2022 Summer Program- application open date is pending.
Complete this interest form to stay up to date on the application opening.
Preceptor Student Packet
The student application for summer preceptorships will be available through the March 31st deadline.
|Packet Item||Includes Information Regarding...|
|Preceptorship Program Facts||Commonly asked questions, prerequisites, goals and objectives, etc.|
|Clinical Skills and Interest Inventory||Identifying students' interests and experiences for the best preceptor match. *Complete after you receive your match.|
|First Contact with Preceptors||What to expect and what to ask|
|Goals and Objectives for Physicians and Students||What's expected from all participants in the program|
|Examples of Appropriate Student Activities||Practical examples of duties that students in the program can perform|
|Learning Contract (PDF)||Identifying goals that students and preceptors can work towards|
|Patient Record Log (PDF)||An optional form for recording patient contacts during preceptorship|
|Evaluation Form - Student of Preceptor||For students - Evaluate your preceptor- *Mandatory|
|Evaluation Form - Preceptor of Student||For preceptors - Evaluate your student- *Mandatory|
|W9 Form||For students- IRS W9 form to receive a stipend-*Mandatory, complete upon completion of preceptorship|
|Student Stipend Form||Student form to receive a stipend- *Mandatory, print out to complete on the last day of your preceptorship, requires preceptor's signature|
|COVID-19 Liability Waiver||Sign and upload to shared drive|
Watch the TPS Preceptee Interest Video!
Interested students and physicians should contact:
Anslee Boozer, Pediatric Preceptorship Program Coordinator
401 W. 15th St., Suite 682
fax (512) 473-8659