History
In early recorded history, surgery was mostly associated with barber surgeons who were both haircutting barbers who also used their cutting tools to undertake surgical procedures, often at the battlefield and also for their royal paymasters. With advances in medicine and physiology, the professions of barbers and surgeons diverged from each other and by the 19th century barber surgeons had virtually disappeared. In 1950, the Royal College of Surgeons of England (RCS) in London began to offer surgeons a formal status via RCS membership. The title Mister became a badge of honour, and today after someone graduates from medical school with the degrees MBBS or MB ChB, (or variants thereof) in these countries they are called "Doctor" until they are able, after at least four years' training, to obtain a surgical qualification: formerly Fellow of the Royal College of Surgeons but also Member of the Royal College of Surgeons or a number of other diplomas, they are given the honour of being allowed to revert back to calling themselves Mr, Miss, Mrs or Ms in the course of their professional practice, but this time the meaning is different. Patients in the UK may assume that the change of title implies Consultant status (and some mistakenly think non-surgical consultants are Mr too), but the length of postgraduate medical training outside North America is such that a Mr (etc.) may be years away from obtaining such a post: many doctors used to obtain these qualifications in the Senior House Officer grade, and remain in that grade when they began sub-specialty training. The distinction of Mr (etc.) is also used by surgeons in the Republic of Ireland, Australia, New Zealand, South Africa and some other Commonwealth countries.
Read more about this topic: Surgeon
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