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Well, I have been doing other ECs consistently over this whole time... but more recently, I've shifted my focus away from typical "pre-med" stuff. I did my longest clinical experience (2 years at same job) freshman and sophomore year. Since returning to school, I did one other clinical thing (full time for one month this summer) but I started focusing more on other stuff (like athletics, other community service, research). I shifted my focus purposely - thinking that it would be good to round out my application - and because I just wanted to enjoy myself!
Does that sound reasonable?
In your situation, you have not only two solid years of clinical experience, but also your own personal interctions with the US medical system for a period of time. Provided you plan to mention the latter in your Personal Statement (only for the part it played on your decision to go into medicine), I think you'd be fine with some shadowing over the winter and spring breaks so as to have some recent dates. I do think it's important to have recent dates.