Students work with a consistent preceptor in a clinical setting two days/week during a seven week time period. The students come to clinical 6 of these weeks with a QSEN Competency Rubric after relevant materials have been presented in lecture and lab. The rubrics are completed by the preceptor and student working together. The course faculty assess reflective journaling assignments for demonstration of knowledge at the intermediate level of QSEN competency using the appropriate rubric. Remediation involves completion of the assignments until the student achieves a score of 4 or higher on each rubric.