The short answer
Clinical placements come with their own vocabulary. A preceptor supervises a student’s clinical hours; an affiliation agreement is the agreement between the school and the site; direct patient care hours are the hours a student spends caring for patients; and a clinical log is where the student records them. The glossary below defines the terms schools, boards and students use most.
- 42terms defined, from affiliation agreement to SNAPPS
- 750direct patient care hours: the NP minimum
- 3titles for the same role: preceptor, site supervisor, field instructor
- 7certifying boards named, from AANPCB to NCCPA
How to use this glossary
Terms are grouped by where you will meet them: the people, the paperwork, the hours, teaching and evaluation, and the boards. Each definition is short and in plain words, with a link to the article that goes deeper where there is one.
Terms that differ between professions
The same idea often has different names. Nursing and PA programs say preceptor; counseling says site supervisor; social work says field instructor; behavior analysis says fieldwork supervisor. Nursing counts direct patient care hours; counseling counts direct service hours; social work counts field education hours; behavior analysis counts supervised fieldwork hours. Knowing the local word helps conversations with a program go smoothly.
The terms
- Preceptor
- An experienced, licensed clinician who supervises a student’s clinical hours in their own practice, in person or virtually.
- Site supervisor
- The counseling term for the clinician who supervises a counseling student’s practicum or internship at a site.
- Field instructor
- The social work term for the practitioner who supervises a BSW or MSW student’s field education.
- Fieldwork supervisor
- A qualified BCBA who supervises a behavior analysis candidate’s fieldwork under BACB rules.
- Clinical faculty
- The school’s faculty member who oversees a student’s clinical course and stays in touch with the preceptor.
- Clinical coordinator
- The school staff member who arranges placements and confirms preceptors and sites.
- Affiliation agreement
- The agreement between a school and a clinical site setting out how students complete hours there.
- Preceptor packet
- The school’s orientation materials for a preceptor: course objectives, evaluation forms and contacts.
- Preceptor orientation
- The introduction a school gives new preceptors, written, verbal, virtual or face to face.
- Clinical log
- The record of a student’s clinical days, hours and patient encounters, often kept in a system such as Typhon or Exxat.
- Direct patient care hours
- Hours in which the student provides care to patients under supervision, in person or through telehealth.
- Practicum
- A supervised clinical course; in counseling, the first supervised experience, of at least 100 hours.
- Internship
- In counseling, the 600-hour supervised experience that follows the practicum.
- Field education
- Social work’s supervised practice: at least 400 hours for a BSW and 900 for an MSW.
- Supervised fieldwork
- The hours a BCBA candidate completes under supervision: 2,000, or 1,500 concentrated.
- Population focus
- The patient population an NP is prepared for: family, adult-gerontology, pediatrics, women’s health, neonatal or psychiatric-mental health.
- Dual-track program
- An NP program preparing a student for two population foci and two certifications.
- Immersive experience
- A concentrated clinical experience near the end of an NP program.
- Rotation
- A block of clinical time in one setting or specialty, especially in PA programs.
- Block of hours
- With Preceptorate, the hours a preceptor is paid for together; its length follows the student’s program.
- Midpoint evaluation
- The preceptor’s assessment of a student’s progress halfway through a rotation, with goals for the second half.
- Final evaluation
- The preceptor’s assessment of the student against the course objectives at the end of a rotation.
- One-Minute Preceptor
- A five-step teaching model: get a commitment, probe for evidence, teach a general rule, reinforce what was right, correct mistakes.
- SNAPPS
- A learner-led teaching model: summarize, narrow, analyze, probe, plan and select a topic to learn.
- Nursys
- The database state boards of nursing use to verify nurse and APRN licenses.
- Unencumbered license
- An active license with no restrictions, the standard schools ask of preceptors.
- Preceptorship letter
- A letter from the student’s program confirming your precepting dates and hours, used for certification renewal.
- Contact hour
- A unit of continuing education; boards such as AANPCB and AMCB convert precepting hours into contact hours.
- Category 1 CME
- The higher tier of PA continuing medical education; AAPA awards it to PA preceptors through accredited programs.
- Certifying boards
- ANCC, AANPCB, AACN Certification Corporation, PNCB, NCC, AMCB and NCCPA certify the clinicians who precept.
- Clinical site
- The practice, clinic, hospital or agency where a student completes clinical hours.
- Placement
- The match of a student with a preceptor and site for a clinical course.
- Site visit
- A check-in by the school’s clinical faculty with the preceptor, in person or by video.
- Telehealth hours
- Clinical hours a student completes through telehealth visits, counted where the school accepts them.
- Direct service hours
- In counseling, hours spent working with actual clients: at least 40 in practicum and 240 in internship.
- Concentrated supervised fieldwork
- The BACB fieldwork option with more supervision and fewer total hours: 1,500.
- Unrestricted activities
- BCBA fieldwork that resembles the work of a certified behavior analyst, at least 60% of the hours.
- ACME
- The Accreditation Commission for Midwifery Education, which accredits nurse-midwifery and midwifery programs.
- ARC-PA
- The accrediting body for physician assistant programs.
- CACREP
- The accrediting body for counseling programs, whose 2024 standards set practicum and internship hours.
- CSWE
- The Council on Social Work Education, which accredits BSW and MSW programs.
- NTF standards
- The National Task Force standards for quality NP education, sixth edition published in 2022.
Questions
What is the difference between a preceptor and a site supervisor?
What counts as direct patient care?
What is a clinical log?
Where can I read more about a term?
What is a population focus?
What is the difference between a practicum and an internship?
Sources
- National Task Force: Standards for Quality Nurse Practitioner Education, 6th edition (2022)
- CACREP 2024 Standards, Section 4: Professional Practice
- CSWE: 2022 Educational Policy and Accreditation Standards
- BACB: BCBA Handbook (updated June 2026)
- Neher JO, Gordon KC, Meyer B, Stevens N. A five-step “microskills” model of clinical teaching. J Am Board Fam Pract. 1992;5(4):419–24
- Wolpaw TM, Wolpaw DR, Papp KK. SNAPPS: a learner-centered model for outpatient education. Acad Med. 2003;78(9):893–8
- Nursys: nurse license verification
Checked October 30, 2026. Schools build on these standards with their own guidelines.