Our study suggests that the overwhelming
majority of young Fellows oppose the wave of
new and more restrictive policies related to OR
attire. They believe that these guidelines will
not improve patient outcomes and may in fact
increase surgeon discomfort in the OR, and
may demoralize all members of the OR team.
Therefore, these policy changes violate both
components of the ACS mission statement:
“improving the care of the surgical patient”
and maintaining an “optimal and ethical prac-
Based on these findings, the YFA GC
strongly urged the ACS to take a leader-
ship role in the creation of a comprehensive
evidence-based set of guidelines and rec-
ommendations related to OR attire. The
findings and literature review reported
herein ultimately served as background
materials and a major stimulus for the ACS
position statement, “Statement on operat-
ing room attire” (see page 47 of this issue of
We encourage all surgeons to set a positive example by wearing nonsurgical attire
outside of the hospital and to seek leadership
positions within their own departments of
perioperative services so that they can more
effectively advocate for their patients and
become engaged in the creation and implementation of policies that directly affect
surgeons and their patients. ♦
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