I've experienced this a couple of times and I always wondered what the difference denoted. The attractive, older Filipina P.A. who gave me the most complete and thorough physical of my life wasn't wearing scrubs. She was a wearing a silky pink blouse, brown pencil skirt, and brown leather flat shoes under her lab coat. Also Dolce And Gabana designer eyeglasses. The ER doctor who attended me when I had such a severe case of acid reflux that I was vomiting wasn't wearing scrubs either. She was wearing a blue and white flower print dress under a lab coat. And shiny black leather flat shoes.Both ladies certainly looked nice, but that seems awfully fancy for a medical environment. I kept thinking to myself "if they accidentally get someone's blood, urine, feces, vomit, saliva, etc. all over their nice outfits, that's REALLY gonna suck".When a med pro dresses up under a lab coat vs. wearing scrubs all day, what difference does that denote? Does anyone know?