I've noticed it depends on the doctor really. For the longest time (since I didn't have insurance and it was cheaper) I went to Texas Tech, which is a learning school, so I saw a sh%t load of different student doctors. They were all in their last year of med school and worked under a real doctor. The good ones would evaluate me first before even reading my file. The not so good ones would read my file first and not evaluate me, they'd just give me my meds and call it a day.

Now that I have insurance I'm still at Texas Tech but I've been moved to their new mood disorder clinic. In this clinic they have actual doctors, they have med students sit in on their sessions and they do their own evaluations so they can report to the doctor. My first doctor there was great! He evaluated me first, gave me a diagnosis, then looked at my file. He agreed with the BP 1 diagnosis. Sadly, he left and I got a new doctor, who just happens to be the charge doctor at the clinic. He did a mini eval (a handful of questions) and looked at the file. I think he just went along with what my old doctor said. I've only met with him twice and I don't think I like him that much.