How DC's APRN rules shape who can precept you
The District gives nurse practitioners full practice authority, and Chapter 56 of Title 17 of the DC Municipal Regulations decides who may precept an APRN student and which license the student must hold. The DC Board of Nursing approves GW's graduate APRN programs, which gives GW students firmer footing here than students of programs based elsewhere.
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Full practice, and what it means for a DC preceptor
AANP lists the District as a full practice jurisdiction. DC law lets nurse practitioners evaluate patients, diagnose, and prescribe medications and therapeutic measures, and NP licensure is regulated by the Board of Nursing alone. The Code sections that once required written protocols and physician collaboration are repealed, and DC's rules define NPs as primary care providers.
For your search, that means a DC NP who agrees to precept you is practicing on their own authority, with no collaborating physician to identify in GW's paperwork. District NP licensure rests on an RN license, completion of an NP program and national certification, with 15 continuing education hours every two years to keep it current.
Your license: 17 DCMR 5610.10 and 5611.9
Two sections of Chapter 56 settle the student license question. Section 5610.10 says APRN students must hold a current District RN license before they take part in clinical practice as students. Section 5611.9 makes the same demand of RN students doing APRN clinicals in the District, who "must possess an active unencumbered license in the District of Columbia."
Because DC has not joined the Nurse Licensure Compact, a multistate license from Maryland or Virginia meets neither rule. Since August 4, 2025, the Board has offered expedited endorsement to holders of an active multistate license whose primary residence is a compact state, which shortens the path to a DC license without replacing it.
The District's student exemption, D.C. Code ยง 3-1201.03(c), lets an enrolled student practice as part of the course under a DC-licensed professional or Board-qualified teacher, following Board procedures. It covers your practice as a student; Chapter 56 still expects the RN license underneath it to be a District one.
Who DC allows to precept an APRN student
Section 5610.7 sets the core test for anyone precepting APRN clinicals in the District. The preceptor holds an active, unencumbered license as an APRN or a physician, practices in a comparable practice focus, and acts as supervisor and teacher who evaluates your performance in the clinical setting. Other parts of Chapter 56 add surrounding rules:
- Section 5608.14: a clinical preceptor in DC health facilities holds an active DC nursing license in good standing, authorized at the student's level or above.
- Section 5608.12: the school keeps written criteria for selecting, orienting and monitoring preceptors.
- Section 5608.13: faculty verify the student's clinical competency before placing the student with a preceptor.
GW's own standard, from its 2021 clinical placement guide, sits inside these rules: an NP, MD, DO or CNM with at least two years in advanced practice and a current unencumbered license. Match the preceptor's specialty to your course's population, and let your program director judge the fit. The full GW standard is on GW's preceptor requirements.
Hours and faculty: DC's floor and GW's standard
Section 5610.8(d) requires DC-approved APRN programs to include at least 500 hours of supervised direct care, counting 50 minutes as one hour. GW's NP tracks go past that floor, with 600 precepted clinical hours in every track. The 50-minute measure describes how DC tests a program's minimum; the way you record hours for GW follows GW's own CORE rules, set out on clinical hour logs.
Chapter 56 also reaches the faculty of DC-approved APRN programs. Section 5610.6 expects them to be District-licensed registered nurses in good standing, with clinical-course faculty holding a DC APRN license, and section 5611.5 asks faculty teaching online didactic courses in a DC-approved distance program to obtain District licensure.
Letters of Authorization for programs based elsewhere
Programs not approved to operate in DC fall under section 5611. They notify the Board before placing students, meet its standards and obtain a Letter of Authorization through the Board's online portal, which serves schools only, never individual students. A complete application brings a letter in about ten business days, valid for up to a year. The policy has shifted twice since 2024:
- December 4, 2024: a pauseThe Board issues an alert that it will temporarily stop accepting distance-education and clinical placement applications from programs not approved to operate in DC while it reviews Chapter 56.
- August 6, 2025: placements resumeA Board memo reauthorizes facilities to offer placements to distance-program students whose schools show HELC authorization (SARA participation counts), full home-state approval and national accreditation.
- The same memo: a cap and a priorityUnder SARA, no more than ten students may be at one clinical site at any given time unless HELC approves more, and DC Health says it will prioritize DC-based programs and District residents enrolled in distance programs. The memo was later reprinted in the Board's January 7, 2026 agenda packet.
Where GW stands
GW's graduate APRN program appears on the Board's 2025 list of approved APRN, RN and LPN programs, approved September 4, 2025, without the asterisk that marks conditional approval. GW's Bulletin states that its MSN, DNP and post-master's APRN certificate programs are approved by the DC Board. Since section 5611 addresses programs not approved to operate in DC, the Letter of Authorization process is, on its face, aimed at other schools. GW's BSN is a separate case: Virginia approves it, and it is taught in Ashburn.
Questions remain. The 2021 compiled Chapter 56 says distance programs of DC-approved schools need Board approval too, MedStar reads the rules as sending every distance-learning placement at a DC facility through the Board, and the memo's account of section 5611.2 differs from the 2021 text. Whether GW holds a distance-program approval or a Letter of Authorization is not public, so ask the Clinical Placement Team. GW's approvals are summarized under accreditation.
Putting DC's rules to work for you
Every District preceptor we bring to a GW student is checked against these rules before GW sees the name: an active, unencumbered APRN or physician license, a practice focus that matches your course, and GW's two-year advanced practice standard. Your placement advisor confirms your DC RN license will be active before the term and flags any site likely to ask about GW's program status, so the Clinical Placement Team hears the question early and your start date holds.
Site-by-site intake is on the DC preceptor guide, studying with GW from the District is covered on the Washington, DC page, and the contact form starts your search.
Questions GW students ask
Can a Maryland-licensed NP precept me at a DC clinic?
Most likely only with a District license as well. Section 5610.7 names no jurisdiction for the APRN or physician license, but section 5608.14 says a clinical preceptor in DC health facilities holds an active DC nursing license. Because DC sits outside the compact, an NP practicing in the District normally holds a DC license already. Confirm with the site.
Does GW need a Letter of Authorization to place me in DC?
Section 5611 targets programs not approved to operate in the District, and GW's APRN program is on the DC Board's approved list. An older rule on distance programs of DC-approved schools and MedStar's broad reading leave room for doubt, and GW's own status is not public, so ask the Clinical Placement Team.
Does DC's 500-hour minimum mean I could finish GW with 500 hours?
No. DC's 500 hours is the floor a program must meet to hold District approval, not a student's target. GW requires 600 precepted clinical hours in every NP track, split across its clinical courses, and GW logs and counts those hours under its own rules in CORE.
Is DC about to join the Nurse Licensure Compact?
Not on current evidence. Bill B26-0069 was introduced on January 22, 2025 and referred to committees on February 4, 2025, with no later action shown, and an earlier bill from 2023 stalled. NCSBN's compact map, dated August 2026, still leaves DC out. Plan on holding a DC license for any District rotation.
Related pages
Last checked 2026-09-24
We check these pages against GW's Bulletin and GW Nursing's own program and clinical pages. Your course, CORE and GW's Clinical Placement Team have the final word.
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