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The Disappearing Doctor: Challenging the Provider Paradigm

By Christina Shenvi, MD, PhD, MBA, FACEP | on August 11, 2025 | 1 Comment
New Spin Opinion
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The terms physician and doctor have been a source of solace, comfort, and wisdom across languages and cultures for millennia. We should not let them disappear in our generation.

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ACEP Now: August 2025 (Digital)

Dr. Shenvi is an associate professor of emergency medicine at the University of North Carolina at Chapel Hill.

 

 

References

  1. Reed RR, Evans D. The deprofessionalization of medicine. Causes, effects, and responses. JAMA. 1987;258(22):3279-3282.
  2. Mangione S, Mandell BF, Post SG. The language game: we are physicians, not providers. Am J Med. 2021;134(12):1444-1446.
  3. Paydarfar D, Schwartz WJ. Dear provider. JAMA.2011;305(20):2046–2047.
  4. Safire W. On language; health care provider, heal thyself. NY Times Magazine. 1993 Apr 11; Section 6, p.12.
  5. Scarff JR. “Provider” etymology is unclear, but still wrong for health care. Fed Pract. 2022;39(4):153.
  6. AMA Advocacy Resource Center. ‘‘Truth in Advertising’’ campaign. https://www.ama-assn.org/system/files/2020-10/truth-in-advertising-campaign-booklet.pdf. Accessed August 29, 2024.
  7. Sitton B, Korman AM. Dermatologists, not “providers”. J Am Acad Dermatol. 2022;87(6):1459-1460.
  8. American Medical Association PolicyFinder. Definition and Use of the Term Physician H-405.951. https://policysearch.ama-assn.org/policyfinder/detail/urge%20physicians%20to%20identify%20themselves%20as%20physicians?uri=%2FAMADoc%2FHOD.xml-H-405.951.xml. Accessed April 6, 2025.
  9. American College of Emergency Physicians Policy Statements. Opposing the Use of the Term “Provider” approved October 2023., https://www.acep.org/patient-care/policy-statements/opposing-the-use-of-the-term-provider#:~:text=ACEP%20strongly%20supports%20health%20care,any%20other%20non%2Dspecific%20terminology. Accessed April 6, 2025.
  10. Bray TJ, Walker J. Medical school or “provider school”. J Orthop Trauma. 2021;35(2):e64-e65.

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Topics: Burnoutcorporate medicineOpinionPhysician Autonomyphysician-led careProfessional IdentityWorkforce

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One Response to “The Disappearing Doctor: Challenging the Provider Paradigm”

  1. August 29, 2025

    Pam Bensen, MD Reply

    Dr. Shenvi,
    This is a wonderful article. There are other words we can substitute in the same context as ‘physician’ where a substitute has subtlety altered perceptions. The use of the word ‘reimbursement’ rather than ‘payment’ has resulted in a radically different perception of the financial arrangements for physician services.
    I would love to read an article where you applied your logic and knowledge to the word ‘reimbursement’ to provide the same insights as found here.
    I wrote a similar article to ACEP asking them to replace reimbursement with payment, but got no where. I am going to compare your article to my request and see if I can improve mine and resubmit it unless you would do it instead. Keep up the great work

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