![]() Yet many physicians continue to wear scrubs - especially those who interact with patients with COVID - and it has become more acceptable to do so, or to wear PPE over ordinary clothing, but it is less common in routine clinical practice, said Shaffer, a member of the board of directors of the American Academy of Family Physicians (AAFP). Now, there is less concern about potential viral contamination with the white coat. But attire was already becoming less formal before the pandemic, and new changes took place during the pandemic, as physicians began wearing scrubs instead of white coats because of fears of viral contamination. "At one point, things were very formal," he told Medscape. Todd Shaffer, MD, MBA, a family physician at University Physicians Associates, Truman Medical Centers and the Lakewood Medical Pavilion, Kansas City, Missouri, has been in at his institution for 30 years and has seen a similar trend. This was especially true with trainees and the "younger generation," who were preferring "what I would almost call 'warmup clothes,' gym clothes, and less shirt-tie-white-coat attire for men or white-coats-and-business attire for women." Steinberg thinks that some physicians prefer the fleece with the institutional logo "because it's like wearing your favorite sports team jersey. Steinberg, who is also a clinical associate professor at Florida International University Wertheim School of Medicine, told Medscape that in his previous appointment at Johns Hopkins University School of Medicine, he and his colleagues "had noticed in our institution, as well as other facilities, an increasing trend that moved from white coats worn over professional attire toward more casual dress among medical staff - increased wearing of casual fleece or softshell jackets with the institutional logo." Yet even before the pandemic, physician attire in hospital and outpatient settings had started to change. ![]() There was also a concern raised that a necktie might dangle in patients' faces, coming in closer contact with pathogens, so more physicians were wearing scrubs." "Hospitals didn't want to launder the white coats as frequently as scrubs, due to cost concerns. When COVID-19 began to spread, "there was an initial concern that COVID-19 was passed through surfaces, and concerns about whether white coats could carry viral particles," according to Jordan Steinberg, MD, PhD, surgical director of the craniofacial program at Nicklaus Children's Pediatric Specialists/Nicklaus Children's Health System, Miami, Florida. Trump’s haphazard record-keeping was the subject of a drawn-out fight earlier this year between him and the National Archives, and the Justice Department has been investigating the matter.Pasricha says she has been the recipient of this "implicit bias" not only from patients but also from members of the healthcare team, and says that other female colleagues have told her that they've had similar experiences, especially when they're not wearing a white coat. In other instances, Trump would task aides with carrying boxes of unread memos, articles and tweet drafts aboard the presidential aircraft for him to review and then tear to shreds.Ī former senior Trump administration official said a deputy from the Office of Staff Secretary would usually come in to pull things out of the trash and take them off Trump’s desk after he left a room.Ī former White House official recalled that while document preservation was a key responsibility of the staff secretary, the rest of Trump’s senior staffers lacked the sense of their obligation to maintain records of papers that moved through the West Wing. In one occasion, Trump asked if anyone wanted to put a copy of a speech he just delivered up for auction on eBay, during a mid-flight visit to the press cabin Air Force One. Trump had a pattern of disregarding normal record preservation procedures. “Who knows what this paper was? Only he would know and presumably whoever was dealing with it, but the important point is about the records,” Haberman told CNN’s John Berman and Brianna Keilar on “New Day” Monday morning. Haberman said one image is from a White House toilet and the other one is from an overseas trip that was provided to her by a Trump White House source. In the images revealed on Monday, it’s unclear what the documents are in reference to – and who authored them – but they appear to be written in Trump’s handwriting in black marker. ![]() ![]() This picture shows notes that former President Donald Trump apparently ripped up and attempted to flush down the toilet.
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