Here are four thoughts:
1. State medical boards monitor physician conduct, which may now extend beyond the clinical practice.
2. An increasing number of physicians work for hospitals, which do not want anything staining their brands. Little tolerance exists for physicians playing with the law, from drug use to illicit sex.
3. Physician appearance continues to demand professionalism, as patients associate properly dressed physicians with knowledge and honesty.
4. Physicians in private practice experience a more relaxed environment than those in academic centers or hospitals. Some institutions enforce strict dress codes, from nail polish to fabrics.
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