Not all stand by doctor, a radical (7)
I believe the answer is:
drastic
'radical' is the definition.
(drastic can mean radical or extreme)
I can't explain the remainder of the clue.
(Other definitions for drastic that I've seen before include "Grave" , "Severe and far-reaching" , "Having strong effect" , "Draconian" , "Extreme - violent" .)