Cryptic crossword clue
Impractically theoretical medic taking round out to home by river 11

The most common and most likely answer to this crossword clue is the 11 letter word DOCTRINAIRE

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

The straight part
We know that "Impractically theoretical" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case impractically theoretical = doctrinaire.
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 DOCTRINAIRE mean?

DOCTRINAIRE noun
  1. A person who stubbornly holds to a philosophy or opinion regardless of its feasibility.
  2. In France, in 1815-30, one of a school who desired a constitution like that of Britain.
DOCTRINAIRE adjective
  1. Stubbornly holding on to an idea without concern for practicalities or reality.

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