title: Are medical students accepted by patients in teaching hospitals?
abstract: BACKGROUND
  Worldwide, patients are the cornerstone of bedside teaching of medical students. In this study, the authors aimed to assess patients' acceptability toward medical students in teaching hospitals of the Faculty of Medicine of Kuwait University.
  
  
  METHODS
  Ninehundred and ninety five patients were approached in 14 teaching hospitals; 932 patients agreed to participate (refusal rate is 6.3%). A self-administered questionnaire was used to collect data.
  
  
  RESULTS
  In general, higher acceptance of students by patients was found when there is no direct contact between the patient and the student (e.g., reading patients' files, presenting in outpatient clinic, observing doctors performing examination or procedures) compared to other situations (e.g., performing physical examination or procedures). Pediatrics patients showed higher acceptance of students compared to patients in other specialties, while Obstetrics/Gynecology patients showed the highest refusal of students. Gender of patients (especially females) and students appeared to affect the degree of acceptance of medical students by patients. Majority of the patients (436; 46.8%) believed that the presence of medical students in hospitals improves the quality of health care.
  
  
  CONCLUSIONS
  Patients are an important factor of bedside teaching. Clinical tutors must take advantage of patients who accept medical students. Clinical tutors and medical students should master essential communication skills to convince patients in accepting students, thus improving bedside teaching. Also, using simulation and standardization should be considered to address scenarios that most patients are unwilling to allow students to participate.
authors.affiliation: Department of Surgery, Faculty of Medicine, Health Sciences Center, Kuwait University, Al-Jabriya, Kuwait. yousefmarwan@hotmail.com
authors.forename: Yousef
authors.initials: Y
authors.lastname: Marwan
authors.forename: Muhammad
authors.initials: M
authors.lastname: Al-Saddique
authors.forename: Adnan
authors.initials: A
authors.lastname: Hassan
authors.forename: Jumanah
authors.initials: J
authors.lastname: Karim
authors.forename: Mervat
authors.initials: M
authors.lastname: Al-Saleh
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007730:Kuwait; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011369:Professional-Patient Relations; D013337:Students, Medical; D011795:Surveys and Questionnaires; D055815:Young Adult