https://publishing.rcseng.ac.uk/doi/full/10.1308/147363515X14134529299420#/doi/full/10.1308/147363515X14134529299420 The Royal College of Surgeons of England [Bulletin_a] Sign in | Register | Cart | Mobile [PICK A JOURNAL ] * CURRENT ISSUE * IN PRESS * ARCHIVE * VIDEO [ ] [The Bulletin of the ] [ ] [ ] [ ] [ ] Search in: [All journals] [Search] * Home > * Bulletin > * Archive > * Volume 97, Issue 1 > * Nominative determinism in hospital medicine Nominative determinism in hospital medicine C Limb x C Limb Search for articles by this author , , R Limb x R Limb Search for articles by this author , , C Limb x C Limb Search for articles by this author , , and D Limb x D Limb Search for articles by this author , Volume: 97 Issue: 1, January 2015, pp. 24-26 https://doi.org/10.1308/147363515X14134529299420 Published online: June 12, 2015 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. * Abstract * Full Text * References * Cited by * PDF * PDF Plus Abstract Section: [Choose ] Next section Can our surnames influence our choice of career, and even specialty? It is appropriate that the fastest man on Earth is called Bolt. However, did the name he was born with influence his life choices? Also, is there evidence in the medical register that names have influenced the career choices of hospital doctors in selecting medicine as a career and in their choice of specialty? This phenomenon was termed 'nominative determinism' by New Scientist, which ran a regular column dedicated to it from 1994 onwards. Among the first entries was a reference to an article on incontinence in the British Journal of Urology authored by Splatt and Weedon.^1 There is already evidence that names influence the choice of a career in medicine,^2,3 but does it also influence the choice of specialty thereafter? The authors of this article are from a medical family who frequently hear their names quoted on radio phone-ins. Little does the radio audience know that all members of the family climb for a hobby, and two of the family have names more appropriate to this pastime than to medicine. We wanted to ascertain if there is evidence that an individual's name, as recorded in the medical register, has influenced his/her choice of specialty if they have followed a career in hospital medicine. Methods Section: [Choose ] Previous sectionNext section We obtained a copy of the medical register from the General Medical Council in November 2011. The register was sorted into the principal hospital specialties. Then, three of the authors reviewed the list of practitioners independently to identify surnames that were 'apt' for the specialty (eg Limb for an orthopaedic surgeon; Brain for a neurologist) or for medicine in general (eg Ward, Kurer, Doctor). Then the three lists were merged by consensus. The fourth author, a general practitioner, checked the frequency of apt names appearing in the hospital specialties against their frequency in the register in general. Some names that were felt to be indicative of character traits perceived as typical of some specialties were also enumerated by specialty. Results Section: [Choose ] Previous sectionNext section There were 313,445 entries in the medical register. This figure referred to all registered doctors, including those in training, those no longer working but maintaining registration, those on general practice and specialist registers and those in other medical careers. There were 17,901 surgical specialists, 25,013 physicians, 11,528 anaesthetists, and a range of smaller specialties (psychiatry, 8,143; radiology, 5,156; obstetrics and gynaecology, 4,445; accident and emergency, 997; microbiology, 997). Median frequency of names relevant to medicine was 1 in 149. Median frequency of names relevant to the subspecialty was 1 in 486. The specialty most likely to have a name relevant to medicine was medical: neurology (1 in every 21 doctors). Specialties least likely to have names relevant to medicine were cardiothoracic surgery and maxillofacial surgery (both zero). Neurologists had names relevant to medicine in general, but far fewer had names directly relevant to the specialty (1 in every 302). The specialties next most likely to bear names relevant to a career in medicine were genitourinary medicine (1 in 52) and urology (1 in 59). Unlike neurology, however, all names in genitourinary medicine were relevant to the specialty, rather than to medicine in general, as were most of those in urology (1 in 75). The frequency distribution for each of the specialties considered is illustrated in Figure 1, along with examples of nominative determinism in that specialty. Discussion Section: [Choose ] Previous sectionNext section The frequency of names relevant to medicine and to subspecialties was much greater than that expected by chance. Some specialties had a high composition of doctors with names relevant to medicine in general (eg Doctor, Nurse, Ward, and a wide range of anatomical terms). Specialties that had the largest proportion of names specifically relevant to that specialty were those in which the English language has provided a wide range of alternative terms for the same anatomical parts (or functions thereof). Specifically, these were genitourinary medicine (eg Hardwick, Kinghorn, Woodcock, Bell) and urology (eg Burns, Cox, Dick, Koch, Cox, Balluch, Ball, Waterfall). Some terms for bodily functions have been included in the frequency counts but are not mentioned because they are colloquial terms that may lower the tone of this publication. Some other variations between specialties were also uncovered in perusing the register. For instance, practitioners of almost all specialties were more likely to be Little than Large. Counterintuitively, only cardiothoracic surgery and cardiology were more likely to be Large than Little. Paediatric medicine was much more likely to be Wong than White (10:2), whereas anaesthetists were far more likely to be White than Wong (22:4). Surgeons were distributed more evenly. For those who wish to pass a few idle moments, it is even possible to muster some relevant sentences using only surnames from within a specialty. For instance, in obstetrics and gynaecology we have 'Love' for the 'New' 'Bourne' 'Child'. Dr Pain appeared most commonly in general surgery but fortunately not Dr Handslip (respiratory medicine - though chest drain insertion may be traumatic). One wonders if the comforting words of Dr Lie carry less impact because of the name, or whether consultations with Dr Dark in oncology are made any more ominous. Table Table Figure 1 Specialty Frequency of Frequency of names Examples names relevant to relevant to medicine specialty Cardiothoracic 0 0 surgery ENT 1 (1 in 1496) 8 (1 in 187) Lancer General surgery 16 (1 in 318) 56 (1 in 91) Gore, Butcher, Boyle, Blunt Maxillofacial 0 0 surgery Neurosurgery 2 (1 in 303) 3 (1 in 201) Barber, Hope Ophthalmic 3 (1 in 839) 3 (1 in 839) Ball, Saw, surgery Turner Paediatric 1 (1 in 325) 4 (1 in 81) Young surgery Plastic surgery 3 (1 in 327) 7 (1 in 140) Carver, Mole, Price Trauma and 13 (1 in 338) 17 (1 in 259) Carpenter, orthopaedic Cartlidge, Limb surgery Urology 18 (1 in 75) 23 (1 in 59) Ball, Burns, Cox, Dick, Waterfall Accident and 0 12 (1 in 83) Cutting, Payne, emergency Boyle Obstetrics and 12 (1 in 370) 18 (1 in 247) Child, Dada, gynaecology Kidd Psychiatry 24 (1 in 339) 65 (1 in 125) Downs, Lowe, Bhatti, Moodie, Nutt Microbiology 0 1 (1 in 990) Anaesthesia 3 (1 in 3843) 100 (1 in 115) Heal, Payne, Painstil Cardiology 5 (1 in 340) 8 (1 in 213) Hart, Pump, Payne Dermatology 2 (1 in 486) 4 (1 in 243) Boyle, Hickey Endocrinology 0 1 (1 in 778) Gastroenterology 3 (1 in 338) 8 (1 in 127) Freshwater, Kitchen, Salmon General medicine 5 (1 in 1271) 63 (1 in 101) Mysore, Reckless, Safe, Warning Geriatric 8 (156) 15 (1 in 83) Gerry, Gerrie, medicine Dyer, Vitale Genitourinary 11 (1 in 52) 11 (1 in 52) Horn, Hussey, medicine Hardwick Haematology 0 6 (1 in 249) Infectious 1 (1 in 255) 2 (1 in 128) Ayles diseases Neurology 4 (1 in 302) 58 (1 in 21) Counsell, Panicker Oncology 5 (1 in 307) 9 (1 in 171) Last, Makepiece Paediatric 17 (1 in 323) 46 (1 in 119) Boys, Gal, medicine Child, Kinder Renal medicine 2 (1 in 305) 3 (1 in 203) Foley Respiratory 0 7 (1 in 886) medicine Rheumatology 1 (1 in 891) 6 (1 in 149) Bracewell Some promising partnerships failed to materialise: Doctors Batman and Robin are registered but failed to team up in any specialty. Finally, it was surprising to find no Dr Who. Doctors Why and Where, however, appeared in the register, but not in a hospital specialty. Our study had limitations. Without specialist knowledge it may be that some appropriate names may have been missed. However, one assumes that if specialist knowledge is needed to spot the connection then this could not have influenced the career choice of an individual before acquisition of that specialist knowledge. Furthermore, the medical register is not an accurate record of the specialty in which an individual practices. It is a historical record of the specialty that each individual recorded at their point of registration. Although individuals can (and do) move between specialties throughout their careers, the medical register is not altered after registration. For example, 'Ah See' could, for all we know, have become an ophthalmologist even though he is documented as an ear, nose and throat surgeon. References Section: [Choose ] Previous sectionNext section Splatt AJ, Weedon D. The urethral syndrome: experience with the 1. Richardson urethroplasty. Br J Urol 1977: 49: 173-176. Crossref, Google Scholar 2. Abel EL. Influence of names on career choices in medicine. NAMES 2010; 58: 65-74. Crossref, Google Scholar 3. Doctor's names list. http://www.u.arizona.edu/~stoddard/doctor.htm . Google Scholar Article Metrics Views 2186 Citations Crossref 1 About article usage data: Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean euismod bibendum laoreet. Proin gravida dolor sit amet lacus accumsan et viverra justo commodo. Proin sodales pulvinar tempor. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Article Tools * Add to favorites * View abstracts * Email * Download citation * Track citations Bookmark and share * Bookmark Services * Subscribe * Submit * Free trial * eToc alert * Reprints * Permissions * Email the Editor about this article * This month's picks Current Issues Bulletin issue 103:8 November 2021 - Leading by example Articles The Diversity Action Plan RCS England Ms, Mr or Mx? K Chui Face transplants 2003-2021: where are we now and what have we learned? F Bound Alberti and M Ridley Mental practice in surgical training V Rajaratnam, NA Rahman, UF Omar and HJH Ng 10,000 biographies published: Plarr's Lives of the Fellows milestone S Gillam (c) 2021 The Royal College of Surgeons of England 38-43 Lincoln's Inn Fields, London WC2A 3PE Tel: +44 (0) 20 7405 3474 Registered Charity no: 212808 Follow Us [facebook] [twitter] [youtube] [linkedin] Connect Subscribe Advertise Submit Contact us Open Access Information Privacy Terms and conditions Accessibility Accessing content Permissions Reprints This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Find out more. [Close]