What should doctors wear to work?

We notice cultural differences on acceptable wardrobes in healthcare settings.[1] In NHS hospitals, mainly physicians wear stethoscopes around their necks.[2] Medical students could be told to remove their stethoscopes, and stop playing doctors until they graduate. It is strongly discouraged to wear white coats as this could violate the “bare-below-the-elbows” policy. On the contrary, in Canadian hospitals, many medical students, nurses, and physiotherapists wear stethoscopes around their necks. Some pharmacists do the same as they are expanding their practice to physical examinations.[3][4] There is no uniform for nurses; and white coats are optional for physicians. Physicians could be misidentified as nurses on the wards.[5] Some physicians wear white coats to help being correctly identified.

Another cultural difference is the use of our name badges. In one of our workplaces in Britain, foundation year doctors and consultants are given name badges with green and red lanyards, respectively, to help others recognise their ranks. A colleague joked this implies foundation year doctors are green and inexperienced, and consultants are red and angry. Some British medical schools even prohibit PhD graduates to self-identify as doctors. In contrast, in Canada, many non-medical professionals achieve doctoral status, and would like the “Dr.” title on their name badges. This sometimes leads to confusion, mockery by their colleagues,[6] and debates on who is entitled to the doctor title.[7][8]

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We suggest knowing what wardrobes are culturally acceptable, and accepting the consequences of your choices. If you wear casual attire, you may face scepticism from your patients and co-workers, and be asked to show your identification. If you are not a medical consultant but deceivingly dressed to be one, you could be liable for providing medical advice. You live with the consequences of the decisions you make.

References: [1] Rimmer, A. What should doctors wear to work? BMJ 2018, 361, k2532, 10.1136/bmj.k2532. [2] Cunningham, A.M. The unwritten rules of stethoscope placement….and what you wear when. http://wishfulthinkinginmedicaleducation.blogspot.com/2014/10/the-unwrit… (accessed Oct 8, 2014). [3] Mohammed, R.S.D.; Yeung, E.Y.H. Physical examinations by pharmacists: practising the right thing makes perfect. Can. J. Hosp. Pharm. 2017, 70, 468-469, 10.4212/cjhp.v70i6.1715. [4] Chua, D.; Ladha, F.; Pammett, R.T.; Turgeon, R.D. Pharmacist performance of physical assessment: perspectives of clinical pharmacists working in different practice settings. Can. J. Hosp. Pharm. 2017, 70, 305-308, 10.4212/cjhp.v70i4.1682. [5] Brown, A.; Ruzycki, S. The idea that medicine is above sexism is false—and destructive. http://healthydebate.ca/opinions/sexism-in-medicine (accessed Jun 13, 2018). [6] Stanley, D. You’re a pharmacist, not a physician: Get your own title. http://www.drugtopics.com/community-practice/youre-pharmacist-not-physic… (accessed Jun 8, 2016). [7] Collier, R. Who is entitled to the title of “doctor”? CMAJ 2016, 188, E305-E305, 10.1503/cmaj.109-5303. [8] Asfour, A.A.; Winter, J.P. Whom should we really call a “doctor”? CMAJ 2018, 190, E660-E660, 10.1503/cmaj.69212.

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