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Page 1 of 3 New Preceptor×Clinical Instructor Information Form Clinical Training Site Information Site Name: Address: City: State: Zip: Phone Number: Fax Number: Contact Person and Job Title: Phone:
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How to fill out new preceptor/clinical instructor information:

01
Start by accessing the designated form or online platform where the information needs to be submitted.
02
Provide your personal details such as your name, contact information, and job title.
03
Specify the type of preceptor/clinical instructor you are looking for, whether it's for a specific program, specialization, or department.
04
Indicate the preferred qualifications or experience you desire in a preceptor/clinical instructor. This can include relevant certifications, years of experience, or specific skills.
05
Detail any specific responsibilities or expectations you have for the preceptor/clinical instructor. This may include tasks such as facilitating learning experiences, evaluating students, or providing guidance.
06
Include any additional information or preferences you may have, such as preferred availability, location, or language proficiency.
07
Submit the form or information through the designated method provided by your institution or organization.

Who needs new preceptor/clinical instructor information?

01
Students: Students who are enrolled in programs that require clinical placements or internships often need information on available preceptors/clinical instructors. This allows them to request the appropriate mentor for their learning experience.
02
Educational Institutions: Universities, colleges, and other educational institutions need new preceptor/clinical instructor information to match students with suitable mentors. This facilitates the learning process and ensures a high-quality experience for students.
03
Healthcare Facilities: Hospitals, clinics, and healthcare organizations require new preceptor/clinical instructor information to maintain a pool of qualified individuals who can guide and mentor students during their clinical rotations. This partnership helps provide real-world experience and improve the quality of healthcare education.
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New preceptor/clinical instructor information includes details about individuals who will be overseeing and instructing students in a clinical setting.
All institutions offering healthcare education programs are required to file new preceptor/clinical instructor information.
New preceptor/clinical instructor information can be filled out online through a designated portal provided by the regulatory body.
The purpose of new preceptor/clinical instructor information is to ensure that individuals supervising students in clinical settings meet the necessary qualifications and requirements.
Information such as the preceptor/clinical instructor's name, contact details, qualifications, area of expertise, and facilities where they will be supervising students must be reported.
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