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Around the world, the combined term "Physician and Surgeon" is used to describe either a general practitioner or any medical practitioner irrespective of specialty.[3][4] This usage still shows 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 of America, and by equivalent bodies in provinces of Canada, to describe any medical practitioner.