Get the free preceptor data form - University of Washington - depts washington

Office use only: SITE NAME: Received: Reviewed: Approved: Timothy Evans, MD, PhD, Medical Director FM IP BEH Med Em Med US Surgery Elective PRECEPTOR DATA FORM The FedEx Northwest program is required

How to fill out preceptor data form

How to fill out preceptor data form:

1. Start by carefully reading the instructions provided on the preceptor data form. Make sure you understand all the sections and fields that need to be completed.
2. Begin by filling out your personal information section. This usually includes your name, contact information, and any relevant identification numbers or credentials.
3. The next section typically asks for your professional credentials and qualifications. You may need to provide information about your educational background, licenses, certifications, and areas of expertise.
4. Some preceptor data forms require you to provide details about your previous teaching or precepting experience. This may involve listing the names of organizations or institutions where you have taught, along with the dates and types of courses or programs.
5. In the section related to your current practice or employment status, include information about your position, the healthcare facility or institution where you work, and any specialties or subspecialties you are involved in.
6. Preceptor data forms often have a section dedicated to your availability and preferred teaching settings. Indicate the times and days you are available for precepting, as well as whether you can provide remote or on-site instruction.
7. If the form asks for references or recommendations, provide the names and contact information of individuals who can speak to your teaching abilities and professionalism.
8. Finally, review the completed form for accuracy and completeness. Ensure that all required fields are filled out and that you have included any necessary supporting documentation.

Who needs a preceptor data form:

1. Healthcare students: Preceptor data forms are commonly required for healthcare students, such as medical, nursing, pharmacy, or physical therapy students. These forms help ensure that students are matched with qualified preceptors who can provide quality instruction and guidance during their clinical rotations or internships.
2. Preceptors: Healthcare professionals who serve as preceptors, mentors, or supervisors for healthcare students may also need to complete preceptor data forms. These forms allow educational institutions or training programs to evaluate the preceptor's qualifications and ensure they meet the necessary standards.
3. Educational institutions or training programs: Preceptor data forms are often utilized by educational institutions or training programs to gather information about potential preceptors. These forms help determine if a healthcare professional is suitable for serving as a preceptor and can meet the educational needs of the students.

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What is preceptor data form?

The preceptor data form is a document used to report information about preceptors who oversee student training in a particular field.

Who is required to file preceptor data form?

Individuals who oversee student training and serve as preceptors are required to file the preceptor data form.

How to fill out preceptor data form?

The preceptor data form can be filled out online or in hard copy, and must include information such as the preceptor's name, contact information, qualifications, and the number of students supervised.

What is the purpose of preceptor data form?

The purpose of the preceptor data form is to maintain accurate records of preceptors who are involved in student training programs, and to ensure compliance with training requirements.

What information must be reported on preceptor data form?

The preceptor data form must include the preceptor's name, contact information, qualifications, the number of students supervised, and any relevant training or certifications.