Clinical years: Preceptor Pay

[Spideyman01]

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Just curious but does anyone have any idea how schools deal with paying preceptors and or hospitals that their students rotate at?

 

[Poliscidoc]

http://forums.studentdoctor.net/ind...als-get-paid-for-elective-rotations?.1059025/


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[Spideyman01]

The thread you posted concerns electives, not your core school rotations.

 

[DocEspana]

Its the same sort of deal. The core rotations can receive "offsetting pay". Which doesnt go to the preceptors, it goes to the hospital or the department heads.

But if you can be an "adjunct professor" or "clinical professor" you can collect a paycheck. Albeit one with limits and caveats.

 

[DocEspana]

Its the same sort of deal. The core rotations can receive "offsetting pay". Which doesnt go to the preceptors, it goes to the hospital or the department heads.

But if you can be an "adjunct professor" or "clinical professor" you can collect a paycheck. Albeit one with limits and caveats.

If you can get someone to actually give a dollar amount I would be very interested. Ive never gotten a dollar amount, everyone ive asked balked and just gave me vague terms and ranges that are so variable that you cant make heads or tails of it (e.g. $250 to $200,000 per year)

 

[chizledfrmstone]

I know a few preceptors and most of them don't get paid at all. They said they get CME credit for it.

 

[costales]

I know a few preceptors and most of them don't get paid at all. They said they get CME credit for it.

Yep, CME vouchers are common if there is no honorarium.

 

[MalachiConstant]

Just learned recently that hospitals in our system actually pay the school to be core sites, and it's a pretty significant amount.
Seems ass-backwards to me.

 

[DocEspana]

Just learned recently that hospitals in our system actually pay the school to be core sites, and it's a pretty significant amount.
Seems ass-backwards to me.

Remember, it's flat out against the accreditation rules to pay an elective site and frowned upon to pay a core site (though educational cost offsets are allowed). All this adjunct professor stuff is somewhat under the table deals, but the majority of cases fall into the "no one gets paid to do this" category.

 

[Otto of the Silver-Hand]

I train MD/DO students (from the local osteopathic and allopathic med schools) and MD/DO residents . I have college students shadow me. I've never asked for, never received, and never expected to be paid for this service. The only time I received CME credit is when I give GRs or NTCs. Yeah, these things lengthen my day and I probably lose some bucks, but I consider it an honor and a privilege. I guess I'm old fashion and just trying to honor the Oath I took when I graduated from med school. Just my 2 cents.

 

[MalachiConstant]

Remember, it's flat out against the accreditation rules to pay an elective site and frowned upon to pay a core site (though educational cost offsets are allowed). All this adjunct professor stuff is somewhat under the table deals, but the majority of cases fall into the "no one gets paid to do this" category.

I wasn't aware it was prohibited to pay core sites. I'll have to read up on the accreditation rules. It was just really surprising to find out that money was actually flowing from the site to the school as I'd never heard of this arrangement before. This particular hospital appears to bear all the costs of our clinical training and has to pay the school to boot. Other than potential decreased physician recruitment costs in the future, I fail to see the incentive.

It's also frustrating on a personal level given the tuition we pay to the school for the dearth of services we receive in clinical years. They make out like a bandit, getting double tuition for 3rd and 4th year students while providing virtually nothing in return. Meanwhile, we deal with poor quality rotations and preceptors who aren't actively involved, save for an altruistic few, because there's no incentive.



Edit: couldn't find the payment prohibition in the COCA accreditation standards. Maybe someone could point me toward where to find that provision.

 

[ShyRem]

You don't get paid to precept. Or teach residents on your service. Its part of being an attending. You can, however, decline to take students and residents.