title: Barriers to student access to patients in a group of teaching hospitals.
abstract: OBJECTIVE
  To determine the number of patients in our teaching hospitals who were, on any given day, both available and willing to see medical students.
  
  
  METHODS
  Repeated cross-sectional audit in four teaching hospitals in the greater Newcastle area of New South Wales (one tertiary referral hospital, two district general hospitals, and one hospital combining general medicine and surgery with specialised oncology services). Audits were conducted three times, 2 months apart.
  
  
  METHODS
  All adult inpatients in the four hospitals.
  
  
  METHODS
  Numbers of patients present and accessible to students, present but inaccessible, absent, or unfit to be seen for clinical reasons; numbers of patients who agreed to history-taking and physical examination by a medical student.
  
  
  RESULTS
  Of 1960 patients, 959 (49%) were present and accessible to students. Only 11% were absent, and the most common reason students could not see patients was that the patients were said by nursing staff to be unfit to see medical students (25%). Of those present and accessible, 70% said they would agree to provide a history, and 67% that they would agree to physical examination.
  
  
  CONCLUSIONS
  Across all four teaching hospitals about 200-250 patients are available and willing to see medical students on any given day. This is too few to provide our current student population of 500 with extensive clinical experience.
authors.affiliation: John Hunter Hospital, Locked Bag 1, Newcastle Region Mail Centre, NSW 2310, Australia. Les.Olson@newcastle.edu.au
authors.forename: Leslie G
authors.initials: LG
authors.lastname: Olson
authors.forename: Suzanne R
authors.initials: SR
authors.lastname: Hill
authors.forename: David A
authors.initials: DA
authors.lastname: Newby
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D005260:Female; D006779:Hospitals, Public / Q000706:statistics & numerical data*; D006784:Hospitals, Teaching / Q000706:statistics & numerical data*; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009517:New South Wales