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134-625: The membership consists of physicians , dentists , and other allied health professionals. CMDA "sponsors overseas medical mission projects, provides members with a network for fellowship and professional growth, finances student campus ministries in medical and dental schools, publishes educational/inspirational materials, hosts marriage and family conferences, offers continuing education for missionary doctors, and develops overseas academic exchange programs". In addition, "Christian Medical & Dental Associations (CMDA) works on 270 medical/dental school campuses with over five thousand students." Members of

268-647: A Middle English quotation making this contrast, from as early as 1400: "O Lord, whi is it so greet difference betwixe a cirugian and a physician." Henry VIII granted a charter to the London Royal College of Physicians in 1518. It was not until 1540 that he granted the Company of Barber-Surgeons (ancestor of the Royal College of Surgeons ) its separate charter. In the same year, the English monarch established

402-471: A "College of Physicians and Surgeons". All American states have an agency that is usually called the "Medical Board", although there are alternate names such as "Board of Medicine", "Board of Medical Examiners", "Board of Medical Licensure", "Board of Healing Arts" or some other variation. After graduating from a first-professional school, physicians who wish to practice in the US usually take standardized exams, such as

536-496: A DPM degree. After residency, one to two years of fellowship programs are available in plastic surgery, foot and ankle reconstructive surgery, sports medicine, and wound care. Podiatry residencies and/ or fellowships are not accredited by the ACGME . The overall scope of podiatric practice varies from state to state and is not similar to that of physicians holding an MD or DO degree. DPM is also available at one Canadian university, namely

670-451: A basic medical qualification, and up to another nine years to become a specialist. In most jurisdictions, physicians (in either sense of the word) need government permission to practice. Such permission is intended to promote public safety, and often to protect government spending, as medical care is commonly subsidized by national governments. In some jurisdictions such as in Singapore , it

804-714: A beneficial effect on their health and lifestyle. According to a study of male physicians in the United States, life expectancy is slightly higher for physicians (73 years for white and 69 years for black) than lawyers or many other highly educated professionals. Causes of death which are less likely to occur in physicians than the general population include respiratory disease (including pneumonia , pneumoconioses , COPD , but excluding emphysema and other chronic airway obstruction ), alcohol-related deaths, rectosigmoid and anal cancers , and bacterial diseases. Physicians do experience exposure to occupational hazards , and there

938-467: A common ancestor, King Edward I of England . During his marriage to Catherine of Aragon, Henry conducted an affair with Mary Boleyn , Catherine's lady-in-waiting . There has been speculation that Mary's two children, Henry Carey and Catherine Carey , were fathered by Henry but this has never been proven. King Henry never acknowledged them as he did in the case of Henry FitzRoy. In 1525, as Henry grew more impatient with Catherine's inability to produce

1072-602: A consequence, the King was excommunicated by Pope Paul III on 17 December of the same year. In 1540, Henry sanctioned the complete destruction of shrines to saints. In 1542, England's remaining monasteries were all dissolved, and their property transferred to the Crown. Abbots and priors lost their seats in the House of Lords . Consequently, the Lords Spiritual  – as members of

1206-399: A considerable part in the ceremonies surrounding his brother Arthur's marriage to Catherine , the youngest child of King Ferdinand II of Aragon and Queen Isabella I of Castile . As duke of York, Henry used the arms of his father as king, differenced by a label of three points ermine . He was further honoured on 9 February 1506 by Holy Roman Emperor Maximilian I , who made him a Knight of

1340-557: A court, he never had any intention of empowering his legate, Lorenzo Campeggio , to decide in Henry's favour. This bias was perhaps the result of pressure from Emperor Charles V, but it is not clear how far this influenced either Campeggio or the Pope. After less than two months of hearing evidence, Clement called the case back to Rome in July 1529, from which it was clear that it would never re-emerge. With

1474-570: A detailed knowledge of the academic disciplines , such as anatomy and physiology , underlying diseases , and their treatment, which is the science of medicine, and a decent competence in its applied practice, which is the art or craft of the profession. Both the role of the physician and the meaning of the word itself vary around the world. Degrees and other qualifications vary widely, but there are some common elements, such as medical ethics requiring that physicians show consideration, compassion, and benevolence for their patients . Around

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1608-611: A diplomatic coup by convincing Emperor Maximilian to join the Holy League. Remarkably, Henry had secured the promised title of " Most Christian King of France" from Julius and possibly coronation by the Pope himself in Paris, if only Louis could be defeated. On 30 June 1513, Henry invaded France, and his troops defeated a French army at the Battle of the Spurs – a relatively minor result, but one which

1742-495: A fall from grace included the King's new mistress, the 28-year-old Jane Seymour , being moved into new quarters, and Anne's brother, George Boleyn , being refused the Order of the Garter , which was instead given to Nicholas Carew . Between 30 April and 2 May, five men, including George Boleyn, were arrested on charges of treasonable adultery and accused of having sexual relationships with

1876-542: A feeling of decreased personal achievement, and others. A study by the Agency for Healthcare Research and Quality reported that time pressure was the greatest cause of burnout; a survey from the American Medical Association reported that more than half of all respondents chose "too many bureaucratic tasks" as the leading cause of burnout. Medical education and career pathways for doctors vary considerably across

2010-516: A national voice for members on public policy issues such as health care, conscience rights, human trafficking, international health, abortion, HIV-AIDS, sexual orientation/gender identity, human cloning, abstinence, stem cell research, assisted suicide, among other issues. The Washington office links members with Congress, the White House, federal agencies and policy organizations; provides congressional testimony; presents pro-life perspectives through

2144-418: A physician, in the broad sense). In Commonwealth countries, specialist pediatricians and geriatricians are also described as specialist physicians who have sub-specialized by age of patient rather than by organ system. Around the world, the combined term "physician and surgeon" is used to describe either a general practitioner or any medical practitioner irrespective of specialty. This usage still shows

2278-575: A reality. The attack, however, following a formal declaration of war in April 1512, was not led by Henry personally and was a considerable failure; Ferdinand used it simply to further his own ends, and it strained the Anglo-Spanish alliance. Nevertheless, the French were pushed out of Italy soon after, and the alliance survived, with both parties keen to win further victories over the French. Henry then pulled off

2412-518: A second wedding service in London on 25 January 1533. On 23 May 1533, Cranmer, sitting in judgment at a special court convened at Dunstable Priory to rule on the validity of the King's marriage to Catherine of Aragon, declared the marriage of Henry and Catherine null and void. Five days later, on 28 May 1533, Cranmer declared the marriage of Henry and Anne to be valid. Catherine was formally stripped of her title as queen, becoming instead "princess dowager" as

2546-455: A significant cultural content, including conventional western medicine. Ayurveda , Unani medicine , and homeopathy are popular types of alternative medicine. Some commentators have argued that physicians have duties to serve as role models for the general public in matters of health, for example by not smoking cigarettes. Indeed, in most western nations relatively few physicians smoke, and their professional knowledge does appear to have

2680-603: A territorial possession of Charles, and the continued support of the Emperor. A small English attack in the north of France made up little ground. Charles defeated and captured Francis at Pavia and could dictate peace, but he believed he owed Henry nothing. Sensing this, Henry decided to take England out of the war before his ally, signing the Treaty of the More on 30 August 1525. King Henry VIII and all six of his wives were related through

2814-482: A three- or four-year degree, often in science) are usually four or five years in length. Hence, gaining a basic medical degree may typically take from five to eight years, depending on jurisdiction and university. Following the completion of entry-level training, newly graduated medical practitioners are often required to undertake a period of supervised practice before full registration is granted, typically one or two years. This may be referred to as an " internship ", as

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2948-638: A time that his life was in danger. When news of this accident reached the Queen, she was sent into shock and miscarried a male child at about 15 weeks' gestation, on the day of Catherine's funeral, 29 January 1536. For most observers, this personal loss was the beginning of the end of this royal marriage. Although the Boleyn family still held important positions on the Privy Council , Anne had many enemies, including Charles Brandon, 1st Duke of Suffolk . Even her own uncle,

3082-459: A treaty was signed for their marriage, and they were betrothed two days later. A papal dispensation was only needed for the "impediment of public honesty" if the marriage had not been consummated as Catherine and her duenna claimed, but Henry VII and the Spanish ambassador set out instead to obtain a dispensation for " affinity ", which took account of the possibility of consummation. Cohabitation

3216-457: A two-pronged attack. One force under Norfolk ineffectively besieged Montreuil . The other, under Suffolk, laid siege to Boulogne . Henry later took personal command, and Boulogne fell on 18 September 1544. However, Henry had refused Charles's request to march against Paris. Charles's own campaign fizzled, and he made peace with France that same day. Henry was left alone against France, unable to make peace. Francis attempted to invade England in

3350-514: A variety of care and are therefore also referred to as general practitioners . Family medicine grew out of the general practitioner movement of the 1960s in response to the growing specialization in medicine that was seen as threatening to the doctor-patient relationship and continuity of care. In the United States, the American Podiatric Medical Association (APMA) defines podiatrists as physicians and surgeons who treat

3484-549: A very limited extent", whilst Alison Weir believes there were numerous other affairs. Catherine is not known to have protested. In 1518, she fell pregnant again with another girl, who was also stillborn. Blount gave birth in June 1519 to Henry's illegitimate son, Henry FitzRoy . The young boy was made Duke of Richmond in June 1525 in what some thought was one step on the path to his eventual legitimisation. FitzRoy married Mary Howard in 1533, but died childless three years later. At

3618-401: Is evidence-based medicine . Within conventional medicine, most physicians still pay heed to their ancient traditions: The critical sense and sceptical attitude of the citation of medicine from the shackles of priestcraft and of caste; secondly , the conception of medicine as an art based on accurate observation, and as a science, an integral part of the science of man and of nature; thirdly ,

3752-467: Is a well-known aphorism that "doctors make the worst patients". Causes of death that are shown to be higher in the physician population include suicide among doctors and self-inflicted injury , drug-related causes, traffic accidents, and cerebrovascular and ischaemic heart disease. Physicians are also prone to occupational burnout . This manifests as a long-term stress reaction characterized by poorer quality of care towards patients, emotional exhaustion,

3886-469: Is begun immediately following completion of entry-level training, or even before. In other jurisdictions, junior medical doctors must undertake generalist (un-streamed) training for one or more years before commencing specialization. Hence, depending on the jurisdiction, a specialist physician (internist) often does not achieve recognition as a specialist until twelve or more years after commencing basic medical training—five to eight years at university to obtain

4020-531: Is common for physicians to inflate their qualifications with the title "Dr" in correspondence or namecards, even if their qualifications are limited to a basic (e.g., bachelor level) degree. In other countries such as Germany , only physicians holding an academic doctorate may call themselves doctor – on the other hand, the European Research Council has decided that the German medical doctorate does not meet

4154-546: Is common in most of the world including the United Kingdom and other Commonwealth countries (such as Australia , Bangladesh , India , New Zealand , Pakistan , South Africa , Sri Lanka , and Zimbabwe ), as well as in places as diverse as Brazil , Hong Kong , Indonesia , Japan , Ireland , and Taiwan . In such places, the more general English terms doctor or medical practitioner are prevalent, describing any practitioner of medicine (whom an American would likely call

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4288-457: Is often termed biomedicine by medical anthropologists . Biomedicine "formulates the human body and disease in a culturally distinctive pattern", and is a world view learnt by medical students. Within this tradition, the medical model is a term for the complete "set of procedures in which all doctors are trained", including mental attitudes. A particularly clear expression of this world view, currently dominant among conventional physicians,

4422-455: Is partly from their extensive training requirements, and also because of their occupation's special ethical and legal duties. The term traditionally used by physicians to describe a person seeking their help is the word patient (although one who visits a physician for a routine check-up may also be so described). This word patient is an ancient reminder of medical duty, as it originally meant 'one who suffers'. The English noun comes from

4556-499: Is the result of history and is often confusing. These meanings and variations are explained below. In the United States and Canada, the term physician describes all medical practitioners holding a professional medical degree. The American Medical Association , established in 1847, as well as the American Osteopathic Association , founded in 1897, both currently use the term physician to describe members. However,

4690-549: Is traditionally believed to have had an affair with Madge Shelton in 1535, although historian Antonia Fraser argues that Henry in fact had an affair with her sister Mary Shelton . Opposition to Henry's religious policies was at first quickly suppressed in England. Some dissenting monks, including the first Carthusian Martyrs , were executed and many more pilloried . The most prominent resisters included John Fisher , Bishop of Rochester, and Thomas More, both of whom refused to take

4824-474: Is unclear exactly why, for there is little evidence of differences in domestic or foreign policy. Despite his role, he was never formally accused of being responsible for Henry's failed marriage. Cromwell was now surrounded by enemies at court, with Norfolk also able to draw on his niece Catherine's position. Cromwell was charged with treason, selling export licences, granting passports, and drawing up commissions without permission, and may also have been blamed for

4958-511: The Université du Québec à Trois-Rivières ; students are typically required to complete an internship in New York prior to obtaining their professional degree. The World Directory of Medical Schools does not list US or Canadian schools of podiatric medicine as medical schools and only lists US-granted MD, DO, and Canadian MD programs as medical schools for the respective regions. Many countries in

5092-562: The Act of Succession 1533 , Catherine's daughter, Mary, was declared illegitimate; Henry's marriage to Anne was declared legitimate; and Anne's issue declared to be next in the line of succession. With the Acts of Supremacy in 1534, Parliament recognised the King's status as head of the church in England and, together with the Act in Restraint of Appeals in 1532, abolished the right of appeal to Rome. It

5226-536: The American College of Physicians or the Royal College of Physicians in the United Kingdom, and such hard-won membership is itself a mark of status. While contemporary biomedicine has distanced itself from its ancient roots in religion and magic, many forms of traditional medicine and alternative medicine continue to espouse vitalism in various guises: "As long as life had its own secret properties, it

5360-492: The American College of Physicians , established in 1915, does not: its title uses physician in its original sense. The vast majority of physicians trained in the United States have a Doctor of Medicine degree, and use the initials M.D. A smaller number attend osteopathic medical schools and have a Doctor of Osteopathic Medicine degree and use the initials D.O. The World Directory of Medical Schools lists both MD and DO granting schools as medical schools located in

5494-460: The Holy See by way of a deceptively worded draft papal bull. Knight was unsuccessful; the Pope could not be misled so easily, and he did not want to antagonise Catherine's nephew, Charles V, whose troops had recently sacked Rome . Other missions concentrated on arranging an ecclesiastical court to meet in England, with a representative from Clement VII. Although Clement agreed to the creation of such

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5628-526: The Italian War in favour of his new ally. An invasion of France was planned for 1543. In preparation for it, Henry moved to eliminate the potential threat of Scotland under his young nephew, James V . The Scots were defeated at the Battle of Solway Moss on 24 November 1542, and James died on 15 December. Henry now hoped to unite the crowns of England and Scotland by marrying his son Edward to James's successor, Mary . The Scottish regent Lord Arran agreed to

5762-475: The King's "great matter" . These options were legitimising Henry FitzRoy, which would need the involvement of the Pope and would be open to challenge; marrying off Mary, his daughter with Catherine, as soon as possible and hoping for a grandson to inherit directly, but Mary was considered unlikely to conceive before Henry's death, or somehow rejecting Catherine and marrying someone else of child-bearing age. Probably seeing

5896-517: The Latin word patiens , the present participle of the deponent verb , patior , meaning 'I am suffering', and akin to the Greek verb πάσχειν ( romanized : paschein , lit. to suffer) and its cognate noun πάθος ( pathos , suffering). Physicians in the original, narrow sense (specialist physicians or internists, see above) are commonly members or fellows of professional organizations, such as

6030-680: The Laws in Wales Act 1535 , which legally annexed Wales , uniting England and Wales into a single nation. This was followed by the Second Succession Act (the Succession to the Crown Act 1536), which declared Henry's children by Jane to be next in the line of succession and declared both Mary and Elizabeth illegitimate, thus excluding them from the throne. The King was granted the power to further determine

6164-655: The Oath of Supremacy to the King. Neither Henry nor Cromwell sought at that stage to have the men executed; rather, they hoped that the two might change their minds and save themselves. Fisher openly rejected Henry as the Supreme Head of the Church, but More was careful to avoid openly breaking the Treasons Act 1534 , which (unlike later acts) did not forbid mere silence. Both men were subsequently convicted of high treason, however – More on

6298-624: The Palace of Placentia in Greenwich , Kent, Henry Tudor was the third child and second son of King Henry VII and Elizabeth of York . Of the young Henry's six (or seven) siblings, only three – his brother Arthur, Prince of Wales , and sisters Margaret and Mary  – survived infancy. He was baptised by Richard Foxe , the Bishop of Exeter , at a church of the Observant Franciscans close to

6432-451: The Palace of Whitehall , Whitehall , London, in Anne's closet, by Stephen Gardiner , Bishop of Winchester . With Charles V distracted by the internal politics of his many kingdoms and external threats, and Henry and Francis on relatively good terms, domestic and not foreign policy issues had been Henry's priority in the first half of the 1530s. In 1536, for example, Henry granted his assent to

6566-862: The Regius Professorship of Physic at the University of Cambridge . Newer universities would probably describe such an academic as a professor of internal medicine . Hence, in the 16th century, physic meant roughly what internal medicine does now. Currently, a specialist physician in the United States may be described as an internist . Another term, hospitalist , was introduced in 1996, to describe US specialists in internal medicine who work largely or exclusively in hospitals. Such 'hospitalists' now make up about 19% of all US general internists , who are often called general physicians in Commonwealth countries. This original use, as distinct from surgeon,

6700-550: The Third Succession Act put them back in the line of succession after Edward. The same act allowed Henry to determine further succession to the throne in his will. In 1538, the chief minister Thomas Cromwell pursued an extensive campaign against what the government termed "idolatry" practised under the old religion, culminating in September with the dismantling of the shrine of St. Thomas Becket at Canterbury Cathedral . As

6834-730: The USMLE for a Doctor in Medicine. Most countries have some method of officially recognizing specialist qualifications in all branches of medicine, including internal medicine. Sometimes, this aims to promote public safety by restricting the use of hazardous treatments. Other reasons for regulating specialists may include standardization of recognition for hospital employment and restriction on which practitioners are entitled to receive higher insurance payments for specialist services. The issue of medical errors , drug abuse, and other issues in physician professional behavior received significant attention across

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6968-415: The male heir he desired, he became enamoured of Mary Boleyn's sister, Anne Boleyn , then a charismatic young woman of 25 in the Queen's entourage. Anne, however, resisted his attempts to seduce her, and refused to become his mistress as her sister had. It was in this context that Henry considered his three options for finding a dynastic successor and hence resolving what came to be described at court as

7102-464: The study , diagnosis , prognosis and treatment of disease , injury , and other physical and mental impairments. Physicians may focus their practice on certain disease categories, types of patients, and methods of treatment—known as specialities —or they may assume responsibility for the provision of continuing and comprehensive medical care to individuals, families, and communities—known as general practice . Medical practice properly requires both

7236-548: The "foundation" years in the UK, or as "conditional registration". Some jurisdictions, including the United States, require residencies for practice. Medical practitioners hold a medical degree specific to the university from which they graduated. This degree qualifies the medical practitioner to become licensed or registered under the laws of that particular country, and sometimes of several countries, subject to requirements for an internship or conditional registration. Specialty training

7370-490: The Christian Medical & Dental Associations are from diverse religious movements , such as evangelicalism , in addition to several Christian denominations including Anabaptists, Anglicans, Baptists, Catholics, Irvingians, Lutherans, Methodists, Moravians, Orthodox, Presbyterians, Quakers, Reformed, and Waldensians, as well as nondenominational Christians. The Christian Medical Association's Washington office provides

7504-463: The Duke of Norfolk, had come to resent her attitude to her power. The Boleyns preferred France over the Emperor as a potential ally, but the King's favour had swung towards the latter (partly because of Cromwell), damaging the family's influence. Also opposed to Anne were supporters of reconciliation with Princess Mary (among them the former supporters of Catherine), who had reached maturity. A second annulment

7638-544: The English army, overseen by Queen Catherine, decisively defeated the Scots at the Battle of Flodden on 9 September 1513. Among the dead was the Scottish king, thus ending Scotland 's brief involvement in the war. These campaigns had given Henry a taste of the military success he so desired. However, despite initial indications, he decided not to pursue a 1514 campaign. He had been supporting Ferdinand and Maximilian financially during

7772-514: The Golden Fleece . In 1502, Arthur died at the age of 15, just 20 weeks after his marriage to Catherine of Aragon . Arthur's death thrust all his duties upon his younger brother. The 10-year-old Henry became the new Duke of Cornwall , and the new Prince of Wales and Earl of Chester in February 1504. Henry VII gave his second son few responsibilities even after the death of Arthur. Young Henry

7906-486: The King. Soon after marrying Henry, Catherine conceived. She gave birth to a stillborn girl on 31 January 1510. About four months later, Catherine again became pregnant. On 1 January 1511, New Year's Day, a son Henry was born. After the grief of losing their first child, the couple were pleased to have a boy and festivities were held, including a two-day joust known as the Westminster Tournament . However,

8040-544: The Order of Physicians to practice medicine. In some countries, including the United Kingdom and Ireland, the profession largely regulates itself, with the government affirming the regulating body's authority. The best-known example of this is probably the General Medical Council of Britain. In all countries, the regulating authorities will revoke permission to practice in cases of malpractice or serious misconduct. In

8174-430: The Pope had lacked the authority to grant a dispensation from this impediment. It was this argument Henry took to Pope Clement VII in 1527 in the hope of having his marriage to Catherine annulled, forgoing at least one less openly defiant line of attack. In going public, all hope of tempting Catherine to retire to a nunnery or otherwise stay quiet was lost. Henry sent his secretary, William Knight , to appeal directly to

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8308-410: The Queen. Anne was arrested, accused of treasonous adultery and incest. Although the evidence against them was unconvincing, the accused were found guilty and condemned to death. On 17 May 1536, Henry and Anne's marriage was annulled by Archbishop Cranmer at Lambeth Palace and the accused men were executed. Cranmer appears to have had difficulty finding grounds for an annulment and probably based it on

8442-609: The Scottish regency under the Earl of Arran and Mary of Guise . He founded the Royal Navy , oversaw the annexation of Wales to England with the Laws in Wales Acts 1535 and 1542 , and was the first English monarch to rule as King of Ireland following the Crown of Ireland Act 1542 . Henry's contemporaries considered him an attractive, educated, and accomplished king. He has been described as "one of

8576-502: The US state-level depend upon continuing education to maintain competence. Through the utilization of the National Practitioner Data Bank , Federation of State Medical Boards ' disciplinary report, and American Medical Association Physician Profile Service, the 67 State Medical Boards continually self-report any adverse/disciplinary actions taken against a licensed physician in order that the other Medical Boards in which

8710-595: The United States. After completion of medical school , physicians complete a residency in the specialty in which they will practice. Subspecialties require the completion of a fellowship after residency. Both MD and DO physicians participate in the National Resident Matching Program (NRMP) and attend ACGME -accredited residencies and fellowships across all medical specialties to obtain licensure. All boards of certification now require that physicians demonstrate, by examination, continuing mastery of

8844-482: The Younger was dispatched to Cleves to paint a portrait of Anne for the King. Despite speculation that Holbein painted her in an overly flattering light, it is more likely that the portrait was accurate; Holbein remained in favour at court. After seeing Holbein's portrait, and urged on by the complimentary description of Anne given by his courtiers, the 49-year-old King agreed to wed Anne. When Henry met Anne, however, he

8978-585: The allegations, Dereham confessed. It took another meeting of the council, however, before Henry believed the accusations against Dereham and went into a rage, blaming the council before consoling himself in hunting. When questioned, the Queen could have admitted a prior contract to marry Dereham, which would have made her subsequent marriage to Henry invalid, but she instead claimed that Dereham had forced her to enter into an adulterous relationship. Dereham, meanwhile, exposed Catherine's relationship with Culpeper. Culpeper and Dereham were both executed, and Catherine too

9112-402: The campaign but had received little in return; England's coffers were now empty. With the replacement of Julius by Pope Leo X , who was inclined to negotiate for peace with France, Henry signed his own treaty with Louis: his sister Mary would become Louis's wife, having previously been pledged to the younger Charles, and peace was secured for eight years, a remarkably long time. Charles V ,

9246-540: The ceremony, there was a grand banquet in Westminster Hall . As Catherine wrote to her father, "our time is spent in continuous festival". Two days after his coronation, Henry arrested his father's two most unpopular ministers, Richard Empson and Edmund Dudley . They were charged with high treason and were executed in 1510. Politically motivated executions would remain one of Henry's primary tactics for dealing with those who stood in his way. Henry returned some of

9380-551: The chance for an annulment lost, Cardinal Wolsey bore the blame. He was charged with praemunire in October 1529, and his fall from grace was "sudden and total". Briefly reconciled with Henry (and officially pardoned) in the first half of 1530, he was charged once more in November 1530, this time for treason, but died while awaiting trial. After a short period in which Henry took government upon his own shoulders, Thomas More took on

9514-443: The child died seven weeks later. Catherine had two stillborn sons in 1513 and 1515, but gave birth in February 1516 to a girl, Mary . Relations between Henry and Catherine had been strained, but they eased slightly after Mary's birth. Although Henry's marriage to Catherine has since been described as "unusually good", it is known that Henry took mistresses. It was revealed in 1510 that Henry had been conducting an affair with one of

9648-521: The clergy with seats in the House of Lords were known – were for the first time outnumbered by the Lords Temporal . The 1539 alliance between Francis and Charles had soured, eventually degenerating into renewed war. With Catherine of Aragon and Anne Boleyn dead, relations between Charles and Henry improved considerably, and Henry concluded a secret alliance with the Emperor and decided to enter

9782-536: The core knowledge and skills for a chosen specialty. Recertification varies by particular specialty between every seven and every ten years. Primary care physicians guide patients in preventing disease and detecting health problems early while they are still treatable. They are divided into two types: family medicine doctors and internal medicine doctors. Family doctors, or family physicians, are trained to care for patients of any age, while internists are trained to care for adults. Family doctors receive training in

9916-453: The courtier Thomas Culpeper . She also employed Francis Dereham , who had previously been informally engaged to her and had an affair with her prior to her marriage, as her secretary. The Privy Council was informed of her affair with Dereham whilst Henry was away; Thomas Cranmer was dispatched to investigate, and he brought evidence of Queen Catherine's previous affair with Dereham to the King's notice. Though Henry originally refused to believe

10050-517: The developing world have the problem of too few physicians. In 2015, the Association of American Medical Colleges warned that the US will face a doctor shortage of as many as 90,000 by 2025. Within Western culture and over recent centuries, medicine has become increasingly based on scientific reductionism and materialism . This style of medicine is now dominant throughout the industrialized world, and

10184-580: The dissolution of the monasteries, Henry used some of his financial reserves to build a series of coastal defences and set some aside for use in the event of a Franco-German invasion. Having considered the matter, Cromwell suggested Anne , the 25-year-old sister of William, Duke of Jülich-Cleves-Berg , who was seen as an important ally in case of a Roman Catholic attack on England, for the Duke fell between Lutheranism and Catholicism . Other potential brides included Christina of Denmark, Anna of Lorraine , Louise of Guise and Amalia of Cleves . Hans Holbein

10318-423: The disturbances ended. On 8 January 1536, news reached the King and Queen that Catherine of Aragon had died. The following day, Henry dressed all in yellow, with a white feather in his bonnet. Queen Anne was pregnant again, and she was aware that there might be consequences if she failed to give birth to a son. Later that month, the King was thrown from his horse in a tournament and was badly injured; it seemed for

10452-623: The evidence of a single conversation with Richard Rich , the Solicitor General – and both were executed in the summer of 1535. These suppressions, as well as the Suppression of Religious Houses Act 1535 , in turn, contributed to a more general resistance to Henry's reforms, most notably in the Pilgrimage of Grace , a large uprising in northern England in October 1536. Some 20,000 to 40,000 rebels were led by Robert Aske , together with parts of

10586-623: The extent that his 1521 publication Assertio Septem Sacramentorum ("Defence of the Seven Sacraments") earned him the title of Fidei Defensor (Defender of the Faith) from Pope Leo X. The work represented a staunch defence of papal supremacy, albeit one couched in somewhat contingent terms. It is not clear exactly when Henry changed his mind on the issue as he grew more intent on a second marriage. Certainly, by 1527, he had convinced himself that Catherine had produced no male heir because their union

10720-532: The extent that his doctors found it difficult to treat. The chronic wound festered for the remainder of his life and became ulcerated , preventing him from maintaining the level of physical activity he had previously enjoyed. The jousting accident is also believed to have caused Henry's mood swings , which may have had a dramatic effect on his personality and temperament. The theory that Henry had syphilis has been dismissed by most historians. Historian Susan Maclean Kybett ascribes his demise to scurvy , which

10854-456: The failure of the foreign policy that accompanied the attempted marriage to Anne. He was subsequently attainted and beheaded. On 28 July 1540 (the same day Cromwell was executed), Henry married the young Catherine Howard, a first cousin and lady-in-waiting of Anne Boleyn. He was delighted with his new queen and awarded her the lands of Cromwell and a vast array of jewellery. Soon after the marriage, however, Queen Catherine had an affair with

10988-503: The foot, ankle, and associated structures of the leg. Podiatrists undergo training with the Doctor of Podiatric Medicine (DPM) degree. The American Medical Association (AMA), however, advocates for the definition of a physician as "an individual possessing degree of either a Doctor of Medicine or Doctor of Osteopathic Medicine ." In the US, podiatrists are required to complete three to four years of podiatry residency upon graduating with

11122-575: The friars' church in Greenwich on 11 June 1509. Henry claimed descent from Constantine the Great and King Arthur and saw himself as their successor. On 23 June 1509, Henry led the now 23-year-old Catherine from the Tower of London to Westminster Abbey for their coronation, which took place the following day. It was a grand affair: the King's passage was lined with tapestries and laid with fine cloth. Following

11256-597: The high moral ideals, expressed in that most "memorable of human documents" (Gomperz), the Hippocratic oath ; and fourthly , the conception and realization of medicine as the profession of a cultivated gentleman. In this Western tradition, physicians are considered to be members of a learned profession , and enjoy high social status , often combined with expectations of a high and stable income and job security . However, medical practitioners often work long and inflexible hours, with shifts at unsociable times. Their high status

11390-462: The ideas of the Protestant Reformers, but the extent to which she herself was a committed Protestant is much debated. When Archbishop of Canterbury William Warham died, Anne's influence and the need to find a trustworthy supporter of the annulment had Thomas Cranmer appointed to the vacant position. This was approved by the Pope, unaware of the King's nascent plans for the Church. Henry

11524-465: The infant Edward would marry one of Charles's daughters. It was suggested the widowed Henry might marry Christina, Dowager Duchess of Milan . However, when Charles and Francis made peace in January 1539, Henry became increasingly paranoid, perhaps as a result of receiving a constant list of threats to the kingdom (real or imaginary, minor or serious) supplied by Cromwell in his role as spymaster. Enriched by

11658-808: The international standards of a PhD research degree. Among the English-speaking countries, this process is known either as licensure as in the United States, or as registration in the United Kingdom , other Commonwealth countries, and Ireland . Synonyms in use elsewhere include colegiación in Spain , ishi menkyo in Japan , autorisasjon in Norway , Approbation in Germany , and άδεια εργασίας in Greece. In France , Italy and Portugal , civilian physicians must be members of

11792-578: The kingdoms of western Europe in the wake of a new Ottoman threat, and it seemed that peace might be secured. Henry met King Francis on 7 June 1520 at the Field of the Cloth of Gold near Calais for a fortnight of lavish entertainment. Both hoped for friendly relations in place of the wars of the previous decade. The strong air of competition laid to rest any hopes of a renewal of the Treaty of London, however, and conflict

11926-550: The large English-speaking federations ( United States , Canada , Australia ), the licensing or registration of medical practitioners is done at a state or provincial level, or nationally as in New Zealand. Australian states usually have a "Medical Board", which has now been replaced by the Australian Health Practitioner Regulation Agency (AHPRA) in most states, while Canadian provinces usually have

12060-404: The largely ceremonial role of a royal wife and it made her many enemies. For his part, Henry disliked Anne's constant irritability and violent temper. After a false pregnancy or miscarriage in 1534, he saw her failure to give him a son as a betrayal. As early as Christmas 1534, Henry was discussing with Cranmer and Cromwell the chances of leaving Anne without having to return to Catherine. Henry

12194-487: The line of succession in his will, should he have no further issue. On 12 October 1537, Jane gave birth to a son, Prince Edward, the future Edward VI . The birth was difficult, and Queen Jane died on 24 October 1537 from an infection and was buried in Windsor. The euphoria that had accompanied Edward's birth became sorrow, but it was only over time that Henry came to long for his wife. At the time, Henry recovered quickly from

12328-619: The marriage in the Treaty of Greenwich on 1 July 1543, but it was rejected by the Parliament of Scotland on 11 December. The result was eight years of war between England and Scotland, a campaign later dubbed "the Rough Wooing ". Despite several peace treaties, unrest continued in Scotland until Henry's death. Despite the early success with Scotland, Henry hesitated to invade France, annoying Charles. Henry finally went to France in June 1544 with

12462-466: The money supposedly extorted by the two ministers. By contrast, Henry's view of the House of York – potential rival claimants for the throne – was more moderate than his father's had been. Several who had been imprisoned by his father, including Thomas Grey, 2nd Marquess of Dorset , were pardoned. Others went unreconciled; Edmund de la Pole, 3rd Duke of Suffolk was eventually beheaded in 1513, an execution prompted by his brother Richard siding against

12596-404: The most charismatic rulers to sit on the English throne" and his reign described as the "most important" in English history. He was an author and composer. As he aged, he became severely overweight and his health suffered. He is frequently characterised in his later life as a lustful, egotistical, paranoid, and tyrannical monarch. He was succeeded by his son Edward VI . Born on 28 June 1491 at

12730-500: The national media; and publishes resources on vital issues. The Washington office also directs the Freedom2Care coalition of over 50 organizations to advance conscience rights in health care. Physician A physician , medical practitioner ( British English ), medical doctor , or simply doctor is a health professional who practices medicine , which is concerned with promoting, maintaining or restoring health through

12864-526: The nephew of Henry's wife Catherine, inherited a large empire in Europe, becoming king of Spain in 1516 and Holy Roman Emperor in 1519. When Louis XII of France died in 1515, he was succeeded by his cousin Francis I . These accessions left three relatively young rulers and an opportunity for a clean slate. The careful diplomacy of Cardinal Thomas Wolsey had resulted in the Treaty of London (1518) , aimed at uniting

12998-493: The new reforms from challenge, convincing the public of their legitimacy, and exposing and dealing with opponents. Although the canon law was dealt with at length by Cranmer and others, these acts were advanced by Thomas Cromwell , Thomas Audley and Thomas Howard, 3rd Duke of Norfolk and indeed by Henry himself. With this process complete, in May 1532 More resigned as Lord Chancellor, leaving Cromwell as Henry's chief minister. With

13132-517: The northern nobility. Henry VIII promised the rebels he would pardon them and thanked them for raising the issues. Aske told the rebels they had been successful and they could disperse and go home. Henry saw the rebels as traitors and did not feel obliged to keep his promises to them, so when further violence occurred after Henry's offer of a pardon he was quick to break his promise of clemency. The leaders, including Aske, were arrested and executed for treason. In total, about 200 rebels were executed, and

13266-466: The original meaning of physician and preserves the old difference between a physician, as a practitioner of physic , and a surgeon. The term may be used by state medical boards in the United States, and by equivalent bodies in Canadian provinces, to describe any medical practitioner. In modern English, the term physician is used in two main ways, with relatively broad and narrow meanings respectively. This

13400-575: The palace. In 1493, at the age of two, Henry was appointed Constable of Dover Castle and Lord Warden of the Cinque Ports . He was subsequently appointed Earl Marshal of England and Lord Lieutenant of Ireland at age three and was made a Knight of the Bath soon after. The day after the ceremony, he was created Duke of York and a month or so later made Warden of the Scottish Marches . In May 1495, he

13534-406: The papal dispensation and a missing part of the marriage portion . The new king maintained that it had been his father's dying wish that he marry Catherine. Whether or not this was true, it was convenient. Emperor Maximilian I had been attempting to marry his granddaughter Eleanor , Catherine's niece, to Henry; she had now been jilted. Henry's wedding to Catherine was kept low-key and was held at

13668-437: The physician holds or is applying for a medical license will be properly notified so that corrective, reciprocal action can be taken against the offending physician. In Europe, as of 2009 the health systems are governed according to various national laws, and can also vary according to regional differences similar to the United States. Henry VIII of England Henry VIII (28 June 1491 – 28 January 1547)

13802-414: The possibility of marrying Anne, the third was ultimately the most attractive possibility to the 34-year-old Henry, and it soon became the King's absorbing desire to annul his marriage to the now 40-year-old Catherine. Henry's precise motivations and intentions over the coming years are not widely agreed on. Henry himself, at least in the early part of his reign, was a devout and well-informed Catholic to

13936-437: The prior liaison between Henry and Anne's sister Mary, which in canon law meant that Henry's marriage to Anne was, like his first marriage, within a forbidden degree of affinity and therefore void. At 8 am on 19 May 1536, Anne was executed on Tower Green . The day after Anne's execution the 45-year-old Henry became engaged to Seymour, who had been one of the Queen's ladies-in-waiting . They were married ten days later at

14070-438: The rest. I can have none appetite for displeasant airs. I have left her as good a maid and I found her. Henry wished to annul the marriage as soon as possible so he could marry another. Anne did not argue, and confirmed that the marriage had never been consummated. Anne's previous betrothal to Francis of Lorraine provided further grounds for the annulment. The marriage was subsequently dissolved in July 1540, and Anne received

14204-466: The role of Lord Chancellor and chief minister. Intelligent and able, but a devout Catholic and opponent of the annulment, More initially cooperated with the King's new policy, denouncing Wolsey in Parliament. A year later, Catherine was banished from court, and her rooms were given to Anne Boleyn. Anne was an unusually educated and intellectual woman for her time and was keenly absorbed and engaged with

14338-551: The shock. Measures were immediately put in place to find another wife for Henry, which, at the insistence of Cromwell and the Privy Council, were focused on the European continent. In 1538, as part of the negotiation of a secret treaty by Cromwell with Charles V, a series of dynastic marriages were proposed: Mary would marry a son of King John III of Portugal , Elizabeth would marry one of the sons of King Ferdinand I of Hungary and

14472-425: The sisters of Edward Stafford, 3rd Duke of Buckingham , either Elizabeth or Anne Hastings, Countess of Huntingdon . The most significant mistress for about three years, starting in 1516, was Elizabeth Blount . Blount is one of only two completely undisputed mistresses, considered by some to be few for a virile young king. Exactly how many Henry had is disputed: David Loades believes Henry had mistresses "only to

14606-494: The summer of 1545 but his forces reached only the Isle of Wight before being repulsed in the Battle of the Solent . Financially exhausted, France and England signed the Treaty of Camp on 7 June 1546. Henry secured Boulogne for eight years. The city was then to be returned to France for 2 million crowns (£750,000). Henry needed the money; the 1544 campaign had cost £650,000, and England

14740-527: The time of his death in July 1536, parliament was considering the Second Succession Act , which could have allowed him to become king. In 1510, France , with a fragile alliance with the Holy Roman Empire in the League of Cambrai , was winning a war against Venice . Henry renewed his father's friendship with Louis XII of France , an issue that divided his council. Certainly, war with the combined might of

14874-447: The title of "The King's Sister", two houses, and a generous allowance. It was soon clear that Henry had fallen for the 17-year-old Catherine Howard , the Duke of Norfolk's niece. This worried Cromwell, for Norfolk was his political opponent. Shortly after, the religious reformers (and protégés of Cromwell) Robert Barnes , William Jerome and Thomas Garret were burned as heretics. Cromwell, meanwhile, fell out of favour although it

15008-443: The two powers would have been exceedingly difficult. Shortly thereafter, however, Henry also signed a pact with Ferdinand II of Aragon. After Pope Julius II created the anti-French Holy League in October 1511, Henry followed Ferdinand's lead and brought England into the new League. An initial joint Anglo-Spanish attack was planned for the spring to recover Aquitaine for England, the start of making Henry's dreams of ruling France

15142-519: The widow of Arthur. In her place, Anne was crowned queen consort on 1 June 1533. The Queen gave birth to a daughter slightly prematurely on 7 September 1533. The child was christened Elizabeth , in honour of Henry's mother, Elizabeth of York. Following the marriage, there was a period of consolidation, taking the form of a series of statutes of the Reformation Parliament aimed at finding solutions to any remaining issues, whilst protecting

15276-470: The world, in particular following a critical 2000 report which "arguably launched" the patient-safety movement. In the US, as of 2006 there were few organizations that systematically monitored performance. In the US, only the Department of Veterans Affairs randomly drug tests physicians, in contrast to drug testing practices for other professions that have a major impact on public welfare. Licensing boards at

15410-576: The world, the term physician refers to a specialist in internal medicine or one of its many sub-specialties (especially as opposed to a specialist in surgery ). This meaning of physician conveys a sense of expertise in treatment by drugs or medications, rather than by the procedures of surgeons . This term is at least nine hundred years old in English: physicians and surgeons were once members of separate professions, and traditionally were rivals. The Shorter Oxford English Dictionary , third edition, gives

15544-439: The world. In all developed countries, entry-level medical education programs are tertiary -level courses , undertaken at a medical school attached to a university . Depending on jurisdiction and university, entry may follow directly from secondary school or require pre-requisite undergraduate education . The former commonly takes five or six years to complete. Programs that require previous undergraduate education (typically

15678-582: Was King of England from 22 April 1509 until his death in 1547. Henry is known for his six marriages and his efforts to have his first marriage (to Catherine of Aragon ) annulled . His disagreement with Pope Clement VII about such an annulment led Henry to initiate the English Reformation , separating the Church of England from papal authority. He appointed himself Supreme Head of the Church of England and dissolved convents and monasteries , for which he

15812-693: Was excommunicated by the pope. Henry brought radical changes to the Constitution of England , expanding royal power and ushering in the theory of the divine right of kings in opposition to papal supremacy . He frequently used charges of treason and heresy to quell dissent, and those accused were often executed without a formal trial using bills of attainder . He achieved many of his political aims through his chief ministers, some of whom were banished or executed when they fell out of his favour. Thomas Wolsey , Thomas More , Thomas Cromwell , and Thomas Cranmer all figured prominently in his administration. Henry

15946-535: Was "blighted in the eyes of God". Indeed, in marrying Catherine, his brother's wife, he had acted contrary to Leviticus 20:21, a justification Thomas Cranmer used to declare the marriage null. Martin Luther , on the other hand, had initially argued against the annulment, stating that Henry VIII could take a second wife in accordance with his teaching that the Bible allowed for polygamy but not divorce . Henry now believed

16080-458: Was an extravagant spender, using proceeds from the dissolution of the monasteries and acts of the Reformation Parliament . He converted money that was formerly paid to Rome into royal revenue. Despite the money from these sources, he was often on the verge of financial ruin due to personal extravagance and costly and largely unproductive wars, particularly with King Francis I of France , Charles V, Holy Roman Emperor , King James V of Scotland , and

16214-572: Was appointed to the Order of the Garter . The reason for giving such appointments to a small child was to enable his father to retain personal control of lucrative positions and not share them with established families. Not much is known about Henry's early life – save for his appointments – because he was not expected to become king, but it is known that he received a first-rate education from leading tutors. He became fluent in Latin and French and learned at least some Italian. In November 1501, Henry played

16348-476: Was beheaded on 13 February 1542. Henry married his last wife, the wealthy widow Catherine Parr , in July 1543. A reformer at heart, she argued with Henry over religion. Henry remained committed to an idiosyncratic mixture of Catholicism and Protestantism; the reactionary mood that had gained ground after Cromwell's fall had neither eliminated his Protestant streak nor been overcome by it. Parr helped reconcile Henry with his daughters, Mary and Elizabeth. In 1543,

16482-513: Was inevitable. Henry had more in common with Charles, whom he met once before and once after Francis. Charles brought his realms into war with France in 1521; Henry offered to mediate, but little was achieved and by the end of the year Henry had aligned England with Charles. He still clung to his previous aim of restoring English lands in France but sought to secure an alliance with the Netherlands , then

16616-399: Was married to Catherine for 24 years. Their divorce has been described as a "deeply wounding and isolating" experience for Henry. In the winter of 1532, Henry met with Francis I at Calais and enlisted Francis's support for his new marriage. Immediately upon returning to Dover in England, Henry, now 41, and Anne went through a secret wedding service. She soon became pregnant, and there was

16750-424: Was much displeased with her appearance. The King was reportedly taken aback and told his courtiers "I promise you, I see no such thing as hath been shown me of her, by pictures and report. I am ashamed that men have praised her as they have done, and I love her not!" Despite his protests, Henry knew that the situation was too far gone and he would have to wed his bride. The marriage took place in January 1540, but it

16884-439: Was never consummated. The morning after their wedding night, Henry complained about his new wife to Cromwell, stating: Surely, my lord, I liked her before not well, but now I like her much worse! She is nothing fair, and have very evil smells about her. I took her to be no maid by reason of the closeness of her breasts and other tokens, which, when I felt them, strake me so to the heart, that I had neither will nor courage to prove

17018-532: Was not possible because Henry was too young. Isabella's death in 1504, and the ensuing problems of succession in Castile , complicated matters. Ferdinand II preferred Catherine to stay in England, but Henry VII's relations with Ferdinand had deteriorated. Catherine was therefore left in limbo for some time, culminating in Prince Henry's rejection of the marriage as soon he was able, at the age of 14. Ferdinand's solution

17152-402: Was now a real possibility, although it is commonly believed that it was Cromwell's anti-Boleyn influence that led opponents to look for a way of having her executed. Anne's downfall came shortly after she had recovered from her final miscarriage. Whether it was primarily the result of allegations of conspiracy, adultery, or witchcraft remains a matter of debate among historians. Early signs of

17286-478: Was once again facing bankruptcy. Late in life, Henry became obese , with a waist measurement of 54 inches (140 cm), and had to be moved about with the help of mechanical devices. He was covered with painful, pus -filled boils and possibly had gout . His obesity and other medical problems can be traced to the jousting accident on 24 January 1536 in which he suffered a leg wound. The accident reopened and aggravated an injury he had sustained years earlier, to

17420-462: Was only then that Pope Clement VII took the step of excommunicating the King and Cranmer, although the excommunication was not made official until some time later. The King and Queen were not pleased with married life. The royal couple enjoyed periods of calm and affection, but Anne refused to play the submissive role expected of her. The vivacity and opinionated intellect that had made her so attractive as an illicit lover made her too independent for

17554-757: Was possible to have sciences and medicines based on those properties". The US National Center for Complementary and Alternative Medicine (NCCAM) classifies complementary and alternative medicine therapies into five categories or domains, including: alternative medical systems, or complete systems of therapy and practice; mind-body interventions, or techniques designed to facilitate the mind's effect on bodily functions and symptoms; biologically based systems including herbalism ; and manipulative and body-based methods such as chiropractic and massage therapy. In considering these alternate traditions that differ from biomedicine (see above), medical anthropologists emphasize that all ways of thinking about health and disease have

17688-402: Was seized on by the English for propaganda purposes. Soon after, the English took Thérouanne and handed it over to Maximilian; Tournai , a more significant settlement, followed. Henry had led the army personally, complete with a large entourage. His absence from the country, however, had prompted his brother-in-law James IV of Scotland to invade England at the behest of Louis. Nevertheless,

17822-415: Was strictly supervised and did not appear in public. As a result, he ascended the throne "untrained in the exacting art of kingship". Henry VII renewed his efforts to seal a marital alliance between England and Spain, by offering his son Henry in marriage to the widowed Catherine. Henry VII and Queen Isabella were both keen on the idea, which had arisen very shortly after Arthur's death. On 23 June 1503,

17956-465: Was to make his daughter ambassador, allowing her to stay in England indefinitely. Devout, she began to believe that it was God's will that she marry the Prince despite his opposition. Henry VII died in April 1509, and the 17-year-old Henry succeeded him as king. Soon after his father's burial on 10 May, Henry suddenly declared that he would indeed marry Catherine, leaving unresolved several issues concerning

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