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NRC FORM 313A (AUT) U.S. NUCLEAR REGULATORY COMMISSION (32007) AUTHORIZED USER TRAINING AND EXPERIENCE AND PRECEPTOR ATTESTATION (for uses defined under 35,300) 10 CFR 35.390, 35.392, 35.394, and

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How to fill out and preceptor attestation

How to fill out a preceptor attestation:

01

Obtain the preceptor attestation form from the appropriate institution or organization.

02

Carefully read and understand the instructions provided on the form.

03

Fill in your personal information, including your name, contact information, and any other required details.

04

Provide the necessary information about the preceptor, including their name, credentials, and contact information.

05

Indicate the duration of the preceptorship or clinical experience, such as the start and end dates.

06

Describe the specific activities and responsibilities undertaken during the preceptorship or clinical experience.

07

Include any relevant comments or additional information that may be necessary or helpful.

08

Sign and date the form, indicating your agreement and understanding of the attestation.

Who needs a preceptor attestation?

01

Healthcare professionals: Individuals who are undergoing clinical training or completing a preceptorship as part of their professional development may need a preceptor attestation. This could include medical students, nursing students, allied health professionals, or residents.

02

Educational institutions: Many educational programs require students to complete a preceptorship or clinical placement as a mandatory component of their training. In these cases, students may need a preceptor attestation to confirm their successful completion of the experience.

03

Professional licensure: Some professional licensure bodies and regulatory agencies require applicants to submit a preceptor attestation as part of the application process. This helps to ensure that individuals have fulfilled the necessary clinical training requirements and are prepared to practice in their chosen field.

Overall, anyone who has participated in a preceptorship or clinical experience may need a preceptor attestation to provide evidence of their training and competence in a specific area of practice.

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What is and preceptor attestation?

Preceptor attestation is a form or statement signed by a preceptor confirming the training or supervision provided to a student.

Who is required to file and preceptor attestation?

Healthcare professionals who serve as preceptors for students in a training or clinical setting are required to file a preceptor attestation.

How to fill out and preceptor attestation?

To fill out a preceptor attestation, the preceptor must provide their contact information, details of the student's training or supervision, and sign the form to confirm the accuracy of the information.

What is the purpose of and preceptor attestation?

The purpose of a preceptor attestation is to verify that a student has received the necessary training or supervision from a qualified preceptor in a healthcare setting.

What information must be reported on and preceptor attestation?

The preceptor attestation must include details such as the name of the student, the date and duration of the training, the type of supervision provided, and any relevant feedback or assessment.

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