Section Phy 407.22 - Clinical Mentor of a Physical Therapist in an Accredited Residency or Fellowship Program(a) Documentation of clinical mentorship of a physical therapist during his or her residency or fellowship program shall be a photocopy of documentation containing information described in (1) through (6) below: (1) The name of the mentor;(2) The fact that the licensee was the resident or fellow's primary mentor;(3) The name of the accredited residency or fellowship program;(4) The physical address of the accredited residency or fellowship program;(5) The beginning and ending dates of the licensee's mentorship of the resident or fellow; and(6) The total number of hours the licensee mentored the resident or fellow.(b) The documentation shall be signed by: (1) The supervisor of the facility where the residency or fellowship was supervised; or(2) The clinical coordinator of clinical education.N.H. Admin. Code § Phy 407.22
Derived From Volume XXXVII Number 6, Filed February 9, 2017, Proposed by #12088, Effective 1/20/2017, Expires 1/20/2027.