Whnp, BC, MSN (Retired)

An issue for me regarding precepting was that, according to our insurance people, I couldn't bill for work I delegated or oversaw. Consequently, the patient had to go through the exam twice, as I had to repeat everything the student did. I think our billing people were overreading the regulations, but as an NP, I really wasn't in a position to disagree.

Personally, I felt that was too disruptive for my patient and too time-consuming for my schedule.

You already addressed the other big issue; the students followed their course work curriculum, because that is who was testing them. Their curriculum did not follow their clinical schedule. I was in an Ob-Gyn practice. Often they saw me before they had a class on this subject; therefore, they were not prepared to work in my clinic. They were too busy following their class schedule, working for pay, and caring for their families. They did not feel the need to read up on my clinical area before they arrived in my exam room.

I retired in the fall of 2014, so I no longer have to do this.

Debbie Wright, NP, WHNP, BC, MSN (retired)
South Euclid, OH

FOR MORE LETTERS TO THE EDITOR:
Do Veteran PAs Care Less, Or Are New PA Students Careless?
Has the Bar Been Lowered for RN/NP Programs?
Precepting: I Love It, But ...
Preceptor Tax Incentive Program: The Realities

An issue for me regarding precepting was that, according to our insurance people, I couldn't bill for work I delegated or oversaw. Consequently, the patient had to go through the exam twice, as I had to repeat everything the student did. I think our billing people were overreading the regulations, but as an NP, I really wasn't in a position to disagree.

Personally, I felt that was too disruptive for my patient and too time-consuming for my schedule.

You already addressed the other big issue; the students followed their course work curriculum, because that is who was testing them. Their curriculum did not follow their clinical schedule. I was in an Ob-Gyn practice. Often they saw me before they had a class on this subject; therefore, they were not prepared to work in my clinic. They were too busy following their class schedule, working for pay, and caring for their families. They did not feel the need to read up on my clinical area before they arrived in my exam room.

I retired in the fall of 2014, so I no longer have to do this.

Debbie Wright, NP, WHNP, BC, MSN (retired)
South Euclid, OH

FOR MORE LETTERS TO THE EDITOR:
Do Veteran PAs Care Less, Or Are New PA Students Careless?
Has the Bar Been Lowered for RN/NP Programs?
Precepting: I Love It, But ...
Preceptor Tax Incentive Program: The Realities

An issue for me regarding precepting was that, according to our insurance people, I couldn't bill for work I delegated or oversaw. Consequently, the patient had to go through the exam twice, as I had to repeat everything the student did. I think our billing people were overreading the regulations, but as an NP, I really wasn't in a position to disagree.

Personally, I felt that was too disruptive for my patient and too time-consuming for my schedule.

You already addressed the other big issue; the students followed their course work curriculum, because that is who was testing them. Their curriculum did not follow their clinical schedule. I was in an Ob-Gyn practice. Often they saw me before they had a class on this subject; therefore, they were not prepared to work in my clinic. They were too busy following their class schedule, working for pay, and caring for their families. They did not feel the need to read up on my clinical area before they arrived in my exam room.

I retired in the fall of 2014, so I no longer have to do this.

Debbie Wright, NP, WHNP, BC, MSN (retired)
South Euclid, OH

FOR MORE LETTERS TO THE EDITOR:
Do Veteran PAs Care Less, Or Are New PA Students Careless?
Has the Bar Been Lowered for RN/NP Programs?
Precepting: I Love It, But ...
Preceptor Tax Incentive Program: The Realities