Cryptic crossword clue
Assistant held up by aristocratic junior doctor

The most common and most likely answer to this crossword clue is the 13 letter word PAEDIATRICIAN

I've seen this crossword clue in The Guardian
P
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Buddy explains!

The straight part
We know that "junior doctor" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case junior doctor = paediatrician.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does PAEDIATRICIAN mean?

PAEDIATRICIAN noun
  1. A physician who specializes in pediatrics; a children’s doctor or babies’ doctor.

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