Editor,
In a recent directive from the secretary of health and family welfare, Government of Arunachal Pradesh, doctors have been instructed to wear aprons with name tags while on duty and avoid wearing casual attire, like T-shirts or jeans. Although the order may appear as a step toward professionalism, it raises concerns about practicality, medical necessity, and hygiene.
Traditionally, aprons serve as protective barriers against infections within hospitals. They provide a safeguard against accidental spills, stains, and direct exposure to potentially harmful microorganisms. This protective aspect is especially crucial for those working in environments with infectious materials, helping to minimize the risk of cross-infection between healthcare workers and patients. However, the notion of using the apron as an official, mandated uniform does not align with its original purpose and may actually undermine its effectiveness.
Rather than focusing on formality, medical attire should prioritize function. Aprons are not inherently designed to serve as a symbol of professionalism or identification; their primary role is to reduce risks associated with hospital-acquired infections. When aprons are worn continuously throughout shifts rather than used when medically necessary, their effectiveness as a protective layer diminishes. Constant use as a uniform rather than as needed can inadvertently lead to contamination, increasing risks for both doctors and patients.
Moreover, the requirement to avoid casual attire such as T-shirts or jeans limits doctors’ comfort and choice without necessarily benefiting patient care. Many doctors work long hours, often in high-stress environments. Allowing them the flexibility to wear comfortable clothing could potentially improve focus and endurance, benefitting overall patient care. Other developed nations often permit casual attire beneath aprons or scrubs to support doctors’ comfort, particularly for extended shifts.
This order appears to miss the point that doctors’ attire should be about protection and practicality, not strict formality. Professionalism in healthcare is demonstrated through knowledge, skill, and patient interaction, not by wearing a particular style of clothing. Enforcing such rigid rules may have unintended consequences, including lower morale and reduced comfort for doctors on duty.
While identifying doctors is essential, there are other ways to accomplish this without mandating specific attire. Clear name tags or easily visible ID badges serve this purpose without the additional need for aprons to be worn at all times. For instance, a temporary apron can be donned in high-risk zones or procedures, thus preserving its protective function.
In conclusion, healthcare policies must balance professionalism with the wellbeing of healthcare workers and patients. Rather than mandating aprons as uniforms, we should return to their intended purpose – offering protection against infection. This would not only respect doctors’ comfort and autonomy but also support their primary mission: to provide the best possible care.
Doctor