During my OB/GYN rotation in med school, I attended an outpatient clinic that was your typical mix of obstetrics and gyn patients. The model of the clinic was that the med students would see the patients first, then present to the resident who would do most of the work, and the lone attending would see the patient for about sixty seconds.
One morning in clinic, we had a patient with some chronic gyn issues (can't remember what) but she felt she'd "had enough" of telling her story over and over, so she refused to be seen by a student. The nurse who roomed her warned that this would result in a longer wait, but she was OK with that.
None of us had good feelings toward this woman we never met. In any case, she went to the back of the queue and stayed there. An hour and a half later, she still hadn't been seen by anyone... and only got seen because the nurse came back out and yelled at us.
It's hard, when you're in training, not to get angry at patients who don't want to be seen by a student or resident. If you go to a training hospital or clinic, I feel like you're obligated to allow it.
I've been on the other side, so I sympathize. When my daughter had a fever and was really irritable, I didn't enjoy holding her down twice so the resident could look in her ears too. I've gotten pelvic exams from med students and I've allowed an intern in the ER to stitch up my laceration while she got step by step instructions from an attending. So I'm not a hypocrite.
After all, how else are the going to learn? I'd rather be treated by a less competent supervised trainee than an incompetent unsupervised attending.
What do you think about patients who refuse to be seen/treated by trainees?