MedHub Requests

MedHub Preceptor Profile Request

Request to create a new preceptor profile in MedHub. Please look for educators under the Faculty Directory section of MedHub before submitting a new request.

Your Name(Required)

First Last

Your Email Address(Required)

If you have more than 2 Preceptor Profiles to request at one time, please use this template and upload below.

If there is a "bu.edu" email address applicable for this preceptor, please provide.

Preceptor preferred email address must be an institutional email (e.g. University, Hospital). Gmail, Yahoo, and similar personal email addresses will not be accepted.

File

Accepted file types: xlsx, xls, Max. file size: 100 MB.

How many preceptor profiles are you requesting?(Required)

3 or more (file upload)

Preceptor #1

Preceptor Name(Required)

First Last Credential (ex. MD, NP, PA, PhD)

Preceptor BU Email Address

Preceptor Preferred Institutional/Work Email Address(Required)

Preceptor email address must be an institutional email (e.g. University, Hospital). Gmail, Yahoo, and similar personal email addresses will not be accepted.

Preceptor Institutional Profile Link(Required)

Please add the preceptor's institutional provider/faculty profile link for verification of affiliation (e.g., https://profiles.bu.edu/Priya.Garg; https://www.bmc.org/about-us/directory/doctor/priya-s-garg-md).

Preceptor Rank(Required)

Clinical Rotation(Required)

Please select the Clinical Rotation you would like this preceptor to be available for.

Clinical Rotation (Other)

Location of Clinical Rotation(Required)

Please enter the Preceptor's clinical rotation site/location name.

Preceptor #2