Academic doctorates and usage of Doctor as a title of address
Although medical doctors and some other health professionals with the above medical degrees are addressed as Doctor (e.g., Doctor Smith or Dr. Smith), medical degrees are not usually doctorates, except in the USA, where they are considered first-professional (as opposed to research-oriented) doctorates.
The most advanced academic degrees in any discipline, including the medical disciplines, are referred to as doctorates and represent the highest earned degree in a given area of the sciences or humanities. The most common of these is the Ph.D, but there are many other research-oriented doctorates with different designations. (See: doctorate.)
In much of the world, holders of doctoral degrees are generally addressed as Doctor. In the USA, however, while the Juris Doctor or J.D is indeed a professional doctorate, by custom and legal convention lawyers do not use the title of doctor. Laywers who hold another doctorate such as the J.S.D (Doctor of Juristic Science), L.Sc.D (Doctor of the Science of Law), or the LL.D (Doctor of Laws) may use the title of doctor. In an academic setting, where the educational background of the individual is of course salient, doctor is the term of address and title used by holders of a doctoral degree unless the holder has been appointed a professor, since this title usually supersedes the title doctor. Academics below the rank of professor who do not hold a doctoral degree are referred to as Mr., Mrs., Miss or Ms.
It is also true, however, that the usage of doctor as a title also varies by country and culture. While the title Doctor (abbreviated Dr.) is used in the United States, the UK and Germany for most people holding a doctorate, in some other countries, such as France, it is generally not used except for physicians and thus has become a synonym for "physician". In certain countries, for members of certain professions, the title of doctor may be used even when the academic qualification of doctorate is not held: for instance, in Italy, for holders of a Laureate.
Other usages
In Roman Catholicism, a Doctor of the Church is an eminent theologian (e.g. Thomas Aquinas) from whose teachings the whole Christian Church is held to have derived great advantage. This is not an academic title but reflects the most ancient sense of the word as "teacher".
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