In the United States, you need to graduate from college, apply for medical school, and then study medicine for four years. When you graduate from medical school, you only get a medical diploma. You must complete the medical training that can only be completed during your residency to become a real doctor.
When you are a resident, you need to choose a major, such as internal medicine or surgery. The training period of residents generally ranges from 3 years (internal medicine and pediatrics) to more than 7 years (neurosurgery).
So in the United States, the income of doctors is one of the highest in all occupations.