Transcript Payment of Rotations

Jacquelyn Smith, Ph.D.
Dean, College of Health Sciences
Glendale Campus
Midwestern University
Glendale, Arizona
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Eight programs in CHS
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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)
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Preceptor Website - information/communication
Webinar - information exchange with preceptors
 Quick response to student issues at site*
 Personal site visit
 Payment of preceptors
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Nurse Anesthesia
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Physician Assistant
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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
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
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Podiatry
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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
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Cost
 $100* - $500/student/week
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Who Gets Paid
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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
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Preceptor Requirements for Payment
 3 – 4 students /year desirable
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Initiated at distant locations to provide access to
core rotation sites
 Established at sites where:
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 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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Tuition increase select program
University addition of $ to operational budget
Reallocation of $ within operational budget
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Ability to place students in required rotation
Retention of preceptor
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Increased cost to student
Increased competition for sites (who pays most)
Increased workload for program
 Tracking and processing payment
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Escalation 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
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 Reduces # affiliation agreements
 Facilitates tracking
? Simulation to supplement clinical experience;
accreditation issue
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