Clinical Participation Requirements

Clinical / Practicum Placements

• Overview
• Process for Initiating Clinical Affiliation Agreements

Preceptor Selection
Site Requirements
Credit and clock hour requirements for clinical courses by concentration
FNP Concentration Required Clinical Hours
Preceptor Appointment Agreement
Clinical / Practicum Course Registration Requirements
Responsibilities in the Preceptor Partnership

• Student Responsibilites
• Concentration Coordinator / Faculty Responsibilites
• Contact Liason
• Preceptor Responsibilities

Preceptor Forms

• Intent of Relationship Form (DOC) (PDF)
• Preceptor Information Form (PDF)
• Preceptor's Professional Profile Form (PDF)
  
  Preceptor forms should be faxed to Lori Stephens at (615) 366-3953 at least 8 weeks before the beginning of the semester. Students are requested to keep a copy of all forms for their records and may be asked to upload copies into their course(s) at the beginning of each semester.
  
  For questions and assistance regarding clinical/practicum placement, please
  contact Lori Stephens at lori.stephens@tbr.edu.
  

Physical Examination Form - SAMPLE (PDF)
Health History Form - SAMPLE (PDF)

Clinical Forms

• Clinical Log (PDF)
• Clinical Skills Inventory (PDF)
• Clinical Performance Evaluation Form (PDF)
• Preceptor Evaluation of Student Form - Informatics (PDF)
• Preceptor Evaluation of Student Form - Education (PDF)

Program Evaluation Forms

• Student Evaluation of Preceptor / Site Form (PDF)