There sure are some judgmental mo-fo's in here. I find it humorous how 90% of us will have no problem with a marijuana post on 4/20, but GOD FORBID a med student or doc have a cigarette every now and then...
I mean, we treat alcoholics and drug addicts with more respect than cigarette smokers. This thread makes me want to light one up...
I don't think I'd want an alcoholic doctor, nor a drug addict doctor, so I don't know what you're going on about.
Anyways, personally I wouldn't discount a doctor's advice in OTHER matters if they smoked, but it would make it harder to take them seriously if they tried to tell me not to smoke.
Similarly it's hard to take a severely obese doctor seriously if they tell you to lose weight.
Let's not BS here, you can argue all you want, but if you're 100 pounds overweight your patient will think you're on crack if you tell them that they're going over the line from overweight to obese.
And I'm saying this as someone who's fat themselves. I know damned well I'll look like a friggin' hypocrite, which is also why I've been hitting the gym regularly for the last 4-5 months and lost 15 pounds of weight so far. Still got a ways to go, but I honestly don't want people to give me dirty looks about being unhealthily fat.
Anybody who thinks that patients WON'T notice their hypocrisy is dreaming. I'm not saying that you wouldn't be a great doctor and be a smoker, or overweight, or whatever. But as far as giving patients that SPECIFIC PIECE OF ADVICE about smoking or weight control or exercise or whatever, you'll look like a huge tool.
And yes, it would also make you a hypocrite if you were drunk while telling a patient not to drink. The scent of cigarettes would be very obvious to anybody with a nose, so don't think your patients won't realize you're a smoker. And being obese is also fairly obvious.
BTW, my own PCP is fairly overweight, and it's funny how he neglects to mention being obese as a cause of my gout attack...nor suggest that I lose weight to control it, whereas my last PCP who was quite thin was always telling me to lose weight before I experienced the morbidity that would come with being obese. So even in my own personal experience, it would seem that someone who is thin is more comfortable nagging on a patient to lose weight than someone who's fat themselves.