Resident vs. Attending Physician: What's the Difference? (2023)

A resident is someone who has graduated from medical school and is completing a post-graduate training program. An attending physician is a board-certified physician who has completed their residency training. Residents are supervised by attending physicians.

When you receive care from a resident, you are also receiving care from their attending physician. This means you’ll benefit from the experience and knowledge of both providers.

This article discusses what makes an attending and a resident. It also offers a breakdown of the other people that comprise a hospital care team who are either board-certified physicians or those on track to becoming one.

Resident vs. Attending Physician: What's the Difference? (1)

Doctors and Levels of Seniority

To better understand what a resident and an attending physician are, it’s helpful to know more about all of levels of physicians and how they compare.

In the United States, the hierarchy of doctors you may encounter in a hospital is as follows:

  1. Attending physician: A doctor who has finished post-graduate training
  2. Fellow: A doctor who pursues optional additional training before becoming an attending
  3. Resident: A doctor who has finished their first year of post-graduate training
  4. Intern: Medical school graduates who are first-year residents

In order to become an intern, one must go to medical school and then embark on further training at a teaching hospital.

Attending Physicians

An attending physician is a medical doctor who has completed all residency training. They are board-certified or eligible to practice independently in a particular specialty.

An attending physician typically supervises fellows,residents,and medical students and may also be a professor at an affiliated medical school. Attending physicians have final responsibility for all patient care—even if a subordinate provides the care. (They may or may not have legal liability, depending on circumstances.)

An attending physician is considered an expert in their field of medicine or surgery. Attendings are also referred to as staff physicians, supervising physicians, or simply “attendings.”

Depending on the field of medicine, the route from medical student to attending can take seven years or more. Some specialties can take 14 years or more of post-undergraduate studies and training before credentials are fully obtained.

Attending

  • Provide direct care to patients without supervision

  • No limits on services they are able to deliver

  • Hold all responsibility for care given by them or subordinates

Resident

(Video) What’s the Difference Between a Medical Student, Resident & Attending Physician? A Doctor Explains

  • Can provide direct care to patients with supervision and guidance of an attending

  • Allowed to do more as they gain experience

  • Do not hold ultimate responsibility for care provided

Fellows

A fellow is someone who has completed their residency and elects to pursue further training. A fellowship is optional but is required to practice certain subspecialties.

An example is a general surgeon who wants to pursue a career in pediatric brain (neuro) surgery or heart/lung (cardiothoracic) surgery.

There are fellowships in many fields of medicine, including:

  • Cardiology (cardiovascular system)
  • Neurology (brain and nervous system)
  • Obstetrics/gynecology (female reproductive health)
  • Ophthalmology (eyes)
  • Orthopedics (muscles/bones/joints)

Interns and Residents

Medical school graduates then enter a residency program in a hospital, clinic, or doctor’s office.

The goal of residency—also referred to as a graduate medical education (GME) program—is to continue training in a specialized field of medicine. A medical residency can last anywhere from two to three years for a family doctor to seven or more years for a surgeon.

First-year residents are referred to as interns. After that, they are known as resident doctors, resident physicians, or simply “residents.”

Residents provide direct care under the supervision of an attending physician or senior resident.

Residency Specializations

Residents can choose different specialties to train in after graduation. Some potential specialties include:

  • Emergency medicine
  • General surgery
  • Family practice
  • Pediatrics
  • Anesthesiology
  • Diagnostic radiology

Chief Residents

Chief residents are selected to lead a group of residents. They are residents who are elevated to a level that puts them senior to the rest of the residents and junior to the program’s management.

The duties of chief residents may vary, but can include patient care; mentoring, training, and advocating for team members; and carrying out some administrative duties.

Chief residents are chosen by hospital leadership during their residency program.

Medical Students

Medical students are those who have obtained a bachelor’s degree and have been accepted to medical school after meeting certain requirements, including passing the Medical College Aptitude Test (MCAT).

The first two years of their four-year program is devoted to classroom studies. During the latter two years, time is largely spent in a hospital- or clinic-based setting.

Upon completion of medical school, medical students graduate with either a doctor of medicine (MD) or a doctor ofosteopathic medicine(DO) degree.

It is only at this point that they are referred to as physicians, even though their training is not yet complete.

20 Types of Doctors and What They Do

(Video) Intern Vs. Resident Vs. Fellow [What's The Difference]

How Can You Tell Who’s a Resident vs. an Attending?

You can sometimes tell where a person fits in the hierarchy based on the length of their lab coats. Residents typically wear longer coats, while attending physicians will wear full-length coats.

The shortest white coats, on the other hand, are worn by medical students.

Even so, a lab coat is not an absolute indication of a person’s status as other health professionals also wear them, including nurse practitioners and phlebotomists (technicians who draw blood).

Today, many health professionals of all ranks also wear scrubs.

When in doubt, look at a staff member’s ID badge or just ask what their role is. It is your right to know who does what and which member of the hospital staff is ultimately in charge.

Summary

People training to be a medical doctor are given different titles as they progress through the ranks. They begin as medical students, then progress to interns, residents, and fellows. Once residency and fellowship trainings are complete, a person can become a board-certified attending physician.

From the time of enrollment in medical school to board certification, it can take anywhere from seven to 14 years (or more) to become an attending physician.

Frequently Asked Questions

  • Do resident doctors get paid?

    Yes. Resident doctors earn a relatively modest salary and get benefits such as health and dental insurance. Resident salaries typically start low and increase every year.

  • How do resident and attending salaries compare?

    First-year residents earn an average of $60,000 a year. The median salary for a physician is $208,000, though this can vary widely according to specialty, with anesthesiologists earning around $332,000 a year and pediatricians earning $198,000.

  • Can residents prescribe medication?

    Yes. Resident doctors can prescribe medication to the patients under their care.

    (Video) What is a medical Intern, resident and attending? Doctor explains physicians on your healthcare team
  • What is the highest doctor position in a hospital?

    The highest position a doctor can attain is medical director. Medical directors supervise staff, enforce policy, and manage the services provided by the facility. They have the most authority and responsibility within a hospital.

6 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Bureau of Labor Statistics. How to become a physician or surgeon.

  2. Mowery YM.A primer on medical education in the United States through the lens of a current resident physician. Ann Transl Med. 2015;3(18):270. doi:10.3978/j.issn.2305-5839.2015.10.19

  3. Weggemans MM, van Dijk B, van Dooijeweert B, Veenendaal AG, ten Cate O.The postgraduate medical education pathway: an international comparison. GMS J Med Educ. 2017;34(5):Doc63. doi:10.3205/zma001140

  4. Teo WZW, Brenner LH, Bal BS. Medicolegal sidebar: resident physician liability. Clin Orthop Relat Res. 2017;475(8):1963-1965. doi:10.1007/s11999-017-5402-x

  5. American Medical Association. 6 things medical students should know about physician compensation.

  6. U.S. Bureau of Labor Statistics. Physicians and surgeons.

    (Video) Good vs bad resident (attending physician perspective)

By Jennifer Whitlock, RN, MSN, FN
Jennifer Whitlock, RN, MSN, FNP-C, is a board-certified family nurse practitioner. She has experience in primary care and hospital medicine.

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FAQs

What is the difference between a resident and an attending physician? ›

A resident is a physician who has completed medical school, has a degree in medicine and is receiving further training in a chosen specialized medical field. Residents practice medicine under the supervision of fully credentialed Attending physicians.

Is attending better than resident? ›

A resident can not practice medicine independently. An attending physician may work in hospitals but can also have a private practice. Many residents work in hospitals to complete their residency. An attending physician has a higher average salary than a resident.

What is the difference between resident and attending life? ›

Attending physician: A doctor who has finished post-graduate training. Fellow: A doctor who pursues optional additional training before becoming an attending. Resident: A doctor who has finished their first year of post-graduate training. Intern: Medical school graduates who are first-year residents2.

What is the difference between attending and physician? ›

In a medical facility, the physician who has the major responsibility for a patient's care is called the attending physician. Attending physicians have completed their training and often play an active role in the education of medical students, interns, and residents.

Why are doctors called residents and attendings? ›

This term comes from the fact that resident physicians traditionally spend the majority of their training "in house" (i.e., the hospital). Duration of residencies can range from three years to seven years, depending upon the program and specialty.

How long are you a resident before an attending? ›

Primary duties: An attending physician is a fully trained physician with three or more years of residency training.

How do residents become attendings? ›

Once a resident finishes their residency, they are considered an attending physician. The attending physician is in charge of the whole medical team- including the residents, intern, and medical student.

Should residents be called doctor? ›

Residents are doctors in training. They have graduated from medical school, been awarded an M.D. degree, and now are training to be a particular type of doctor — such as a pediatrician or pediatric specialist, or a type of surgeon. In their first year of such training, residents are sometimes called interns.

Who is above an attending physician? ›

A chief physician generally is in charge of medical matters and often is the superior of other physicians (including consultants and attending physicians), but may also be in charge of other professional groups and areas of responsibility.

What is the highest level of doctor? ›

This is the typical medical hierarchy of the top heads at hospitals and the general responsibilities of each role from the top down:
  • Medical Director. ...
  • Head of Department. ...
  • Attending Physician. ...
  • Fellow. ...
  • Chief Resident. ...
  • Senior Resident. ...
  • Junior Resident. ...
  • Intern.

How many years is the residency? ›

Once medical school has been successfully completed the graduate school experience begins in the form of a residency, which focuses on a particular medical specialty. Residencies can last from three to seven years, with surgical residencies lasting a minimum of five years.

What are the ranks of doctors in a hospital? ›

This is the typical medical hierarchy of the top heads at hospitals and the general responsibilities of each role from the top down:
  • Medical Director. ...
  • Head of Department. ...
  • Attending Physician. ...
  • Fellow. ...
  • Chief Resident. ...
  • Senior Resident. ...
  • Junior Resident. ...
  • Intern.

Do all doctors become attendings? ›

The term is used more commonly in teaching hospitals. In non-teaching hospitals, essentially all physicians function as attendings in some respects after completing residency.

What comes after residency? ›

The training that is done after a residency (in a subspecialty) is usually called a fellowship. Much of what you will learn in your chosen specialty will be learned in your residency.

What is an attending vs fellow vs resident? ›

The biggest difference between a fellowship vs attending is a fellow is still in training while an attending completed their training and is practicing independently. To become a fellow, you first must complete a residency teaching broad skills relevant to your field.

Do doctors get paid during residency? ›

The average first-year resident physician makes about $60,000, and there's not much wiggle room. Resident salaries are determined by an institution and correlate with training year rather than specialty.

Are residents real doctors? ›

2 | Are Residents Doctors? Although a resident has completed medical school and received a degree, they are still considered doctors in training. Once they complete their residency training and become board-certified, they are considered a fully credentialed doctor.

Do resident doctors live at the hospital? ›

“Resident” is a word coined in the twentieth century when physicians in training often physically lived (“resided”) at the hospital. At the medical center where I work, there are nearly 200 of us, and although we no longer live at the hospital full-time, it can often feel like we do.

What are the 5 levels of medical care? ›

Health care is described as different levels of care: primary, secondary, tertiary, and quaternary. Primary care is the main doctor that treats your health, usually a general practitioner or internist.

What age do doctors start residency? ›

After graduating from high school at 18, you'll spend 4 years in college and yet another 4 years in med school. At around 26 years old, you'll start taking up residency that averages 4 years, and at least a year of fellowship training.

Do all doctors do residency? ›

Residency is not mandatory, it is a specialty training program that you can choose to enter after completing your MD. However, residency is a mandatory step to achieving medical licensure in the US, which will allow you to practice medicine as an independent physician.

What is the highest position in a hospital? ›

The Chief Executive Officer (CEO) is the highest-level management position in a hospital or hospital system. Hospital CEO's must possess the qualifications and skills to manage and direct the complexities of a modern patient care facility.

How many hours do attendings work? ›

Physician workweeks: A look at the data
2018 Average Physician Hours Worked Per Week
Physician TypeAverage Physician Workweek
Age 45 years or less54.73 hours
Age 46 years or more49.87 hours
Male physicians51.89 hours
5 more rows
Oct 24, 2021

Who can write Dr before name? ›

The Ethics Committee of the Council decided that the title “Doctor” may be used by the registered medical practitioners in the modern medicine, Ayurveda, Homeopathy and Unani. No other group of workers in the field of medical profession whethernursing or para-medical staff should use the title “Doctor”.

Do residents sleep in hospital? ›

Accreditation Council for Graduate Medical Education regulations require that residents on call be provided with "adequate sleep facilities" which are "safe, quiet, and private."

Do doctors teach residents? ›

Most physicians routinely teach their students, residents, colleagues, and patients. Residents regularly contribute to the education of medical students and their fellow residents and may spend up to one-fourth of their time supervising, instructing, and evaluating students and junior colleagues.

What is the most senior doctor in a hospital? ›

Consultants are the most senior grade of hospital doctors and are responsible for leading a team to deliver care for patients. Every patient who is admitted to hospital will have a named consultant who is responsible for their care.

What rank do doctors start at? ›

If you enter as a licensed physician, your rank will typically begin at captain or major (Army/Air Force) or lieutenant or lieutenant commander (Navy), but it may be higher depending on where you are in your civilian career.

Who is more qualified a doctor or a physician? ›

The significant distinction between doctors and physicians is that the latter typically have a broader background, whereas doctors specialize in a specific field of practice. A physician can become certified in six years, but doctors frequently need 10 or more years to complete their education.

What is the lowest doctor degree? ›

Undergraduate medical degrees in India
  • MBBS – Bachelor of Medicine, Bachelor of Surgery.
  • BDS – Bachelor of Dental Surgery.
  • BAMS – Bachelor of Ayurvedic Medicine and Surgery.
  • BUMS – Bachelor of Unani Medicine and Surgery.
  • BHMS – Bachelor of Homeopathy Medicine and Surgery.
  • BYNS- Bachelor of Yoga and Naturopathy Sciences.
Feb 3, 2023

Why are surgeons called Mr? ›

The use of the title dates back to the Middle Ages when surgeons served an apprenticeship, like other tradesmen, while physicians required a university degree in medicine before they could enter practice. On account of their university training physicians were entitled to call themselves "doctor of medicine".

What is the shortest doctor residency? ›

The shortest residency training programs are three years and the longest are seven. After residency training, some people pursue fellowship training which can range in length from one to three years, on average.

What is the easiest residency? ›

The 10 Least Competitive Specialties in Medicine
  • Family Medicine.
  • Pediatrics.
  • Psychiatry.
  • Emergency Medicine.
  • Physical Medicine & Rehabilitation.
  • Neurology.
  • Child Neurology.
  • Pathology.
Sep 10, 2022

How much do resident doctors make? ›

The average salary for first year medical residents is $58,921 per year, according to the AAMC's 2020 Survey of Resident/Fellow Stipends and Benefits. This salary number is based on from 190 institutions that participated in the survey.

What is the number 1 hospital in the US? ›

Cedars-Sinai is proud to be #1 in California and #2 on U.S. News' annual list of the top 20 hospitals in the nation.

Who is the boss of doctors in a hospital? ›

The chief of medicine, also known as a chief physician, is a physician who holds the highest senior management title at a healthcare facility that treats patients or a hospital.

Who is the boss at a hospital? ›

A hospital CEO is responsible for the operations of the entire hospital or hospital chain. This person is the final decision-maker on all aspects of operations, strategy, policy and finance.

Do attendings do surgery? ›

The attending surgeon has finished all training and is fully qualified in surgery. The attending is in charge of your surgical care and supervises the team that takes care of you. This team includes residents, medical students, and other health professionals.

What happens at the end of residency? ›

By the time you finish residency, you'll likely already have a new job lined up, whether it's moving on to more subspecialized training in fellowship, a new position as a hospital employee, or starting an independent practice.

What is the longest residency? ›

Medical specialties such as family medicine and internal medicine often require three years, whereas surgery usually requires 5-7 years of training, and neurological surgery is the longest at 7 years.

Does life get easier after residency? ›

Residents and fellows around the country have bought into the “medical training myth.” The myth states: “Life will get so much better when I finish residency/fellowship.” Sadly, too many house staff buy into this false belief and experience tremendous letdown when they graduate.

What are the stages of becoming a doctor? ›

How to become a doctor
  • Complete an Undergraduate Education. ...
  • Pass the MCAT Examination. ...
  • Apply to Medical School. ...
  • Complete Training at Medical School. ...
  • Pass Parts I & II of the United States Medical Licensing Examination (USMLE) ...
  • Match with Residency. ...
  • Graduate from Medical School & Start Residency.

Which is harder residency or fellowship? ›

Taking a fellowship will make sense if you have the passion and the drive to hone your skills on what you really want to do. The experience of it will definitely be harder than residency so you have to make sure that you spend your fellowship on something where your passion and your skills match.

Is resident higher than fellow? ›

A fellow is a board-certified doctor that has finished their residency program. A resident is a doctor that has finished medical school and is pursuing medical training. A fellow can practice medicine independently.

Is a resident a real doctor? ›

Although a resident has completed medical school and received a degree, they are still considered doctors in training. Once they complete their residency training and become board-certified, they are considered a fully credentialed doctor.

Do all residents become attendings? ›

Once a resident finishes their residency, they are considered an attending physician. The attending physician is in charge of the whole medical team- including the residents, intern, and medical student.

What's higher than an attending physician? ›

The medical director, also called chief of medicine or chief medical officer, is the most senior doctor on a hospital's staff. A medical director may serve as a liaison between a facility's board and the medical staff and meet with department heads to discuss and adjust hospital procedures and spending.

What does it mean if a doctor is a resident? ›

Residents are doctors in training. They have graduated from medical school, been awarded an M.D. degree, and now are training to be a particular type of doctor — such as a pediatrician or pediatric specialist, or a type of surgeon. In their first year of such training, residents are sometimes called interns.

What is harder med school or residency? ›

Clinical grades are usually based on a curve such that only a small percentage of the class can earn them, meaning you have to outshine your colleagues. In this regard, medical school is much more stressful than residency. In residency, the pressure to outperform your peers is an order of magnitude lower.

Do you get paid in residency? ›

Resident salaries are determined by an institution and correlate with training year rather than specialty. So, in a given training institution, all residents who are in their third year of training typically get the same salary, and all in their sixth year are paid the same as well.

Do you become a doctor after residency? ›

Doctors are eligible to apply for an unrestricted medical license after completing their residency program. They are then free to seek employment in private practice or become an employee of a hospital or clinic.

What is the highest rank for a doctor? ›

This is the typical medical hierarchy of the top heads at hospitals and the general responsibilities of each role from the top down:
  • Medical Director. ...
  • Head of Department. ...
  • Attending Physician. ...
  • Fellow. ...
  • Chief Resident. ...
  • Senior Resident. ...
  • Junior Resident. ...
  • Intern.

Is the attending physician the boss? ›

The attending physician is the leader of the team and has responsibility for all decisions made that affect a person's care, including diagnosis, treatments, and supervision of the remainder of the team.

Can resident doctors perform surgery? ›

They interview and examine patients and discuss their findings with more senior physicians. Students will go into the operating room to learn from the surgical team. Students do not make decisions, perform surgery, or sign orders.

Is a resident or a good doctor better? ›

The Winner

The Good Doctor is definitely worth watching but it's not addictive. The Resident will have you on the edge of your seat. And as soon as the episode ends, you'll find yourself dying for more.

Why do doctors do residency? ›

As challenging as residency can be, most physicians also recognize their postgraduate training as a critical step in getting to where they are today. Medical residency teaches doctors to apply what they learned in medical school while providing them with the confidence needed to work through unexpected scenarios.

Videos

1. Q & A - Roles of Medical Resident vs Fellow
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2. What's the difference between a med student, resident, and attending?
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3. WHAT IS A MEDICAL RESIDENT?
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4. MD vs DO: What’s the difference & which is better?
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5. Medical School vs Residency Comparison
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6. Being An Attending Physician - What No One Tells You in Residency and Medical School
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References

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