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Glossary
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Preceptor Profile
Start your practice’s journey by completing this brief form. Only one form is needed for clinics with multiple physicians.
Name of Practice
*
Address
*
Phone
*
Office Representative (Office Manager or Lead Physician)
*
Email
*
NPI Number
Specialty
*
Select the Program(s) you are interested in.
*
Clinical Preceptorship
One-Day Office Shadowing
Clinical Training Facilitator
Medical Review / Grand Round
If you are interested in facilitating a clinical rotation, please select the amount of time you would like to do so.
How many students are you willing to precept?
When would you like to start?
Select any of these areas that you practice could use extra support in.
Management
Health Plan Negotiation
Patient Engagement
Health Technology / Electronic Medical Records
Value Based Care
Care Management / Care Coordination
Closing Care Gaps
Clinical Documentation
Referral Management
DME
Submit
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