Thursday, December 25, 2014

Who can use Dr as Prefix? Is use of Dr as prefix By Physiotherapist is right or not?

Lot of hype these days that Physiotherapist using Dr as prefix is wrong let’s have a deeper look on the Question’
The question is that, is it right for a physiotherapist to prefix doctor before their name?
Well Ideally Answer to this is No .It’s not right for a physiotherapist to prefix Dr in front of their name because they are not Philosopher of the field. Means they are not PhD. Only a PhD can prefix Dr to their name.
Now if the above statement is right the Next question comes in mind is that, is it right for MBBS holder to prefix Dr... And the Answer is still NO because they are also not PhD.
The Ph.D. is originally a degree granted by a university 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 philosophy, the pursuit of knowledge).
The word doctor originate from Latin means teacher. The appellation of "Doctor" (from Latin: teacher) was usually awarded only when the individual was in middle age. It indicated a life dedicated to learning, to knowledge, and to the spread of knowledge.
So according to this who are doctor? One who have doctorate degree, offered by university in respective field, or as matter of convention who has devoted their most of life in the field to attain the knowledge in the respective field?
Did you know historically, lawyers in most European countries were addressed with the title of doctor?
Now coming to the Punch line "Registered medical practitioners" hold the degree of Bachelor of Medicine (usually also with surgery). Though they are holders of bachelor-level degrees, history has allowed the use of the title doctor by physicians, however, it is recognised that it is in essence an honorary or courtesy title.
 Cultural conventions exist,  You must also be knowing clinicians who are or Fellows of the Royal College of Surgeons ,As a homage to their predecessors, the barber surgeons, they prefer to be addressed as Mr, Mrs, Ms or Miss, even if they do hold a medical degree. When a medical doctor passes the examinations which enable them to become a fellow of one or more of the Royal Surgical Colleges it is customary for them to drop the "Doctor" prefix and take up "Miss", "Mister", or and so on.
As of 1995, dentists have also been given the right to use the courtesy title "Dr" in the United Kingdom, although current advice from the General Dental Council is that the term should be limited to dentists holding a PhD or additional medical degree. Where dentists do use the title and are not also registered medical practitioners, they must ensure that it is not used in a way which could mislead the public.
So it is clear from the above lines that the Prefix Dr used by registered medical professionals holding a bachelor degree is a matter of cultural convention and granted by history as an honorary.
Now coming back to physiotherapist, if the major community of Physiotherapist in India want to prefix Dr in to their names, it should be allowed as a matter of convention same as manner the dentist are using. Recently IAP has released a press note that the Physiotherapist who wants Dr as prefix should Use Pt as suffix to make sure they are Physiotherapist not the RMP and they don't prescribe medication.
Prescribing right is a matter of government of India and only registered medical professionals can prescribe Drugs. Physiotherapist in UK has provision to do prescription with experience and certain qualification, but in India any physiotherapist or other Professionals who is not RMP and prescribing medications is a Quack. But using Dr as a Prefix is not a quack.
Why a Physiotherapist community willing to use Dr as prefix to their name? The answer to this is that India is such a vast country where majority of the population thinks who treats patient is a doctor, doesn’t  matter they are educated or illiterate. They don’t Recognised Physiotherapist as independent healthcare professionals so they lack trusting Physiotherapist as Independent Practises. In last 15- 20 years physiotherapy has evolved from Diploma to Doctorate level. They are no more subordinate to medical Doctors, share the equal status. To gain the similar trust from population, (that they are capable of treating independently) they need to prefix Dr as a convention that all other health care professional’s uses.