Orthopedic Surgeon

Hospitalized patients express higher confidence in orthopedic surgeon wearing white coats; suggests a study in Clinical Orthopaedics and Related Research® (CORR®), a publication of The Association of Bone and Joint Surgeons®. The journal is publish in the Lippincott portfolio by Wolters Kluwer. “We found patients had a moderate overall preference for physicians wearing a white coat; either over scrubs or business attire,” according to the new research, led by John D. Jennings, MD, of Temple University School of Medicine, Philadelphia.

Orthopedic surgeon in white coats 

Do clothes affect patients’ perceptions of their orthopedic surgeon? To find out, Dr. Jennings and colleagues design a study using photographs of a male and a female surgeon wearing five different outfits: a business suit, alone or with a while coat; surgical scrubs; alone or with a white coat; or casual attire, eg, jeans and a T-shirt.

However, the researchers show the pictures, in random order, to 110 patients undergoing orthopaedic surgery at their hospital. For each photo, patients rated their confidence in the surgeon; as well as their perceptions of his or her intelligence, trustworthiness, safety; skills, and the likely success of surgery. Factors affecting the patients’ ratings were assess; including possible differences in perceptions of the female and male surgeons.

But for both picture surgeons, patients prefer a white coat over a business suit or scrubs, or surgical scrubs alone; compare to business or casual attire. The ratings were similar for all attributes studied.

Patient-physician relationship

When asked to rank all five types of attire, patients express a “moderate overall preference” for surgeons wearing a white coat; over either a business suit or scrubs. Surgical scrubs alone were prefer over a business suit alone. Casual attire was consistently rated lowest. The patients’ express preferences were almost identical for the male and female surgeons. Although that was consistent with other recent studies, the researchers were pleasantly surprised to note the absence of gender bias, “given the known history of sexism in medicine.”

Why does it matter what the surgeon is wearing? “Prior research suggests that physician attire; has an important effect on patient perceptions, and can influence the patient-physician relationship,” Dr. Jennings and colleagues write. Of the “countless factors” affecting this relationship, the physician’s attire is one of the most easily studied and most easily changed.

“We found that the patient’s perception of the physician’s competence was affect by what the physician wore, with an overall preference for white coat over either scrubs or professional attire,” the researchers conclude. “We believe this is consistent with the archetypal image of a surgeon and is thus what patients expect from their treating physician.”