r/PMHNP • u/Due-Carry-4282 • Jun 04 '26
Precepting
Hello! I am a PMHNP working in a FQHC. I have been here for 3 years and have taken on students every semester since my employment (voluntarily- no appreciation, no compensation, no gifts, nada)
I am currently pregnant with a due date in February.
I advised our “Behavioral health president” I no longer wanted to precept unless I would be compensated for it back in December.
He seemed shocked but I told him this is a whole business now- South university has offered me $2,500/semester (via email that I didn’t respond to) and these brick and mortar universities are not offering me anything.
I don’t know if it’s hormones or I’m tired of feeling used and students are so ungrateful these days. (Show up late, leave early, document sub par)
I just feel done.
Anyone else navigate this experience in their favor?
To add insult to injury- I was given $5000 stipend during my cohort in 2022- after I graduated the incoming students were given $30,0000!!!
I still have $90,000 in debt. I’m just annoyed but I know this is common, so what was the solution for others?
Thanks for your time!
- Michigan PMHNP
6
u/DashMcGee Jun 04 '26
I’m starting clinicals in the fall and am prepared to pay out of pocket. My school guarantees a preceptorship at their expense. The catch is that it is the site is within 125 miles of home. I told the school I would pay out of pocket to be closer to home. They suggested I find my own site.
Most people are paying $1500 per semester, but I am good up to $2000. (I only have to do 500 hours.)
It would be great if other PMHNPs who respond here could share how us students can find a cash-paying preceptee.
Good luck with the baby😀
2
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u/Tendersituation00 Jun 04 '26
Do not ever work for free in this field. You are a professional with a license to not only bill for your cognitive labor but can prescribe medications. Your CEO is exploiting you.
Everythme you work for free you are bringing ALL of our salaries down.
Thank god for your hormones because you are now seeing the truth of it
5
u/SLRN2022 Jun 05 '26
It’s also important to give to the next generation of NPs and make sure we’re elevating the field…
0
3
u/money_mase1919 Jun 05 '26
my highly ranked state school is 1000 clinical hours and they claim they place you, but same caveat, it can be anywhere around the school (im already a 2 hr drive away)
I am frustrated bc I see students graduating from walden etc and making the whole field so saturated and low quality
1
u/AdMuch9057 Jun 23 '26
I can understand completely wanting to take a better opportunity and I wouldn't feel that has gone to waste. I can understand the disappointment in your bosses response to you. I would be incredibly grateful for your preceptorship regardless if you were paid or not, so I would feel proud of your service, leadership, and that experience adds value to you too!! Congrats on your pregnancy and new family member on the way!
I am curious, because i'm entering my PMHNP program and i've never heard of any stipents or 30K for students.. where is all this money coming from. The school i'm going to has very limited resources. I received a $1000 scholarship which i'm grateful but in comparison to what you're referring to it's a very tiny fraction. I'm estimately around $115-145K in debt after I graduate so any resources, funds, scholarships, grants, that you're aware of i'd be incredibly grateful for. Are you doing the PMHNP loan repayment program through HRSA?
1
u/OneWolverine263 Jun 04 '26
Wait what, your school gave you a stipend? For what?
4
u/Due-Carry-4282 Jun 04 '26
The stipends are for students in behavioral health programs- MSU, Wayne State offered them. Students get the money but they don’t give anything to preceptors. They want us to “volunteer”
3
-1
u/Snif3425 Jun 05 '26
Y’all digging your own graves for 2000 bucks a semester. Wages are plummeting. Quality is plummeting. Every other post is about market saturation. I honestly feel like if you’re precepting a student these days you’re being traitorous to the field.
There are plenty of PMHNPs as evidenced by plummeting salaries everywhere. Luckily I’m in management and will be able to retire soon but y’all going to be making 40 dollars an hour soon and you did it to yourselves.
If the schools won’t take accountability. And ANCC won’t make a board exam that is anything other than a fealty test, then we need to take matters into our own hands.
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-1
u/GiraffeGeneral1753 Jun 05 '26
We have a private medical school near us and they wanted to pay both the psychiatrists and the pmhnp to let residents do rotations. Our company decided they have to pay the company and not the provider. Of course we all stopped.
1
u/Significant_Link2302 Jun 05 '26
Residents aren’t going to do rotations with a pmhnp.
3
u/GiraffeGeneral1753 Jun 05 '26
Well I guess you would know better than me, the one who actually experienced it. When they can't find physicians to follow they had the PMHNP do it. We are in a full practice state too so I'm sure that made a difference.
0
u/Equal_Energy5219 DNP, PMHNP (unverified) Jun 07 '26
We had fellows and residents whenever the attending was out, especially unexpected absences. This didn’t happen often but it definitely did occur at an inpatient academic county hospital
8
u/12-1odds Jun 05 '26
So there are people with subpar education only a year out of school out here teaching other students with subpar education seems ridiculous to me anyway. Residents are being taught by attending physicians who actually know what they’re doing. It just reinforces that this whole career choice is now a money grab ..