Precepting is a vital leadership responsibility that shapes the next generation of nurse practitioners (NPs). A successful precepting experience not only enhances clinical competence but also fosters professional growth for both the student and the preceptor. This guide outlines key strategies to ensure a productive and rewarding rotation.

1. Understand the Objectives of the Rotation

Before the rotation begins, clarify the learning objectives with the student and their faculty. These may include mastering specific clinical skills, improving diagnostic reasoning, or developing patient communication strategies. Aligning expectations early ensures that both the preceptor and student are working toward shared goals. The university should provide the preceptor with an orientation that encompasses this content and provides key contacts and dates.  

You can direct students to additional resources such as the AANP Student Education and Training (SET) platform. It offers guidance for NP students transitioning into clinical practice, helping them define and pursue clear objectives. 

2. Define Clinical Logistics: Patient Load, Visit Types, and Autonomy

Set clear expectations about the daily patient volume, types of visits, and the level of autonomy the student will have. For example: 

• Patient Load: Start with 4–6 patients per day and gradually increase as the student gains confidence and competency. 
• Visit Types: Include a mix of new patients, episodic visits for chronic disease management, and preventive care visits to provide a well-rounded experience. 
• Autonomy: Begin with observation, then progress to independent patient encounters with supervision. 

This structure helps students build confidence while ensuring patient safety and quality care. 

3. Assess the Student’s Level

Every student enters a rotation with a different baseline of knowledge and clinical experience. Spend time during the first day assessing their comfort with: 

• Taking patient histories 
• Performing physical exams 
• Formulating differential diagnoses 
• Interpreting test results  
• Identifying appropriate pharmacotherapy  
• Documenting in the electronic health record 

This assessment allows you to tailor your teaching approach and assign responsibilities that are appropriately challenging. 

4. Apply the “Watch One, Do One, Teach One” Model

This time-tested model remains effective in clinical education: 

• Watch One: Have the student observe your patient encounters to understand your workflow, communication style, and clinical reasoning. 
• Do One: Allow the student to conduct parts of the visit, such as the history or physical exam, while you observe and provide feedback. 
• Teach One: Encourage the student to explain clinical concepts or teach back procedures to reinforce their learning. 

This gradual progression supports skill development and builds clinical confidence. 

5. Debrief at the End of Each Day

Daily debriefs are essential for reflection and growth. Use this time to: 

• Review what went well 
• Discuss clinical challenges 
• Clarify any misunderstandings 
• Set goals for the next day 

These conversations foster open communication and help students process their experiences in a supportive environment. 

6. Conduct Mid-Term and Final Evaluations

Formal evaluations provide structured feedback and are often required by academic programs. At mid-term: 

• Highlight strengths and areas for improvement 
• Revisit learning objectives 
• Adjust the rotation plan if needed 

At the end of the term, provide a comprehensive review of the student’s progress and offer constructive feedback they can carry forward into future clinical experiences. 

7. Collaborate with Faculty

Maintain regular communication with the student’s faculty advisor. Share updates on the student’s performance, raise concerns early (clinical or professional related), and seek guidance when needed. Faculty collaboration ensures that the rotation remains aligned with academic expectations and supports the student’s overall development. When in doubt, contact the faculty!  

8. Celebrate Successes and Address Challenges

Leadership in precepting means recognizing both achievements and areas for growth. Acknowledge when a student demonstrates clinical insight, professionalism, or patient rapport. At the same time, don’t hesitate to address issues such as: 

• Incomplete documentation 
• Gaps in clinical knowledge 
• Difficulty managing time or workflow 

Approach these conversations with empathy and a focus on improvement. 

9. Raise Your Hand When There’s a Concern

If a student is struggling significantly or if patient safety is at risk, escalate the issue promptly. Contact the faculty advisor and document your observations. Early intervention protects patients and provides the student with the support they need to succeed. 

Final Thoughts 

Precepting is more than teaching—it’s a form of leadership that shapes the future of the nurse practitioner profession. By setting clear expectations, fostering autonomy, and providing thoughtful feedback, preceptors create a learning environment where students can thrive. Your guidance not only builds clinical competence but also instills the values and confidence that define exceptional NPs. 

At ClickClinicals^SM, we believe in empowering nurse practitioners to lead with clarity, compassion, and clinical excellence. Whether you're guiding a student through their first patient encounter or helping them refine their diagnostic skills, your leadership makes a lasting impact.