White coat ceremony
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The white coat ceremony (WCC) is a
ritual A ritual is a sequence of activities involving gestures, words, actions, or objects, performed according to a set sequence. Rituals may be prescribed by the traditions of a community, including a religious community. Rituals are characterized ...
in some schools of medicine and other health-related fields that marks the
student A student is a person enrolled in a school or other educational institution. In the United Kingdom and most commonwealth countries, a "student" attends a secondary school or higher (e.g., college or university); those in primary or elementa ...
's transition from the study of preclinical to clinical health sciences. At some schools, where students begin meeting patients early in their education, the white coat ceremony is held before the first year begins. It is an example of a matriculation. The ritual is a recent invention, first being popularized in the 1990s. WCCs typically involve a formal "coating" of students.


Description

Over 100 medical schools in the United States now have a WCC, and many students now consider it a
rite of passage A rite of passage is a ceremony or ritual of the passage which occurs when an individual leaves one group to enter another. It involves a significant change of social status, status in society. In cultural anthropology the term is the Anglicisat ...
in the journey toward a healthcare career. Some schools also use this as a graduation from the entire program. According to some, WCCs have taken on a quasi-religious significance which symbolizes a "conversion" of a
lay person In religious organizations, the laity () consists of all members who are not part of the clergy, usually including any non-ordained members of religious orders, e.g. a nun or a lay brother. In both religious and wider secular usage, a laype ...
into a member of the healthcare profession and is similar to a priest's ordination to the priesthood, although it is notable that the white coat is a recent adoption by the medical profession. However, in many medical schools around the world students begin wearing their white coats during first-year anatomy class, so there is no official white coat ceremony. In the nineteenth century respect for the certainty of science was in stark contrast to the
quackery Quackery, often synonymous with health fraud, is the promotion of fraudulent or ignorant medical practices. A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, ...
and
mysticism Mysticism is popularly known as becoming one with God or the Absolute, but may refer to any kind of ecstasy or altered state of consciousness which is given a religious or spiritual meaning. It may also refer to the attainment of insight in ...
of nineteenth-century medicine. To emphasize the transition to the more scientific approach to modern medicine, physicians sought to represent themselves as scientists and began to wear the most recognizable symbol of the scientist - the white laboratory coat. This led to the more recent association of the white coat with medicine since its continued adoption.


History

WCCs originated in
University of Chicago The University of Chicago (UChicago, Chicago, U of C, or UChi) is a private research university in Chicago, Illinois. Its main campus is located in Chicago's Hyde Park neighborhood. The University of Chicago is consistently ranked among the b ...
's Pritzker School of Medicine in 1989,Warren, Peter M.
For New Medical Students, White Coats Are a Warmup
''Los Angeles Times'', 18 October 1999.
but the first full-fledged ceremony was at the Columbia University College of Physicians and Surgeons in 1993. In 1993, Dr. Arnold P. Gold, a teacher and pediatric neurologist, created the first full-fledged WCC at Columbia University College of Physicians and Surgeons. Before this ceremony, medical students typically received the
Hippocratic Oath The Hippocratic Oath is an oath of ethics historically taken by physicians. It is one of the most widely known of Greek medical texts. In its original form, it requires a new physician to swear, by a number of healing gods, to uphold specific e ...
for the first time at commencement. This ceremony marks a change in tradition, introducing students to the Oath before starting their first year of study. This was intended to provide students with well-defined guidelines regarding the expectations and responsibilities appropriate for the medical profession prior to their first day of class. Since its conception at Columbia, the WCC has spread rapidly to schools of medicine, dentistry, pharmacy, osteopathic medicine, optometry, and nursing worldwide. Since starting in the US, several medical schools in countries outside of the United States (such as
Iran Iran, officially the Islamic Republic of Iran, and also called Persia, is a country located in Western Asia. It is bordered by Iraq and Turkey to the west, by Azerbaijan and Armenia to the northwest, by the Caspian Sea and Turkmeni ...
, Israel, Canada,
Dominican Republic The Dominican Republic ( ; es, República Dominicana, ) is a country located on the island of Hispaniola in the Greater Antilles archipelago of the Caribbean region. It occupies the eastern five-eighths of the island, which it shares with ...
,
Brazil Brazil ( pt, Brasil; ), officially the Federative Republic of Brazil (Portuguese: ), is the largest country in both South America and Latin America. At and with over 217 million people, Brazil is the world's fifth-largest country by area ...
and
Poland Poland, officially the Republic of Poland, is a country in Central Europe. It is divided into 16 administrative provinces called voivodeships, covering an area of . Poland has a population of over 38 million and is the fifth-most populou ...
) have also started holding WCCs. The ceremony is no longer limited to medical students; starting in 1995, US pharmacy schools started holding WCCs, with the difference that most pharmacy students receive their coats at the end of their first academic year. In 2003 a survey found that the majority of US pharmacy schools hold WCCs. An Arnold P. Gold Foundation-sponsored version of the WCC, or a similar rite of passage, is currently used by 97 percent of Association of American Medical Colleges (AAMC)-accredited schools of medicine in the United States, and takes place at medical and osteopathic schools in 13 other countries. In December 2006 the first white coat ceremony was held by Fatima Jinnah Dental College (FJDC), in
Karachi Karachi (; ur, ; ; ) is the most populous city in Pakistan and 12th most populous city in the world, with a population of over 20 million. It is situated at the southern tip of the country along the Arabian Sea coast. It is the former c ...
,
Pakistan Pakistan ( ur, ), officially the Islamic Republic of Pakistan ( ur, , label=none), is a country in South Asia. It is the world's List of countries and dependencies by population, fifth-most populous country, with a population of almost 24 ...
. In October 2008 the white coat ceremony was held at the
VU University Medical Center VU University Medical Center Amsterdam ( nl, VU Medisch Centrum or VUmc) is the university hospital affiliated with the Vrije Universiteit Amsterdam. It is rated one of the best academic medical centers in the country in terms of patient care and ...
Amsterdam, it was the first ceremony held in The Netherlands. In 2011
Erasmus Medical Center Erasmus University Medical Center (Erasmus MC or EMC) based in Rotterdam, Netherlands, affiliated with Erasmus University and home to its faculty of medicine, is the largest and one of the most authoritative scientific University Medical Centers in ...
in Rotterdam also participated in holding the ceremony at their medical faculty. On October 13, 2010, the faculty of medicine at the University of Cologne, Germany, became the first German-speaking University to integrate this ritual into its programme. Initiated by then-student representative Hormos Salimi Dafsari in Cologne, the ceremony has been spread to various German cities such as Leipzig and Halle via channels of the German Medical Students' Association (bvmd). On April 12, 2010, the
University of Queensland , mottoeng = By means of knowledge and hard work , established = , endowment = A$224.3 million , budget = A$2.1 billion , type = Public research university , chancellor = Peter Varghese , vice_chancellor = Deborah Terry , city = B ...
's (Australia) School of Pharmacy became the first in Australia to adopt the ceremony for its incoming Bachelor of Pharmacy students. On April 29, 2011,
University of Warmia and Mazury in Olsztyn The University of Warmia and Mazury in Olsztyn was established on 1 September 1999, in accordance with the new Statute of Sejm signed by Polish President Aleksander Kwaśniewski, as well as Minister of Education Mirosław Handke, in August of t ...
was the first medical school in Poland, that has introduced the White Coat Ceremony. In September 2011, Jagiellonian University in Kraków became the first medical school in Poland to introduce a white coat ceremony for the incoming class. On February 28, 2011, the Faculty of Medicine at the Università del Piemonte Orientale "Amedeo Avogadro" in Novara became the first Italian medical school to introduce a white coat ceremony for its third-year students. On October 5, 2012, the Faculty of Medicine at the University of Medicine and Pharmacy "Gr. T. POPA" of Iasi,
Romania Romania ( ; ro, România ) is a country located at the crossroads of Central Europe, Central, Eastern Europe, Eastern, and Southeast Europe, Southeastern Europe. It borders Bulgaria to the south, Ukraine to the north, Hungary to the west, S ...
, became the first Romanian university to integrate this ritual, for its first-year medical students, into the symbolism of developing as a physician. On October 8, 2012, the
Medical University of Graz The Medical University of Graz is a public medical university located in Graz, Austria. History The faculty of medicine at the Karl-Franzens-University of Graz was established in 1863 by Franz Joseph I Franz Joseph I or Francis Joseph I ( ...
became the first university in Austria to celebrate a white coat ceremony of its third-year students. On December 6, 2012, the School of Medicine at the All American Institute of Medical Sciences, Jamaica, became the first in Jamaica to introduce this ritual, for its Basic Sciences medical students. In 2014 the Arnold P. Gold Foundation for Humanism in Medicine partnered with the American Association of Colleges of Nursing (AACN) to pilot the White Coat Ceremony at nursing schools. On July 13, 2017, the medical school of the University Of Tripoli became the first Libyan University to introduce this event. On September 18, 2019, the Faculty of Medicine of Tunis became the first in Tunisia to introduce this ritual in collaboration with Hygie Organization for the Promotion of Ethics.


See also

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Pinning ceremony (nursing) A pinning ceremony is a symbolic welcoming of newly graduated or soon-to-be graduated nurses into the nursing profession. The history of the ceremony dates back to the Crusades in the 12th century, and later, when Queen Victoria awarded Florence ...


References

{{DEFAULTSORT:White Coat Ceremony Ceremonies Fashion-related occasions Medical education Rites of passage