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As someone who bore the self-designated title of "worst-dressed dermatology chairman in the USA" with pride for almost a decade, I feel compelled to respond to the article by Kanzler and Gorsulowsky¹ on patients' attitudes about physical characteristics of medical care providers in dermatologic practices and the accompanying eloquent editorial by Sams.²

The authors, editorialist, and I agree that a medical care provider should be clean, well groomed, and appropriately dressed. In no instance should a patient have worries about a medical problem compounded by concern about a physician's appearance. On the other hand, there are plenty of patients who are comfortable with a doctor who is dressed more casually and may not have a tie. We should not underestimate our patients—they are capable of quickly spotting a caring physician, and in my experience lend far more weight to other factors than to appearance. In fact, one such patient said . . . [Full Text of this Article]

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