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it’s the Anglo-Saxon way of distinguishing doctors and surgeons. Everybody else consider all surgeons doctors. Officially. The germanic way is to divide it to surgical medicine and conservative medicine (as in practicing medicine while conserving the integrity of bodily barriers).
That said, my favorite response from the surgical instructors in med school when we told them we don’t want to be surgeons: “Ohh, so you wanna be an intellectual?!”
Still cracks me up.