Physician Assistant Clinical Preceptors and Mentors
Preceptors and mentors are needed to assist in training our PA students. Clinical Preceptors and mentors are licensed health professionals that provide clinical education to students in their specific areas of expertise. Preceptors and mentors act as role models and teachers to help students strengthen their skills in history taking, patient examinations, diagnostic assessments, treatment, key clinical procedures, interprofessional team collaboration, patient education, medical record documentation, clinical case presentations, referral coordination, and other aspects of patient care. Please consider sharing your knowledge and expertise with our dedicated students.
Clinical preceptors and mentors frequently asked questions
What are the benefits of being a clinical preceptor and/or mentor?
The opportunity to be involved in the training of future clinicians is rewarding. Plus, we offer clinical preceptor supervisors access to our top-quality medical library services for research and to earn free continuing medical education (CME). Clinical supervisors also receive periodic invitations to participate in various medical seminars offering additional CME level I credits, coordinated through the College of Health Professions and College of Medicine. Furthermore, we issue certificates for you to submit to your professional organizations for additional CME level II credit (as approved by the AAPA and AMA) for each hour precepting our PA students. Lastly, the best way to recruit PA graduates is to get involved in their training.
Who can precept second-year PA students?
Any M.D., D.O., PA-C, N.P., or midwife who is Michigan-licensed and Board Certified in their specialty area is qualified to precept PA students. All clinical preceptors undergo a review of their credentials by our program's clinical placement coordinator before we place students in their clerkship rotations.
What clinical experience are you seeking?
All second-year PA students are required to participate in a series of primary care and critical care medicine rotations. The primary care experience consists of four services: (1) family medicine, (2) women’s health, (3) pediatrics, and (4) behavioral health. The critical care experience consists of three services: (5) internal medicine, (6) emergency medicine, and (7) general surgery. The eighth opportunity in primary care or a specialty service is offered to students as an elective rotation. At some time during the clinical year, students must also have exposure to patients in long-term care. Students will be assigned to clinical rotations at program-approved training sites, many of which are based in medically underserved areas throughout Michigan. Occasionally, out-of-state placement opportunities approved by the program may present and be offered to students of interest.
What can I expect a second-year PA student to know and do?
Our PA students will have completed 15 months of didactic education before beginning their pursuit of the formal clinical clerkship year. Our PA students are well-rounded, mature individuals, and many have sought this course of study as a second career. Second-year PA students should be able to perform comprehensive and focused histories and physical examinations. Their clinical reasoning skills should be refined to the point of developing a list of differential diagnoses and next steps in the diagnosis and treatment of common medical conditions. They have had some practice with patient counseling and education through clinical case simulations, volunteer work, and their 9-month once weekly clinical mentorship experience in patient-centered medical homes and primary care sites. They also have been exposed to common medical procedures such as phlebotomy, splinting, casting, suturing, and simulated care involving catheterization, ultrasound, and thoracentesis to name a few. Experience and ability will vary from student to student, as they tend to come from varied backgrounds.
Have the PA students undergone pre-qualification reviews prior to the start of their clerkship year?
Yes, all of our PA students undergo prerequisite health screening and hospital training for addressing compliance issues with state and federal guidelines, and as specified in our affiliation agreements with each facility/health system organization. Health screenings include a physical evaluation (prior to the start of studies clearing the student physically and mentally to participate in the PA Program), as well as a 7-panel drug screen, immunization verification (including Hepatitis B), annual Influenza vaccination, and annual TB skin testing. In addition, the students undergo recent criminal background checks and annual training to certify successful completion of HIPAA and FERPA reviews. Students have also successfully completed ACLS and PALS instruction, as well as OSHA with Blood Borne Pathogens (BBP) education. Once a student is confirmed to rotate with a preceptor site, proof of this information is provided from the program. All students are advised that supplemental training will likely be warranted at clinical sites in regards to HIPAA, BBP, and EMR use.
How much time is required?
Rotations vary from five to six weeks in length. Our PA students are expected to engage in hands-on patient care experiences at a minimum of 32 hours per week. Students should follow the schedule of the preceptor, including evening shifts, weekends, and holidays.
What are the required experiences for the student?
You will be provided the appropriate objectives for each clinical rotation in advance, and as part of the student orientation to the practice it is important to review them together. The current clinical rotation objectives are listed as follows:
- Family medicine
- Women’s health
- Behavioral health
- Internal medicine
- Emergency medicine
- General surgery
The intensity of the supervision will vary depending on the student’s experience and the preceptor’s comfort. It is typical for a preceptor to start by having the student observe patient encounters. After a day or two of orientation to the practice, it is reasonable to transition to observing the student performing history and physical examinations. Once you are comfortable with the student’s skills and knowledge, allowing them to perform histories and exams without direct observation is perfectly appropriate. The student would then present the patient to the preceptor, discuss possible next steps and complete the patient encounter with the preceptor reviewing and confirming the student’s findings with the patient. We also encourage you to quiz students and give them reading assignments as you teach. To reiterate, any patient the student sees also needs to be seen and evaluated by you. All chart notes need to be thoroughly reviewed and co-signed by you. Periodic direct observation throughout the rotation is recommended and a student should never discharge a patient without discussing the case with the preceptor first.
The practicing of clinical procedures is also important. Phlebotomy, starting an IV, wound care, splinting and Pap smears are some of the basic skills taught during the first year and should be reinforced through practice in clinical rotations. Students in a surgical setting need to be involved in pre-, intra-, and post-operative management of patients, and as appropriate, students should have the opportunity to assist in surgical procedures.
What is required from a preceptor?
In addition to supervising the student as described above, we ask that you and your clinical partners provide the students with regular feedback regarding their clinical skills. This includes daily informal discussions and critical feedback to the student, as well as a mid-rotation meeting and review to assess progress and a written final evaluation using the PA student assessment form.
Am I responsible for the student during the entire rotation or can they spend time with others in the practice?
Students are allowed to spend time with other qualified practitioners within the practice. All preceptors must be identified to the program, complete a preceptor profile, and undergo a check to verify credentials by our clinical placement coordinator. It is typical for some groups to identify a primary preceptor who will be responsible for coordinating the student’s experience. The student can then spend time with several practitioners within the group over the course of the rotation.
Are the student and facility covered in the event of a malpractice issue?
Yes, we carry institutional insurance, and all students in the PA program are typically covered by a $1 million/$3 million malpractice binder. If needed for your practice, you may ask for this binder to be included in the student portfolio packet which you will receive in advance of the rotation. Please inform the clinical placement coordinator, to arrange for a certificate of insurance to be issued from our Risk Management Office. Please allow a minimum of 7-10 business days for the completion of your request.
What is needed to get signed up as a clinical preceptor?
We are happy that you are considering working with our students. Our clinical placement coordinator first verifies each clinicians’ credentials at the clinical site and the specifications of the facility. Once this information is in order, we verify the status of current affiliation agreements or work with your facility in establishing a new affiliation agreement. (An affiliation agreement is a contract between CMU and an external entity that involves academic experiences for CMU students at an off-campus location.) We have affiliation agreements established with most hospitals throughout Michigan to accept our PA students for clinical mentorship and clerkship rotation placements. If your practice is part of a health system, we have affiliation agreements on file with most hospitals throughout Michigan and if a listing is missing, please let us know.