Middle English by 1300 (via Old French fisique). Physic meant the art or science of treatment with drugs or medications (as opposed to surgery Surgery is a medical specialty that uses operative manual and instrumental techniques on a patient to investigate and/or treat a pathological condition such as disease or injury, to help improve bodily function or appearance, and sometimes for religious reasons. An act of performing surgery may be called a surgical procedure, operation, or simply), and was later used both as a verb and also to describe the medications themselves.[2][3][4]

In English, there have been many synonyms Synonyms are different words with identical or very similar meanings. Words that are synonyms are said to be synonymous, and the state of being a synonym is called synonymy. The word comes from Ancient Greek syn ("with") and onoma (ὄνομα) ("name"). The words car and automobile are synonyms. Similarly, if we talk about a for physician, both old and new, with some semantic variation. The noun phrase medical practitioner is perhaps the most widely understood and neutral synonym. Medical practitioner is lengthy but inclusive: it covers both medical specialists and general practitioners A general practitioner or GP is a medical practitioner who provides primary care and specializes in nothing and sees everything. A general practitioner treats acute and chronic illnesses and provides preventive care and health education for all ages and both sexes. They have particular skills in treating people with multiple health issues and (family physicians, family practitioners), and historically would include physicians (in the narrow sense), surgeons and apothecaries Apothecary is a historical name for a medical professional who formulates and dispenses materia medica to physicians, surgeons and patients — a role now served by a pharmacist (or a chemist or dispensing chemist), and some caregivers. In England, apothecaries historically included those who now would be called general practitioners and pharmacists Pharmacists are health professionals who practice the science of pharmacy. Pharmacists also participate in disease-state management, where they optimize and monitor drug therapy or interpret medical laboratory results – in collaboration with physicians and/or other health professionals. Advances into prescribing medication and in providing.

The term doctor (medical doctor) is older and shorter, but can be confused with holders of other academic doctorates (see doctor of medicine It is a professional doctorate / first professional degree in some countries, including the United States and Canada, although training is entered after obtaining from 90 to 120 credit hours of university level work (see second entry degree) and in most cases after having obtained a Bachelors Degree. In other countries, such as United Kingdom and). Doctor (gen. In grammar, the genitive case is the case that marks a noun as modifying another noun. It often marks a noun as being the possessor of another noun but it can also indicate various relationships other than possession; certain verbs may take arguments in the genitive case; and it may have adverbial uses (see Adverbial genitive). Modern English does: doctoris) means teacher in Latin Latin is an Italic language originally spoken in Latium and Ancient Rome. With the Roman conquest, Latin was spread to countries around the Mediterranean, including a large part of Europe. Romance languages such as Aragonese, Corsican, Catalan, French, Italian, Portuguese, Romanian, Sardinian, Spanish and others, are descended from Latin, while and is an agent noun In linguistics, an agent noun is a word that is derived from another word denoting an action, and that identifies an entity that does that action. For example, "driver" is an agent noun formed from the verb "drive". The endings "-er", "-or", and "-ist" are commonly used in English to form agent derived from the verb docere ('teach').[5] A cognate An example of cognates within the same language would be English shirt and skirt, the former from Old English sċyrte, the latter loaned from Old Norse skyrta, both from the same Common Germanic *skurtjōn-. Words with this type of relationship within a single language are called doublets. Further cognates of the same word in other Germanic expression occurs in French French is a Romance language spoken as a first language by about 136 million people worldwide. Around 190 million people speak French as a second language, and an additional 200 million speak it as an acquired foreign language. French speaking communities are present in 57 countries and territories. Most native speakers of the language live in as docteur médecin, a direct equivalent of medical doctor or doctor of medicine, and commonly found as its contraction, médecin (doctor, physician).

The Greek Greek , an independent branch of the Indo-European family of languages, is the language of the Greeks. Native to the southern Balkans, it has the longest documented history of any Indo-European language, spanning 34 centuries of written records. In its ancient form, it is the language of classical ancient Greek literature and the New Testament of word ἰατρός (iatrós, doctor or healer) is often translated as physician. Ἱατρός is not preserved directly in English, but occurs in such formations as psychiatrist A psychiatrist is a physician who specializes in psychiatry and is certified in treating mental disorders. All psychiatrists are trained in diagnostic evaluation and in psychotherapy. As part of their evaluation of the patient, psychiatrists are one of the few mental health professionals who may prescribe psychiatric medication, conduct physical (translates from Greek as healer of the soul), podiatrist Podiatry is a branch of medicine devoted to the study, diagnosis and treatment of disorders of the foot, ankle and lower leg (foot healer), and iatrogenic disease The terms iatrogenesis and iatrogenic artifact refer to inadvertent adverse effects or complications caused by or resulting from medical treatment or advice. In addition to harmful consequences of actions by physicians, iatrogenesis can also refer to actions by other healthcare professionals, such as psychologists, therapists, pharmacists, nurses, (a disease caused by medical treatment). In Latin Classical Latin in simplest terms is the sociolinguistic register of the Latin language regarded by the enfranchised and empowered populations of the late Roman republic and the Roman empire as good Latin. Most writers during this time made use of it. Any unabridged Latin dictionary informs moderns that Marcus Tullius Cicero and his contemporaries, the word medicus meant much what physician or doctor does now. Compare these translations of a well-known proverb (the nouns are in vocative case The vocative case is the case used for a noun identifying the person (animal, object, etc.) being addressed and/or occasionally the determiners of that noun. A vocative expression is an expression of direct address, wherein the identity of the party being spoken to is set forth expressly within a sentence. For example, in the sentence, "I don'):

Ἰατρέ, θεράπευσον σεαυτόν (Greek New Testament The New Testament is the name given to the second major division of the Christian Bible, the first such division being the much longer Old Testament. Unlike the Old Testament, the contents of the New Testament deal explicitly with Christianity, although both the Old and New Testament are regarded, together, as Sacred Scripture. The New Testament: Luke, 4:23) Medice, cura teipsum (from the Vulgate The Vulgate is a late 4th-century Latin version of the Bible, and largely the result of the labors of Jerome, who was commissioned by Pope Damasus I in 382 to make a revision of the old Latin translations. By the 13th century this revision had come to be called the versio vulgata, that is, the "commonly used translation", and ultimately, early 5th century) Physician, heal thyself (from the Authorized King James Version The Authorized King James Version is an English translation of the Christian Holy Bible begun in 1604 and completed in 1611 by the Church of England. Printed by the King's Printer, Robert Barker, the first edition included schedules unique to the Church of England; for example, a lectionary for morning and evening prayer. This was the third such, 1611)

The ancient Romans also had the word archiater An archiater was a chief physician of a monarch, who typically retained several. At the Roman imperial court, their chief held the high rank and specific title of Comes archiatrorum, for court physician. Archiater derives from the ancient Greek ἀρχιατρός (from ἄρχω + ἰατρός, chief healer). By contraction, this title has given modern German German (Deutsch, [ˈdɔʏtʃ] ) is a West Germanic language, thus related to and classified alongside English and Dutch. It is one of the world's major languages and the most widely spoken first language in the European Union. Globally, German is spoken by approximately 120 million native speakers and also by about 80 million non-native speakers its word for physician: Arzt.

Leech and leechcraft are archaic English words respectively for doctor and medicine.[2] The Old English Old English or Anglo-Saxon is an early form of the English language that was spoken and written in parts of what are now England and south-eastern Scotland between at least the mid-5th century and the mid-12th century. What survives through writing represents primarily the literary register of Anglo-Saxon word for "physician", læċe, which is related to Old High German The term Old High German refers to the earliest stage of the German language and it conventionally covers the period from around 500 to 1050. Coherent written texts do not appear until the second half of the 8th century, and some treat the period before 750 as 'prehistoric' and date the start of Old High German proper to 750 for this reason. There lāhhi and Old Irish Old Irish is the name given to the oldest form of the Goidelic languages for which extensive written texts are extant. It was used from the 6th to the 10th centuries, by which time it had developed into Middle Irish liaig, lives on as the modern English word leech Leeches are annelids comprising the subclass Hirudinea. There are freshwater, terrestrial, and marine leeches. Like the Oligochaeta, they share the presence of a clitellum. Like earthworms, leeches are hermaphrodites. Some, but not all, leeches are hematophagous, as these particular creatures were formerly much used by the medical profession. Cognate forms for leech exist in Scandinavian languages: in modern Swedish as läkare, in Danish as læge, in modern Norwegian as lege (bokmål) or lækjar (nynorsk), and in Finnish as lääkäri. These Scandinavian words still translate as doctor or physician rather than as a blood-sucking parasite.

Modern meanings

A doctor performing a typhoid vaccination, 1943

In modern English, the term physician is used in two main ways, with relatively broad and narrow meanings respectively. This is the result of history and is often confusing. These meanings and variations are explained below.

North America

Main article: Medicine

In the United States and Canada, the term physician usually describes all those holding the degrees of Doctor of Medicine (MD) and Doctor of Osteopathic Medicine (DO). Within North America, the title physician, in this broad sense, also describes the holders of medical degrees from other countries that are equivalent to the North American Doctor of Medicine degrees; typical examples of such degrees from non-North American countries are MB BChir, BM BCh, MB BCh, MB ChB, MBBS, BM, M.B.B.S. etc.. In the US, only those graduating from faculties listed in the WHO Directory of Medical Schools [6] are able to apply for medical licensure in the relevant US jurisdiction, via the ECFMG.[7]

The American Medical Association, established in 1847, currently uses physician in this broad sense to describe all its members. However, the American College of Physicians, established in 1915, does not: its title uses physician in an older, narrower sense, as discussed .

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