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I have my doctoral degree in clinical psychology and I work as a clinical health psychologist in a smaller healthcare system. I don't require anyone to use the term "doctor" for me except patients, to keep good boundaries. Not staff, not other doctors, etc. However, I am only one of two psychologists in the healthcare system and we are relatively new to the healthcare system in general; though they have had LISWs and LPCCs doing therapy and such, as well as psychiatrists.

Since being here, I have run into a couple of issues where someone either a) doesn't know how to address me so just calls me by my first name in formal professional settings (for example, when I was introduced to my colleagues at my first staff meeting, I was announced as "First Name Last Name who will be at the psychiatric center" rather than "Dr. Last Name". Most of the med. docs. here are amazing, but I definitely have those few who see my clinical neuropsychological opinion as less valid because I am not an MD, which is interesting since in my state only clinical psychologists with specific training in neuro can do this type of testing so... there's that. But I digress.

Recently, I was asked to give a very formal presentation to the medical staff on the persistence of ADHD symptoms in adulthood. There is a medical doctor who is "running the show" to keep us on time and myself, the other psychologist, and an APRN involved in the training. Today, they sent out the information on the training to the larger community. Myself and the other psychologist were not listed as doctors, just by our first and last names as well as the APRN (not even any credentials such as PsyD, PhD, or APRN-CNP for any of us). Would it be totally petty of me to (kindly and professionally) let the person know who sent out the email what my actual title is? I literally don't want anyone to call me that, nor do I care if anyone actually calls me that. I just want to help spread the word that we are in fact doctoral-level trained providers with high degrees of knowledge, as I get tired of explaining this to colleagues who ask me about my actual training. I feel this would be a good way to dispel some of the confusion and also to strengthen what is seen as the validity of our clinical opinions, as many people are sent to us for evaluation (especially to me by the neurology office). I don't want anyone to update the email or send out anything new, I just want to make sure that it has been communicated for the future, as I have been asked about doing other trainings in the near future about dementias and dementing diagnoses.

Thoughts on if it would be too petty to address this? As an aside, this isn't an informal event. It is a very formalized training to all of the doctors in the healthcare system and anyone outside the healthcare system who have been invited to attend. Any thoughts are appreciated.

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    This is an interesting question, but I recommend reducing the length. It seems like: "I am a healthcare provider with a clinical psychology PhD and am attending formal events where MDs are referred to as 'Dr. Lastname' but I am referred to as 'Firstname Lastname'. Is there a polite way to correct this?" would convey almost all of the needed context. Commented Jan 22, 2025 at 16:57
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    Even though you have a doctoral degree, you're not working in academia, and the norms around this sort of thing may be quite different. In particular, we don't usually have medical doctors around, so there's no turf war over different kinds of Doctor. Furthermore, the attitude of "we're all PhDs so we don't need to call anyone doctor" prevails in many academic contexts. So, I'm not sure the answers you get here will be applicable to working in healthcare. Commented Jan 22, 2025 at 17:17
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    @user1149748 Many parts of academia have MDs around. Commented Jan 22, 2025 at 23:17
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    Please tag a country. Commented Jan 23, 2025 at 14:30
  • Additional comments have been moved to chat; please do not continue the discussion here. Before posting a comment below this one, please review the purposes of comments. Comments that do not request clarification or suggest improvements usually belong as an answer, on Academia Meta, or in Academia Chat. Comments continuing discussion may be removed. Commented Jan 24, 2025 at 4:52

7 Answers 7

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Giving a midwest US based answer... may not apply as well in other circumstsances.

I do think it's a bit petty to request the "doctor" honorific, and further seems quite silly to stress if "I literally don't want anyone to call me that, nor do I care if anyone actually calls me that".

Yes, I think that there is an underappreciation of clinical training for non-MDs(/DOs). I don't think that's really fixed by adding "Dr." at the front without causing some confusion among patients (some US states even ban those with doctorates from being referred to as "doctor" with patients unless they have specifically a medical degree), you'll just have people snickering about not being a "real" doctor, etc - I think it's the wrong focus and not really worth it. I'd have a stronger and very different opinion if we were instead talking about disparities in using the honorific for the same qualifications (e.g., the problem of dropping the "Dr." for a woman MD where it would always be used for a man).

If you're going to insist on something, I'd focus on the PsyD, PhD, or APRN-CNP sorts of letters instead. If I were personally doing the introducing of a speaker, I'd spell those credentials out verbally as well, e.g. "Firstname Lastname has a doctorate in clinical psychology"; for a research degree I might add the general subject of research as well if it were at all relevant. I think it would not be petty for asking that those credentials be listed in the future.

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It can be dangerous for a PhD to call themselves "Doctor" in a medical context

Whilst your concern about the recognised status of your profession is valid, a countervailing issue in a hospital/medical context is that Dr/Doctor is used as an indicator that a person has medical training that can be used in an emergency. If you go around calling yourself "Doctor" in this context (when you are a doctor only in the academic sense) then there is a danger that people will call on you for medical assistance in an emergency, thereby wasting valuable time and possibly causing a death or other adverse medical outcome.

Imagine you're at a party and someone collapses clutching their chest and a bystander yells, "Is there a doctor in the house?" You would not pipe up and engage in a semantic discussion in that context. For roughly the same reason, it is probably reasonable to let this one go when in a hospital context. (Incidentally, this is one reason why I never select the "Dr" title when booking into a plane flight; if there is an emergency medical problem on the plane I don't want any of the attendants mistaking me for someone with medical training.)

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    I imagine that's why you can get t-shirts etc. emblazoned with the legend ‘NOT THAT KIND OF DOCTOR’. Commented Jan 23, 2025 at 15:51
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    "I'm a doctor! What kind of library are you wanting me to design?" is not going to go down well Commented Jan 24, 2025 at 5:41
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    reddit.com/… Commented Jan 24, 2025 at 11:55
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    This answer completely misses the point. OP isn't an academic, they're a professional PhD actively providing clinical care. They are exactly the one to be called if somebody is threatening suicide and they make very consequential decisions like whether to involuntarily commit them. That's exactly why they want to be addressed as "doctor" in professional settings. Commented Jan 24, 2025 at 21:54
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    This answer shows exactly the issue that OP is facing. While they make direct, consequential, patient care decisions in clinical environments, somebody assumes they don't. And even then somebody makes up some irrelevant criteria ("emergency care" so primary care physicians, ophthalmologists, dental surgeons aren't doctors?) to claim they're a fake doctor. Commented Jan 25, 2025 at 0:26
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There is a difference between being asked to be called "Doctor" in your day to day work vs. having your degree shown on professional training materials such as slides, agendas, or cover sheets.

While the former might seem petty, I wouldn't fault anyone who asked for it. No more than I would fault people who ask that others who don't know them personally address them as "Mr," "Miss," "Ms," or "Mrs." It's still a title.

But if your name is printed on an agenda, a slide presentation, or a cover sheet of printed training materials, it's standard practice to include your degree. That helps establish credibility to those attending the meeting who don't know you. That's not petty at all. That's an important part of any formal presentation. That helps establish the tone. Whoever prepared the material that was sent out, dropped the ball by either assuming you don't have a degree, by not asking, or thinking it wasn't important.

I am admittedly assuming that the physicians who are presenting do have their M.D. or D.O. degrees listed after their names on training materials. If that is not the case, then the style of this meeting is very different from what I'm used to, and you should probably disregard the rest of this post! Also, in the US medical field where I am from, only terminal degrees (and sometimes Masters degrees) are typically listed.

If I read the post correctly, you're not asking for anyone to address you as "Doctor." Just to include your degree in the printed material. And possibly to address you as "Doctor so-and-so" when they introduce you as a speaker. Again, that helps establish tone and credibility and isn't petty at all.

I disagree with the other responses that say it's dangerous to call you "doctor" in a medical setting. The actual degree shown after your name on slides or printed materials should be enough to make the distinction clear for this particular meeting.

What to do about it? I would ask the responsible person "Is it too late to include my degree on the slides/agenda/cover sheet/etc.?"

  • Even if it is too late, at least the person who omitted your degree will know that maybe they messed up by not including it to begin with. That should also let them know what your preferences are for any future presentations.
  • On top of that, by referring to "my degree" without actually stating what your degree is, you're also putting that person in the position of having to ask what your degree is. Which may help them realize that maybe they incorrectly assumed you didn't have a terminal degree, and that the professional thing to do would have been to ask to begin with (or research your credentials in some other way).
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    Incidentally, list either your title or your degree, never both. According to the Chicago Manual of Style (16th edition) section 10.16: "When an academic degree or professional designation follows a name, such titles are always omitted: Jennifer James, MD (not Dr. Jennifer James, MD)" Commented Jan 24, 2025 at 14:05
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[Answer from an external angle, being Germany]

Your situation sounds very similar to a peculiarity of the German language which means that we've solved it for a very very long time.

In German we have "du" and "sie" both as a translation of "you". The first being colloquial, being used among children, teenagers and friends or colleagues (and increasingly managers & bosses as well) but between adults "sie", the more formal address is the default. It's what students address their teacher by, it's how two random adults (especially in formal settings) address each other until one "offers the 'du'" (if there is a hierarchy the superior has to be offering it), thereby deformalizing your relation (to some degree) intentionally.

It's not as strict anymore as I made it sound but I think it still very very neatly fits to your case: you have a valid claim to the default formal title of doctor (or as Bryan Krause points out maybe only PhD) which you may choose to waive in social interactions (though your behavior can, as it seems you wanted to imply a company- or station-wide waiver), but never, ever, would an official buisness email (unless it's restricted to a close circle that the sender knows you're all "per du" with) use the informal "you", especially not when some other people (of the same organization) are referred to formally.

Tl:dr: from a German perspective it's a noticeble fauxpass of the email writer to not at least include your PhD. Depending on what age and/or social group you'd ask demanding a correction may still be seen as petty (though some older folks would also consider it adequate). Simply asking for it to be respected in the future is very valid though.

Especially when there is (occasional/frequent even?) discussion/uncertainty about your (implied lack of) formal training, leaving it out in an organization-wide (plus more) invite to a presentation you provide (while others have their title included) is completely inacceptable and would be seen as a grossly negligent or an intentional transgression. In larger organisations contacting HR about it would be at the upper end of "adequate" response (and would be perceived petty by some) but would still be seen as reasonable by many.

Small note: Because we have this delineation of formal and informal addressation, titles aren't as important to a lot of people (because leaving out a doctor while using "sie" still definitely reads respectfully) but it still tracks, and when some in an email invitation had theirs included, omitting them for others (unless they're completely unrelated titles) would be a mistake at best.

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  • I think that 'chef' was meant to be chief as in Chief of Police, often the main of a group of similar - Chief Economist and of course the C suite, the top corporate executives CEO and so on. Commented Jan 24, 2025 at 5:33
  • @civitas yes that's closer to it than kitchen chef, but "superior" or "boss" is more appropriate in English, chef being a false friend translation (to some degree), I meant anyone hierarchically (or just by social etiquette) superior. Commented Jan 24, 2025 at 8:53
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It is not petty or inappropriate to request people use the appropriate title when it is appropriate to use it.

Fact is, a clinical psychologist in practice is very much a medical professional and should be treated like one, including deference to and recognition of their proven qualification and expertise.

The suggestion that a practising clinical psychologist "is not a real doctor" whether meant directly or as shorthand for excusing a shallow misrepresentation of how people act in emergency situations, is frankly offensive. ●

You are well within the bounds of professional courtesy to request the correct letters in front of your name (Dr.) and behind it (DClinPsych or the correct variant). This is especially true in the context of a presentation in which you are, at least presumably, the expert on the subject.

As much as the evidence for best practice stands on its own, the heuristic approach is still the default, and fronting your expertise enables the audience to know quickly how well they can trust what you say and why you are the person saying it to them - the foot in the proverbial public speaking door.

They may feel confused by your choice to not use it when it is still appropriate, but not necessary.

The choice to not enforce the title in casual or everyday reference is a different matter, but if it is desirable to have people be implicitly aware of the importance of the expertise, then it is important enough to have people be explicitly aware of the title.

This doesn't have to mean waving it around all the time. A simple understanding that you should be introduced as "Doctor Shay McGuire, in clinical psychology" on first meeting new colleagues and work partners, and always referred to as "Doctor McGuire" when clients are hearing it, is something you can communicate to those colleagues and work partners you already have a connection with.

How to communicate that preference, exactly, is better suited to Interpersonal Skills Stack Exchange.

● I have never heard of a recommendation or actual situation to be asking for "a doctor" in medical emergencies. Asking for "someone who knows first aid" or "someone who can handle X" is what gets the correct message across.

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    0 The issue is not that a practising clinical psychologist "is not a real doctor", it is that a practising clinical psychologist is not a medical doctor. An MD is a very specific type of qualification. It's not any more or less real than a PhD. But it is different and comes with different training and responsibilities. Commented Jan 24, 2025 at 16:14
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    That isn't relevant at all. They have a doctorate, their correct title is doctor, and they deserve to have it used appropriately in the professional context, personal preference for informality aside. The only reason people ever use the phrase is to directly suggest the correct title be not used, to gatekeep it for people with an MD alone. Commented Jan 24, 2025 at 18:17
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    @user2705196: Central European STEM perspective here. If anything, over here it is that MDs have only a Dr. med. And the Dr. med. typically doesn't convey any very specific type of qualification. If anything is really needed of them, it's their approbation (which has nothing whatsoever to do with a Dr. med.), plus maybe their specialization. Commented Jan 24, 2025 at 22:07
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There may be a middle ground wrt. the colleagues:

I expect that the formal presentation involves slides.

So you could list your flavor of doctorate on the author information of the title page of your presentation. And you make sure that slide is already displayed when you are introduced.

If I understand correctly, you are also still rather new there, and this is your first such presentation? If so, that presentation may be a valid occasion to take half a minute and the first "content" slide to tell people who you are, professionally speaking. Where you got your training, what research you've done or potentially other professional specializations or special trainings and on which topic your PhD (or whatever flavor of doctor you hold) was.


Wrt patients, if you are introduced incorrectly I'd think it appropriate to take anyone who did so aside and tell them unambiguously that you need them to introduce you properly to patients.

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For future situations, one way may be to include your degree in an email signature. This will inform of your degree without it coming across as petty, since it is rather common practice to put such degree and license information there.

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