In the United States and Canada, an attending physician (also known as a staff physician or supervising physician) is a physician (usually an
M.D.
Doctor of Medicine (abbreviated M.D., from the Latin ''Medicinae Doctor'') is a medical degree, the meaning of which varies between different jurisdictions. In the United States, and some other countries, the M.D. denotes a professional degree. T ...
or
D.O.
Doctor of Osteopathic Medicine (DO or D.O., or in Australia DO USA) is a medical degree conferred by the 38 osteopathic Medical school in the United States, medical schools in the United States. DO and Doctor of Medicine, Doctor of Medicine (MD) ...
) who has completed
residency
Residency may refer to:
* Domicile (law), the act of establishing or maintaining a residence in a given place
** Permanent residency, indefinite residence within a country despite not having citizenship
* Residency (medicine), a stage of postgrad ...
and practices
medicine
Medicine is the science and Praxis (process), practice of caring for a patient, managing the diagnosis, prognosis, Preventive medicine, prevention, therapy, treatment, Palliative care, palliation of their injury or disease, and Health promotion ...
in a
clinic
A clinic (or outpatient clinic or ambulatory care clinic) is a health facility that is primarily focused on the care of outpatients. Clinics can be privately operated or publicly managed and funded. They typically cover the primary care nee ...
or
hospital, in the specialty learned during residency. An attending physician typically supervises
fellows Fellows may refer to Fellow, in plural form.
Fellows or Fellowes may also refer to:
Places
*Fellows, California, USA
*Fellows, Wisconsin, ghost town, USA
Other uses
*Fellows Auctioneers, established in 1876.
*Fellowes, Inc., manufacturer of works ...
,
residents, and
medical students
A medical school is a tertiary educational institution, or part of such an institution, that teaches medicine, and awards a professional degree for physicians. Such medical degrees include the Bachelor of Medicine, Bachelor of Surgery (MBBS, M ...
. Attending physicians may also maintain professorships at an affiliated medical school.
[ This is common if the supervision of trainees is a significant part of the physician's work. Attending physicians have final responsibility, legally and otherwise, for patient care, even when many of the minute-to-minute decisions are being made by house officers (residents) or non-physician health-care providers (i.e. ]physician assistant
A physician assistant or physician associate (PA) is a type of mid-level health care provider. In North America PAs may diagnose illnesses, develop and manage treatment plans, prescribe medications, and may serve as a principal healthcare prov ...
s and nurse practitioner
A nurse practitioner (NP) is an advanced practice registered nurse and a type of mid-level practitioner. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe ...
s). Attending physicians are sometimes the 'rendering physician' listed on the patient's official medical record, but if they are overseeing a resident or another staff member, they are 'supervising.'
The term "attending physician" or "attending" also refers to the formal relationship of a hospitalized patient and their primary medic during the hospitalization, as opposed to ancillary physicians assisting the primary care physician
A primary care physician (PCP) is a physician who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions, not limited by cause, organ system, or diagnosis. The term ...
. However, even on a consultation service, at an academic center, the physician who has finished his or her training is called the attending or consultant, as opposed to a resident physician.
Attending physicians may also still be in training, such as a fellow in a subspecialty. For example, a cardiology
Cardiology () is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular he ...
fellow may function as an internal medicine attending, as they have already finished residency in internal medicine. The term is used more commonly in teaching hospital
A teaching hospital is a hospital or medical centre that provides medical education and training to future and current health professionals. Teaching hospitals are almost always affiliated with one or more universities and are often co-locate ...
s. In non-teaching hospitals, essentially all physicians function as attendings in some respects after completing residency.
See also
*Consultant (medicine)
In the United Kingdom, Ireland, and parts of the Commonwealth, consultant is the title of a senior hospital-based physician or surgeon who has completed all of their specialist training and been placed on the specialist register in their chosen ...
– British and Commonwealth
A commonwealth is a traditional English term for a political community founded for the common good. Historically, it has been synonymous with " republic". The noun "commonwealth", meaning "public welfare, general good or advantage", dates from th ...
equivalent
* Attending physician statement
*Residency (medicine)
Residency or postgraduate training is specifically a stage of graduate medical education. It refers to a qualified physician
A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply docto ...
*Fellowship (medicine)
A fellowship is the period of medical training, in the United States and Canada, that a physician, dentist, or veterinarian may undertake after completing a specialty training program (residency). During this time (usually more than one year), t ...
References
{{Reflist
Physicians