Reader response: Incorporating students into clinic may be associated with both improved clinical productivity and educational value

The recent article by Tanner et al.1 concluding that medical students in outpatient clinic can improve productivity is surprising. As a private practice neurologist who routinely interacts with medical students in the hospital and outpatient clinic, I believe that medical students adversely affect productivity. This study was done only in academic outpatient clinics. There was no mention of clinic hours, number of scheduled patients, or patient time intervals. Without more specific scheduling information, this study seems incomplete