Student Information
Preceptor Student Packet
| Packet Item | Includes Information Regarding... |
|---|---|
| Preceptorship Program Facts | Commonly asked questions, prerequisites, goals and objectives, etc. |
|
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| 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 |
Watch the TPS Preceptee Interest Video!
Interested students and physicians should contact:
Amy Case, Pediatric Preceptorship Coordinator
401 W. 15th St., Suite 682
Austin, 78701-1665
amy.case@txpeds.org
