• The 2026-2027 DO School Specific Threads are now available in the School Specific Discussions forum. The 2025-2026 discussions are now available in the prior year discussions forum.
  • Bring your 2026 application questions to our open office hours with Emil Chuck, PhD, Director of Advising Services for HPSA, and get them answered live. Personal statements, secondaries, interview prep, school list strategy. Sunday, May 17 at 9 p.m. Eastern.

Do I need to shadow a DO?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

supercoolinitials

New Member
2+ Year Member
Advertisement - Members don't see this ad
Is DO shadowing explicitly required? I have a lot of clinical experience working with PAs/MDs/NPs, just not DOs. I have seen different articles and posts on a variety of sources saying both yes and no. Does anyone have experience with this?
 
For DO schools, many schools just say "physician letter required, but a DO physician is highly recommended", but some say "DO physician letter required" so I would recommend that you look into shadowing a DO around you in primary care. It will help with the screening/requirements at various DO schools as well as provide you with some first-hand insight into what being a DO physician entails as a whole.
 
Is DO shadowing explicitly required? I have a lot of clinical experience working with PAs/MDs/NPs, just not DOs. I have seen different articles and posts on a variety of sources saying both yes and no. Does anyone have experience with this?
For most schools, lacking a d o letter won't hurt you, but having one will definitely help you.
 
Advertisement - Members don't see this ad
Is DO shadowing explicitly required? I have a lot of clinical experience working with PAs/MDs/NPs, just not DOs. I have seen different articles and posts on a variety of sources saying both yes and no. Does anyone have experience with this?
I didn't shadow a DO and I just made sure to apply to programs that didn't *require* a DO LOR. some do, but not many. I got plenty of DO II's. I was just careful to make sure my Why DO answer during interviews was solid and not just some "another tool in the toolbox" answer!
 
I realize in some areas there are no, or few DOs and shadowing might be difficult. I always gave consideration to applicants who bothered to shadow and receive a LOR from a DO. I also would check to see if applicants even bothered to Google the 4 tenets of Osteopathic medicine before their interview. The ones who didn't I considered them to be using us as a backup.
 
I realize in some areas there are no, or few DOs and shadowing might be difficult. I always gave consideration to applicants who bothered to shadow and receive a LOR from a DO. I also would check to see if applicants even bothered to Google the 4 tenets of Osteopathic medicine before their interview. The ones who didn't I considered
It’s almost everyone’s backup suffix
 
You should try to shadow a DO at the very least. I didn’t have a letter, but received 8 IIs this cycle and was accepted to every school I interviewed at (3 of them).

I did mention my DO shadowing in all my DO secondaries though, and it came up in interviews.
 
just my experience, but I had previous experience working with DO surgeons and FM sports medicine, but one school reached out and wanted to interview me but wouldnt until I had shadowed an actual DO PCP for 10-15 hours. Ended up getting accepted there but not the school I'm attending.