31 Jan contact
NUR646 Nursing Education Seminar 1
Week 4 Assignment
Midterm Preceptor-Faculty-Student Conference and Evaluation
Complete the Preceptor-Faculty-Student Conference and Evaluation, including applicable signatures for each preceptor.
Preceptor-Faculty-Student Conferences and Evaluations
Student Name______________________
Course ___________________________
Pre-/mid-/ and post- conference or evaluation between students, faculty, and preceptors are mandatory for students enrolled in all MSN practicum/clinical courses. Conferences may be conducted face-to-face or via technology.
Overall Course and Student Specific Objectives: These objectives should be discussed during each conference, as students are responsible for completing all experiences as mandated for program.
A pre-conference will occur prior to the start of the practicum/clinical experience. This meeting is intended for the student and preceptor to review course and student-specific learning objectives: the roles, responsibilities, and expectations of student and preceptor during this clinical experience. All faculty and preceptor information will be given to each party per the student. Any course or program information requested by the preceptor will be provided by the student. During this meeting, the student and preceptor will discuss practicum/clinical goals, including any projects that are to take place. Faculty will review submitted document and need to approve proposed projects at this time. Faculty will also send an introductory email to preceptor.
For the Preceptor: By initialing below, I signify that I have received the following information from my student and/or through preceptor orientation training:
_____ Copy of or link to Graduate Field Experience Manual
_____ Copy of the midterm/final evaluation process and form
_____ Copy of or link to the University Policy Handbook
_____Typhon/DMS Instructions
_____ Faculty Contact Information
Preceptor direct contact information:
Name: ____________________________________________
Email: ____________________________________________
Phone: ___________________________________________
Proposed Practicum Project (include what course objective/program-specific competency this will meet):___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Preceptor Signature: ________________________________________ Date: _______________
Student Signature: ________________________________________ Date: _______________
Faculty Signature: _________________________________________ Date: _______________
A mid-term conference will occur at the mid-point of the course. This meeting is intended for the student, faculty, and preceptor to discuss student progress toward meeting the course goals. The faculty member will meet with the preceptor to conduct the student’s midterm evaluation. The preceptor will meet with the student to review the evaluation form. If there are areas that need improvement, the faculty will meet with the student to complete a remediation form.
Review progress towards meeting goals / objectives with rationales provided to student at mid-term conference.
Preceptor Signature: ________________________________________ Date: _______________
Student Signature: ________________________________________ Date: _______________
Faculty Signature: _________________________________________ Date: _______________
A final clinical evaluation will occur at the end of the clinical/practicum experience. This is intended for the student and preceptor to review and evaluate all competencies and validate that all areas are at “meets expectations” prior to progression. Faculty will provide final review and evaluation after conferring with preceptor.
Review progress towards meeting goals / objectives with rationales provided to student at end of rotation.
Preceptor Signature: ________________________________________ Date: _______________
Student Signature: ________________________________________ Date: _______________
Faculty Signature: _________________________________________ Date: ____
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