Old doctor nearly surrounded by paperwork? (7)
I believe the answer is:
origami
'paperwork?' is the definition.
(artworks made from paper)
'old doctor nearly surrounded by' is the wordplay.
'old' becomes 'o' (abbreviation as in OT - Old Testament).
'doctor' becomes 'rig' (both can mean to forge or manipulate).
'nearly' means to remove the last letter.
'surrounded by' becomes 'amid' (amid means among or surrounded by).
'amid' with its last letter removed is 'ami'.
'o'+'rig'+'ami'='ORIGAMI'
(Other definitions for origami that I've seen before include "Japanese craft of paper folding" , "Paperwork, as it were" , "folding process" , "Art of crafting objects from paper" , "Artwork with paper" .)