Thoughts on the white coat - then and now

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handetalc

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Most med schools, if not all, have a white coat ceremony during orientation week just before M1 year officially starts. Four years ago, I remember really looking forward to this ceremony and finally getting to wear a white coat. (I didn't even mind that it was going to be a short one.) To me, it symbolized a level of achievement and finally my first official step to becoming a physician.

I also thought it'd help me seduce foxy bombshells, by compensating for the anticipated deterioration of my personality alongside my vanishing social life. 👎

There weren't many opportunities, especially M1 year, to wear the white coat. Occasionally, however, we'd have hands-on classes for physical exam skills with mock patients. I remembering actually looking forward to these classes largely in part so I could wear the coat. By M2 year, even though it had lost much of its luster, I still had positive associations with it.

When M3 year began, the short white coat began taking on an entirely different meaning for me. It instantly communicated to everyone in the hospital that I, as a medical student, not only had the least experience and least clinical knowledge on the healthcare team, but was also target practice for attendings who loved doling out pimp questions. The coat signaled that my role in the hospital was to get in the way, or at best, to stay out of the way.

Combined with the little hazing rituals of M3 year (e.g. being referred to by residents/attendings as "the med student" rather than by my name) and all of the b.s. that M3 year entailed, I quickly began to really loathe the short white coat. And this is to say nothing of how heavy the coat was...it may not seem like much at all, but you'd be really surprised how just a stethoscope and a few pocket manuals can feel quite heavy on the shoulders after a long day. You'll see what I mean. The bulging of the pockets on your sides as you carry other tools, PDA, etc., isn't so flattering either.

By the halfway point of that year, I was already looking forward to opportunities to not wear the short white coat.

And by M4 year, I was actively finding ways to avoid wearing it. I'd take it off right after rounds, hang it on chairs, avoid bringing it to the hospital altogether on certain rotations, etc.

I also recall, throughout the past four years, seeing a few med students walking around downtown in public with their short white coats - for no good reason other than to show off. I had actually considered this at one point early in my training, and when I saw others actually doing it, I realized what enormous tools they were (and what an enormous tool I was for even having entertained the idea). :laugh: Even the occasional resident, with his longer knee-length coats, looked douchebaggedly insecure strolling around in public away from the hospital.

So those are my thoughts regarding the white coat. I am a bit saddened to realize how early on, I had idealized the short white coat, and how I eventually came to view it with such disregard. I think at the root of it, I just dislike the heirarchy and ego issues accompanying the white coat (short or long). I really hope that as a resident next year and as an attending someday, I'll be able to use my seniority as a vehicle for mentorship rather than as a "status symbol" or a badge of some sort of silly superiority.

In case you were wondering whether this was meant to be a humorous post or an honest one, it's both. It's a bit funny because of its admittedly embarrassing truth. And through conversation, I've discovered that a good handful of my classmates share a remarkably similar love-hate relationship with their short white coat too.
 
There are a few schools (Mayo, CCLCM) that give you a long white coat right away.

I think that the short coats do look rather silly...
 
all these costumes got to go. we should leave the costume wearing to the God service professionals.
 
UC Davis on the other hand, has a stethoscope ceremony for induction... I think you have to go out and buy your own white coat before classes begin. Not quite sure what to think of that yet.
 
hmmm... nice one...

so, some troubles never go away - rather - troubles always exist.. haha... story of life.

good job in writing that.. my favorite term - "douchebaggedly insecure".. laughed at that for 10 minutes...
 
When M3 year began, the short white coat began taking on an entirely different meaning for me. It instantly communicated to everyone in the hospital that I, as a medical student, not only had the least experience and least clinical knowledge on the healthcare team, but was also target practice for attendings who loved doling out pimp questions. The coat signaled that my role in the hospital was to get in the way, or at best, to stay out of the way.

Not true...you knew more than the college students who were shadowing (if you ever had them follow your team) :laugh:
 
When M3 year began, the short white coat began taking on an entirely different meaning for me. It instantly communicated to everyone in the hospital that I, as a medical student, not only had the least experience and least clinical knowledge on the healthcare team, but was also target practice for attendings who loved doling out pimp questions. The coat signaled that my role in the hospital was to get in the way, or at best, to stay out of the way.

Combined with the little hazing rituals of M3 year (e.g. being referred to by residents/attendings as "the med student" rather than by my name) and all of the b.s. that M3 year entailed, I quickly began to really loathe the short white coat. And this is to say nothing of how heavy the coat was...it may not seem like much at all, but you'd be really surprised how just a stethoscope and a few pocket manuals can feel quite heavy on the shoulders after a long day. You'll see what I mean. The bulging of the pockets on your sides as you carry other tools, PDA, etc., isn't so flattering either.

As a resident, will you be nice to med students this coming year?🙂
 
So yeah, sometimes you read on here that people have seen their classmates out in public wearing their white coat. I thought some of those stories were fabricated (seriously who would actually do that)

Well, after being at ACME and having a pompous medical student from Temple stroll by me with his white coat and shades (it was awfully sunny in the ACME!) I stood corrected.

I also went out to the bar with a school group and some people (3 out of 11) wore their white coats for happy hour. 🙁

I guess everyone just wants to feel important
 
Triple posting at three minute intervals kind of throws the option that it was an accident out the window.🙄
 
Triple posting at three minute intervals kind of throws the option that it was an accident out the window.🙄

SDN has been acting kinda ridiculous lately so I would certainly believe that it was accidental.

After spending a decent amount of time shadowing physicians in academic medical centers, I agree with all of the above about the white coat. I know I am going to try to keep it hanging in the closet as much as possible when I'm a med student.
 
I don't want to wear the short one. It looks ghetto. 😉 Will I be able to wear those long, knee length ones as a med student?
 
where does this garbage actually happen?

Nobody at my school actually wore their white coats out anywhere they didnt have to. Aren't we supposed to be more aware of social nuance? Jesus.
 
Not true...you knew more than the college students who were shadowing (if you ever had them follow your team) :laugh:

How true! I used to shadow a jackass attending who would introduce me as "this is beachblonde, she doesn't know anything." 🙄

As far as I'm concerned, the white coat only serves as an extra layer in chilly hospitals. And it has pockets where I can stash stuff, because carrying around a purse in a hospital is a total no-go.
 
I'm not going to wear a long coat when I graduate... a white cape will suffice. Perhaps a utility belt for the stethoscope and other tools of the trade. 😎

This is the greatest idea I have ever heard. Also, get one of those tight under armor shirts and have someone stitch MD in large letters in the center of the chest.
 
I am usually kinda embarrassed when I am wearing my coat, kinda feel like a wanna be, y'know. But then I noticed, when I get coffee in the hospital gift shop with my white coat visible I get a 20% discount... now I'm thinking bomb-diggity!

I know a number of places in Chicago have given me a discount when I was wearing an EMT uniform (dollar off drafts at Billy Goat Tavern!)... maybe some of y'all should try it with the coat.
 
It's the same way with a military uniform. Me and 3 buddies got invited onto the green monster at Fenway to watch a ball game because we were on liberty and wearing our summer whites. Until the new Yankee stadium opened, they were the most expensive and most coveted seats in baseball.
 
Nice essay, I feel the same way about my white coat.

I think I can correlate my feelings toward my white coat with its cleanliness. As it became more stained and crumpled I grew to dislike it more and more. Or maybe it was that my dislike for it caused me to take worse care of it - tossing it on the ground rather than hanging it up when I got home, for instance. I remember at first I'd wash it every two weeks or so, whereas during 4th year I think it went into the laundry once sometime in September. It's currently at the bottom of a box somewhere in my garage, its pockets still stuffed with my stethoscope and Pocket Medicine.
 
You know what really amuses me? There's a girl in my biochem class that wears dark blue scrubs to class all of the time. I don't know if she's pre-med, a massage therapist, or whatever, but every time I see her it only convinces me further to not ever wear medical garb in public.
 
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You know what really amuses me? There's a girl in my biochem class that wears dark blue scrubs to class all of the time. I don't know if she's pre-med, a massage therapist, or whatever, but every time I see her it only convinces me further to not every wear medical garb in public.


I would stop short of assuming she is just wearing them for kicks. She could be coming from lab/work or going directly there after the lecture. I know quite a few people who have to wear scrubs for their research/job.
 
I would stop short of assuming she is just wearing them for kicks. She could be coming from lab/work or going directly there after the lecture. I know quite a few people who have to wear scrubs for their research/job.

Possibly, but she looks pretty made up for having just come from lab so early in the morning. Quite honestly I think a lot of people will disagree that going or coming from work is a valid excuse. I change into my scrubs or white coat when I get to work/shadowing/etc. Scrubs are very thin and easy to stuff in your bag. I don't see why you would wear them around arizona dust and heat if you are really going somewhere that requires scrubs.
 
What's the point of the coat being short? Is there any reason some people need a long one and others need short ones? I don't get it, just sounds like hazing.
 
What's the point of the coat being short? Is there any reason some people need a long one and others need short ones? I don't get it, just sounds like hazing.

Status and potentially a way of preventing mistaken identity (a med student being mistaken for a doctor).
 
Status and potentially a way of preventing mistaken identity (a med student being mistaken for a doctor).

How do the schools that give up the long coat to start get around that? I don't think mistaken identity is really a problem. If somebody walks up to you and asks, you just say "I'm not a doctor", problem solved. I've had it happen to me several times while shadowing and it was never a problem. I think it's mostly crusty old people wanting to feel important because they've already made it through medical school.
 
I am usually kinda embarrassed when I am wearing my coat, kinda feel like a wanna be, y'know. But then I noticed, when I get coffee in the hospital gift shop with my white coat visible I get a 20% discount... now I'm thinking bomb-diggity!

I know a number of places in Chicago have given me a discount when I was wearing an EMT uniform (dollar off drafts at Billy Goat Tavern!)... maybe some of y'all should try it with the coat.

At the hospital cafeteria here, you get a discount if you work there (resident, attending, RN, social work, other ancillary medical stuff). On numerous occasions, I've been offered a discount, only to have the cashier say, "Oh wait," lean over to discover that my coat is short and that I'm a student, and then undo the discount. :laugh:
 
How do the schools that give up the long coat to start get around that? I don't think mistaken identity is really a problem. If somebody walks up to you and asks, you just say "I'm not a doctor", problem solved. I've had it happen to me several times while shadowing and it was never a problem. I think it's mostly crusty old people wanting to feel important because they've already made it through medical school.

Often, emblems or IDs are differently designed to make it obvious. I agree its probably mostly a status thing, but the "official word" probably sugar coats it as a safety precaution.
 
There are a few schools (Mayo, CCLCM) that give you a long white coat right away.

I think that the short coats do look rather silly...

Yeah, some schools do start students off with a long coat. I know this happens at some of the Florida med schools. At first thing sounded pretty cool, but I'd imagine wearing a long white coat would only add to the embarrassment after getting a pimp question wrong or screwing up your presentation on rounds.

But yeah, the short coats look really goofy. It's worse for tall people.

Apparently, until recently at Duke, the internal medicine interns still had to wear short white coats. This was only made optional within the past few years. It's even worse for surgery interns, who apparently still not only have to wear short coats, but also tight white pants as well. So ridiculous, it almost seems like a joke, but it's not.
 
Often, emblems or IDs are differently designed to make it obvious. I agree its probably mostly a status thing, but the "official word" probably sugar coats it as a safety precaution.

Exactly. Unofficially, the truth remains is that it's still a conservative, old-school-mentality, egocentric field. That's changing, but slowly.
 
Nice post, OP.

I've seen some interns, residents and especially old timers who prefer the short white coat.

I personally can't wait to give it up.....
 
I would stop short of assuming she is just wearing them for kicks. She could be coming from lab/work or going directly there after the lecture. I know quite a few people who have to wear scrubs for their research/job.
There's a girl in a class before mine that always wears green scrubs, which y'know is maybe okay. She might have a reason for wearing gross clothing, but a few weeks ago I saw that she has a stethoscope hanging off her messenger bag. Yeah. Those really come in handy in undergrad intro to physiology.
 
Status and potentially a way of preventing mistaken identity (a med student being mistaken for a doctor).
That's very ironic given the current trend of EVERYONE in the hospital getting to look cool and wear a long white coat. :laugh:

I think I'll try to avoid the coat. It's not a "status" thing for me, it just bothers me that everyone wears them. I think people in a hospital should be distinguishable at a glance (for efficiency),and the fact that people wear white coats like sunglasses would make me feel like one of those tools who watches MTV for the latest fashion trend.
 
I'm not going to wear a long coat when I graduate... a white cape will suffice. Perhaps a utility belt for the stethoscope and other tools of the trade. 😎
Don't forget the white mask. But skip the little bat ears please.
 
Nice post, OP.

I've seen some interns, residents and especially old timers who prefer the short white coat.

I personally can't wait to give it up.....

Once i make it through medical school, I'm avoiding that thing at all costs, and I'm not even in med school yet. It looks dumb and serves no purpose if you don't have a bunch of crap to carry around. Most doctors i've shadowed didn't wear coats, hopefully my position allows me to do the same.
 
i think the coat is hot. dont hate if you cant pull it off. jk

does any real life nurse ever wear those nursing uniforms in like porn?
 
That is probably why they give you a long one, because it is only a symbol at mayo and not actually used.

I like that. Good deal. If you don't need the coat you shouldn't have to wear it.
 
I will be shadowing a medical oncologist in the hospital this summer before I start med school in the fall. All I have is a white lab (research lab) coat (which is long obviously). It is not stained or anything like that, but do you think it would be inappropriate to wear while I am with him. Our med school doesn't hand out our "short" coats until the white coat ceremony in August, and I don't feel like going out and buying a coat just so I have a short one now.

His office told me to wear business casual and a lab coat.... so I don't look like some random guy they pulled off the street when we go into patient's rooms.
 
Very well written essay!

I know it's incredibly uncool not to be too jaded yet about white coats, but I don't care. I've been part of two white coat ceremonies in the past while I was working at a medical college and I thought they were pretty special for the students. I don't want to become so cynical yet that I won't be able to enjoy it when it's time for my own white coat ceremony - why suck the fun out of it?
 
I will be shadowing a medical oncologist in the hospital this summer before I start med school in the fall. All I have is a white lab (research lab) coat (which is long obviously). It is not stained or anything like that, but do you think it would be inappropriate to wear while I am with him. Our med school doesn't hand out our "short" coats until the white coat ceremony in August, and I don't feel like going out and buying a coat just so I have a short one now.

His office told me to wear business casual and a lab coat.... so I don't look like some random guy they pulled off the street when we go into patient's rooms.
I would dress in a tie and shirt and I wouldn't wear a coat.
 
There's a girl in a class before mine that always wears green scrubs, which y'know is maybe okay. She might have a reason for wearing gross clothing, but a few weeks ago I saw that she has a stethoscope hanging off her messenger bag. Yeah. Those really come in handy in undergrad intro to physiology.

That is the tooliest thing I've ever heard of. Bravo, physiology girl.
 
handletalc I just wanted to say thanks again for making these threads. I was about to suggest you start a blog, and then I realized I was more grateful that you opened these threads up to questions from others about their own paths, rather than simply discussing yours. We are getting a really wide variety of viewpoints and opinions here and I think it has been immensely helpful.
 
I have to laugh at the people that put much stock into the white coat either way.

The white coat isn't all that it's revered to be. It's part of a uniform. If I were a lawyer, I'd be wearing a suit and tie. If I were a law student, I imagine I would be wearing a suit and tie to a mock-trial. The white coat takes the place of the jacket but the rest of the outfit is basically the same.

Why feel embarassed in wearing the thing when you have to? It's not a damned scarlet letter, it's a white article of clothing. No need to feel ashamed, it's part of the tradition.

And finally, I wear my white coat outside the school/hospital all the time. It's called "I live a mile from the school/hospital and I have my hands full of stupid little books, a stethescope, an umbrella, a granola bar, a cup of coffee, etc. on my walk to campus" and I don't really want to add to that mess by carrying my white coat as well, particularly when it has pockets that store most of those things.

I have occasionally thought of taking it off when I'm outside a clinical setting on my way home, and then I realized that I'm not a tool, I don't need to freak out about wearing a coat that no one cares about one way or another, and in all probability, putting the effort into worrying about being seeing with my white coat outside in the first place is a total waste of my time and I don't have any particular interest in joining the "white coat is so passe and garrsh" club anymore than I do one that wears it out to bars.

/rant. It's a poorly sewn piece of cotton. Don't worry about it one way or the other.

Edit - oh, and one more thing: Mayo and their requirement of wearing a suit? Ha! Then I'd have to worry about being mistaken for a pharm rep.
 
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I have to laugh at the people that put much stock into the white coat either way.

The white coat isn't all that it's revered to be. It's part of a uniform. If I were a lawyer, I'd be wearing a suit and tie. If I were a law student, I imagine I would be wearing a suit and tie to a mock-trial. The white coat takes the place of the jacket but the rest of the outfit is basically the same.

Why feel embarrassed in wearing the thing when you have to? It's not a damned scarlet letter, it's a white article of clothing. No need to feel ashamed, it's part of the tradition.

And finally, I wear my white coat outside the school/hospital all the time. It's called "I live a mile from the school/hospital and I have my hands full of stupid little books, a stethescope, an umbrella, a granola bar, a cup of coffee, etc. on my walk to campus" and I don't really want to add to that mess by carrying my white coat as well, particularly when it has pockets that store most of those things.

I have occasionally thought of taking it off when I'm outside a clinical setting on my way home, and then I realized that I'm not a tool, I don't need to freak out about wearing a coat that no one cares about one way or another, and in all probability, putting the effort into worrying about being seeing with my white coat outside in the first place is a total waste of my time and I don't have any particular interest in joining the "white coat is so passe and garrsh" club anymore than I do one that wears it out to bars.

/rant. It's a poorly sewn piece of cotton. Don't worry about it one way or the other.

Edit - oh, and one more thing: Mayo and their requirement of wearing a suit? Ha! Then I'd have to worry about being mistaken for a pharm rep.


^agreed 👍
 
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