1. Jacquelyn Smith, Ph.D. Dean, College of Health Sciences Glendale Campus Midwestern University Glendale, Arizona ©

2. 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 ©

3. 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) ©

4. Preceptor Website - information/communication Webinar - information exchange with preceptors Quick response to student issues at site * Personal site visit Payment of preceptors ©

5. 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 ©

6. Podiatry 30 students matriculate/year 4 year curriculum; 20 months clinical rotations Twenty - 4 week core rotations per student Clinical sites – regional 3 rd year; nationwide 4 th year Payment for rotations common in western region; uncommon most other parts of the country ©

7. Local hospital required payment ~ 2006 Colleges/Institutions competing for sites initiated payment of private practice preceptors ©

8. Cost $100* - $500/student/week Who 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 ©

9. 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/year Students 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

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16. Tuition increase select program University addition of $ to operational budget Reallocation of $ within operational budget ©

17. Ability to place students in required rotation Retention of preceptor ©

18. Increased cost to student Increased competition for sites (who pays most) Increased workload for program Tracking and processing payment Escalation of payments ©

19. 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 ©