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I do think it's geographic in part. In Southern California or out west in more rural areas, I might think you a little strange for wearing a tie, but especially for a bow tie. Is it more common elsewhere?I wear bowties sometimes. I started doing so because I did med school in an area of the country where bowties in medicine are more common, and this was very different than my experience growing up. I thought it was interesting and just started doing it because I could.
It was only much later that I discovered there's a penchant for older RadOncs to do it, which I have no explanation for.