Dressing for clinic hours

[tkatchev]

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A surgeon I shadow in the OR invited me to accompany him during his clinic hours. I realize this is probably a stupid question, but, what would be the right thing to wear?

Dress pants, shirt, and tie right? Or are ties out now days because they are a way to transmit microbes between patients?

 

[Pontifex Maximus]

With white coat, sounds about right.

 

[Winged Scapula]

Ties are definitely not out. If you are leaning over a patient, either tuck it into your shirt or button your coat.

Regardless of the specialty, you should dress in a collared shirt, pressed trousers, tie and clean shoes...unless told otherwise by the attending.

 

[tkatchev]

Thank you. I'm actually about 2 months out from being a full MS1 so no white coat yet. But I'll be sure to wear everything else you suggested.

 

[Docster]

Ties are definitely not out. If you are leaning over a patient, either tuck it into your shirt or button your coat.

Regardless of the specialty, you should dress in a collared shirt, pressed trousers, tie and clean shoes...unless told otherwise by the attending.

generally, no tie in psychiatry...it presents a choking hazard😱

 

[deleted87716]

Or are ties out now days because they are a way to transmit microbes between patients?

generally, no tie in psychiatry...it presents a choking hazard

Oh, for gawd's sake...just wear the freakin' tie. 🙄

If you're worried about spreading germs, wash your hands. If you're worried about being choked to death, you're not being careful enough in the first place.

 

[deleted29780]

generally, no tie in psychiatry...it presents a choking hazard😱

lol, i am laughing my head off. that was so funny. well you never know, you might meet a schizoaffective or more likely Bipolar I patient. He can easily shift from a fairly depressed state to a manic state, and chock the life out of you in the process. lol.

 

[Winged Scapula]

generally, no tie in psychiatry...it presents a choking hazard😱

A self-hazard or for the patients?

If its the former, I suggest a different choice of specialty.

The latter, better control of the patients.

 

[Winged Scapula]

Oh, for gawd's sake...just wear the freakin' tie. 🙄

You forget....SDN is all about how to avoid wearing appropriate clothes in the work place. Most seem to think a collared shirt and tie or the corollary for women are "funeral or wedding" clothes only. Maybe for interviews. 🙄

 

[MadameLULU]

Oh, for gawd's sake...just wear the freakin' tie. 🙄

If you're worried about spreading germs, wash your hands. If you're worried about being choked to death, you're not being careful enough in the first place.

One of my friends will not wear a tie. When asked by his attending where his tie was, my friend replied "They harbor s. aureus.", and the attending didn't respond.

 

[deleted87716]

One of my friends will not wear a tie. When asked by his attending where his tie was, my friend replied "They harbor s. aureus.", and the attending didn't respond.

I'd have told him to remove all of his clothes, in that case.

 

[smq123]

You forget....SDN is all about how to avoid wearing appropriate clothes in the work place. Most seem to think a collared shirt and tie or the corollary for women are "funeral or wedding" clothes only. Maybe for interviews. 🙄

Don't forget the guys who complain about having to shave everyday. That bothers me more - if you can't look professional, at least try to look clean.

 

[MadameLULU]

I'd have told him to remove all of his clothes, in that case.

ha! but how often to men launder their shirts and slacks and how often do they launder their ties??

I'm not saying that ties shouldn't be worn, I just think his reply and the response (or lack thereof) he received from his attending is humorous.

 

[deleted87716]

ha! but how often to men launder their shirts and slacks and how often do they launder their ties?

How often do you launder your pen, belt, jewelry, wristwatch, stethoscope, or even lab coat, for that matter? It's a specious argument. No study has shown that neckties actually spread disease, and S. Aureus is ubiquitous.

 

[MossPoh]

Don't forget the guys who complain about having to shave everyday. That bothers me more - if you can't look professional, at least try to look clean.

Well, I complain about shaving...but that is because everytime I do my face ignites into flames for some reason. I generally look cleaner if I do it every 2 or 3 days. Then I won't look like I got attacked by fire ants or something.

 

[deleted87716]

Well, I complain about shaving...but that is because everytime I do my face ignites into flames for some reason.

Razor burn. You're probably doing it wrong, like most guys. Likely, you're applying too much pressure or shaving against the grain (or both).

Lots of good shaving tips on the Intarweb (Google 'how to shave'), but here's a good link: http://www.msnbc.msn.com/id/6886845/

 

[pseudoknot]

Razor burn. You're probably doing it wrong, like most guys. Likely, you're applying too much pressure or shaving against the grain (or both).

Lots of good shaving tips on the Intarweb (Google 'how to shave'), but here's a good link: http://www.msnbc.msn.com/id/6886845/

Thanks for that link! I think this may be the dawn of a new era for me (I've always had a lot of problems with irritation and not getting a close enough shave, with or against the grain).

 

[deleted87716]

Thanks for that link! I think this may be the dawn of a new era for me (I've always had a lot of problems with irritation and not getting a close enough shave, with or against the grain).

Not to derail the thread, but you might like this, too: http://www.theartofshaving.com/taos6/product.php?product=80010&group=25

They go a little overboard touting their own (ridiculously overpriced) products and the supposed benefits of essential oils, but their shaving techniques are excellent...possibly even life-changing. 😉

 

[hyperorchidism]

You know, ties DO spread germs. And I hate wearing a tie. Finally the germs are working in my favor.

Personally, I hope this no tie thing catches on.

 

[smq123]

You know, ties DO spread germs. And I hate wearing a tie. Finally the germs are working in my favor.

I think that the "I-don't-wear-ties-because-they-spread-MRSA" argument only works if you back it up by disinfecting your stethoscope after each use.

 

[Winged Scapula]

You know, ties DO spread germs. And I hate wearing a tie. Finally the germs are working in my favor.

Personally, I hope this no tie thing catches on.

Sorry, there is no good evidence that ties SPREAD germs. The existence of S. aureus on a tie is not the same as the ability to survive or spread infection.

As Kent notes, S. aureus is ubiquitous and is likely on every surface in the room, including you.

Put that tie on!

 

[deleted77919]

If you are really worried just wear a bowtie instead.

 

[Husky85]

I think this "ties spread germs" poppycock started with that episode of House MD where there was an epidemic among the babies and Cuddy cut a resident's tie off for letting it hang in the sink. ties spreading germs =

 

[Winged Scapula]

I think this "ties spread germs" poppycock started with that episode of House MD where there was an epidemic among the babies and Cuddy cut a resident's tie off for letting it hang in the sink. ties spreading germs =

It actually started many years before House with several small studies which showed ties do have S. aureus and other infectious agents on them but of course, couldn't make a relationship between the ties and hospital patients getting sick...

Nurkin S, Urban C, Mangini E, Mariano N, et. al. Is the Clinicians' Necktie a Potential Fomite for Hospital Acquired Infections? In Abstractsof the 104th General Meeting of the American Society for Microbiology 2004, New Orleans, Louisiana, 2004😛204

Dixon M. Neckties as Vectors for Nosocomial Infection. Intensive Care Medicine 2000, 26:250-260.

Steinlechner C, Wilding G, Cumberland N. Microbes on ties: do they correlate with wound infection? Ann R Coll Surg Eng 2002, (Suppl) 84:307- 9.

 

[Husky85]

Next time I'm asking Dr. Cox before I post anything! Game, set, match.