The effect of patients' race on their attitudes toward medical students' participation in ambulatory care visits

Purpose. To ascertain the preconceptions of ambulatory patients seeking car e in internal medicine practices toward medical students' participation in their care. Method. The authors developed a self-administered, seven-item survey that s ought patients' demographic information and their attitudes toward medical students' participation in their ambulatory care. In 1998, this survey was given to patients seen at four distinct internal medicine ambulatory clinic settings. Results. Analysis of 516 completed surveys found neutral responses to the s tatement: "I would benefit from having a medical student involved in my car e." Respondents indicated a lack of comfort in having medical students eith er answer their questions or examine them in the absence of a doctor. The r esponses did not differ when analyzed as a function of clinic sire, age, ge nder, education, or annual income. Non-Caucasian respondents rated the bene fit of having a student present significantly lower than did Caucasian resp ondents. They also indicated greater concern about being examined by a stud ent alone, that the presence of a student would make the visit last longer, and that the gender of the student was important to them. Conclusions. Patients generally have neutral feelings as to whether they wo uld benefit from medical students' participation in their ambulatory care. Caucasian patients are significantly more favorably inclined to medical stu dent involvement than are non-Caucasian patients.