Titles at the higher education level usually depend on the institution handing them out. Technical schools award the student with the title of "Técnico Superior Universitario" (university higher technician, to distinguish from science technician). Universities award the student with the title of "Ingeniero" (engineer) or with the title "Licenciado" (licentiate) after completing a five-year program. The engineer have more physics subjects than the licentiate, but both are five-year careers. Some higher education institutions may award "Diplomados" (diploma), but the time necessary to obtain one varies. Medical doctors are awarded the title "Médico Cirujano" after completing a 6 year-career.