The role of physical therapy in HIV is multidimensional and client-centered. This Framework can be used by rehabilitation professionals working with people living with HIV. Implications for Rehabilitation Participants living with HIV in this study experienced physical therapy as a means of addressing rehabilitation goals that positively influenced physical health and social participation. The role of physical therapy in HIV care is multidimensional and client-centered and can address health challenges in physical, social and psychological health domains. The presence and interaction of contextual factors including aging, episodic nature of HIV, multimorbidity, competing priorities, continuity of care, stigma, resource security and social isolation are important for clinicians to consider in order to optimize healthcare for people living with HIV. The Framework describing the role of physical therapy in HIV care can be used by rehabilitation professionals to help inform their approach for providing client-centered HIV care.

ObjectivesTo identify factors to consider when integrating physiotherapy (PT) into an interprofessional outpatient HIV care setting from the perspective of healthcare professionals and adults living with HIV.DesignWe conducted a qualitative descriptive study using semi-structured interviews (healthcare professionals) and focus groups (adults living with HIV). We asked participants their perspectives on barriers, facilitators and strategies to accessing and participating in outpatient PT, important characteristics physiotherapists should possess working in outpatient HIV care, content and structure of PT delivery, and programme evaluation.Recruitment and settingWe purposively sampled healthcare professionals based on their experiences working in interprofessional HIV care and recruited adults with HIV via word of mouth and in collaboration with an HIV-specialty hospital in Toronto, Canada. Interviews were conducted via Skype or in-person and focus groups were conducted in-person at the HIV-specialty hospital.Participants12 healthcare professionals with a median of 12 years experience in HIV care, and 13 adults living with HIV (11 men and 2 women) with a median age of 50 years and living with a median of 6 concurrent health conditions in addition to HIV.ResultsOverall impressions of PT in outpatient HIV care and factors to consider when implementing PT into an interprofessional care setting include: promoting the role of, and evidence for, PT in outpatient HIV care, structuring PT delivery to accommodate the unique needs and priorities of adults living with HIV, working collaboratively with a physiotherapist on the healthcare team and evaluating rehabilitation as a component of interprofessional care.ConclusionsMultiple factors exist for consideration when implementing PT into an interprofessional outpatient HIV care setting. Results provide insight for integrating timely and appropriate access to evidence-informed rehabilitation for people living with chronic and episodic illness, such as HIV.

BackgroundSurgeons and residents at Queen's University affiliated hospitals wear a wide range of attire when performing clinical duties. With the absence of a dress code policy, health care practitioners have been observed wearing anything from shorts and sneakers to full business suit attire. The long white lab coat, a distinctive article which was once a staple in modern physician attire, has gradually been phased out, unpopular amongst newer medical graduates. A recent study in the UK demonstrated infection risk and heat factors to be the most commonly quoted reasons why more and more doctors have chosen to abandon the white coat [1] . Among health care providers, the topic of physician attire has long been discussed as an important factor in the patient's first impression of their doctor. As far back as the era of Hippocrates, certain benchmarks were set by the profession and physicians were advised to "be clean in person, well-dressed, and anointed with sweet smelling unguents" [2] . However, results of contempo- AbstractBackground: Physician attire is an important factor in the patient's first impression of their doctor. The purpose of this study is to determine how different forms of attire impact patient perceptions of their physicians within our orthopaedic clinics. Methods: A survey was distributed to new patients visiting an orthopedic surgery clinic within a 9 month span at a Canadian outpatient hospital. Each participant also received either a male or female photo sheet depicting 6 different forms of physician attire: Surgical scrubs and white coat, surgical scrubs alone, formal wear with white coat, formal wear alone, business suit and casual wear. Demographic data and general questions related to surgeon's attire as well as specific questions pertaining to the pictures provided were collected. Results: 100 patients responded to the survey. Most respondents agreed that physician attire was important and they expected their surgeon to be dressed professionally. Respondents felt strongly that there was an association between how a physician dressed and their perceived ability to dispense care. There was a significant preference for the surgeons wearing a white coat. The least favored surgeon attire overall was casual wear.