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What is the doctor system in America?
Yes, an American doctor of medicine (MD) is a necessary condition for being a doctor.

Interns, also known as residents, mean that after graduating from medical school, they have to practice for about 3 years before they can become doctors alone.

It is not necessary to retake the exam, but to learn several new courses every year and constantly supplement new knowledge, which is a necessary condition for renewing the doctor's license.