Hi I think it should be a patients choice whether or not they want to see a student or have a student in the room. Any other setting like ob gyn, dermatology, whatever the MD asks first if it's OK for a student to join. I was never asked or given the option and the student came in and did my entire eye exam never once having the md observe or even check his work. I just think when you book an appointment with a doctor you expect that doctor not a substitute student. I understand they need to learn but I feel it should be the patients right to choose.