Bramstedt Katrina A, Colaco Clinton M G, De Silva Eve, Rehfield Patricia L, Blumenthal-Barby Jennifer S
J Am Osteopath Assoc. 2016 Apr;116(4):244-54. doi: 10.7556/jaoa.2016.049.
White coats have long been the professional uniform of physicians. However, when physicians opt to remove the white coat, their clothing underneath is brought to the forefront and can influence how they are perceived by their patients.
To explore the perceptions of medical students and their instructors about appropriate clinical professional attire.
An anonymous, voluntary 55-question survey was electronically distributed to medical students and their instructors at 2 US and 2 Australian medical schools. The survey incorporated 30 images of sample attire, 9 demographic questions, and 16 questions regarding culture and context of clothing and accessories.
In total, 411 students and 73 instructors participated in this study. The data revealed that white coats and neckties are nearly absent in Australian clinical attire. Overall, students were significantly more supportive of full facial coverage due to religious or cultural values compared with instructors (P<.001), and US medical students were significantly more supportive than Australian students (P<.001). All cohorts preferred dress code policies that directed students to avoid but not prohibit the use of perfume or cologne. Nose rings were controversial with significantly more support for use from medical students than instructors (pooled cohorts, P=.002). Medical students in both the United States and Australia indicated that they were most influenced by observing the attire of physicians at work (155 [38%]), compared with courses in medical ethics (19 [5%]), school policy (16 [4%]), or hospital policy (9 [2%]).
Although regional dress code practices are different in the United States compared with Australia, medical students were overall most influenced by their instructors' attire in clinical settings.
长期以来，白大褂一直是医生的职业制服。然而，当医生选择不穿白大褂时，他们里面穿的衣服就会成为焦点，并可能影响患者对他们的看法。
探讨医学生及其教师对合适的临床职业着装的看法。
通过电子方式向美国和澳大利亚的4所医学院的医学生及其教师发放了一份55个问题的匿名自愿调查问卷。该调查包含30张样本着装图片、9个人口统计学问题以及16个关于服装和配饰的文化与背景的问题。
共有411名学生和73名教师参与了本研究。数据显示，澳大利亚临床着装中几乎没有白大褂和领带。总体而言，与教师相比，学生因宗教或文化价值观而更支持全面部遮盖（P<0.001），且美国医学生比澳大利亚学生更支持（P<0.001）。所有群体都更倾向于要求学生避免但不禁止使用香水或古龙水的着装规范政策。鼻环存在争议，医学生对其使用的支持明显多于教师（合并群体，P = 0.002）。美国和澳大利亚的医学生均表示，与医学伦理课程（19人[5%]）、学校政策（16人[4%]）或医院政策（9人[2%]）相比，他们在工作中观察医生的着装受到的影响最大（155人[38%]）。
尽管美国与澳大利亚的地区着装规范做法不同，但医学生在临床环境中总体上受教师着装的影响最大。
