Background: Although educational characteristics of ambulatory clinical env
ironments are becoming clearer; less is known concerning patient opinions a
bout participating in medical student instruction in ambulatory settings. S
uch perceptions may have an important influence on recruitment and retentio
n of community faculty. Methods: Surveys were administered to 121 patients
seen by medical students during a longitudinal family medicine clerkship. T
he survey explored patients' opinions regarding the extent of direct studen
t involvement in their care, students 'competence, and patient feelings abo
ut participating in medical student instruction. Results: Patients felt tha
t students were highly involved in providing care and that they performed c
ompletely and professionally? Patients found participation in medical educa
tion enjoyable, not excessively time-consuming or disruptive, and believed
that students' participation improved the quality of care they, received. C
onclusions: Patients in our family medicine clerkship do not have negative
perceptions about their participation in medical student education. In fact
, this study suggests that such participation may actually enhance patient
satisfaction.