KATHMANDU, Aug 17: The esteemed 'white coat' holds a distinct reverence, expressing both its significance and limitations. Traditionally reserved for patient care and medical duties, the white coat has symbolized professionalism and responsibility. However, a recent episode has stirred discussion, challenging the sanctity of this iconic attire.

In a unique gesture, Health and Population Minister Mohan Bahadur Basnet marked his 100th day in office by extending invitations to health workers in government hospitals across the valley, urging them to don the white coats as a celebration of the 'White Coat Day'. The minister’s intention generated debate around the sanctity of the white coat.

The reactions revealed a divergence of opinions within the medical community. While many doctors expressed reservations regarding the proposal, they found themselves navigating a challenging situation where direct protest was not a viable option. Critiques circulated among peers, signaling the depth of concern.

Sources suggest that following these reactions, ministry officials initiated dialogue with the director of Bir Hospital to address the matter. A doctor from Bir Hospital emphasized that the sanctity of the white coat mandates its usage solely within the confines of the workplace. Originating in Britain, the white coat has become a universal symbol of medical professionalism, meticulously adhering to a code of ethics to prevent its misuse.

A senior doctor from Bir Hospital likened the invitation to a minister's event while wearing the white coat to a Panchayat period practice, alluding to a more political tone rather than a demonstration of professional integrity.

While the initiative may resonate with health workers aligned with political affiliations, it raises concerns over the violation of professional decorum by inviting doctors to a political gathering while adorned in white coats. A doctor opined that such practices were unprecedented, and wearing a white coat beyond the workplace was unheard of, even during the Panchayat era.

Another medical practitioner from Bir Hospital highlighted the conflicting nature of the invitation, a mandatory attendance request coupled with an assertion that work would remain unaffected. The nuanced communication left health workers feeling obliged, often navigating this complex decision under the departmental minister's call.

Doctors also drew attention to the practical aspect of maintaining the integrity of the white coat. Its susceptibility to stains and potential contamination after patient interactions renders it suitable for indoor hospital use only. Wearing it outside the hospital environment could compromise hygiene standards. The doctor said that white coats are not allowed to be worn even in the library and canteen of the hospital.

Dr Kiran Shrestha, a seasoned surgeon at Bir Hospital, shared his perspective on attending a recent program initiated by the minister. He revealed that he temporarily stepped away from his OPD duties to participate in the event, having been personally summoned by the minister. While initially dubbed "White Coat Day," the program underwent refinements. Dr Shrestha's involvement was attributed to his role within the VVIP treatment committee. Notably, the minister's invitation yielded mixed responses among medical professionals. While some doctors took part in the program, others opted out, offering a range of reasons for their decision.

Following the news of the minister's call for health workers to attend the event in white coats, former head of the vaccination branch at the Ministry of Health and Population, Jhalak Gautam, voiced his concerns on social media. Gautam articulated, "The white coat, emblematic of trust and professionalism, should not be trivialized through unnecessary displays. Such an exhibition of clothing is a misuse."

Gautam further expressed his disappointment in the lack of response from regulatory bodies like the Nepal Medical Council, asserting that the Ministry should play a role in preventing any inappropriate utilization of the white coat.

Dr Baburam Marasini, a respected figure in the realm of public health, echoed these sentiments. He denounced the unconventional practice of celebrating White Coat Day, stating that such a concept is absent in any other nation and is, therefore, misguided. Dr Marasini emphasized that summoning health workers from their designated areas of service for meetings and conferences can impede healthcare delivery.

Regarding the white coat itself, Dr Marasini underscored its purpose, asserting that it should remain within the confines of hospitals and laboratories. He recommended a strict protocol wherein doctors don the white coat upon entering the hospital premises and leave it behind when returning home. Dr Marasini noted a concerning trend where health workers unknowingly carry infections from their workplace to their households, potentially endangering their families.

 
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