Representing Distinguished Doctors

Authors

  • Preston L. Williams University of Lynchburg
  • Joanna P. Williams Eisenhower Health

DOI:

https://doi.org/10.14738/bjhmr.104.15346

Keywords:

titling law, constitutional law, doctoral-trained professionals, professional parity, healthcare enterprises, clinics, healthcare management, state medical board, state nursing board

Abstract

Convention in many US states asserts the predominating myth that only physicians can be called doctors. However, even the core of the word “doctor” being “docere,” translates into “to teach,” thus capturing the full breadth of professionals and returning the title to its rightful honorary collective of doctoral-trained professionals. With the dawn of tighter legal restrictions imposed by state entities, current written laws forbid the use of the word “doctor” by making it synonymous only with physicians. Effectively, this monopolizes the term “doctor” and consequently excludes other highly qualified doctoral-trained professionals, likely infringing on their constitutional rights. Presently, there is a great deal of discourse between the medical and legal professions regarding the merits of such a matter, and this paper aims to discuss some of the salient points to provide more clarity in the use of the title “doctor” for all doctoral-trained professionals who would stand to face occupational or legal repercussions in instances where the title would be exercised. The goal is for an equitable professional representation by title, returning an expropriated term to those who have achieved professional doctoral training and expertise.

References

Washington Post. It's not an ego trip: Should nurses with PhDs be called doctors? Washington Post website. Updated July 18, 2023. Accessed July 20, 2023. https://www.msn.com/en-ca/health/other/it-s-not-an-egotrip-should-nurses-with-phds-be-called-doctors/ar-AA1e0OHT.

Medscape. Evolving Scope of Practice: Physicians, NPs and PAs Weigh In. Medscape website. Updated November 29, 2022. Accessed June 25, 2023. https://www.medscape.com/slideshow/physicians-pa-np-6015898?icd=login_success_email_match_norm#19.

Franklin University. Back to college blog. Franklin University website. Updated 2018. Accessed June 25, 2023. https://www.franklin.edu/blog/types-of-doctorate-degrees.

Edmonds S, Bush A, Ryan G. No one — M.D. or otherwise — should use the honorific ‘doctor’ with patients. STAT News website. Updated July 17, 2023. Accessed July 20, 2023. https://www.statnews.com/2023/07/17/doctor-honorific-nurses-with-doctorates/.

Medical Board of California. Unlicensed practice. Medical Board of California website. Updated 2023. Accessed June 28, 2023. https://www.mbc.ca.gov/Consumers/unlicensedpractice.aspx#:~:text=Business%20and%20Professions%20Code%20Section,%2C%20blemish%2C%20deformity%2C%20disease%2C.

Physician Assistant Board. Laws & regulations relating to the practice of Physician Assistants. Physician Assistant Board website. Updated February 2023. Accessed June 28, 2023. https://www.pab.ca.gov/lawsregs/pab_laws_regs_booklet.pdf.

California Board of Registered Nursing. Nurse Practitioners: Laws & regulations. California Board of Registered Nursing website. Updated September 11. 2013. Accessed July 2, 2023. https://www.rn.ca.gov/pdfs/regulations/bp2834-r.pdf.

Foote M, DeFilippis E, Rome B, Divakaran S, Yialamas M. Use of "Doctor" badges for physician role identification during clinical training. JAMA Intern Med 2019;179: 1582-1584. doi:10.1001/jamainternmed.2019.2416.

American Academy of Physician Associates. 2022 Military service award recipient committed to ‘Paying it forward.’ American Academy of Physician Associates website. Updated May 18, 2022. Accessed July 2, 2023. https://www.aapa.org/news-central/2022/05/2022-military-service-award-recipient-committed-topaying-it-forward/

University of Pennsylvania School of Nursing. From bedside to CEO. University of Pennsylvania School of Nursing website. Updated 2023. Accessed July 8, 2023. https://www.nursing.upenn.edu/details/news.php?id=1656.

Johns Hopkins Medicine. Branville G. Bard, D.P.A.. Johns Hopkins Medicine website. Updated 2023. Accessed July 2, 2023. https://www.hopkinsmedicine.org/about/leadership/biographies/branville-bard.html. 258

District Attorney County of San Luis Obispo. District Attorney Dan Dow announces settlement with Arroyo Grande nurse for unlawfully advertising herself as “Doctor”. District Attorney County of San Luis Obispo website. Updated November 14, 2022. Accessed July 31, 2023. https://www.slocounty.ca.gov/Departments/District-Attorney/Latest-News/2022/November/District-Attorney-Dan-Dow-Announces-Settlement-wit.aspx.

Pacific Legal Foundation. Doctors of Nursing Practice (DNPs) defend truthful titles, free speech, and their livelihoods in a new lawsuit. Pacific Legal Foundation website. Updated June 6, 2023. Accessed July 20, 2023. https://pacificlegal.org/press-release/doctors-of-nursing-practice-dnps-defend-truthful-titles-free-speechand-their-livelihoods-in-a-new-lawsuit/.

American Medical Association. Truth in advertising campaign. American Medical Association website. Updated 2018. Accessed July 20, 2023. https://www.ama-assn.org/system/files/2020-10/truth-inadvertising-campaign-booklet.pdf.

American Medical Association. AMA fact sheet on its decade of membership growth. American Medical Association website. Updated 2021. Accessed July 31, 2023. https://www.ama-assn.org/system/files/2021-06/ama-10-years-2021-fact-sheet.pdf.

American Osteopathic Association. Join. American Osteopathic Association website. Updated 2023. Accessed July 31, 2023. https://osteopathic.org/join/#:~:text=There's%20so%20much%20the%20AOA,osteopathic%20medicine%20around%20the%20world.

Statista. Total number of active physicians in the U.S., as of May 2023, by state. Statista website. Updated June 29, 2023. Accessed July 31, 2023. https://www.statista.com/statistics/186269/total-active-physiciansin-theus/#:~:text=As%20of%20May%202023%2C%20the,physicians%2C%20followed%20by%20New%20York

Ahuja AS. Should RCT's be used as the gold standard for evidence-based medicine? Integr Med Res. 2019;8(1):31-32. doi: 10.1016/j.imr.2019.01.001.

Dunn N. Practical issues around putting the patient at the centre of care. J R Soc Med. 2003;96(7):325-327. doi:10.1177/014107680309600704.

Olaisen RH, Schluchter MD, Flocke SA, Smyth KA, Koroukian SM, Stange KC. Assessing the longitudinal impact of physician-patient relationship on functional health. Ann Fam Med. 2020;18(5):422-429. doi:10.1370/afm.2554.

Moawad, H. Practicing at the top of your license. Medical Economics website. Updated May 3, 2017. Accessed July 31, 2023. https://www.medicaleconomics.com/view/practicing-at-the-top-of-your-license.

University of Southern California. 7 Ways to Improve Patient Outcomes. University of Southern California Sol Price School of Public Policy website. Updated 2023. Accessed July 31, 2023. https://healthadministrationdegree.usc.edu/blog/7-ways-to-improve-patient-outcomes/.

Kaiser Permanente. What is quality health care and why it matters. Kaiser Permanente website. Updated 2023. Accessed July 31, 2023. https://permanente.org/medical-excellence/what-is-quality-healthcare-andwhy-it-matters/.

American Psychiatric Association. Learn about the collaborative care model. American Psychiatric Association website. Updated 2023. Accessed July 31, 2023. https://www.psychiatry.org/psychiatrists/practice/professional-interests/integrated-care/learn.

American Academy of Family Physicians. Collaboration improves patient outcomes, lowers cost. American Academy of Family Physicians website. Updated September 4, 2019. Accessed July 31, 2023. 259 https://www.aafp.org/news/practice-professionalissues/20190904annalscollaboration.html#:~:text=September%2004%2C%202019%2003%3A05,an%20interprofessional%20collaborative%20practice%20model.

Nundy S, Cooper L, Mate K. The quintuple aim for health care improvement: A new imperative to advance health equity. JAMA. 2022;327(6):521–522. doi:10.1001/jama.2021.25181.

World Health Organization. Quality of Care. World Health Organization website. Updated 2023. Accessed July 31, 2023. https://www.who.int/health-topics/quality-of-care#tab=tab_1.

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Published

2023-08-26

How to Cite

Williams, P. L., & Williams, J. P. (2023). Representing Distinguished Doctors. British Journal of Healthcare and Medical Research, 10(4), 251–260. https://doi.org/10.14738/bjhmr.104.15346