The <em>physicians and surgeons are professionals</em> that studied many years and dedicated a lot of attention and efforts to learn important scientific knowledge. To practice their profession, they will need <em>additional skills</em> to be able to manage the many aspects of this work: talking with the patients, having an organized office, take important decisions etc.
Modernist writers may have perceived the word and chaotic IN the early part of the 20th century due to many different event. these included thing such as revolt and rebellions, and World War 1 many of which disrupted lives and caused great loss