RT Journal Article SR Electronic T1 An observational study of patients’ attitudes to tattoos and piercings on their physicians: the ART study JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP 538 OP 543 DO 10.1136/emermed-2017-206887 VO 35 IS 9 A1 Marissa Cohen A1 Donald Jeanmonod A1 Holly Stankewicz A1 Keith Habeeb A1 Matthew Berrios A1 Rebecca Jeanmonod YR 2018 UL http://emj.bmj.com/content/35/9/538.abstract AB Introduction Perceptions regarding body art change over time as societal norms change. Previous research regarding patients' perceptions of physicians with exposed body art have been hampered by flaws in design methodology that incorporate biases into patient responses. This study was performed to determine whether emergency department (ED) patients perceived a difference in physician competence, professionalism, caring, approachability, trustworthiness and reliability in the setting of exposed body art.Methods Standardised surveys about physician competence, professionalism, caring, approachability, trustworthiness and reliability rating providers on a five point Likert scale were administered to patients in an ED after an encounter with a physician provider who demonstrated no body art modification, non-traditional piercings, tattoos, or both piercings and tattoos. Each provider served as their own control. Patients were blinded to the purpose of the survey.Results Patients did not perceive a difference in physician competence, professionalism, caring, approachability, trustworthiness or reliability in the setting of exposed body art. Patients assigned top box performance in all domains >75% of the time, regardless of physician appearance.Conclusion In the clinical setting, having exposed body art does not significantly change patients' perception of the physician.