Attitudes regarding surgeons’ attire

Major, Kevin; Hayase, Yukiharu; Balderrama, Dana; Lefor, Alan Kawarai

doi:10.1016/j.amjsurg.2005.04.003

Cited by 36 publications

(39 citation statements)

References 16 publications

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“…Although concepts such as trust and confidence are complex and likely involve many other factors such as respect and good communication, previous studies in settings outside orthopaedics have confirmed attire influences these variables [2,12,16,23]. Furthermore, attire is one of the few changeable factors proven to have an influence on the patient's first impression [6,18]. The white coat has been standard physician attire since the late 19th century and historically has been preferred over scrubs, formal, and casual dress in various outpatient settings [10,15,16,18,23].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, attire is one of the few changeable factors proven to have an influence on the patient's first impression [6,18]. The white coat has been standard physician attire since the late 19th century and historically has been preferred over scrubs, formal, and casual dress in various outpatient settings [10,15,16,18,23]. The United Kingdom's Department of Health banned any garment or accessory below the elbow in a clinical care setting [4,21].…”

Section: Introductionmentioning

confidence: 99%

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Physicians’ Attire Influences Patients’ Perceptions in the Urban Outpatient Orthopaedic Surgery Setting

Jennings

Ciaravino

Ramsey

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Previous work has established that physician attire influences patients' perceptions of their physicians. However, research from different specialties has disagreed regarding what kinds of physician attire might result in increased trust and confidence on the part of patients. Questions/Purposes The purpose of this study was to investigate how surgeon attire affects patients' perceptions of trust and confidence in an urban orthopaedic outpatient setting. Methods Eighty-five of 100 patients solicited completed a three-part questionnaire in the outpatient orthopaedic clinic at an urban teaching hospital. In the first section, participants viewed eight images, four of a male surgeon and four of a female surgeon wearing a white coat over formal attire, scrubs, business attire, and casual attire, and rated each image on a five-level Likert scale. Participants were asked how confident, trustworthy, safe, caring, and smart the surgeon appeared, how well the surgery would go, and how willing they would be to discuss personal information with the pictured surgeon. The participant ranked all images from most to least confident in the second part and the last section obtained demographic information from the patients. Surveys were scored using a five-level Likert scale and a Friedman test was used to detect statistical significance when comparing all attires. Similarly, the white coat was preferred to casual attire in all categories (confidence: MD, 0.810 ± 0.921; smart: MD, 0.493 ± 0.801; surgical skill: MD, 0.640 ± 0.880; ability to discuss: MD, 0.564 ± 0.988; trust: MD, 0.545 ± 0.836; safety: MD, 0.581 ± 0.860; caring: MD, 0.479 ± 0.852; p \ 0.001 for all comparisons). For the female surgeon, white coat and scrubs were not different, however the white coat was preferred to business attire in four of seven categories. Casual clothing was widely disliked in all categories for surgeons (men and women). When attire was compared for confidence on a scale, the white coat ranked Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Each author certifies that his or her institution approved or waived approval for the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research. This study was performed at

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physicians’ Attire Influences Patients’ Perceptions in the Urban Outpatient Orthopaedic Surgery Setting

Jennings

Ciaravino

Ramsey

et al. 2016

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…In the only two other studies specifically geared towards surgical patients, the opinion of scrubs has been variable. Whereas polled surgeons believe scrubs to be appropriate attire while seeing patients, this belief has been inconsistent among patients [4,6] . We believe our study provided a suitable answer to the scrubs issue.…”

Section: Discussionmentioning

confidence: 99%

“…The white coat (combined with formal wear or scrubs), was the preferred attire in all circumstances. Many previous studies across specialties and across the world have shown a preference among patients for doctors who wear white coats [1,[3][4][5][7][8][9][10] . While some patients prefer the white coat for its ability to inspire confidence and ease communication [7,11] others feel it is an important means of identification distinct from the name tag [1] .…”

Section: Discussionmentioning

confidence: 99%

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Exploring Patients Perceptions of Their Surgeon Based on Attire

Wood¹,

Lalonde²,

Cudd³

et al. 2017

JAS

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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.

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Public Perceptions of Physician Attire and Professionalism in the US

et al. 2021

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IMPORTANCEIn recent years, casual physician attire (fleece jackets and softshell jackets) has become increasingly popular, but to our knowledge, public perceptions of these garments have not been studied. Furthermore, gender biases may result in differing expectations and perceptions of female and male physicians and may be associated with patient rapport and trust building. OBJECTIVE To characterize public perceptions of casual physician attire and implicit gender biases in public assessment of physicians' professional attire. DESIGN, SETTING, AND PARTICIPANTSThis survey study used a population-based survey administered via Amazon Mechanical Turk from May to June 2020 among individuals aged 18 years or older who were US residents and for whom English was the primary language.INTERVENTION Survey featuring photographs of a male or female model wearing various types of physician attire (white coat, business attire, and scrubs). MAIN OUTCOMES AND MEASURESRespondents' ratings of professionalism, experience, and friendliness of the male and female models in various attire and perceptions of the models' most likely health care profession. Preference scores for various outfits were calculated as the difference between the preference score for an outfit and the mean preference score for the outfit-role pairing. RESULTSOf 522 surveys completed, 487 were included for analysis; the mean (SD) age of respondents was 36.2 (12.4) years, 260 (53.4%) were female, and 372 (76.4%) were White individuals. Respondents perceived models of health care professionals wearing white coats vs those wearing fleece or softshell jackets as significantly more experienced

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Attitudes regarding surgeons’ attire

Cited by 36 publications

References 16 publications

Physicians’ Attire Influences Patients’ Perceptions in the Urban Outpatient Orthopaedic Surgery Setting

Physicians’ Attire Influences Patients’ Perceptions in the Urban Outpatient Orthopaedic Surgery Setting

Exploring Patients Perceptions of Their Surgeon Based on Attire

Public Perceptions of Physician Attire and Professionalism in the US

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