Questions preceptors ask before opening hours
Twelve answers, each written to stand on its own. Six more, on eligibility, pay, video, the clinic day, paperwork and cost, are on the home page. Anything not covered has a coordinator's phone number at the bottom.
Do I need my employer's permission to precept?
In practice yes, because the affiliation agreement is between the program and the practice where the student will be, and someone with authority signs it. If you own the practice that is you. Employed clinicians usually need a clinic manager or a medical director to agree, and many health systems have a standing process. A coordinator sends the agreement to whoever you name.
Is a student ever alone with a patient on my rotation?
No. A student on your rotation sees patients under your direct supervision and every encounter is reviewed with you before the patient leaves or the video visit ends. Programs write this into the agreement and NPhours enforces it. A student may take a history alone and present to you; they may not manage a visit alone.
What if my clinic uses an EMR the student cannot access?
Most rotations solve this with a read-only student login or a shadow login under your account, arranged with your practice's IT before day one. Onboarding at NPhours has connected students on eleven EMRs and can tell your administrator which route each vendor supports. If none is possible, the student documents in the program's log and you attest.
How is my rate chosen, and can I change it?
You choose it, anywhere from $12 to $20 per student hour, when you join, and you can change it on your preferences page. A change applies to cards you accept afterward, not to a rotation in progress. Preceptors in high-demand populations and states tend to set the top of the band and still receive cards.
What if a student is not a fit for my clinic?
Tell your coordinator early, ideally in the first two weeks. Most problems are scheduling or expectations and are fixed by a call between the coordinator, the student and the program. Where the fit is genuinely wrong, the program reassigns the student and you are paid for hours already logged. Nothing is recorded against you.
Does precepting affect my malpractice coverage?
Usually not, but confirm it. Students carry their own policy through the program, and the affiliation agreement states the program's coverage for the student. Your own policy covers your supervision as part of your practice in most cases; some carriers ask to be told. Onboarding provides the agreement language your carrier will want to see.
Can I precept students from more than one program?
Yes. Your four documents are verified once and each program approves you against its own handbook. Cards then arrive from every program that has approved you, and your concurrent-student cap decides how many you hold at a time. Most preceptors keep the cap at one and take students from whichever program's calendar fits.
How are my hours documented for recertification?
The program provides a letter stating the student, the dates and the hours precepted, which is what ANCC asks for under its professional development categories and what AANPCB asks for when converting precepting hours to CE. Your coordinator requests the letter at the close of each rotation so it exists before you need it.
What happens if I need to pause mid-term?
Tell your coordinator as soon as you know. For a short absence the student's dates are extended with the program's agreement. For a longer one the program reassigns the student to another roster preceptor of the same population in the same state, and you are paid for the hours logged with you. Illness and family emergencies are not held against anyone.
Is NPhours a school or a staffing agency?
Neither. NPhours is an independent preceptor network. It does not enroll students, award credit, employ preceptors or place them in jobs. Programs and their students pay NPhours to find and coordinate preceptors; preceptors are paid as independent contractors per block. It is not affiliated with any university or certifying body.
What do students actually do on a video rotation?
They join your visit with the patient's consent, take the history or run the follow-up on camera while you observe, present to you in a private breakout between calls, and draft the note where the program and your EMR allow it. The program decides what share of the student's hours may be video, and that share is on the card.
How long is the commitment?
One block, which most students complete in a term of 14 to 16 weeks at eight to nine hours a week. After that you decide whether to take the next card. There is no minimum number of rotations, no notice period to leave the roster, and no penalty for a season off.
Still open
Call or text +1 (888) 640-4687, Monday to Saturday, 8am to 8pm Eastern, or send the question. The answer will come from a coordinator, and if it is a good question it will end up on this page.