Jacquelyn Smith, Ph.D. Dean, College of Health Sciences

Glendale CampusMidwestern University

Glendale, Arizona

©

Eight programs in CHS

Biomedical Sciences Cardiovascular Perfusion Clinical Psychology Nurse Anesthesia Occupational Therapy Physician Assistant Physical Therapy Podiatry

Seven programs: clinical education curriculum

Challenge: adequate core rotations/preceptors

©

Program offers continuing education courses at no cost to preceptor

Payment for continuing education for select preceptors at professional meeting (criteria need to be established)

Provide in-service for preceptors at clinical site

Provide library privileges

Adjunct faculty title (meet established criteria)

©

Preceptor Website - information/communication

Webinar - information exchange with preceptors

Quick response to student issues at site*

Personal site visit

Payment of preceptors©

Nurse Anesthesia

28 students matriculate/year 27 month curriculum; 15 months clinical rotations Five -10 week core rotations per student Clinical sites – nationwide Payment for rotations rare for NA programs

Physician Assistant

90 students matriculate/year 27 month curriculum; 13.5 months clinical rotations Eight - 6 week core rotations per student Two - 6 week elective rotations per student Clinical sites – core rotations primarily regional 6-8% PA programs pay for rotations

©

Podiatry

30 students matriculate/year 4 year curriculum; 20 months clinical rotations Twenty - 4 week core rotations per student Clinical sites – regional 3rd year; nationwide 4th year Payment for rotations common in western region; uncommon

most other parts of the country

©

Local hospital required payment ~ 2006

Colleges/Institutions competing for sites initiated payment of private practice preceptors

©

Cost

$100* - $500/student/week W

ho Gets Paid Large Hospital Systems; Specialty Clinics Private Practice Clinicians Large Hospital System + Preceptor In-state (PA/NA/Podiatry) and out-state (Podiatry)

Types of Rotations

Core Rotations* Select Elective Rotations

Preceptor Requirements for Payment

3 – 4 students /year desirable

©

Initiated at distant locations to provide access to core rotation sites

Established at sites where:

No alternative affordable housing available Location - high # of core rotation sites for multiple programs College must ensure one or more students occupy housing for minimum of 9

months/yearS

tudents pay small fee ($110/four weeks) to cover cost of utilities and cleaning service

College oversees process; workload ~ 20 hours/week

Currently 5 sites; 90 students/year

©

©

©

©

©

©

Tuition increase select program

University addition of $ to operational budget

Reallocation of $ within operational budget

©

Ability to place students in required rotation

Retention of preceptor

©

Increased cost to student

Increased competition for sites (who pays most)

Increased workload for program

Tracking and processing paymentE

scalation of payments

©

Payment of preceptors/sites will continue

Emphasize other preceptor benefits

Emphasize programmatic support of clinical sites

Consider financial arrangement with large hospital system to provide rotations for students

Reduces # affiliation agreements Facilitates tracking

? Simulation to supplement clinical experience; accreditation issue

©