In the United Kingdom, qualified medical surgeons drop the title of "Doctor" and revert to being addressed as Mr., Ms., Miss, or Mrs. once they complete their advanced surgical fellowship exams (such as becoming a Member or Fellow of the Royal College of Surgeons). This historic British tradition dates back centuries to when barbers and surgeons practiced manual trades distinct from academic physicians holding university medical doctorates. Today, the title change signifies that a practitioner has achieved elite surgical specialist qualification.
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