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Article #5: Doctoring in the United States

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A physician (also called doctor in some practice medicine. Clinicians (licensed
places) is a person who practices professionals who deal with patients) can
medicine. In the United States, the term be physicians, nurses, therapists or
physician is traditional and commonly others. The medical profession is the
used. In Britain & Ireland, Canada, social and occupational structure of the
Australia, New Zealand, Japan, South group of people formally trained and
Africa, India, Indonesia, Pakistan, authorized to apply medical knowledge.
Bangladesh, Sri Lanka and Zimbabwe, the Many countries and legal jurisdictions
term doctor is more common (and in formal have legal limitations on who may
legal contexts, medical practitioner as practice medicine.
well), as physician refers to specialists Medicine comprises various specialized
in internal medicine. sub-branches, such as cardiology,
Because of the extensive training pulmonology, neurology, or other fields
requirements, physicians are such as sports medicine, research or
traditionally considered to be members of public health.
a learned profession. Human societies have had various
In all developed countries, entry-level different systems of health care practice
medical education programs are since at least the beginning of recorded
tertiary-level courses undertaken at a history. Medicine, in the modern period,
medical school pertaining to a is the mainstream scientific tradition
university. Depending on jurisdiction and which developed in the Western world
university, these may be either since the early Renaissance (around
undergraduate-entry or graduate-entry 1450). Many other traditions of health
programs. Following completion of care are still practiced throughout the
entry-level training, newly graduated world; most of these are separate from
doctors are often required to undertake a Western medicine, which is also called
period of supervised practice before full biomedicine, allopathic medicine or the
registration is granted; this may be Hippocratic tradition. The most highly
referred to as "internship" or developed of these are traditional
"conditional registration". Chinese medicine and the Ayurvedic
Further training in a particular field of traditions of India and Sri Lanka.
medicine may be undertaken. In some Various non-mainstream traditions of
jurisdictions this is commenced health care have also developed in the
immediately following completion of Western world. These systems are
entry-level training, whilst other sometimes considered companions to
jurisdictions require junior doctors to Hippocratic medicine, and sometimes are
undertake generalist (un-streamed) seen as competition to the Western
training for a number of years before tradition. Few of them have any
commencing specialization. Various scientific confirmation of their tenets,
teaching methodologies have been utilized because if they did they would be brought
in medical education, which is an active into the fold of Western medicine.
area of educational research. "Medicine" is also often used amongst
In the USA, there are two types of medical professionals as shorthand for
physicians. Allopathic physicians hold a internal medicine. Veterinary medicine is
MD and osteopathic physicians hold a DO. the practice of health care in animal
Both physicians are fully licensed to species other than human beings.
practice in all 50 states. In most The earliest type of medicine in most
jurisdictions, physicians need government cultures was the use of plants
permission to practice. This is known as (Herbalism) and animal parts. This was
licensing in the United States. usually in concert with 'magic' of
Regulating authorities will revoke various kinds in which animism (the
permission to practice in cases of notion of inanimate objects having
malpractice or serious misconduct. spirits; or communion with ancestor
Graduates of Foreign Medical Schools, who spirits), shamanism (the vesting of an
enter USA have to pass USMLE step 1 and 2 individual with mystic powers), and
ECFMG and do a residency program to divination (the supposed obtaining of
qualify for a state license. After truth by magic means) played a major
graduating from medical school, American role.
physicians usually take a standardized The practice of medicine combines both
exam which enables them to obtain a science and art. Science and technology
certificate to practice from the are the evidence base for many clinical
appropriate state agency. All American problems for the general population at
states have an agency which is usually large. The art of medicine is the
called the "Medical Board," although application of this medical knowledge in
there are alternate names such as "Board combination with intuition and clinical
of Medicine," "Board of Medical judgment to determine the proper
Examiners," "Board of Medical Licensure," diagnoses and treatment plan for each
"Board of Healing Arts," etc. Australian unique patient and to treat the patient
states usually have a "Medical Board," accordingly.
while Canadian provinces usually have a Central to medicine is the patient-doctor
"College of Physicians and Surgeons." relationship established when a person
In the United States, as a result of the with a health concern or problem seeks
war on drugs, pharmaceuticals are the help of a physician (i.e. the medical
strictly regulated at the federal level encounter). Other health professionals
by the Food and Drug Administration and similarly establish a relationship with a
the Drug Enforcement Administration. All patient and may perform interventions
practicing American physicians who intend from their perspective, e.g. nurses,
to prescribe controlled substances must radiographers and therapists.
obtain a number from the DEA, and that Medical care delivery is classified into
DEA number must appear on all their primary, secondary and tertiary care.
prescriptions. Use of the DEA number Primary care medical services are
enables dispensing pharmacists or the DEA provided by physicians or other health
to ensure that a physician is not professionals who has first contact with
dispensing potentially addictive or a patient seeking medical treatment or
harmful drugs, such as opiates or care. These occur in physician's office,
stimulants, in contravention to accepted clinics, nursing homes, schools, home
standards of care. visits and other places close to
Medical care is shared between the patients. About 90% of medical visits can
medical profession (physicians or be treated by the primary care provider.
doctors) and other professionals such as These include treatment of acute and
nurses and pharmacists, sometimes known chronic illnesses, preventive care and
as allied health professionals. health education for all ages and both
Historically, only those with a medical sex.
doctorate have been considered to






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