Get the free Preceptor Agreement - NYS AHEC System - ahec buffalo

New York State Area Health Education Center System SEARCH Preceptor Agreement This form must be completed to receive expected payment for SEARCH Program student placements. PLEASE ATTACH A COPY OF

How to fill out preceptor agreement - nys

How to fill out preceptor agreement - NYS:

1. Begin by obtaining a copy of the preceptor agreement form specific to the state of New York. This form can often be found on the website of the New York State Department of Health or other relevant healthcare regulatory agencies.
2. Carefully read through the preceptor agreement form, ensuring you understand all the terms and requirements associated with it. Take note of any specific instructions or guidelines provided.
3. Fill in the required personal information, such as your name, address, contact details, and professional credentials. Make sure to provide accurate and up-to-date information.
4. Identify the educational institution or program with which you are affiliated. Include the name, address, and any other relevant details. If you are not associated with an educational institution, indicate this accordingly.
5. Outline the specific roles and responsibilities of both the preceptor (the experienced healthcare professional) and the student or trainee. Be thorough and precise in describing what is expected from each party.
6. Indicate the specific start and end dates of the preceptorship or training period. Include the total number of hours or days required, if applicable.
7. Discuss any potential conditions or limitations related to the preceptorship, such as the need for malpractice insurance or specific licensing requirements. Ensure that both parties understand and agree to these conditions.
8. Include any additional terms or clauses that are relevant to the particular preceptorship. This may include confidentiality agreements, non-disclosure agreements, or any other terms deemed necessary.
9. Review the completed preceptor agreement form for accuracy and completeness. Make any necessary corrections or additions before signing and dating the document.

Who needs preceptor agreement - NYS:

1. Students or trainees pursuing healthcare-related education or training programs in the state of New York.
2. Healthcare professionals who are willing to mentor and supervise students or trainees as part of their educational requirements.
3. Educational institutions or programs that require a formal agreement between the preceptor and the student or trainee for clinical or practical experiences.

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What is preceptor agreement - nys?

The preceptor agreement in NYS is a formal written agreement between a nurse practitioner student and a qualified preceptor who supervises and mentors the student during their clinical training.

Who is required to file preceptor agreement - nys?

Both the nurse practitioner student and the preceptor are required to file the preceptor agreement in NYS.

How to fill out preceptor agreement - nys?

The preceptor agreement in NYS can be filled out by providing personal information of both the student and the preceptor, outlining the clinical training responsibilities, and obtaining signatures from both parties.

What is the purpose of preceptor agreement - nys?

The purpose of the preceptor agreement in NYS is to ensure that nurse practitioner students receive adequate supervision and guidance during their clinical training, leading to competent and qualified healthcare providers.

What information must be reported on preceptor agreement - nys?

The preceptor agreement in NYS must include the names and contact information of the student and preceptor, the clinical training schedule, supervision responsibilities, and signatures from both parties.