The effect of medical student teaching on patient satisfaction in a managed care setting.
OBJECTIVE
To measure the effect on patient satisfaction of medical student participation in care and the presence of medical student teaching.


METHODS
Prospective cohort study.


METHODS
Eight outpatient internal medicine departments of a university-affiliated HMO in Massachusetts.


METHODS
Two hundred seven patients seen on teaching days (81 patients who saw a medical student-preceptor dyad and 126 patients who saw the preceptor alone), and 360 patients who saw the preceptor on nonteaching days. Five hundred (88%) of 567 eligible patients responded.


RESULTS
Thirteen closed-response items on a written questionnaire, measuring satisfaction with specific dimensions of care and with care as a whole. Visit satisfaction was similar among patients on teaching and nonteaching days. Ninety-one percent of patients seeing a medical student, 93% of patients seeing the preceptor alone on teaching days, and 93% of patients on nonteaching days were satisfied or very satisfied with their visit; less than 2% of patients in each group were dissatisfied with their visit. Satisfaction on all measured dimensions of care was similar for patients seeing a medical student, patients seeing the preceptor alone on teaching days, and patients seeing the preceptor on nonteaching days.


CONCLUSIONS
Medical student participation and the presence of medical student teaching had little effect on patient satisfaction. Concerns about patient satisfaction should not prevent managed care organizations from participating in primary care education.
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA.
S R
SR
Simon
A S
AS
Peters
C L
CL
Christiansen
R H
RH
Fletcher
D002982:Clinical Clerkship / Q000379:methods / Q000458:organization & administration* / Q000639:trends; D005260:Female; D006279:Health Maintenance Organizations / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008404:Massachusetts; D008875:Middle Aged; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000458:organization & administration; D011446:Prospective Studies; D013337:Students, Medical; D011795:Surveys and Questionnaires; D013663:Teaching / Q000379:methods; D000078329:Workforce