Payment of Rotations
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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
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
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
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
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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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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
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
Reduces # affiliation agreements
Facilitates tracking
? Simulation to supplement clinical experience;
accreditation issue
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