Asia Bangladesh In
Bangladesh, use of the title of doctor (or Dr) is permitted for PhD degree holders and registered medical practitioners. For registered medical practitioners, only MBBS and BDS degree holders are allowed to use the title and be called "medical doctors". Registered veterinary practitioners may use the title after earning a Doctor of Veterinary Medicine (DVM) degree. However, registered homeopathic practitioners also use the title of doctor even though, according to the Homeopathic Practitioners Ordinance 1983, they are only permitted to use "homeopath" But Bangladesh Homeopathic Practitioners Ordinance 2023, repealing the Ordinance Act of 1983, allows the practice of writing as a doctor.Article 3, Section 21(3). There is currently no separate council or parliamentary act for professionals holding alternative MBBS/BDS degrees (Alternative System of Medicine). However, according to an interim order of the High Court, until the formation of a separate council or legal framework, MBBS(AS)/BDS(AS) graduates are temporarily permitted to use the title “Doctor.” Physiotherapy has no separate council and no act of parliament at present permits the use of the title for physiotherapist, but the
High Court has given an interim order that permits physiotherapy graduates to use the title, pending the formation of a separate council. According to the Bangladesh Unani & Ayurvedic Practitioners Ordinance 1983, practitioners of the Unani system are called "Tabib" or "Hakim" and practitioners of Ayurvedic system are called "Vaid" or "Kabiraj"; both are prohibited from using the title of doctor. Currently, medical practitioners having an MBBS degree or dental surgeons having a BDS are legally permitted to use Dr as a prefix; its use by other medical practitioners remains controversial.
Hong Kong Hong Kong 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 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,
medical practitioners are legally referred to as
registered medical practitioners. The title of doctor is frequently used by qualified professional medical practitioners in the fields of
Allopathic medicine (MBBS) and
dentistry (BDS), as well as by other practitioners like
Siddha (BSMS),
Yoga and
Naturopathy (BNYS),
Ayurveda (BAMS),
Unani medicine (BUMS) and
Homeopathy(BHMS),
Veterinarians (BVSc) and holders of doctoral degrees, including
PhDs and pharmacists with
PharmDs.
Physiotherapists (BPT) use 'Doctor' as a suffix with 'P.T.' as a prefix. The usage by pharmacists is legally disputed,. There is also ambiguity over the use of "Dr." as a prefix by physiotherapists. In September 2025, this use was formally banned by the Directorate General of Health Services, but this ban was rescinded on the following day. Usage by
physiotherapists DPT degree respectively is disputed, with the
Pakistan Medical and Dental Council saying they should not use the title, but the
Pharmacy Council of Pakistan (the regulatory body for pharmacists) and the
Higher Education Commission permitting and encouraging its use.
Philippines In the
Philippines, titles and names of occupations usually follow
Spanish 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 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 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 doctoral degree (e.g. PhD,
EdD, DPA).
Sri Lanka In
Sri Lanka the title doctor "Dr." is used for PhD holders and medical practitioner such as physicians, surgeons, dental surgeons and veterinarians. However, when addressing in native
Sinhalese 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. 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. The title “Doctor” can also be used in Brazil to address medics and lawyers by the law since the imperial times. The law was enacted by the second Brazilian emperor, Dom Pedro II, to attract more medics and lawyers from other countries in imperial times when there was very few practitioners of both professions in the country for the crescent population of that time. The law still is enacted.
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 (in the provision of health care) to physicians, dentists, optometrists, chiropractors, doctorate-level psychologists and social workers who are members of the relevant Ontario college. 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 and
Miss Manners 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 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, who holds an
EdD, used the style "Dr. Jill Biden" as
second lady and continued to do so as
first lady. For addresses (defined as "the conventional forms of address as determined by social and official custom"),
NASA 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 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 and reserve the title for physicians in their house styles; and
The Wall Street Journal, 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 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 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", while the
American Osteopathic Association 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 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, a professional doctorate. 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. It is also sometimes used by JD holders in academic situations. In 2011,
Mother Jones published an article claiming that
Michele Bachmann 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 seminaries and entitled churches award their own doctorates in the United States, e.g. the
Doctor of Religious Science (Dr. sc. rel.), the
Doctor of Divinity (DD), the
Doctor of Biblical Studies (DBS) or the
Doctor of Metaphysics (Dr. mph.). These titles are most commonly awarded to meritorious
clerics for their outstanding work or another achievement in the field of religious and biblical studies. American professional doctorates are not generally considered doctoral level degrees internationally, instead being classified as bachelor's or master's level. The
ISCED mapping for these degrees, developed collaboratively between the US and
UNESCO, places them at master's level. As a result, holders of MD, JD, PharmD, etc. may not be permitted to use the title of Doctor in countries such as Germany where this is strictly controlled.
Europe In the European Union, the title of
doctor refers primarily to holders of post-graduate research doctorates, such as the PhD. In many European languages the term
doctor is distinct from a medical practitioner, which can be referred to as e.g.
läkare in Swedish,
Arzt in German,
dokter or
arts in Dutch, or
lääkäri in Finnish. Standardisation of degrees into the three cycles of bachelor's–master's–doctorate across the
European Higher Education Area (EHEA) is being carried out through the
Bologna process, although not all EHEA member states have fully conformed to the 1999
Bologna declaration in favour of their own historic customs. With respect to the title "doctor", the Bologna process makes no prescriptions regarding the names of degrees nor the titles they may confer. However, under the
Lisbon Recognition Convention, recognition of a foreign degree allows "the use of an academic title, subject to the laws and regulations of the country in which recognition is sought". According to the
Explanatory report, this means that: "The competent authorities of the Parties may grant the right to use the title in the exact form in which it was awarded in the Party concerned or in any other form. They may alternatively grant the right to use the corresponding title of the country in which recognition is sought."
Austria In Austria, the degree
Doktor is granted to holders of research degrees (ISCED 8) with a denoting Latin particle being added (
Dr. techn.,
Dr. phil.,
Dr. rer. nat.,
Dr.iur.,
Dr.theol. etc.). Newer study programmes award a
PhD, but these exist alongside the older degrees since many prefer obtaining a
Dr. to a PhD. These degrees take 3–4 years full-time and are organised in doctoral schools. In addition, the academic degree
Doktor (ISCED 7) is granted to physicians (Dr. med. univ.) and dentists (Dr. med. dent.), who since 2002 do not obtain doctoral degrees (ISCED 8) but instead follow a master's level six-year training (360
ECTS) programme, similar to an American
MD or
DDS. For these degrees, students have to write a
Diplomarbeit thesis of 50-100 pages. Research doctorates in medicine (Dr. scient. med. or
PhD) can also be obtained after a three year full-time post-graduate study programme at a medical university. All doctors may be addressed as "Doktor _____"; the title is usually contracted to "Dr. _____", oftentimes they are just addressed as "Herr/Frau Doktor" (Mr/Ms Doctor), omitting the family name unless they are being introduced to someone. Contrary to popular belief in the country, the title "Dr." is not part of a person's name or a specific honour but simply a degree like BSc/BA,
Mag (MA/MSc) or
Dipl.-Ing. (MEng). It is not mandatory to use it, although it may be added to official documents (e.g. driver's licence, passport), if desired.
Finland In Finland, the title of
tohtori or
doktor denotes holder of a research doctorate comparable to a PhD. Getting the doctorate requires advanced studies after the master's degree, writing a
thesis, nowadays often a
thesis by publication, and publicly defending the thesis. Customary doctorates do not exist even in the field of medicine: physicians hold the degree of
lääketieteen lisensiaatti (
Licentiate of Medicine), and are referred to simply as
lääkäri (physician); "tohtori" would be rustic or old-fashioned. A research doctorate in medicine,
lääketieteen tohtori, requires further research work and a separate doctoral thesis, and is not taken by all medical graduates. Regardless, in Finnish usage, the use of titles is uncommon and restricted to only the most formal of contexts.
France In
France, the title of
Docteur is only used generally for
physicians (
médecin) but can also be used by holders of research doctorates. Medical professionals do not normally hold a
doctorate, which in France always refers to a research doctorate, but a "State Diploma of Doctor of Medicine" (''Diplôme d'État de docteur en médecine''). The law in France allows the title of Dr to be used professionally by holders of research doctorates, with the field of their speciality being mentioned after the name. The courts have ruled that stating the specialisation is not necessary except in circumstances specifically related to professional practice; at other times the title alone may be used. The courts have also determined that questioning the right of the holder of a research doctorate to use the title Dr is a form of libel. The National Union of Hospital Scientists (
Syndicat National des Scientifiques Hospitaliers) launched a campaign in 2015 to raise awareness of the right of scientists to use the title.
Germany In
German language-speaking countries, the word
Doktor refers to a doctorate awardee in formal language (similar to a PhD). It is distinct from
Arzt, since a doctoral degree is not a requirement for medical practitioners, though colloquial use of the word
Doktor for physician is common and ordinary people often incorrectly assume that only Doktors may practice medicine. For this reason, 80% of all students in medicine write "doctoral" dissertations, often comparable to a master's thesis in science, alongside their undergraduate studies to obtain a Dr. med. degree. The
European Research Council decided in 2010 that those Dr. med. doctorates do not meet the international standards of a PhD research degree. In
Germany, the most common doctoral degrees are
Dr. med. (medicine),
Dr. med. dent. (dentistry),
Dr. med. vet. (veterinary medicine),
Dr. rer. nat. (natural sciences),
Dr. phil. (humanities),
Dr. iur. (law),
Dr. rer. pol. (economic and political sciences, also as Dr. rer. oec. in Switzerland),
Dr.-Ing. (engineering), and
Dr. theol. (theology). All holders of doctoral degrees are appropriately addressed as "Herr/Frau Dr. _____" in all social situations. In Germany, double doctorates are indicated in the title by
"Dr. Dr." or
"DDr." and triple doctorates as
"Dr. Dr. Dr." or
"DDDr." More doctorates are indicated by the addition of
"mult.", such as
"Dr. mult." Honorary titles are shown with the addition of
"h.c.", which stands for
"honoris causa". Example:
"Dr. h.c. mult." Some honorary titles are shown by addition of German equivalents of
"h.c.", like
"e.h.",
"E.h.", or
"eh.", which stand for
"ehrenhalber" (honorary). Example:
"Dr. e.h. mult." All people holding a doctorate from an EU member state are, since 2001, entitled to use "Doctor" or "Dr." in all formal, legal and published communications without any further addenda. For academics with doctorates from non-EU member states, the qualification must be recognised formally ("validated") by the Federal Educational Ministry in Bonn. The recognition process can be done by the employer or employee and may be part of the official bureaucracy for confirming professional status and is dependent on individual bilateral agreements between Germany and other countries and, since 2007, the Lisbon Recognition Convention. An example of mutual recognition of Doctor titles among EU countries is the "Bonn Agreement of November 14, 1994", signed between Germany and Spain (prior to the general recognition of EU doctorates). In 2008,
The Standing Conference of the Ministers of Education and Cultural Affairs of the Länder in the Federal Republic of Germany extended their 2001 decision to recognise EU PhDs to cover PhDs that were awarded in Australia, Israel, Japan, Canada, and some American universities. It was announced in 2012 that this would be further extended to cover PhDs awarded in New Zealand. PhDs that were awarded in the United States are recognized if the awarding institution is classified by the
Carnegie Foundation for the Advancement of Teaching as a "Research University (high research activity)" or as a "Research University (very high research activity)." Permission to use the title covers only scientific research degrees and does not extend to professional degrees such as the MD or JD. as well as for medical practitioners (except surgeons), dentists, and vets. The title is also used in Ireland for Catholic bishops, who are styled "The Most Reverend Dr X, Bishop of Y" on envelopes.
Italy The first university of Western civilization, the
University of Bologna, is located in Italy, where until modern times the only degree granted was that of the doctorate, and all other Italian universities followed that model. During the 20th century Italian universities introduced more advanced research degrees, such as the PhD. Italian academia is part of the
Bologna Process, and has standardised its degrees as part of the 3+2+3 formula. The undergraduate degree "
laurea" was reduced to 3 years (making it equivalent to a Bachelor's degree). This is followed by a 2 year "
laurea magistrale" (literally "magistral degree", equivalent to a Master's degree). The old-system "laurea", which lasted about 5–6 years and is now discontinued, were made equivalent to a "laurea magistrale". Few fields retain the 5-6 year system (such as law and medicine) but are called "laurea magistrale a ciclo unico" and are an integrated master's degree. Finally, the Italian system also introduced a doctorate ("
dottorato di ricerca"), which lasts 3 years and is the terminal degree of the educational hierarchy, corresponding to a PhD. For historical reasons, the title of doctor is awarded to all university degree holders. "Laurea" holders are awarded the title of doctor (dottore/dottoressa), "laurea magistrale" holders are awarded the title of magistral doctor (dottore magistrale/dottoressa magistrale), and doctorate holders are called
research doctors (dottore di ricerca/dottoressa di ricerca).
Malta In
Malta, the title of Doctor is used by academic doctors (with PhDs), medical practitioners, dentists and lawyers. Its use by lawyers is due to the qualifying degree for practicing law having been the
LLD until reforms in 2014, and has been described as "historical baggage" by the Dean of the
University of Malta's law school. Lawyers do not generally use the title when practicing outside of Malta.
Netherlands In the
Dutch language doctor is used both for physicians and for the academic title, however the spelling differs with "dokter" referring to a physician, whereas "doctor" refers to the academic title. Both doctor titles are abbreviated as dr. placed before the holders name (note the lowercase). To enter a Dutch doctoral defense, the candidate must hold a validated master's degree (a master's degree of an acknowledged university, or a master equivalent degree validated on a case-by-case basis by the Dutch government). In some cases the candidate can be granted special dispensation if no master's degree is held. There is no specific notation of the discipline in which the doctorate is obtained. Once the doctorate is obtained the preceding master's degree is generally no longer reported. Exceptions only exist for the disciplines with specific master titles of engineering "ir." ("ingenieur", i.e. Engineer) and law "mr." ("meester", i.e. Master of Law) where the title dr. is added to the original master title. For these disciplines, the original master's degree abbreviation is combined with the dr. abbreviation thus resulting in for example "dr. ir. Familyman". The dr. title is always placed in front of the ir. title. In the case of a PhD in law, the original mr. title is placed before the dr. title (mr. dr., see e.g.
Jan Peter Balkenende). For a person having a law master's degree, but holding a PhD in another field than law the mr. title is placed after the dr. title (dr. mr.). No specific notation or title for the medical disciplines exists in the Netherlands. Although a physician is usually referred to as "dokter" (note the spelling difference) this does not necessarily imply the physician holds a doctoral degree; nor does it give the physician a title equivalent to that of PhD. Confusion can be caused by the original Dutch Master level title "drs." (for all non-engineering and non-law master's degrees). This abbreviation stands for the Dutch title
doctorandus Latin for "he who should become a doctor" (female form is "doctoranda"). Dutch drs. should not be confused with the plural 'doctorates': having multiple PhDs. Once a doctorate is achieved the doctorandus is promoted to doctor, and no longer uses the drs. abbreviation. Stacking of multiples titles of the same level, as seen in countries like for example Germany (Dr. Dr. Dr. Musterfrau) is highly uncommon in the Netherlands (although stacking of titles with different levels is common: prof. dr. ir. Appelmans). Those who have multiple doctor titles may use dr.mult. before their name, although this is rarely used. After obtaining a doctorate successfully, Dutch doctors may bear either the title dr. (lower case) before, or the letter D (rarely in practice) behind their name, but not both simultaneously. In the Netherlands, Academic titles are used exclusively within academia. Holding a doctorate has become a standard requirement for a university career. The doctor title has little to no meaning or implications for public life outside academia. It cannot be added to documentation (e.g. passport, drivers licence), and is used infrequently in daily practice. Historically, the Netherlands used their own academic degree nomenclature, but for many years now have recognised and implemented the
Bologna declaration. In everyday practice, the Anglo Saxon titles (e.g. PhD) are frequently used. Dutch academic titles and degrees are legally protected, and as of 2021 the traditional ’dr.’ and the PhD are legally equivalent and can be used interchangeably. Doctoral degrees (PhD degrees) can only be granted by recognised (research) universities. Illegal use of the title is considered a misdemeanour and subject to legal prosecution.
Portugal In
Portugal, up to recent times after the completion of an undergraduate degree – except in
architecture and
engineering – a person was referred to as
doutor (Dr.) – male or
doutora (Dra.) – female. The architects and engineers were referred by their professional titles:
arquitecto (Arq.) and
engenheiro (Eng.).
Nurses are also referred to as "nurse",
enfermeiro (male) or
enfermeira (female), the title being
Enf. for both. Nowadays Portugal is a signatory to the
Bologna process and according to the current legislation the title of Doctor (
doutor, doutora) is reserved for graduate holders of an academic
doctorate. Professions such as
physicians,
attorneys,
pharmacists,
veterinarians, and few others are usually referred to by the title Dr. (doutor) even if they have not been awarded a doctoral degree. However, custom gives the legislation little strength and most graduates use the Dr. title in its abbreviated form, although use of the full
Doutor is normally restricted to those with doctorates. Those who are both holders of an academic doctorate and Professors at a college level are generally referred to as
Professor Doutor.
Spain The social standing of Doctors in Spain is evidenced by the fact that only
PhD holders,
Grandees and
Dukes can take seat and cover their heads in the presence of the King.
PhD Degrees are regulated by Royal Decree (RD 1393–2007),
Real Decreto (in
Spanish). They are granted by the university on behalf of the King, and its Diploma has the force of a public document. The Ministry of Science keeps a national database of doctoral theses called TESEO. Any person who uses the
Spanish title of
doctor/doctora (or
Dr./Dra.) without being included in this Government database can be prosecuted for fraud. However, the
Spanish Royal Academy recognises that it is used colloquially to describe physicians, even without doctoral degrees, as well as (in the feminine form,
doctora, abbreviated
Dra.) the wives of doctors (i.e. holders of doctoral degrees) and medics, as well as "women who shine with wisdom and understanding". Unlike other countries, until recently Spain has registered a comparatively small number of Doctor degree holders, but the tendency is changing. According to the Spanish Statistical Office (INE), less than 5% of MSc degree holders are admitted to PhD programs. This reinforces the prestige that Doctors have historically enjoyed in Spain's society.
United Kingdom Doctor is commonly used in the
United Kingdom as the title for a person who has received a doctoral degree or, as
courtesy title, for a qualified medical practitioner or dentist who does not have a doctorate. There are no restrictions on the use of the title "Doctor" in the
United Kingdom, except where, in commercial advertising, it might imply that the user holds a general medical qualification. The UK government allows medical doctors and holders of doctorates to have the title recorded on the observations page of their UK passport. The lack of legal restrictions was confirmed in
Parliament in 1996 by health minister
Gerald Malone, who noted that the title doctor had never been restricted by law to either medical practitioners or those with doctoral degrees in the UK, although the titles "physician, doctor of medicine, licentiate in medicine and surgery, bachelor of medicine, surgeon, general practitioner and apothecary" were protected. According to the etiquette guide,
Debrett's, holders of doctoral degrees and medical doctors (but not surgeons) should be addressed as "Doctor". For medical doctors, "Doctor" is a professional title rather than an academic one: it is due to their being a medical practitioner rather than their having gained a doctoral degree. The
Quality Assurance Agency states that "The use of the title 'Dr' by medical doctors is a historical abbreviation for the profession; it does not indicate a qualification at doctoral level". On guest lists and seating plans for formal events, holders of academic doctorates (but not medical doctors or other people using the title as a courtesy title) are listed either as "Dr John Smith" or "John Smith, Esq, PhD", while untitled men (other than those holding doctorates) are shown as either "Mr John Smith" or "John Smith, Esq" (as appropriate to ensure the styling remains consistent). The title "Dr" is also used on
visiting cards. Medical students in the UK normally complete a course of study leading to the degree of
Bachelor of Medicine and Bachelor of Surgery (MBBS, BMBS or MBChB). The MD degree is not a qualifying degree in the UK, but can be either a
professional doctorate (at the same academic level as a PhD), a doctorate by thesis, or a
higher doctorate, depending on the university. To be eligible for an MD degree in the UK one must already hold an entry-level medical degree (for example, MBBS, MBChB, BMed, or a North American MD degree) and usually must have had at least 5 years of postgraduate training and experience. Trainee doctors are permitted to use the title Doctor once they have started their post-graduation "
Foundation Programme". Debrett's states that medical doctors (except surgeons) should be addressed on envelopes as "Dr (full name), (medical qualifications)", e.g. "Dr John Smith, MD", "Dr Anne Jones, MB BS, FRCP", "Dr David Evans, MB ChB", contrary to the normal rule of not mixing titles and post-nominals. Surgeons (and dentists, if not holding a doctoral degree) should be "(full name), Esq, (medical/dental qualifications)", e.g. "John Smith, Esq, MS, FRCS", "David Evans, Esq., BDS", but "Dr Anne Jones, DDS, FDS RCS",. By contrast, those holding (non medical or dental) doctoral degrees, if not surgeons, should be "Dr (full name)" without post-nominals on envelopes, e.g. "Dr John Smith".
A & C Black's
Titles and Forms of Address diverges from Debrett's on how to address envelopes to medical doctors, omitting the pre-nominal title of Dr (e.g. John Smith, Esq, MD; John Smith, MD; John Smith, MB) except in Scotland and for
general practitioners, where the post-nominals are instead usually omitted (e.g. Dr John Smith). Black's also state that it is down to individual choice whether non-medical doctors are addressed on envelopes as "Dr John Smith" or "John Smith, Esq, PhD" (or appropriate letters for the doctorate held), with the exception of doctors of divinity, who would be "The Rev. J. Smith, DD" on the envelope and "Reverend Sir" in a formal salutation (informally in the salutation "Dear Dr Smith", and "Dr Smith" in speech). The custom of not referring to surgeons (members and fellows of the
Royal College of Surgeons) as Dr has been commented on in the
British Medical Journal and may stem from the historical origins of the profession such as that some barbers also used to function as surgeons. In 2005, the then-president of the
Royal College of Surgeons called upon surgeons to use the title of Dr, saying that the use of Mr or Miss was confusing to patients. Black's note that
gynaecologists are addressed as surgeons in England and Wales but as doctors elsewhere. Dentists have traditionally (as dental surgeons) been referred to in the same way as surgeons, but since 1995 the
General Dental Council have permitted dentists to use the title "Doctor", though many do not choose to do this, thereby stressing their surgeon status. However, Debrett's continues to advises that dentists are normally addressed as surgeons and that the title "Doctor" is usually only used for dentists who have a doctoral degree.
Optometrists are not permitted to use the title "Doctor" based on their initial qualification (BOptom or BSc (Optom)). Optometrists can earn PhDs or
Doctor of Optometry degrees (in the UK a PhD-level qualification for qualified optometrists with experience in practice).
Ophthalmologists are fully qualified medical doctors. However, ophthalmology is considered a branch of surgery, thus ophthalmologists, like other surgeons in the UK, do not use the title "Doctor". The
General Chiropractic Council permits registered chiropractors to use the title "Doctor", although it advises chiropractors to avoid using the title in advertising or, if they do, to spell out that they are "Doctors of Chiropractic". The
Committee of Advertising Practice advises, however, that "references to 'DC' or 'doctor of chiropractic' are unlikely to dispel that misleading impression [of being a medical practitioner], when used in conjunction with unqualified references to the prefix 'Dr, saying that the use of the title by chiropractors may be acceptable in advertising if "clearly and prominently qualified with additional text which makes clear it is a courtesy title and that the practitioner does not hold a general medical qualification". The
Advertising Standards Authority has ruled that practitioners of traditional
Chinese medicine should not use the title doctor in adverts unless they hold a general medical qualification and are registered with the
General Medical Council. It similarly advises that
osteopaths should not use the title unless holding a general medical qualification. There have also been rulings that an advert for an
osteomyologist which referred to him as a doctor was misleading, as was an advert which used the title "Dr" and the post-nominals "PhD" on the basis of a PhD from an
unaccredited university. Holders of honorary doctorates in the UK have the right, in most cases, to use the title of Doctor, although holders are encouraged to refrain from doing so. Black's says that "The same rules apply as to other holders", although notes that the post-nominals would not normally be used.
Wales Wales follows UK usage in English. In
Welsh, the holder of a doctoral degree is
doethur while a medical doctor is
doctor or
meddyg. The title "
y Doethur" is used by those holding doctorates, e.g. "y Doethur Brinley Jones", "y Doethur John Elfed Jones", which can be abbreviated "Dr". Medical doctors use, as in English, the title "Doctor", also abbreviated "Dr".
Former Yugoslavia In countries that were formerly
Yugoslavian republics, such as
Bosnia and Herzegovina,
Croatia,
North Macedonia,
Montenegro,
Serbia and
Slovenia the title formally belongs to holders of academic doctoral degree such as
doctor of science (dr. sc.) or
doctor of arts (dr. art.) degree. There is no "Ph.D." in any of those countries, even though when holders are translating their dr. sc. degree to English, they nevertheless use "Ph.D.", even though it should be "D.Sc." or "Sc.D.". Informally, the title, in both its full and abbreviated form (i.e. "dr.") is used honorifically to address medical doctors even in more formal environment like in lectored media texts, however officially it is reserved only for the holders of academic degrees. Formally the professional title for medical doctor is "lijekar" in
Bosnian and
Montenegrin, "liječnik" in
Croatian, "lekar/лекар" in
Macedonian and
Serbian and "zdravnik" in
Slovenian and they can hold different academic degrees, as well as additional honorific title of
Primarius that is given to distinguished
specialists with exemplary reputation and achievements.
Oceania Australia With the introduction of National Health Practitioner registration legislation on 1 July 2010, the title "doctor" is not restricted in any Australian state. The title "medical practitioner" is restricted for use by registered medical practitioners, while the title "doctor" is not restricted by law. Despite this, the Medical Board of Australia advises that practitioners who are not medical practitioners who choose to use the title 'Doctor' (or 'Dr') should clearly state their profession in advertisements, even if they hold a PhD or another doctoral degree, e.g. 'Dr Smith (Dentist)' or 'Dr Jones (Chiropodist)'. The Psychology Board of Australia prohibits psychologists from using the title, to avoid confusion with psychiatrists, unless they hold a doctoral degree, in which case they must make it clear that they are not a medical practitioner or psychiatrist, e.g. by putting '(Psychologist)' after their name. The
Australian Qualifications Framework (AQF) defines doctoral degrees as being at Level 10 of the framework; it specifies that: "Individuals who have been awarded a Doctoral Degree at Level 10 on the AQF are entitled to use the title 'Doctor'. The title 'Doctor' will not be used by those who hold an honorary award." The name 'Doctor' is also used in the name of some extended master's degrees at Level 9 (e.g.
Juris Doctor and
Doctor of Medicine); these are not considered doctoral degrees. ==Abbreviation==