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Review topics for preceptor and student:
_____A. Student previous clinical experiences
_____B. Student medical interests
_____C. Clinical skills inventory form
_____D. Clerkship educational goals and
objectives
_____E. Clerkship evaluation forms
_____F. Roles for preceptor and student
_____G. Evaluation methods
Learning Objectives
Student goals (to be completed
after first full day in preceptors office)
List two to five learning objectives and
specific strategies for accomplishing them.
Preceptor goals (to be completed
by the end of the first week)
List two to five most important areas
on which the student should focus and strategies for addressing
these areas.
Agreement on goals (to be completed
by the end of the first week)
Student s summary of performance
goals and expectations.
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| Preceptors Signature/Date |
Students Signature/Date |
Adapted from the Preceptor Education Project.
Kansas City, Mo: Society of Teachers of Family Medicine,
1992 and from Learner Contracts, by Jeanne
Ferrante, MD, Family Medicine, Vol 30, No 10, Nov-Dec,
1998.
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