Off the Clock
Pieces for clinicians deciding whether to precept, and for those already doing it: what it pays, what the tax code adds, how recertification counts it, how to teach in a full clinic, and what to do in week seven when a student is behind. Each is written by the coordinator who handles that subject, and each says when a rule varies by program.
Every piece, newest first
2026-09-02Bexley O.
Head coordinator
Building a teaching CV
One line reads: Clinical preceptor, 3 students, 360 hours. Here is how to record precepting so it counts on a CV, in a renewal, and with a committee.
2026-08-26Kwame A.
Psychiatric lead
Precepting across state lines
The student's home address on the placement form is the first thing to read. Three locations decide whether a cross-state video rotation can happen.
2026-08-25Dagny H.
Payments
1099 income from precepting
What box 1 of a 1099-NEC means, the $600 threshold, self-employment tax, why preceptors set aside a third, and when quarterly estimates are required.
2026-08-19Bexley O.
Head coordinator
What students wish preceptors knew
The question students are too nervous to ask, and five other things they tell coordinators but not preceptors. Small changes that make a rotation work.
2026-08-18Halvard N.
Preceptor onboarding
Liability when you precept
The student's certificate of insurance, the affiliation agreement's coverage clause, your own policy, and why direct supervision is the real protection.
2026-08-12Ravenna S.
Program relations
Why there is a preceptor shortage
Enrolment counts one number and available sites count another. Six forces explain the gap, from the 750-hour standard to productivity pay and geography.
2026-08-10Bexley O.
Head coordinator
Precepting on a full-time schedule
How a working clinician fits a 60 or 120-hour rotation into a real calendar: fixed half days, a protected start, blackout weeks, and one student at a time.
2026-08-04Halvard N.
Preceptor onboarding
Precepting after retirement
The practice-hour line on a renewal form is where this starts. What a semi-retired NP still needs to precept, and why video rotations fit the phase.
2026-08-03Tamsin R.
Clinical lead
When a student is behind
The midpoint evaluation is the moment to act: hours behind versus skills behind, the calls to make, who writes remediation, and when to end a rotation.
2026-07-28Bexley O.
Head coordinator
Saying no to a rotation
Two sentences are a complete answer when a rotation does not fit. What counts as reason enough, and why withdrawing after a start date is different.
2026-07-27Tamsin R.
Clinical lead
Giving feedback a student can use
How to build a feedback sentence that starts with a behaviour, when to say it, how it differs from evaluation, and what to put in the comment box.
2026-07-21Kwame A.
Psychiatric lead
Precepting PMHNP students by video
The student runs the intake on camera while you watch. When to step in, how safety planning works by video, and where the hours actually come from.
2026-07-20Tamsin R.
Clinical lead
SNAPPS for busy clinics
The six steps of SNAPPS as a 90-second learner-driven presentation, with a worked example, when it beats the one-minute preceptor, and how to teach it.
2026-07-14Dagny H.
Payments
How much do NP preceptors get paid
What NP preceptors actually earn per rotation: platform fees, program stipends, hourly math on a 120-hour block, tax credits, and the CE trade.
2026-07-08Ravenna S.
Program relations
Clinical logs: Typhon, Exxat and Medatrax
One logged encounter carries ten fields, a 48-hour deadline and your attestation. What the student records, what you approve, and why the log is what pays.
2026-07-06Tamsin R.
Clinical lead
The one-minute preceptor
The five microskills that fit in the corridor between two exam rooms, with a worked example: commit, probe, teach a rule, reinforce, correct.
2026-07-01Halvard N.
Preceptor onboarding
Student access to your EMR
The read-only student login is the thing to request two weeks early. What a student may document, what you must sign, and what the audit trail records.
2026-06-29Kwame A.
Psychiatric lead
Teleprecepting consent and documentation
The consent line a student reads aloud on a video visit, where it goes in the chart, what to do when a patient declines, and how the encounter gets logged.
2026-06-24Ravenna S.
Program relations
What programs verify before you precept
A placement office reads your CV for two dates, runs your licence through Nursys, and verifies certification with the board. Here is the whole check.
2026-06-22Ravenna S.
Program relations
How many clinical hours NP students need
The 750-hour minimum in the 2022 National Task Force standards, the older 500 figure, the DNP total of 1,000, and how programs split hours by course.
2026-06-17Ravenna S.
Program relations
How affiliation agreements work
The signature block tells you who is bound: the nursing program and the practice, not you. Here are the clauses that matter and how long signing takes.
2026-06-16Tamsin R.
Clinical lead
Your first student, week by week
What a 120-hour rotation looks like from the day-one huddle through shadowing, presenting, the week-four log check, the midpoint and the final evaluation.
2026-06-11Dagny H.
Payments
Telehealth side work compared
A Saturday morning spent four ways: a telehealth panel shift, chart review, health writing, or a video precepting half-day. Pay structure and setup for each.
2026-06-09Tamsin R.
Clinical lead
Does precepting count toward recertification
How ANCC counts precepting toward professional development, how AANPCB converts hours into CE contact hours, and the letter both boards want from you.
2026-06-03Dagny H.
Payments
Precepting vs adjunct teaching
An adjunct contract pays one flat fee per course. Divide it by the hours nobody counts, then set it beside what a 120-hour rotation pays.
2026-06-03Dagny H.
Payments
Preceptor tax credits by state
The six states that pay preceptors through the tax code, what each allows, the unpaid-precepting condition, and the federal bill that has not passed.
