PRMC Employees must provide the following documentation to participate in a Preceptorship:

  • 2 page PRMC Preceptorship Agreement signed by the student, a school representative and the preceptor. If the preceptor is an Advanced Practice Provider (i.e. Physician Assistant, Nurse Practitioner, Nurse Anesthetist or Nurse Mid-wife), please request your preceptor to have their supervising physician sign the agreement also.
  • Letter of Good Standing from the program
  • Copy of Student ID
  • Copy of PRMC Name Badge
  • Copy of student’s nursing license (or nursing license number and state) when completing a clinical rotation related to an advanced nursing program.
  • Surgical Preceptorships: documentation of completion of PRMC Surgical Services Orientation is required if precepting with a physician with surgical privileges. Contact Susan Lynch  susan.lynch@peninsula.org to set up an orientation class. Students may start their surgical rotations on time, however, will not be permitted in the Surgical Services area (OR) until the orientation is complete. It can be scheduled on a day during the student’s first week so they do not have to make a separate trip.
  • Complete the highlighted areas of the Information Technology Acceptable Use Policy Acknowledgement and Consent Form along with the checked areas of the Request for Information Services System Sign-On Form (only when the preceptor is requesting IT access.)  DO NOT return these forms to the IT Dept.; please include these forms in your submission  of documents to the Medical Education Coordinator a minimum of two weeks prior to the rotation start date to allow ample time to create your student account.  Please note, you will not be permitted to use your employee log-in while on your preceptorship.

 

Information Technology Acceptable Use Policy

Information Technology Acceptable Use Policy Acknowledgement and Consent Form

Request Information Services System Sign-On Form