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12 points

Dr. is used extensively in Europe. It’s even tacked on to existing titles, where in the US you rarely use Dr. if a “higher” honorific is applicable (e.g., it’s usually just “Prof. X,” where in parts of Europe it’s “Prof. Dr. X”).

Do you mean that doctorates in medical-adjacent fields (but not unqualified med school) don’t use the term in Europe?

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I worked with European PhDs at the NIH and the impression I got was that they don’t use it regularly or even prefer it. Small sample size but at the upper echelons of their respective fields.

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