White Coat Research Articles

Where Has the Awe in Medicine Gone? Part I

Do you remember when you started medical school and received your first white coat? That symbol made us feel like real doctors, and all the energy and effort that was spent to reach that ceremony was worth it. How about the first time you were in the labor and delivery room and participated in the birth of a baby? Or how about the first time you conducted a history, performed a physical exam, wrote findings for the proctor, and functioned like a real doctor? Or how about when you were making rounds with the chief resident, and they told you where to put your stethoscope so you might hear the opening snap of mitral stenosis ... and you really did hear it? These were those special moments that made you feel exhilarated and provided you with a sense of awe. This article defines awe and its benefits to healthcare providers.

Orthodontist dressing: Its impact on patient perception and cooperation

Background and Aim: Communication skills, including non-verbal cues such as attire, play a significant role in patient perceptions of healthcare professionals. An orthodontist’s attire may influence patient cooperation during treatment. This study aims to investigate Nigerian orthodontic patients' perception regarding their orthodontists' dressing and its impact on patient cooperation. Materials and Methods: A cross-sectional descriptive study was conducted among orthodontic patients at the University of Port Harcourt Teaching Hospital in Nigeria. A structured, interviewer-administered questionnaire with 34 items was used to gather data from 131 participants. The questionnaire covered socio-demographic characteristics, understanding of the orthodontist's role, and preferences for the orthodontist's attire. Data were analyzed using IBM SPSS version 26, with significance set at p ≤ 0.05. Results: The study included 131 patients (82 females and 49 males), with a mean age of 19.2 ± 9.43 years. Most participants (88.6%) liked how their orthodontists dressed, with 50.4% stating that their orthodontists wore traditional white coats and 42.7% indicating that their orthodontists wore scrubs. When asked about the significance of the orthodontist's dressing, 46.6% indicated that it mattered to them, while the majority stated that it did not affect their cooperation or review appointments. Conclusion: The study reveals that while orthodontic patients have preferences for their orthodontists’ appearance, it does not significantly affect their cooperation or review attendance. These findings suggest that while maintaining a professional appearance is important, it may not be a determining factor in patient compliance.

Flexible and highly selective NO2 gas sensor based on direct-ink-writing of eco-friendly graphene oxide for smart wearable application

Nitrogen dioxide (NO2) is a major cause of respiratory disorders in outdoor and indoor environments. Real-time NO2 monitoring using nonintrusive wearable devices can save lives and provide valuable health data. This study reports a room-temperature, wearable, and flexible smart NO2 gas sensor fabricated via cost-effective printing technology on a polyimide substrate. The sensor uses alkali lignin with edge-oxidised graphene oxide (EGO-AL) ink, demonstrating a sensitivity of 1.70% ppm⁻1 and a detection limit of 12.70 ppb, with excellent selectivity towards NO2. The high sensing properties are attributed to labile oxygen functional groups from GO and alkali lignin, offering abundant interacting sites for NO2 adsorption and electron transfer. The sensor fully recovers to the baseline after heat treatment at 150 °C, indicating its reusability. Integration into lab coats showcased its wearable application, utilising a flexible printed circuit board to wirelessly alert the wearer via cell phone to harmful NO2 levels (>3 ppm) in the environment. This smart sensing application underscores the potential for practical, real-time air quality monitoring, personal safety enhancement, and health management.

ANALISIS RESIKO BAHAYA LIMBAH B3 MENGGUNAKAN METODE HIRARC PADA INSTALASI PEMBUANGAN AIR LIMBAH

Balai PIALAM, namely the Technical Implementation Unit (UPT) of the PUP-ESDM Office of the DIY Regional Government, is a centralized wastewater treatment plant. The problems that exist in Balai PIALAM are temporary storage of B3 waste does not meet the criteria, leaking storage, excessive capacity, methods that can be used to overcome B3 waste are using the HIRARC method, based on 9 activities of the B3 waste management process. Impact of hazard risk with research results Risk level: Medium 4 hazard effect 6.33%, High2 hazard effect 2.11%, extreme1 hazard effect 1.6%. The stages of making HIRARC are: decomposing the work into steps from the beginning to the end of the process, identifying the source of danger, determining the hazard posed by means of interviews, observations, observations, brainstorming, determining the impact on environmental workers, assessing the likelihood of occurrence is used to determine risk rating. Testing period January 2024, t BOD Input (min 99 mg/L,max 458 mg/L), Output (min 10 mg/L,max 59 mg/L), Average (input 206 mg/L, output 30 mg/L), testing period February 2024, testing t BOD Input (min 84 mg/L, max 288 mg/L), Output (min 12 mg/L, max 43 mg/L), Average (input 154 mg/L, output 24 mg/L). Use of APD such as laboratory coats, masks, special gloves, safety shoes, protective helmets and life vests, face shields. As well as implementing SOP. Control of hazards or risks both in laboratory and operational testing activities using APD: gloves, laboratory coats, safety shoes, protective glasses, masks, life vests, and special vests according to the work done and affirmation of SOP.

Unmasking the Unspoken: The Epidemic of Suicide among Healthcare Professionals in India

In the bustling corridors of hospitals and the serene confines of clinics, healthcare professionals stand as pillars of strength and compassion, dedicated to healing others. Yet, behind the façade of white coats and stethoscopes lies a silent crisis that demands urgent attention the alarming prevalence of suicide among healthcare workers.

Changes in 24-hour blood pressure profile after 12 weeks of dapagliflozin treatment in patients with diabetic kidney disease: an Italian multicenter prospective study.

Sodium-glucose cotransporter 2 inhibitors (SGLT2i) lower ambulatory blood pressure (ABP) in patients with type 2 diabetes mellitus; whether the same holds true in diabetic kidney disease (DKD) is unknown. This information is critical to the knowledge of mechanisms of nephroprotection and safety of this therapy. This multicenter prospective study evaluates the changes in ABP after 12weeks of dapagliflozin 10mg/day in a cohort of patients with type 2 DKD and glomerular filtration rate (GFR) >25mL/min/1.73 m2. Primary endpoint was the change of nighttime systolic blood pressure (SBP). Changes of daytime SBP, prevalence of normal dipping (day/night SBP ratio <0.9) and changes in ABP patterns, that is, sustained uncontrolled hypertension (SUCH), white coat uncontrolled hypertension (WUCH), masked uncontrolled hypertension (MUCH) and controlled hypertension (CH) were secondary endpoints. Eighty-three of 96 patients completed the study [age 68.7±8.9 years, 73.5% males, GFR 49±17mL/min/1.73 m2, median albuminuria: 0.18 (interquartile range 0.10-0.38) g/24h]. After 12weeks of dapagliflozin, nighttime SBP declined by -3.0mmHg (95% confidence interval -5.2/-0.8mmHg; P=.010) with an improvement of nighttime SBP goal (<110mmHg) from 18.0% to 27.0% (P<.001). Similarly, the prevalence of normal dipping increased (from 31.3% to 50.6%, P=.005). A decrease in daytime (-2.4mmHg; P=.046) and office (-7.9mmHg; P=.009) SBP was also found. The decline of ambulatory and office SBP was associated with increased prevalence of CH (from 6.0% to 18.0%) and significant improvement of SUCH, WUCH and MUCH (P=.009). Albuminuria decreased (P<.001), whereas eGFR did not change (P=.297). Urinary tract infection (4.2%) and acute kidney injury (3.6%) were the main causes of drop-out. Only one patient showed a drop of nighttime SBP below 90mmHg. Dapagliflozin is associated with improvement in circadian blood pressure rhythm with no major safety signal related to excessive blood pressure decrease.

Factors associated with dentists' fear of infecting family members as a consequence of dental practice

Dentists are exposed to the risk of infection by respiratory diseases to aerosols potentially contaminated. The factors associated with dentists' fear of infecting relatives because of dental practice were investigated. Questionnaires structured in Google Forms were sent to dentists in Belo Horizonte city, Brazil, who worked before and during the COVID-19 pandemic. The dependent variable was “fear of infecting family members”. The independent variables were sociodemographic characteristics, use of personal protective equipment (PPE) before and during the pandemic, important actions to prevent infection, knowledge and feelings about the pandemic, and the future of the profession. Analyses were performed using Pearson's chi-square test and Fisher's exact test (p≤0.05). The prevalence of fear was 84.3%. Having changed the use of surgical masks (p=0.038) and N95/PFF2/PFF3 masks (p = 0.043), having not changed the use of lab coats (p=0.013), greater anxiety during the pandemic period (p=0.004), and fear of being infected by a patient or colleague (p&lt;0.001) were associated with the fear of infecting family members. The fear of infecting relatives made the dentists more anxious, with the fear of infection by patients or co-workers as well as more careful about the use of PPE.

Ambulatory blood pressure monitoring in Egyptian children with nephrotic syndrome: single center experience

BackgroundHypertension (HTN), especially masked hypertension, is one of the cardiovascular consequences of nephrotic syndrome. Masked hypertension cannot be identified during routine follow-up visits and adversely effects the patients’ cardiac function. The purpose of this study was to use ambulatory blood pressure monitoring (ABPM) to evaluate the blood pressure status of children with nephrotic syndrome.MethodsNinety children with nephrotic syndrome (NS) participated in this cross-sectional study, which was carried out at Cairo University Children Hospital’s nephrology clinic (CUCH). A sphygmomanometer was used in the clinic to measure blood pressure, and a Meditech monitor was used for 24-hour ambulatory blood pressure monitoring (ABPM). Interventricular septum (IVS) was measured, and heart functions were evaluated, using echocardiography.ResultsTwo groups comprised the included patients: Group1 (n = 70): HTN group included masked and ambulatory hypertension, and Group 2 (n = 20): non-HTN group included normal blood pressure, white coat HTN and well controlled HTN, 35% of the studied cohort (n = 32/90) had masked HTN.The serum urea was significantly higher in HTN group than non-HTN group with p-value: 0.047, while the serum albumin was significantly lower in HTN group than non-HTN group with p-value: 0.017. The cut-off point of 9.9, the sensitivity and specificity of serum urea to predict the occurrence of hypertension in NS patients was 92.9% and 35% respectively, with p-value : 0.024 and 95% CI (0.534–0.798). The z score of IVS is significantly higher in group 1 (2.5 ± 1.2) when compared to group 2 (1.7 ± 2.1) with p-value: 0.025 and Among group 1, it was noticed that 74% (n = 52/70) of them were systolic non-dipper, also it was observed that the mean serum potassium and cholesterol were significantly higher among systolic non-dipper when compared with systolic dipper patients with p-values: 0.045 and 0.005 respectively.ConclusionChildren with nephrotic syndrome are particularly vulnerable to experience ambulatory hypertension and masked hypertension, which may adversely impact their cardiac condition because they are not detectable by standard blood pressure readings at the clinic.

Standing on the shoulders of giants in lab coats

Standing on the shoulders of giants in lab coats

Circadian pattern of blood pressure in patients with stable COPD

ObjectiveTo describe the circadian blood pressure (BP) pattern in stable COPD patients. MethodsWe included stable COPD patients from Internal Medicine Departments. Office BP and ambulatory BP monitoring were performed. Patients were classified as BP reducers (dipper or extreme dipper) or non-reducers (non-dipper or riser). ResultsWe included 43 patients (5 women, mean age 69.5 ± 9.5 years). Among them, 11 had sustained normotension, 13 sustained hypertension, 2 white coat hypertension, and 17 masked hypertension. Arterial stiffness was observed in 12 (27.9%) patients. Overall, 26 (60.5%) exhibited a non-reducer BP profile. Non-reducers had a higher frequency of previous major cardiovascular events (50% vs. 11.8%, p = 0.020) and long-acting muscarinic antagonist use (84.6% vs. 47.1%, p = 0.009). ConclusionsHypertension is often masked in COPD patients, who frequently display an altered circadian BP pattern. Longitudinal studies with larger samples are needed to evaluate the impact of these patterns on COPD progression.

Microbial Sampling and Analysis taken from Laboratory white Coats Staff Working at Al-Yarmouk Teaching Hospital

Lab coats are protective elements to people working in health care and researches that separates them from pollutants. However, if not properly used, it can be a source of multiple microbiological contaminations. This study was done at AL-Yarmouk Teaching Hospital-Baghdad, during from 15th November 2023 to 15th March 2024. It was designed to find the most common bacteria, fungi and yeasts that might be present on staff lab coats. 53 samples (106 swabs) were cultured after collected from the sleeves and pockets of staff Lab coats and observed the antimicrobial susceptibility in lab swabs culture for 14 isolates out of 106 swabs belonged to Gram positive bacteria and sensitivity patterns against 16 antimicrobials. Gram positive bacteria found to be the most common organisms in lab coats represented by Microbiology unit with 71.4%, followed by Phlebotomy units 21.4% , which represented by Coagulase-negative Staphylococci(CoNS) Staphylococcus epidermidis (43.9%),Staphylococcus haemolyticus and Staphylococcus warneri (21.4% ,14.3%) respectively. , It turns out, higher bacteria growth in female Lab coats )85.7%( than in male )14.3% (and in sleeves )15.1%( than in pockets(11.3%) ,in addition , increased response to sensitivity test for antibiotics , especially Tigecycline antibiotic 100% ,Gentamycin, Levofloxacin, Moxifloxacin, Teicoplanin and Rifampicin (92.9%),as well others but in varying degrees , and not any type of fungi were isolated. In conclusion, Gram positive bacteria population was the most common organisms, higher prevalence of microbial infection in female than in men and increased of antibiotic sensitivity specially Tigecycline antibiotic, however, should proper maintenance and educational practices must be applied to minimize contamination.

HYPERTENSION IN THE ELDERLY: CHALLENGES IN MANAGEMENT AND TREATMENT

Hypertension is a prevalent and significant health issue among the elderly, contributing to increased risks of cardiovascular diseases, stroke, and kidney failure. Managing hypertension in older adults poses unique challenges due to age-related physiological changes, comorbidities, and polypharmacy. This review explores the complex pathophysiology of hypertension in the elderly, including age-related changes in vascular function and the impact of comorbid conditions. It examines the difficulties in diagnosing hypertension, such as variability in blood pressure readings, white coat syndrome, and masked hypertension, highlighting the need for accurate monitoring through home and ambulatory techniques. The review discusses current management strategies, emphasizing the importance of setting appropriate treatment goals, implementing lifestyle modifications, and utilizing pharmacological treatments, including new antihypertensive drugs and combination therapies. It also addresses challenges such as adverse drug reactions, medication adherence, and the management of polypharmacy. Recent advances, including innovations in drug delivery systems and digital health technologies, offer promising solutions for improving hypertension management. Future research directions include exploring precision medicine, understanding the role of the gut microbiome, and addressing health disparities. Clinicians are advised to adopt personalized treatment approaches, integrate technological tools, and address socioeconomic barriers to optimize hypertension management in the elderly. This review underscores the need for ongoing research and tailored strategies to improve outcomes and quality of life for older patients with hypertension.

To Investigate the Prevalence of White Coat Hypertension in Community Dwelling Older Adults Referred for a Falls Assessment

Abstract Background Falls and frailty are the main focus in our integrated care programme for older persons (ICPOP). Office blood pressure (OBP) measurements are commonly used in practice although out of office recordings are proven to be a better predictor of cardiovascular risk (Myers et al, 2018). The European Society of Cardiology guidelines (ESC, 2018) have proposed BP values for the classification of hypertension (HTN). Methods We retrospectively completed a chart review on older adults’ who attended ICPOP with a referral for a falls assessment from November 2021 to April 2024. OBP were obtained after the patient was in the hub for approximately one hour following their comprehensive geriatric assessment (CGA). The OBP was documented following a supine period of 5 minutes. We compared the OBP and ambulatory blood pressure monitor (ABPm) average readings to assess the prevalence of HTN based on the ESC guidelines. Results 75 charts were reviewed. 3 ABPm recordings were unsuccessful due to cognitive impairment or not tolerating the ABPm. These were excluded from the audit. No patient had hypotension on either their OBP or ABPm recordings. On their OBP recordings, 29/72 (40%) had a normal reading while 43/72 (60%) had HTN. On their ABPm 54/72 (75%) had a normal reading while 18/72 (25%) had HTN. When we looked at antihypertensive medication use in those who had a normal reading on their ABPm, 47/54 (87%) were on antihypertensive treatment. All patients with HTN on their ABPM were on antihypertensive treatment. Conclusion Our findings suggest that OBP readings greatly increase the numbers of patients diagnosed with HTN compared to ABPm (60% versus 25%). Therefore, we suggest that all patients should have an ABPm as a gold standard to falls assessment to avoid over-treating white coat HTN.

Hypertension in Older Frail Adults in an Integrated Care Hub -What is the Guidance for Management in this Cohort?

Abstract Background The current European Society of Hypertension (ESH, 2023) guidelines suggest specific recommendations for very old or frail patients; to maintain an office systolic blood pressure (OSBP) between 140 to 150 mmHg. A reduction of treatment could be considered in these patients with a low OSBP (&amp;lt;120 mmHg) or in the presence of severe orthostatic hypotension or a high frailty level. Methods We completed a retrospective chart review of patients 80 years and older, who were referred for frailty and a falls assessment, from November 2021 to April 2024. During the chart review we examined the OSBP recordings for these patients to examine our practice. We explored the medication profile of patients who had an OSBP &amp;lt;120mmHg and &amp;gt;150mmHg. The agents used were ACE inhibitors, Angiotensin Receptor Blockers, Calcium Channel Blockers, Beta Blockers, Diuretics and Alpha Blockers. Results The charts for 52 patients met the criteria and were retrieved for review. The average age was 87 years (range 80-96). 3/52(6%) had a SBP &amp;lt; 120mmHg. 27/52(52%) had OSBP between 120 and 149 mmHg. 22/52(42%) had an OSBP &amp;gt;150mmHg. We examined the medication profile of those patients who had an OSBP &amp;lt;120 mmHg. 2/3 patients were on three agents and 1/3 patient was on two agents. Looking at the OSBP profile of those patients who had an OSBP &amp;gt;150mmHg. 6/22(27%) patients were on three agents, 3/22(14%) were on two agents, 12/22(54%) were on one agent and 1/22(5%) were on no antihypertensive treatment. Conclusion From our data we found 6% of our patients were over treated for blood pressure while 42% had uncontrolled OSBP readings. We are conscious of deprescribing in older fallers, but further prescribing may be necessary to achieve published targets as per the ESH guidelines. Further research needs to examine the prevalence of white coat hypertension in our cohort.

Potential Penetration of Engineered Nanoparticles under Practical Use of Protective Clothing Fabrics.

The commercial application of engineered nanoparticles (ENPs) has rapidly increased as their unique properties are useful to improve many products. ENPs, however, can pose a major health risk to workers through exposure routes such as inhalation and dermal contact. Research is lacking on the protective nature of lab coats when challenged with ENPs. This study investigated multiwalled carbon nanotubes (CNTs), carbon black (CB), and nano aluminum oxide (Al2O3) penetration through four types of lab coat fabrics (cotton, polypropylene, polyester cotton, and Tyvek). Penetration efficiency was determined with direct reading instruments. The front and back of contaminated fabric swatches were further assessed with microscopy analysis to determine fabric structure with contaminated and penetrated particle morphology and level of fabric contamination. Fabric thickness, porosity, structure, surface chemistry, and ENP characteristics such as shape, morphology, and hydrophobicity were assessed to determine the mechanisms behind particle capture on the four common fabrics. CNTs penetrated all fabrics significantly less than the other ENPs. CNT average penetration across all fabrics was 1.83% compared to 15.74 and 11.65% for CB and Al2O3, respectively. This can be attributed to their fiber shape and larger agglomerates than those of other ENPs. Tyvek fabric was found to be the most protective against CB and Al2O3 penetration, with an average penetration of 0.06 and 0.11%, respectively, while polypropylene was the least protective with an average penetration of 40.36 and 15.77%, respectively. Tyvek was the most nonporous fabric with a porosity of 0.50, as well as the most hydrophobic fabric, explaining the low penetration across all three ENPs. Polypropylene is the most porous fabric with a porosity of 0.77, making it the least protective against ENPs. We conclude that porosity, fabric structure, and thickness are more important fabric characteristics to consider when discussing particle penetration through protective clothing fabrics than surface chemistry.

Spin-doctoring in French television series: The art of emotional labor

This article aims to question the spin doctor’s representations on television series. If it is easy to recognize on television series medical professionals because of their white coat and their diverse accessories for example, how can we distinguish a spin doctor who looks like an advisor like any other? Based on the analysis of four French television series ( Baron Noir, Les Hommes de l’ombre, Hénaut Président, and Ainsi soient-ils), this article makes the hypothesis that the ethos of the shadow counselor’s fictional avatar can be measured against the notion of figurative idiom. The aim is to reveal the visual language, the codes, the frameworks, and the behaviors that organize and structure the way this occupation is semiotized. And then, by focusing on the social drama of work and particularly on the asymmetric roles, we will present an expert performing emotional labor on his “client.”

White coat hypertension in acute retinal vein occlusion

PurposeTo investigate the association between white-coat hypertension (WCH) and acute retinal vein occlusion (RVO).MethodsIn this retrospective case-control study, patients aged 40 years or older diagnosed with acute-phase RVO were included. Patients with other pathologies served as non-RVO controls. Blood pressure (BP) was measured in the office during their initial visit, and information about home BP and hypertension (HTN) medication was obtained through interviews. After 1:2 age and sex-matching between the RVO and non-RVO groups, the proportions of HTN cases were compared. A similar comparison was made in subgroups with or without HTN medication.ResultsFifty-one patients with RVO and 102 with non-RVO were included in the analysis. For the entire cohort, the RVO group exhibited a significantly greater proportion of WCH and sustained HTN compared to the non-RVO group. In the subgroup without HTN treatment, the proportion of WCH or sustained HTN was still significantly higher in the RVO group. However, in the subgroup receiving HTN treatment, the proportion of WCH or sustained HTN was higher in the RVO group than in the non-RVO group, though not statistically significant.ConclusionThis case-control study suggests that WCH may be associated with RVO, particularly in patients without HTN treatment. Given that interventions for WCH have not been standardized, a more detailed and prospective study is warranted to elucidate the risk of WCH for RVO and other retinal vascular diseases.

Analysis of Occupational Safety and Health (K3) Risk Management in the Physics and Chemistry Laboratory of the Medan Occupational Safety and Health Center

The many possible risks associated with laboratory work are unavoidable. This study aimed to determine and analyze hazards, risks, impacts, risk levels and occupational safety and health (OHS) controls in the physics and chemistry laboratories of the Occupational Safety and Health Center (OHS) Medan. This is a qualitative research method with phenomenological approach hazard identification using Task Risk Analysis method using AS/NZS 4360: 2004 semi-quantitative. The tolerable risk threshold in the chemistry lab was 52, priority 3 was 10, and major was 11. The only thing OHS controlled in the physics lab was the air conditioning system. The presence of SOP (work procedures), MSDS (material safety data sheet) documents, OHS signs, supervision, managerial support, and the use of PPE masks, gloves, long-hand lab coats, rubber shoes, and other safety measures were all necessary in chemistry labs. Expanding the space, adding SOP, installing ventilation are all suggested at the physics laboratorium, Adopting ANSI / AIHA Z9.5-2003 ventilation guidelines, changing or replacing processes with safer chemicals, providing OHS training, and wearing coveralls and glasses are all recommended in the chemistry laboratory.

Transcriptome profiles of the skin associated with the color of the black and white coat of Angora goats

The coat color of mammals, determined by the distribution of melanin, particularly eumelanin and pheomelanin, reflects intricate genetic and molecular processes. However, our understanding of the relationship between coat color, gene expression, and polymorphisms in goats remains nascent. This study investigates transcriptomic differences between black and white Angora goats across three distinct hair growth phases. Skin tissue samples from both colored and white Angora goats were analyzed using mRNA expression profiling. Three skin samples were taken from each goat as biological duplicates at every stage of hair follicle growth (September, January, and March). In total, 36 samples were analyzed in this study, including samples from two Angora goat varieties, three developmental stages (three biological replicates), and two technical replicates for RNA sequencing. Significant differences in gene expression were observed between black and white goats at each growth phase, particularly in genes associated with the melanogenesis pathway. Specifically, several pigmentation genes were identified solely in black goats, indicating phase-specific and breed-specific regulation. Noteworthy genes, such as SLC2A1, STAR, and SLC7A5, exhibited differential expression patterns across growth phases in black goats, further highlighting the complexity of melanogenesis regulation. This is the first study to use mRNA expression profiling of skin tissues to analyze coat color differences between black and white coated Angora goats at the anagen, catagen, and telogen stages. The identification of phase-specific and black goat-specific pigmentation genes provides valuable insights into the complex mechanisms governing coat color formation.

Beyond the stethoscope: ageism in white coats and resident physicians' preferences for elderly patient care.

The global increase in life expectancy has significantly raised the elderly population. In Türkiye, the proportion of individuals aged 65 and over rose from 8.8% in 2018 to 10.2% in 2023. This demographic shift necessitates the planning of social and health services for the elderly. Ageism affects elderly health negatively and is prevalent in healthcare settings. This study aimed to determine the prevalence of ageism among resident physicians at Pamukkale University Hospital and identify factors influencing their preferences for providing healthcare to elderly patients. This cross-sectional study was conducted at Pamukkale University Hospital between 6 June and 16 June, 2024. A total of 448 resident physicians were selected through simple random sampling. Data were collected using a self-administered questionnaire, which included sociodemographic information, factors affecting ageism, and the Fraboni Scale of Ageism (FSA). Descriptive statistics, Chi-square tests, and logistic regression were used to evaluate factors influencing healthcare preferences. The FSA score averaged 71.89 ± 7.87, indicating a 20.1% (95% CI:16.48-24.10) prevalence of age discrimination among resident physicians. Logistic regression analysis revealed that male participants (odds ratio (OR) = 1.519, P = 0.042), those with moderate to very poor perceived knowledge of elderly health (OR = 2.418, P < 0.001), and higher FSA scores (OR = 1.046, P < 0.001) were more likely to prefer not providing healthcare services to elderly patients. Ageism among resident physicians is prevalent, impacting their willingness to provide care to elderly patients. Gender, perceived knowledge, and ageist attitudes influence their preferences for providing healthcare to elderly patients. Addressing these factors is crucial for improving healthcare services for the elderly.