So, there I was, in front of the wardrobe pondering on what to wear. Should I go in jeans and a sweat (as I sometimes do on operating days) and change into the scrubs (sans white coat off course!) Should I wear trousers, short sleeved white shirt and drab tie and look like a civil servant ?
Anyway, I came across this paper recently. It reports a fairly well constructed RCT and therefore represents fairly good evidence confirming that bugs on sleeves of a white coat (or expensive French cuffs ) are transferred FROM the skin within 4 hours - - i.e. the menagerie on your cuffs are a copy of the menagerie on your skin and not vice versa!
As Max Pemberton wrote in a recent article in the Daily Telegraph, it's all about bed occupancy and hand washing obviously. Incidentally the article referred to the amusing intervention by an orthopaedic surgeon who during a visit by the Cameron, Clegg, Lansley roadshow to Guy's Hospital, made a very good point in an albeit pompous way. As one can see in the photo, it was not just the cameramen who were transgressors - Nick Clegg seems unsure of which part of his arm constitutes his elbow! ( I think there is a saying in the vernacular on the subject!)
Why do hospital management teams around the country insist on a meaningless non evidence based policy? It clearly is a top down directive the type of which I thought Andrew Lansley wanted to see gone. I would be very happy to see discipline being dished out to ensure hand washing (which works) - but ditch my cuff links?
Anyway, on the day, I chose the suit, long sleeved shirt with cufflinks, which, once in the office I divested to roll up my sleeves.
I can see that Cufflinks are going to join the long list of items such as pens and keys that I have mislaid over the years!