High end fashion in medicine

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tennisguitar

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This question is not a reflection of my practices or goals but rather a curiosity with the boom of men's lifestyle brands, i.e. basically anything depicted in GQ: There are sure to be major changes in the incomes of physicians in many fields in the coming years--that is really little question to that. Nevertheless, medicine will in many cases certainly remain a lucrative career and afford individuals the means to delve into high end fashion if they so choose. Now, I believe that we should be our best selves in how we appear to our patients in terms of professionally dressed, well groomed, etc. But is there a line with regard to appearance or brands, that if crossed, can be detrimental to report between patient and physician? For instance, would it be inappropriate for a physician to wear a Rolex or Patek Philippe in the workplace or even walk into a clinical setting wearing Allen Edmond shoes?

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I mean, I love my park avenues as much as the next guy but I wouldn't wear them to the lab.

Dress appropriately for your audience...is there really anymore to say? Dressing well isn't the same as decking yourself out in GQ brands. Also GQ isn't really high end fashion.
 
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This question is not a reflection of my practices or goals but rather a curiosity with the boom of men's lifestyle brands, i.e. basically anything depicted in GQ: There are sure to be major changes in the incomes of physicians in many fields in the coming years--that is really little question to that. Nevertheless, medicine will in many cases certainly remain a lucrative career and afford individuals the means to delve into high end fashion if they so choose. Now, I believe that we should be our best selves in how we appear to our patients in terms of professionally dressed, well groomed, etc. But is there a line with regard to appearance or brands, that if crossed, can be detrimental to report between patient and physician? For instance, would it be inappropriate for a physician to wear a Rolex or Patek Philippe in the workplace or even walk into a clinical setting wearing Allen Edmond shoes?

I think there is a delicate line there - in general we value professional dress, but at the same time you don't want to appear ostentatious or difficult for your patients to relate to.

I had to tell one of our second year med students that perhaps her brazenly labeled gucci shoes and tiffany jewelry were probably not the best choice to wear to our free clinic for underserved patients...

That said, AE shoes are a pretty bland business shoe and not something I would consider ostentatious (or something that most people would even recognize).

Personally, I stick to pretty conservative business clothing (my wardrobe is like 80+% brooks brothers). I don't have the coin for a rolex or more expensive watch and probably wouldn't wear one if I did.
 
For instance, would it be inappropriate for a physician to wear a Rolex or Patek Philippe in the workplace or even walk into a clinical setting wearing Allen Edmond shoes?

I wear a Rolex, Allen Edmonds, bespoke ties from London and Naples, and Brooks Brothers shirts/slacks when not in scrubs (clinic/rounds). No one has ever said anything to me. Nothing I wear is particularly ostentatious though. Where I go for inspiration: http://www.styleforum.net/t/230619/cbd-waywrn-an-experiment
 
I think everyone here just might need to get over themselves a little bit. A good bedside manner and appropriate assessment and plan will go a lot further in getting the patient on your side than an expensive watch.
 
I worked with someone who wore "high fashion" (and I use that term loosely) brands that made it clear that they were "high fashioned" brands. One of the residents actually asked if a fancy pants bag they had was a gift or if they bought it. Otherwise they just looked like a goober.

I don't get the appeal of "high fashion" but as long as you're not flamboyant about it I don't think anyone will care. Have well-made, well-fitted clothes will not make anyone mad. I don't think anyone will actually pay enough attention to notice a nice watch, though I wouldn't wear it on surgical rotations as you don't want to leave it around somewhere when you have to scrub.
 
I worked with someone who wore "high fashion" (and I use that term loosely) brands that made it clear that they were "high fashioned" brands. One of the residents actually asked if a fancy pants bag they had was a gift or if they bought it. Otherwise they just looked like a goober.

I don't get the appeal of "high fashion" but as long as you're not flamboyant about it I don't think anyone will care. Have well-made, well-fitted clothes will not make anyone mad. I don't think anyone will actually pay enough attention to notice a nice watch, though I wouldn't wear it on surgical rotations as you don't want to leave it around somewhere when you have to scrub.
You're in a profession in which many students are offspring of physicians. Not surprised at all.
 
@VisionaryTics, I struggle to imagine you as well dressed simply because of your SDN avatar.

tumblr_lwhezfFpOU1qlp2tqo1_500.jpg
 
I am happy to report that you could be wearing a $100,000 watch, and I would have no idea. I don't care.

A $40 pair of well-fitting pants and a $30 well-fitting shirt are far more easily appreciated by those whom you are trying to impress.
 
I am happy to report that you could be wearing a $100,000 watch, and I would have no idea. I don't care.

A $40 pair of well-fitting pants and a $30 well-fitting shirt are far more easily appreciated by those whom you are trying to impress.

This. The only people who will notice are the ones who are into fashion, assuming nothing ostentatious or strange-looking. There is no way I'd ever be able to tell a $1000 pair of shoes from my $100 Rockports or a $300 shirt from my $45 one. Within certain limits, fit and matching are more important than anything else.
 
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This. The only people who will notice are the ones who are into fashion, assuming nothing ostentatious or strange-looking. There is no way I'd ever be able to tell a $1000 pair of shoes from my $100 Rockports or a $300 shirt from my $45 one. Within certain limits, fit and matching are more important than anything else.
Yea if you're a dermatologist in Beverley Hills or Park Slope maybe. Patients coming to you because they need care don't give a **** what you're wearing. Academic attendings might, but only because they are pretty far removed from reality what with the commute from the hospital to the golf course being so long.
 
A very, very successful Mohs surgeon I know once told me that his wife could not understand why he insisted on only buying dress shirts from JC Penny. For him, he could not understand why he should spend a lot of money on shirts considering he was likely to get blood/purulence on them at some point
 
I think everyone here just might need to get over themselves a little bit. A good bedside manner and appropriate assessment and plan will go a lot further in getting the patient on your side than an expensive watch.

I think you need to get over yourself a bit. Why do you care how other people want to dress themselves? Any preconceived notions you have about the person under the clothes and their reasons for wearing them are your own to make.

I mean, you said yourself that patients don't care right? That goes both ways. Let doctors dress however they want.
 
http://dappered.com/

Where I go for inspiration (and sales/deals). The only high-end thing I've ever wanted and actually own is a bespoke suit from Savile Row, that I got in a former lifetime. I never wore it to work, only to formal occasions (weddings and the like). I think I've worn it, perhaps, three times since I got it 7 years ago. The suit I wore for med school interviews, and would probably wear on a daily basis is one I got from J Crew Factory for about $180.
 
This question is not a reflection of my practices or goals but rather a curiosity with the boom of men's lifestyle brands, i.e. basically anything depicted in GQ: There are sure to be major changes in the incomes of physicians in many fields in the coming years--that is really little question to that. Nevertheless, medicine will in many cases certainly remain a lucrative career and afford individuals the means to delve into high end fashion if they so choose. Now, I believe that we should be our best selves in how we appear to our patients in terms of professionally dressed, well groomed, etc. But is there a line with regard to appearance or brands, that if crossed, can be detrimental to report between patient and physician? For instance, would it be inappropriate for a physician to wear a Rolex or Patek Philippe in the workplace or even walk into a clinical setting wearing Allen Edmond shoes?
I would be careful about particular things like Rolexes or anything that exudes high levels of wealth at a glance. It is much easier to connect with patients when they feel like you are on their level, rather than above them. This is why the white coat is kind of being cast to the wayside- it puts a barrier between patient and caregiver by creating a dividing line between "us" and "them." Dress nicely and in good brands, certainly, but I would be cautious about overt displays of extreme wealth, as many of your patients will feel like "how can this healthy guy with a $20,000 watch and no doubt a mansion somewhere actually understand my life and my problems?" It's a delicate balance, depending on your practice area and the average income of your patient population.
 
I would be careful about particular things like Rolexes or anything that exudes high levels of wealth at a glance. It is much easier to connect with patients when they feel like you are on their level, rather than above them. This is why the white coat is kind of being cast to the wayside- it puts a barrier between patient and caregiver by creating a dividing line between "us" and "them." Dress nicely and in good brands, certainly, but I would be cautious about overt displays of extreme wealth, as many of your patients will feel like "how can this healthy guy with a $20,000 watch and no doubt a mansion somewhere actually understand my life and my problems?" It's a delicate balance, depending on your practice area and the average income of your patient population.

I wish. I have seen no evidence of any such trend.
 
I think you need to get over yourself a bit. Why do you care how other people want to dress themselves? Any preconceived notions you have about the person under the clothes and their reasons for wearing them are your own to make.

I mean, you said yourself that patients don't care right? That goes both ways. Let doctors dress however they want.
That OP was slightly ridiculous. This is a forum, if everyone's opinions were to just go unchallenged it would be a pretty quiet place.
 
I wish. I have seen no evidence of any such trend.
It's just starting to come about. Doctors will probably still wear them around, but new infection control guidelines are recommending against wearing them during patient encounters. A few hospitals have moved to business attire or scrubs at this point (embroidered scrubs are mandatory in many departments at the hospital I just left, and will eventually cover all physicians most likely). My bet is the white coat will die a slow death.

http://www.kevinmd.com/blog/2013/03/doctors-shed-white-coat-tie.html
http://www.sciencedaily.com/releases/2014/01/140121092749.htm
 
I don't know if it affects the patient physician relationship but I think that wearing expensive stuff would be a bad idea just because of all of the nasty stuff that can get on it
 
It's just starting to come about. Doctors will probably still wear them around, but new infection control guidelines are recommending against wearing them during patient encounters. A few hospitals have moved to business attire or scrubs at this point (embroidered scrubs are mandatory in many departments at the hospital I just left, and will eventually cover all physicians most likely). My bet is the white coat will die a slow death.

http://www.kevinmd.com/blog/2013/03/doctors-shed-white-coat-tie.html
http://www.sciencedaily.com/releases/2014/01/140121092749.htm
I wish they'd go back to non-embroidered white coats. This was a solved problem 100 years ago.

Step 1: Pick up clean plain white coat in AM
Step 2: Wear clean white coat all day. If fluids, bugs, or coffee get on it, no biggie
Step 3: Return to laundry bin at end of shift.
Step 4: Coats bleached overnight

go to Step 1.
 
I wish they'd go back to non-embroidered white coats. This was a solved problem 100 years ago.

Step 1: Pick up clean plain white coat in AM
Step 2: Wear clean white coat all day. If fluids, bugs, or coffee get on it, no biggie
Step 3: Return to laundry bin at end of shift.
Step 4: Coats bleached overnight

go to Step 1.
It's more the long sleeves that are a problem. You'd have to both launder them and move to silly looking short-sleeved white coats.
 
It's more the long sleeves that are a problem. You'd have to both launder them and move to silly looking short-sleeved white coats.
Most of my co-residents roll up our sleeves.

I have to say, I much prefer white coats to its coming replacement, the resident fleece jacket.

How often do you think those things are washed? At least the white coat will start to look dingy...
 
It is much easier to connect with patients when they feel like you are on their level, rather than above them. This is why the white coat is kind of being cast to the wayside- it puts a barrier between patient and caregiver by creating a dividing line between "us" and "them."
I'm not sure I agree with this. People have a notion of what a doctor looks like in their head. By jettisoning those symbols, we are removing what clearly identifies us in the collective consciousness. By bringing ourselves closer to the patient, I'm not sure they respect us more. In fact, I'm starting to think they respect us less.

Why do you think mid-levels and non-physicians are so eager to put on a white coat? They want the status the symbol provides and that patients give them.
 
Personally, I'm a fan of the Angelica brand of men's suits... especially the one that comes in misty blue.
 
This question is not a reflection of my practices or goals but rather a curiosity with the boom of men's lifestyle brands, i.e. basically anything depicted in GQ: There are sure to be major changes in the incomes of physicians in many fields in the coming years--that is really little question to that. Nevertheless, medicine will in many cases certainly remain a lucrative career and afford individuals the means to delve into high end fashion if they so choose. Now, I believe that we should be our best selves in how we appear to our patients in terms of professionally dressed, well groomed, etc. But is there a line with regard to appearance or brands, that if crossed, can be detrimental to report between patient and physician? For instance, would it be inappropriate for a physician to wear a Rolex or Patek Philippe in the workplace or even walk into a clinical setting wearing Allen Edmond shoes?
depends what is your pt population. If you work in a posh area, with posh patients, they would love to discuss the intricacies of your fashion choices.
 
I wear a Rolex, Allen Edmonds, bespoke ties from London and Naples, and Brooks Brothers shirts/slacks when not in scrubs (clinic/rounds). No one has ever said anything to me. Nothing I wear is particularly ostentatious though. Where I go for inspiration: http://www.styleforum.net/t/230619/cbd-waywrn-an-experiment

A true Otolaryngologist; a gentleman surgeon through and through.

I'd mock your american made shoes but I guess we all have to start somewhere.
 
I'm with you on keeping it fashionable (I wouldn't necessarily call that high fashion as to me that term suggests Haute Couture). Though the circlejerk over AE shoes is confusing to me (IMO they're better than crocs/danskos but still ugly - to each their own though). I wear a moderately priced TAG as a watch and I'm thinking about upgrading my shoes to these http://www.crockettandjones.com/product/chadwick-2-black#.U73Dn_ldVzU .

I think well made shoes at least are worth it as they'll last you much longer than a comparable pair of Aldos/diffusion brand/ etc.
 
I'm with you on keeping it fashionable (I wouldn't necessarily call that high fashion as to me that term suggests Haute Couture). Though the circlejerk over AE shoes is confusing to me (IMO they're better than crocs/danskos but still ugly - to each their own though). I wear a moderately priced TAG as a watch and I'm thinking about upgrading my shoes to these http://www.crockettandjones.com/product/chadwick-2-black#.U73Dn_ldVzU .

C&J has some nice shoes, but the Chadwick is not one of them. Hideous.
 
I would be careful about particular things like Rolexes or anything that exudes high levels of wealth at a glance. It is much easier to connect with patients when they feel like you are on their level, rather than above them. This is why the white coat is kind of being cast to the wayside- it puts a barrier between patient and caregiver by creating a dividing line between "us" and "them." Dress nicely and in good brands, certainly, but I would be cautious about overt displays of extreme wealth, as many of your patients will feel like "how can this healthy guy with a $20,000 watch and no doubt a mansion somewhere actually understand my life and my problems?" It's a delicate balance, depending on your practice area and the average income of your patient population.
not true.

I have seen tons of men and women with Louis Vuitton, patek watches (screw rolex), and other expensive big ticket items. I have seen men walking around with the LV presidential suit case to work that is worth 5k and women walking around with the LV multi color Ursula purse that is worth 3.2k.

none of that stuff makes you a better or worst person when it comes to relating to patients. It is all personality.

When patients are sick (and esp. are naked in a gown), do you think they care what brand your shoes are? they don't. they care that they feel naked. they just want to get their meds and get better.

sometimes, I feel like this profession can be so self centered and delusional.
 
This question is not a reflection of my practices or goals but rather a curiosity with the boom of men's lifestyle brands, i.e. basically anything depicted in GQ: There are sure to be major changes in the incomes of physicians in many fields in the coming years--that is really little question to that. Nevertheless, medicine will in many cases certainly remain a lucrative career and afford individuals the means to delve into high end fashion if they so choose. Now, I believe that we should be our best selves in how we appear to our patients in terms of professionally dressed, well groomed, etc. But is there a line with regard to appearance or brands, that if crossed, can be detrimental to report between patient and physician? For instance, would it be inappropriate for a physician to wear a Rolex or Patek Philippe in the workplace or even walk into a clinical setting wearing Allen Edmond shoes?

allen edmond? you'd be fine. most of these cap out at $300-400. most AE don't even look flashy, just professional. as a general rule, just try not to look gaudy, and you'll be fine
 
I don't like flashy watches. I have a plain Tissot and it does the job and looks quite decent. I do like the IWC Portuguese though. Not sure I'd buy one even if I could afford it.

I have a pair of AEs. I don't think they qualify for 'high fashion'. They are probably in the 225-400 range. That is basically the point at which you can actually begin to get shoes with a leather sole and without corrected grain leather. I generally wear less formal or cheap shoes.
 
I worked in a clinical setting for all of undergrad and while I can't speak to "high fashion", I can attest to the benefit of spending $60-80 on a nice shirt or slacks vs. $20 on sale at JC Penny. I started off with JCP and the like, and those $20 shirts last about 6 or so months before the collars, buttons, etc began to wear out. Shortly after I bought an $80 button up that I wore to my interviews 4 years later, and they still look and feel as good as the day I bought them. I've always taken excellent care of my work attire. You get what you pay for, to an extent. The $350 shirt probably isn't better than the $100 shirt though.
 
I always go into the hospital with the attitude, don't wear something you aren't willing to get vomited/pooped/peed/bled/any other bodily fluid on. Of course, depending on what you actually wear when you interact with patients, you might not have the same attitude. Surgeons don't round on patients in their suits and rolexes, they round on them in scrubs, so they can wear the expensive **** into work, throw it in the locker and spend the day in scrubs. Radiologists don't have this problem at all although I'm sure it's hard getting people to notice your new Rolex in the dark 😛

Might I also say that wearing bespoke ties daily is just odd. You should be able to eyeball a tie and tell if it looks ridiculous on you or not. If you're really concerned, just tie it in the frickin store and see how it looks. I mean, I can understand buying one or two in particular patterns/colors that really bring things together with a particular shirt and suit but having custom made ties for daily wear on the floors just shows you have money to blow.

Finally, wearing extravagant crap when you're interacting with patients who aren't on the same income level (and even the ones who are) just perpetuates the stereotype of the "rich doctor". Remember that these are the same people who are going to vote for the politicians that want to cut your reimbursement every year. So, you know, could ya just not and help us all out? I'd dress myself in rags if I could.
 
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I am happy to report that you could be wearing a $100,000 watch, and I would have no idea. I don't care.

A $40 pair of well-fitting pants and a $30 well-fitting shirt are far more easily appreciated by those whom you are trying to impress.

This. The only people who will notice are the ones who are into fashion, assuming nothing ostentatious or strange-looking. There is no way I'd ever be able to tell a $1000 pair of shoes from my $100 Rockports or a $300 shirt from my $45 one. Within certain limits, fit and matching are more important than anything else.

A very, very successful Mohs surgeon I know once told me that his wife could not understand why he insisted on only buying dress shirts from JC Penny. For him, he could not understand why he should spend a lot of money on shirts considering he was likely to get blood/purulence on them at some point

I would be careful about particular things like Rolexes or anything that exudes high levels of wealth at a glance. It is much easier to connect with patients when they feel like you are on their level, rather than above them. This is why the white coat is kind of being cast to the wayside- it puts a barrier between patient and caregiver by creating a dividing line between "us" and "them." Dress nicely and in good brands, certainly, but I would be cautious about overt displays of extreme wealth, as many of your patients will feel like "how can this healthy guy with a $20,000 watch and no doubt a mansion somewhere actually understand my life and my problems?" It's a delicate balance, depending on your practice area and the average income of your patient population.

I worked in a clinical setting for all of undergrad and while I can't speak to "high fashion", I can attest to the benefit of spending $60-80 on a nice shirt or slacks vs. $20 on sale at JC Penny. I started off with JCP and the like, and those $20 shirts last about 6 or so months before the collars, buttons, etc began to wear out. Shortly after I bought an $80 button up that I wore to my interviews 4 years later, and they still look and feel as good as the day I bought them. I've always taken excellent care of my work attire. You get what you pay for, to an extent. The $350 shirt probably isn't better than the $100 shirt though.

Why would anyone spend less than $1,000 for a quality pair of shirts and slacks?

People will laugh at you behind your back. You might as well get your clothes out of the sewer.

I'm not sure I agree with this. People have a notion of what a doctor looks like in their head. By jettisoning those symbols, we are removing what clearly identifies us in the collective consciousness. By bringing ourselves closer to the patient, I'm not sure they respect us more. In fact, I'm starting to think they respect us less.

Why do you think mid-levels and non-physicians are so eager to put on a white coat? They want the status the symbol provides and that patients give them.

Exactly.

This is why I wear a crown to clinic. Its highly fashionable and its lets people know I'm the king of the hospital.

I get mad respek.
 
I make sure to wear my Allen Edmonds mask, Louis Vuitton cap and Rolex gloves during EVERY surgery.
 
I think you missed the entire point of the thread. No one was asking if an expensive watch will get patients on your side. They're asking exactly the opposite.
This entire thread reeks. 0/10 would not bang any of you.
 
I always go into the hospital with the attitude, don't wear something you aren't willing to get vomited/pooped/peed/bled/any other bodily fluid on. Of course, depending on what you actually wear when you interact with patients, you might not have the same attitude. Surgeons don't round on patients in their suits and rolexes, they round on them in scrubs, so they can wear the expensive **** into work, throw it in the locker and spend the day in scrubs. Radiologists don't have this problem at all although I'm sure it's hard getting people to notice your new Rolex in the dark 😛

I round on surgical inpatients before clinic, so sometimes I round in a shirt and tie. The trick is not to stand downrange of a fresh trach or laryngectomy.

Might I also say that wearing bespoke ties daily is just odd. You should be able to eyeball a tie and tell if it looks ridiculous on you or not. If you're really concerned, just tie it in the frickin store and see how it looks. I mean, I can understand buying one or two in particular patterns/colors that really bring things together with a particular shirt and suit but having custom made ties for daily wear on the floors just shows you have money to blow.

You wouldn't notice the ties are custom. They're just patterns I particularly like, with my preferred lining, fold, length, and width. They knot just how I like them to, and they hold a knot well and then release wrinkles after I untie them.

Finally, wearing extravagant crap when you're interacting with patients who aren't on the same income level (and even the ones who are) just perpetuates the stereotype of the "rich doctor". Remember that these are the same people who are going to vote for the politicians that want to cut your reimbursement every year. So, you know, could ya just not and help us all out? I'd dress myself in rags if I could.

Nothing I wear is "extravagant". It's a little more expensive than department store stuff, but I still dress very conservatively. I wear what I do because it makes me feel better, and I spend a little more because the stuff I buy lasts much longer. I doubt I'm seriously disrupting the physician-patient relationship and endangering my profession's future by wearing a tie that ends exactly at my belt buckle and hemmed slacks.

I always find it interesting how fired up people get in fashion threads on this board. People get awfully insecure about how other people like to dress.
 
I really don't understand how some people can have this "holier than thou" attitude with respect to what they wear, as if the price of your clothes makes you somehow more "down to earth" than someone willing to spend a little extra.

Maybe I shouldn't be surprised in a med school forum though, but I thought we were better than this.
 
I always find it interesting how fired up people get in fashion threads on this board. People get awfully insecure about how other people like to dress.

I think there's a difference between having clothes/accessories/whatever that are well-fitted and well-made and clothes/accessories/whatever that are little more than not-so-subtle signs that yell "HEY I SPENT $X ON THIS." Sometimes the two go hand and hand but oftentimes not - at least when it comes to "consumer luxury."

Neither gets me riled up personally, but I can't help but laugh in my head when I see someone wearing stuff that are just indicators of wealth. It kinda gets at the heart of the distinction between "luxury" and "artesian" (for lack of a better word). I think you run the risk of being perceived as vain and ostentatious with the former but perhaps not so much with the latter. Given that's the case, I don't think it's a good idea to be wearing stuff that everyone will immediately know cost a bunch of money - particularly if you're a student. Bespoke and other similar items are in another category IMO.
 
This question is not a reflection of my practices or goals but rather a curiosity with the boom of men's lifestyle brands, i.e. basically anything depicted in GQ: There are sure to be major changes in the incomes of physicians in many fields in the coming years--that is really little question to that. Nevertheless, medicine will in many cases certainly remain a lucrative career and afford individuals the means to delve into high end fashion if they so choose. Now, I believe that we should be our best selves in how we appear to our patients in terms of professionally dressed, well groomed, etc. But is there a line with regard to appearance or brands, that if crossed, can be detrimental to report between patient and physician? For instance, would it be inappropriate for a physician to wear a Rolex or Patek Philippe in the workplace or even walk into a clinical setting wearing Allen Edmond shoes?

I don't know that "best selves" and "professionally dressed" are congruent with "basically anything depicted in GQ."
 
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