Complex sentence: No specific notation or title for the medical disciplines exists in the Netherlands, although a physician is usually referred to as "dokter" (note the spelling difference) this does not necessarily imply the physician holds a PhD degree.
Split into simpler sentences: No specific notation or title for the medical disciplines exists in the Netherlands. Although a physician is usually referred to as "dokter" (note the spelling difference) this does not necessarily imply the physician holds a PhD degree.