UAB PA Program White Coat Ceremony Keynote Speech

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University of Alabama at Birmingham

Physician Assistant Program

White Coat Ceremony

Class of 2016

UAB Physician Assistant Program FacultyProgram Director – J. Rick Kilgore, PhD, PA-C

Associate Program Director, Clinical Coordinator – Paul Harrelson, PA-C

Medical Director – Don Reiff, MD

Associate Medical Director – John Baddley, MD

Academic Coordinator – Kristopher Maday, PA-C

Director of Admissions – William Drace, PA-C

Director of Outcomes and Measures – Kelley Swatzell, PhD

Director of Simulation – Chad Epps, MD

Assistant Professor – Kara Caruthers, PA-C

Assistant Professor, Clinical Coordinator – Stephanie McGilvray, PA-C

Assistant Professor – John Hurt, PA-C

History of the White Coat Ceremony

The Four Doctors by John Singer Sargent  1907

What is a “White Coat Ceremony”

Patrice Alves being cloaked by Dr. Sandra O. Gold at the 1st White Coat Ceremony in 1993

Nolan Renner being cloaked by his wife, Kayla, at the 1st UAB PA Program White Coat Ceremony in 2012

The Early “Dark” Years

Massachusetts General Hospital  October 16, 1846

The Gross Clinic by Thomas Eakins  

1875

Click to edit Master title style

A Clinical Lesson at the Salpêtrière by Andres Brouillet  

1887Dr. Joseph Babinski

Dr. Georges Gilles de la Tourette

To put it in perspective…

• Victor Robinson – History of Medicine (2005)

• Louis HFT, et al. Journal of Orthopaedics, Trauma, and Rehabilitation (2011)

“…good old surgical stink…display of experience”

“…old blue frock…stiff and glazed with old blood!”

Where did the “white” come from?

• Candidus (lat) – “shining white”

– Candor or truth

• August 9th, 1867

– Aseptic technique was born

Joseph  Lister  -­‐  1902

The Agnew Clinic by Thomas Eakins  

1889

Operating Theatre at Jefferson Medical College in Philadelphia, PA  

1900

S

Why is it short?

http://absurdist.org/wp-­‐content/uploads/2012/10/2012.10.04-­‐hierarchy.png

How Students Think They Look and Feel

How Students Actually Look and Feel

Why do we have a “White Coat Ceremony”?

1. Recognize your accomplishments

2. Initiation to the professional brotherhood of medicine

3. Understand the significance of the white coat

“…but a life course, for which the work of a few years under teachers

is but a preparation”

Why do we have a “White Coat Ceremony”?

1. Recognize your accomplishments

2. Initiation to the professional brotherhood of medicine

3. Understand the significance of the white coat

“…Look upon us as elder brothers to whom you can come confidently and fearlessly for advice in any trouble or

difficulty”

Why do we have a “White Coat Ceremony”?

1. Recognize your accomplishments

2. Initiation to the professional brotherhood of medicine

3. Understand the significance of the white coat

“Medicine is learned by the bedside and not in the classroom”

“The art of the practice of medicine is to be learned only by experience;”

“…know that by practice alone can you

become expert”

What do you need to practice at the bedside

Humanism

Professionalism

Medicine

“Medicine is the art of probability and science of uncertainty”

Humanism ProfessionalismArt Science

Professionalism Humanism

Physician Assistant

A New Tradition From An Old Mentor

“The Latchkeyers”

“…the student feels that he has joined a family whose honor is his honor, whose welfare is his

own, and whose interests should be his first consideration”

University of Alabama at Birmingham

Physician Assistant Program

White Coat Ceremony

Class of 2016