PRECEPTOR INFORMATION FORM
Thank you for your interest and YOUR WILLINGNESS AND GENEROSITY in agreeing to precept an applicant to, OR current Intern in, the Priority Nutrition Care Distance Dietetic Internship. This form is the only PROOF that we have that an applicant to our distance program actually has a PRECEPTOR who has agreed to precept him or her.
We would be happy to answer any questions you might have. Our office number and email address are on our contact page.
All programs are guided by a set of competencies, which are common to all programs, promulgated by ACEND, the Accreditation Council for Education in Nutrition and Dietetics of the Academy of Nutrition and Dietetics, which is a gate keeper for the USDE (United States Department of Education). Each program determines appropriate learning activities for its own Program to allow its Interns to demonstrate the achievement of those competencies. A copy of the competencies can be found HERE.
The Internship provides a syllabus for each rotation, with learning activities delineated, making them achievable in a variety of settings. YOU do not have to come up with activities for Priority Nutrition Care Interns. The activities have been developed by experienced RDs who are very familiar with activities in each type of rotation. The activities are generic enough that you may tailor them to meet not only the needs of the Interns but those of your site as well. There is a separate syllabus for each of the rotations, Clinical Nutrition, Food Service, Community, and the Elective and these are e-mailed, together with the Program Handbook to each preceptor prior to the Intern's arrival at the site. We do not provide syllabi in advance of an applicant being accepted into our program.
PRECEPTOR INFORMATION FORM - THIS IS NOT AN APPLICATION OR A CONTRACT
PLEASE NOTE: If you have already precepted one of our Interns and filled out our form, you do not need to complete the whole form again, assuming your contact information has not changed. Please fill in your name and that of the applicant or current Intern for whom you have agreed to precept, so that we will know that you have agreed to precept a different Intern. Our current form requests that you attach a resume and recent continuing education, as required by ACEND. As such, if you have not sent us that information previously, we would appreciate it if you would do so now. You could also email the information to Internship@PriorityNutritionCare.com.
This is NOT an application to become a Preceptor. It is merely a form we use to collect information that we are required by our accrediting body, ACEND, to have on file for every preceptor to prove that Preceptors are qualified, including Registration numbers for RD/RDNs, resumes, and evidence of continuing education. We are required to provide this information when we complete a self study and have a site visit. As such, we are unable to place a student in a setting where that information is not shared with us.
Additionally, we use the form, which can be submitted electronically, to collect information regarding the affiliation agreement/contract, which may originate at your institution or from our office. IT IS NOT A CONTRACT OR AFFILIATION AGREEMENT.
Please click HERE to fill out the Preceptor information form.
GOOD NEWS ! CPEUs for Precepting
The Commission on Dietetic Registration (CDR) will award continuing education credit for preceptors starting June 1, 2017 ! Precepting will be included under the current Leadership Activity Type with a three (3) CPEU/year, fifteen (15) CPEUS per five year recertification period maximum for Leadership and/or Precepting activities.
Please see the following link for more information and the required forms. If you have completed precepting for one of our Interns, please complete and submit the Reflection Form and Optional Log Form and email to Internship@PriorityNutritionCare.com. We will review submitted forms quarterly and return a signed Verification to you for your records. You must have a Preceptor Information form submitted for our program in order for us to complete the Verification form for CPEUs to be awarded.
CPEU related forms can be found at the following link: https://www.cdrnet.org/cpeu-credit-for-preceptors
Anne Manion MBA, RD, LDN, CDE