White coats in medicineWhite coats are sometimes seen as the distinctive dress of physicians, who have worn them for over 100 years. In the nineteenth century, respect for the certainty of science was in stark contrast to the quackery and mysticism of nineteenth century medicine. To emphasize the transition to the more scientific approach to modern medicine, physicians sought to represent themselves as scientists, and began to wear the most recognizable symbol of the scientist, the white laboratory coat.1 Recently, white coat ceremonies have become popular amongst those starting medical school. The white coat was introduced to medicine in Canada by Dr. George Armstrong (1855–1933) who was a surgeon at the Montreal General Hospital and President of the Canadian Medical Association.citation needed A recent study found that the majority of patients prefer their doctors to wear white coats, but the majority of doctors prefer other clothing, such as scrubs.2 The study found that psychiatrists were among the least likely to wear white coats, perhaps in part due to the stereotyping that the pop culture phrase suggests. Some medical doctors view the coats as hot and uncomfortable, and many feel that they spread infection.2 Some doctors in institutions such as the Mayo Clinic are instructed to wear business attire, to convey professionalism, as the clinic dislikes the message that white coats represent to the patient.3 White coat hypertensionSome patients who have their blood pressure measured in a clinical setting have higher readings than they do when measured in a home setting. This is sometimes called "white coat hypertension", in reference to the traditional white coats worn in a clinical setting, though the coats themselves may have nothing to do with the elevated readings.4 In psychiatryThe term is also used as verbal shorthand for psychiatric orderlies or other personnel and may be used, in a usually jocular manner, to imply someone's lunacy. In the 1966 song, They're Coming to Take Me Away Ha-Haaa!, Napoleon XIV fictionalized the public's view of the symbolic relationship between such institutions and white coats in the following lyrics:
White versus blackUntil the mid 1920's, students who were examining cadavers would wear black lab coats to show respect for the dead. Black lab coats were used in early biomedical and microbiology laboratories because any dust (i.e. contamination) that settled on them was easily visible. White coat ceremonyA white coat ceremony (WCC) is a relatively new ritual that marks one's entrance into medical school and, more recently, into a number of related health-related schools and professions. It originated in Columbia University's College of Physicians and Surgeons in 19935 and involves a formal "robing" or "cloaking" in white lab coats. BiologyIn industries and institutions related to biology, white and green coats are used. Typically, white coats are used in laboratory work.citation needed ArgentinaIn Argentina white coats which resemble lab coats are worn by students and teachers of most public primary schools as a daily uniform. Film – white coatersMany American and Swedish pornographic films of the late 1960s and early 1970s were prefaced by a doctor who would give an introduction to the graphic content, dressed in a white coat. These films came to be called "white coaters". The educational pretext was intended to circumvent U.S. obscenity laws. See alsoReferences
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