To the Editor Makhija et al defined the national incidence of physician suicide and associated features in a well-detailed study of the National Violent Death Reporting System data and death certificates. This is an important problem for the profession, and additional data and insights are valuable. Surprisingly, though, the category of physician was not defined in the article. It would be important to understand who is included in the category of physician or not. In the context of medically trained physicians and individuals eligible to be members of the American Medical Association, the definition of physician would be graduates of medical school or graduates of osteopathic schools in the US or having the international equivalent degrees. However, in the free-text occupations from the decedents’ death certificates (eTable 2 in Supplement 1), although the majority appear to be medically trained physicians, there are professions listed that are not medically trained physicians or are ambiguous as to whether these are all medically trained physicians. The list of ambiguous or non–medically trained physician free-text occupations is below: