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This document serves as a preceptor information form and agreement between the University of Texas at Austin School of Nursing and preceptors for nursing students, outlining obligations, requirements,
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How to fill out Preceptor Agreement

01
Obtain a Preceptor Agreement template from your educational institution or organization.
02
Read through the entire document to understand its requirements and sections.
03
Fill in the preceptor's name, contact information, and qualifications in the designated areas.
04
Input the student's name, program details, and specific course information.
05
Specify the duration of the preceptorship and the anticipated start and end dates.
06
Outline the objectives and goals of the preceptorship.
07
Include any logistical details such as location and supervision requirements.
08
Have both the preceptor and student sign and date the agreement.
09
Submit the completed agreement to the appropriate department or administrator.

Who needs Preceptor Agreement?

01
Students in clinical or field placement programs.
02
Preceptors who will be supervising and mentoring students.
03
Educational institutions managing placements and ensuring compliance.
04
Organizations that require documentation for internships or training.
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People Also Ask about

Three key competencies shared across all studies were 'facilitating teaching', 'being a role model' and 'evaluating student's performance'.
​ It was a great pleasure to have XYZ on rotation. Her enthusiasm spreads easily to me and to her patients! ​ She is engaged in her learning. ​ XYZ's work ethic has not been a concern at all.
"Preceptors must demonstrate a desire and an aptitude for teaching that includes mastery of the four preceptor roles fulfilled when teaching clinical problem solving (instructing, modeling, coaching, and facilitating).
The preceptor's primary role is teaching. In the teaching process, the preceptor will observe the student in practice and fit those observations into the evaluation framework. Preceptors are able to collect data that provides evidence of student competence.
But in case you're not already familiar with the term, a preceptorship is a mentorship agreement in which an experienced licensed nurse, medical doctor, or physician assistant provides guidance and, at times, supervision while you gain hands-on experience at a clinical site.
The Ulrich Precepting Model identified 7 roles of preceptors: role model, teacher/coach, facilitator, protector, socialization agent, leader/influencer, and evaluator (Figure 1). Figure 1: Ulrich Precepting Model.
: teacher, tutor. b. : the headmaster or principal of a school. 2. : the head of a preceptory of Knights Templars.

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A Preceptor Agreement is a formal contract between a preceptor, who is an experienced practitioner, and a student or trainee that outlines the expectations, responsibilities, and learning objectives during the training period.
Typically, students or trainees participating in clinical placements or internships under the guidance of a preceptor are required to file a Preceptor Agreement.
To fill out a Preceptor Agreement, the preceptor and the student should complete required sections detailing their names, affiliations, training objectives, duration of the relationship, and specific responsibilities. Both parties should review and sign the document.
The purpose of a Preceptor Agreement is to establish a clear understanding between the preceptor and the student regarding the learning expectations, responsibilities, and scope of practice during the training period.
The Preceptor Agreement must report essential information such as the names of the preceptor and student, the educational institution involved, training objectives, duration of the agreement, roles and responsibilities, and any specific requirements or standards to be met during the placement.
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