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AUGUSTA UNIVERSITY DEPARTMENT OF TEACHING & LEADING COLLEGE OF EDUCATIONCLINICAL PRACTICE (FIELD EXPERIENCE) ATTESTATION FORM FOR LEADERSHIP CERTIFICATION CANDIDATES Candidate Name: Candidate University
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How to fill out clinical practice field experience

01
Contact your educational institution to get details and requirements for your clinical practice field experience.
02
Identify a specific clinical setting or organization where you can gain practical experience in your field.
03
Complete any necessary paperwork or documentation required by your educational institution and the clinical setting.
04
Attend any orientation or training sessions provided by the clinical setting to familiarize yourself with their policies and procedures.
05
Work closely with a supervisor or mentor assigned by the clinical setting to ensure you are gaining valuable experience and meeting any specific objectives set by your educational institution.
06
Document your experiences, tasks completed, and any skills or competencies developed during your clinical practice field experience.
07
Reflect on your experiences and take note of any challenges, successes, or lessons learned.
08
Communicate regularly with your educational institution and the clinical setting to ensure you are meeting all requirements and expectations.
09
Complete any required evaluations or assessments to demonstrate your learning and growth during the clinical practice field experience.
10
Follow any guidelines provided by your educational institution for submitting documentation or reports related to your clinical practice field experience.

Who needs clinical practice field experience?

01
Students studying healthcare professions such as nursing, medicine, physical therapy, occupational therapy, etc.
02
Individuals pursuing degrees or certifications in social work, counseling, psychology, or other human services fields.
03
Students pursuing a degree or certification in education, particularly those focusing on teaching in a clinical or practical setting.
04
Professionals seeking to enhance their skills and knowledge in a specific clinical practice area.
05
Individuals looking to fulfill licensure or certification requirements in certain professions.
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Clinical practice field experience is hands-on training that allows students to apply their knowledge and skills in a real-world healthcare setting.
Students who are completing a clinical program or internship that includes field experience are required to file clinical practice field experience.
Students can fill out clinical practice field experience forms provided by their educational institution or program supervisor. They must accurately document their experiences, skills gained, and any challenges faced during their field placement.
The purpose of clinical practice field experience is to provide students with practical training and exposure to real-world healthcare settings, ensuring they are prepared for their future careers.
Information that must be reported on clinical practice field experience includes the name of the healthcare facility, dates of placement, duties performed, skills acquired, and supervisor feedback.
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