Overview 

Thank you for your interest in completing an advanced practice clinical rotation or observation experience at TidalHealth Peninsula Regional. 

We welcome motivated candidates to continue their learning in a clinical environment through the Preceptorship Program with the intent to receive personal instruction, training and supervision to meet your program requirements while increasing your understanding of health care in a rural community.   

TidalHealth offers preceptorships to medical, physician assistant and advanced practice nursing students thanks to agreements with colleges and universities throughout the country. 

For additional information after reviewing the steps below, contact the Medical Education Coordinator at [email protected]

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TidalHealth Peninsula Regional Application 

Step 1: Confirm Affiliation Agreement

Using the list below, please confirm that your college/university is listed as having a current affiliation agreement with TidalHealth Peninsula Regional. 

If your college/university is not included on the list, please have your program representative contact us at [email protected] to initiate an agreement. Requests for agreements will be based on preceptor availability and can take several weeks for completion.

• Alderson Broaddus University – Physician Assistant
• Anne Arundel Community College – Physician Assistant
• Arcadia University – Physician Assistant
• Chamberlain College of Nursing – Nurse Practitioner
• Drexel University – Nurse Practitioner
• Edward Via College of Osteopathic Medicine (VCOM) – DO
• Frostburg University – Nurse Practitioner
• Georgetown University – Nurse Practitioner
• George Washington University – BS, MA, Nurse Practitioner, Physician Assistant
• Johns Hopkins University – Nursing Programs – Doctor, Masters, Post Masters
• Lake Erie College of Osteopathic Medicine – DO
• LeMoyne College – Physician Assistant
• Liberty University – MSN, Nurse Practitioner
• Mary Baldwin University – Physician Assistant, BSN
• Maryville University - Advanced Nursing Program
• Marywood University – Physician Assistant
• Mercyhurst University – Physician Assistant
• Nova Southeastern University – MD, DO, PA, MSN, DP
• Old Dominion University – Nurse Anesthetist
• Philadelphia College of Health Sciences – Nurse Practitioner
• Philadelphia College of Osteopathic Medicine – DO and Physician Assistant
• Purdue Global University – Nurse Practitioner
• Salisbury University – Doctoral Nursing, Nurse Practitioner
• Shenandoah University – Physician Assistant
• Simmons University – MSN
• Spring Arbor University – NP
• St. Mary’s University of Minnesota – Social Work
• United States University – Nurse Practitioner
• University of Cincinnati – Nurse Practitioner
• University of Delaware – Graduate Nursing
• University of Maryland – Graduate Nursing, Medical Doctor
• University of Maryland Eastern Shore – Physician Assistant
• University of South Alabama – MSN, DNP
• University of Texas Houston – Graduate Nursing
• Vanderbilt University – Advanced Practice Nursing Program
• Walden University – Nurse Practitioner
• West Virginia School of Medicine – Doctor of Osteopathic Medicine
• Wilmington University – Nurse Practitioner
• Yale University – Physician Assistant On-line Program

Step 2: Request a Preceptor  

We receive many requests from students seeking clinical rotations with TidalHealth Peninsula Regional or TidalHealth Medical Partners. To better serve you, please complete the Preceptor Request form and return to [email protected] Based on availability, we will advise you if we were successful in matching you up with a preceptor.

Step 3: Submit Agreement and Documentation

Once a preceptor has been established, please print and complete the Preceptorship Agreement to include your signature, a university representative signature and the preceptor signature; if the provider is an Advanced Practice Provider, i.e. Physician Assistant, Nurse Practitioner, Certified Nurse Anesthetist or Certified Nurse-Midwife, ask your preceptor to also obtain their supervising physician signature. Please submit the completed agreement along with all required documentation to Jill North, Medical Education Coordinator at [email protected]. Once all paperwork is received and approved, the Medical Education Coordinator will contact you and issue clearance to begin your clinical rotation. We will make arrangements to have a Fit Test completed in our Employee Health Department and obtain an ID Badge required to be worn during your clinical rotation.

Step 4: Surgical Orientation (if applicable) 

Preceptorships with a surgeon require the completion of an Operating Room (OR) Orientation. Please contact Susan Lynch at [email protected] to schedule. Depending on availability, the orientation may be scheduled for your first scheduled day when planned in advance. Following successful completion of the OR Orientation, Susan will sign the designated area on the Preceptorship Agreement.

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Required Documentation for Current TidalHealth Peninsula Regional Employees 

TidalHealth Employees must provide the following documentation to participate in a Preceptorship:

• 2 page TidalHealth Preceptorship Agreement signed by the student, a school representative and the preceptor. If the preceptor is an Advanced Practice Provider (i.e. Physician Assistant, Nurse Practitioner, Nurse Anesthetist or Nurse Midwife), please request your preceptor to also have their supervising physician sign the agreement.
• Letter of Good Standing from the program
• Copy of Student ID
• Copy of TidalHealth Name Badge
• Copy of student’s nursing license (or nursing license number and state) when completing a clinical rotation related to an advanced nursing program.
• Surgical Preceptorships: documentation of completion of TidalHealth Surgical Services Orientation is required if precepting with a physician with surgical privileges. Contact Susan Lynch ([email protected]) to set up an orientation class. Students may start their surgical rotations on time, however, will not be permitted in the Surgical Services area (OR) until the orientation is complete. It can be scheduled on a day during the student’s first week so they do not have to make a separate trip.
• Complete the highlighted areas of the Information Technology Acceptable Use Policy Acknowledgement and Consent Form along with the checked areas of the Request for Information Services System Sign-On Form (only when the preceptor is requesting IT access.)  DO NOT return these forms to the IT Dept. Please include these forms in your submission of documents to the Medical Education Coordinator a minimum of two weeks prior to the rotation start date to allow ample time to create your student account.  Please note, you will not be permitted to use your employee log-in while on your preceptorship.

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Required Documentation for Preceptorship Students 

Students must provide the following documentation to participate in a Preceptorship at TidalHealth Peninsula Regional: 

• 2 page TidalHealth Preceptorship Agreement signed by the student, a school representative and the preceptor. If the preceptor is an Advanced Practice Provider (i.e. Physician Assistant, Nurse Practitioner, Nurse Anesthetist or Nurse Midwife), please request your preceptor to have their supervising physician also sign the agreement.
• Letter of Good Standing from the program
• Medical Clearance:
  • MMR — two vaccines or positive titer
  • Varicella — two vaccines or positive titer. History of disease is not acceptable.
  • PPD within 12 months of rotation start date
  • TDAP within 10 years of rotation start date
  • Influenza vaccination during flu season (October – April)
• Copy of criminal background check (including county/state criminal search within 12 months of rotation start date)
• Copy of 10 Panel Drug Screen within 12 months of rotation start date
• CPR Card — American Heart Association Basic Life Support
• Copy of Student ID
• Copy of Driver’s License
• Copy of student’s nursing license (or nursing license number and state) when completing a clinical rotation related to an advanced nursing program.
• Surgical Preceptorships: documentation of completion of TidalHealth Surgical Services Orientation is required if precepting with a physician with surgical privileges. Contact Susan Lynch ([email protected]) to set up an orientation class. Students may start their surgical rotations on time, however, will not be permitted in the Surgical Services area (OR) until the orientation is complete. It can be scheduled on a day during the student’s first week so they do not have to make a separate trip.
• Complete the highlighted areas of the Information Technology Acceptable Use Policy Acknowledgement and Consent Form along with the checked areas of the Request for Information Services System Sign-On Form (only when the preceptor is requesting IT access.)  DO NOT return these forms to the IT Dept. Please include these forms in your submission of documents to the Medical Education Coordinator a minimum of two weeks prior to the rotation start date to allow ample time to create your student account.

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TidalHealth Nanticoke Application for Advanced Practice Clinician Students 

Thank you for your interest in becoming an advanced practice clinician student at TidalHealth Nanticoke. Please follow the steps below to apply.

Step 1: Confirm Affiliation Agreement

Using the list below, please confirm that your college/university is listed as having a current affiliation agreement with TidalHealth Nanticoke.

• Alderson Broaddus University
• Anne Arundel Community College
• Arcadia University
• Bay Path University
• Chamberlain University
• Chesapeake College
• Christiana Care Health Services Family Medicine Residency Program
• Delaware County Community College
• Delaware State University
• Delaware Technical & Community College
• Elizabethtown College
• Frontier University
• George Washington University
• Georgetown University
• Lenoir-Rhyne University
• Misericordia University
• Notre Dame of Maryland University
• Philadelphia College of Osteopathic Medicine
• Polytech Adult Education
• Salisbury University
• Spring Arbor University
• Sussex Technical Adult Education
• Thomas Jefferson University
• University of Cincinnati
• University of Delaware
• University of Maryland Eastern Shore
• University of Massachusetts
• Walden University
• Wesley College
• Widener University
• Wilmington University
• Wor-Wic Community College

NOTE: If there is no affiliation agreement in place, have your school/program contact Susan Hill at [email protected] or 302-629-6611, ext. 2545. This process may take up to 8 weeks. Requests for agreements will be approved based on preceptor availability.

Step 2: Find a Preceptor

Our organization does not match students requesting a preceptorship with a physician or advanced practice provider. Please use the Find A Doctor search on our website to search physicians and advanced practice providers by specialty. You will need to make contact with our providers to request a potential preceptorship.

Step 3: Submit Forms & Documentation

Please print and complete the forms below and submit with documentation listed below to Erica Courtney by email at [email protected] or by fax to 302-628-6340. All forms and documentation must be submitted prior to clinical experience.

Forms

• Confidentiality of Information Statement
• Student Checklist

Documentation

• Current CPR card
• Driver’s license or school ID
• Nursing license (APRN students only)
• Influenza vaccine documentation (October 1 – March 1)

Step 4: Contact Staffing Coordinator

Once all completed paperwork is received, the Staffing Coordinator will contact you and issue an Authorization for Clinical Form. This must be presented on your first day of clinicals.

If you have any questions, please contact:

TidalHealth Nanticoke
Erica Courtney, MSN, RN, PCCN
302-629-6611, ext. 2239
[email protected]

TidalHealth Providers Offices
Katie Gordy, MSN, RN, CNOR
302-629-6611, ext. 8911
[email protected]