Professional & Cozy: Top Layer Picks for Physician Assistants in a Scrub Setting
Working as a PA in a clinic or hospital often means long hours, fluctuating temperatures, and the need to feel sharp yet comfortable. While most of our shifts are spent in scrubs, layering thoughtfully can make a huge difference—especially during chillier days or when you’re constantly moving between break rooms, exam rooms, and charting stations.
Here are some of the best tops (base layers and mid-layers) that strike a balance between professional, comfortable, and functional. I didn’t include scrub tops here—we all know where to find those! These picks are for more original ideas to wear over your scrubs and mix up your everyday work wardrobe.
What Makes a Great Layer for Work
Before diving into picks, here are a few criteria that matter for PA work:
- Breathability & Thermoregulation — You don’t want to overheat under your scrubs, but you also want something that retains enough warmth.
- Low Bulk — Bulky sweaters or jackets can restrict movement or feel awkward under scrubs.
- Durability & Washability — Layers will get washed often. Materials should be sturdy and maintain shape.
- Professional Look — Even though it’s function-first, looks matter: no loud logos, clean silhouettes, and minimal bulk.
- Sustainability / Quality — Since you’re investing, choosing items that last or are made responsibly is great.
Top Recommended Layers for PAs (& any healthcare worker)
Here are some carefully chosen layering pieces—from base layers to fleece pullovers—that work beautifully under or over scrubs.
The Patagonia Better Sweater 1/4-Zip is a clinic favorite for good reason. It has a polished, sweater-knit look on the outside with soft, lightweight fleece on the inside—making it warm without feeling bulky over scrubs. The quarter-zip lets you adjust as you move between chilly exam rooms and warmer work areas, and the clean, professional fit pairs perfectly with any scrub set. Durable, easy to wash, and reliably comfortable, it’s one of the best “always in your locker” layers for busy PAs.
The Patagonia Better Sweater Vest is an ideal layering piece for PAs who want warmth without the bulk. Its sleek, sweater-knit exterior looks professional over scrubs, while the soft fleece interior adds just enough insulation for chilly exam rooms. The full-zip design makes it easy to throw on between patients, and the streamlined fit keeps you comfortable and mobile all shift long. A perfect “clinic staple” for year-round wear.
The Swiftly Tech Long Sleeve from Lululemon works great as an underscrub for busy PAs. It’s lightweight, breathable, and smooth enough to layer comfortably under scrub tops without adding bulk. The seamless design helps prevent irritation during long shifts, and the fabric dries quickly—useful when you’re moving between warm and cold areas of the clinic. It’s an easy, low-maintenance base layer that keeps you comfortable all day. (Click HERE for a more affordable option from Old Navy)
The Quince Sweater-Knit Fleece Full-Zip Jacket is a cozy, lightweight layer that works well over scrubs. Its soft fleece interior keeps you warm in cooler exam rooms, while the smooth exterior gives a polished look without adding bulk. The full-zip design makes it easy to adjust your comfort level throughout a shift, and the pockets provide convenient storage for small essentials. Right now, it’s on sale for $50, making it an affordable, practical option for long clinic days.
If you’re looking for an affordable, work-appropriate layer, the Tek Gear Ultrasoft Fleece Mockneck Jacket is a solid choice. It’s soft and warm without being bulky. For $23.99 at Kohl’s, it’s one of the best value mid-layers for PAs.
The Gap Modern Turtleneck is a simple, comfortable base layer that works well under scrubs. Its soft, stretchy fabric keeps you cozy and mobile throughout long shifts, while the turtleneck adds a subtle touch of style. It’s an easy way to bring a little personality and polish to your work outfit without sacrificing comfort or professionalism.
The L.L.Bean Access Fleece Pullover is a cozy, lightweight layer. It’s warm without being bulky, moves easily with you, and the fun colors are a simple way to show a bit of personality while staying professional.
For anyone in healthcare who needs a fleece that can handle constant washing, quick movement, and icy hallways: the Arc’teryx Kyanite nails it. Durable, breathable, and scrub-friendly.
The North Face TNF™ Performance Fleece Full-Zip Jacket is a sleek option for under $100. The face of the fabric feels clean and sleek rather than fuzzy, which gives it a more refined look, perfect to wear to work. The cuffs and hem are bound with elastic to seal in warmth and keep the fit neat.
The Salomon Chroma Cropped Fleece brings a mix of comfort and style that fits right into the rhythm of healthcare life. Warm but lightweight, it’s perfect for early-morning commutes, chilly units, or post-shift errands. The cropped silhouette adds a modern touch, while the soft, double-layer fleece keeps you cozy without overheating during a busy day. A practical, feel-good layer for anyone balancing comfort with constant movement.