
Get the free PA Medicine Preceptor Form - Lynchburg College
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PA Medicine Preceptor Form PRECEPTORS NAME: (Last) (First) Credentials: Clinic / Practice Name: Yes, I was given a copy of Clinical Rotation Expectations (attached)Current Hospital Affiliations: Hospital:
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01
To fill out a PA Medicine Preceptor form, follow these steps:
1. Obtain the PA Medicine Preceptor form from the designated authority or website.
02
Fill out the personal information section by providing your name, contact details, and professional qualifications.
03
Provide information about the clinical site where you plan to serve as a preceptor, including its name, address, and contact information.
04
Specify the duration and dates of the preceptorship.
05
Indicate the number of hours you will be available each week for precepting.
06
Describe the goals and objectives of the preceptorship program.
07
Provide details about the teaching methods and resources you will use to facilitate learning.
08
Include any additional information or requirements as requested on the form.
09
Review the completed form for accuracy and completeness.
10
Sign and date the form.
11
Submit the form to the appropriate authority or organization as instructed.
Who needs pa medicine preceptor form?
01
PA Medicine Preceptor form is required by individuals who wish to serve as preceptors for PA (Physician Assistant) students or trainees.
02
This form ensures that preceptors meet the necessary qualifications and provides important information about the preceptorship program.
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What is pa medicine preceptor form?
The pa medicine preceptor form is a document used to report information about the physician assistant (PA) preceptor who supervised a PA student during their clinical training.
Who is required to file pa medicine preceptor form?
The PA student's educational institution is typically required to file the pa medicine preceptor form.
How to fill out pa medicine preceptor form?
The form is typically filled out by the PA student's educational institution and includes information about the PA preceptor, the PA student, and the clinical training experience.
What is the purpose of pa medicine preceptor form?
The purpose of the pa medicine preceptor form is to document and track the clinical training experience of PA students under the supervision of licensed PAs.
What information must be reported on pa medicine preceptor form?
The pa medicine preceptor form typically requires information such as the name and license number of the PA preceptor, the dates of the clinical training experience, and the number of hours completed.
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