Preceptor and Student Learning Agreement Statement. I have received the Preceptor and Student Learning Agreement and reviewed the assessment methods with my preceptor. I understand all methods by which I will be assessed in this rotation. I understand all patient data reviewed or discussed during the rotation must be kept confidential. Cases should only be discussed with the preceptor or members of the health care team. Any breach of patient confidentiality, however minor, may result in failure of the rotation. Student Name (Printed) Student Signature Date
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