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Catalystik,
Thank you so much for helping me and everyone else on this post! I know you've heard this before, but we're so grateful that you're doing this!
I have a question regarding shadowing experiences. I am a junior, and I have volunteered in an outpatient clinic since senior year of high school, which has given me the chance to shadow a physician and her team of nurses in addition to helping them by taking patients' medications, scheduling labs and scans, etc. I have over 2000 hours shadowing and volunteering for them. My other shadowing experience was in an abroad 1-week brigade, where I was able to shadow and translate for 2 internal medicine physicians. I have written about both of these experiences in my PS/work-activities descriptions.
I'm a little concerned that I have only shadowed one physician (who practices a specific speciality) and her team for a long time. Does this seem concerning? I'm not sure if it looks better when students have shadowed one person for a long period of time (which has given me the chance to follow-up with hundreds of patients throughout their care) or when they have shadowed multiple patients, each for a shorter period of time. I'm worried that in my interviews, someone will tell me that I don't have broad shadowing experiences. Would you suggest that I shadow a different physician, maybe an internal medicine doctor, for some time? Or do my shadowing experiences seem enough?
Well, if you have only shadowed one doctor (or even one specialty) then they may see it as a negative. Have you really seen what it is like to be a doctor in a different area?
From my view, if I was looking at your application, I would think you would want to go into that field. If I asked you in an interview, what specialty do you think you want to go into, then I would expect to hear the one you shadowed. If our school specialized in primary care, then I would tend to accept more primary care doctors. If you shadowed only a plastic surgeon, then you may be at a disadvantage at my school. If I asked you what field you want to go into and you said something different than plastic surgery, I would immediately ask you why you didn't shadow in that field. If you said primary care, thinking it would be a positive thing to say, I would think you are lying to get into our school. That would earn an automatic rejection from me (and that happened to three people I know, all of who are now medical students despite rejections).
Even if you said the specialty, I would still ask why you didn't shadow another field.
And 2,000 hours is a huge amount! How active were you involved in that? Were you following the doctor for all of it, or were you at like the front desk? I understand you were with the doctors and the nurses, but how much with each? Did you just observe, or did you talk with the doctor and learn about diagnosing?
For example, when I shadowed a cardiologist, he taught me to read an ECG. After that, he had me look at them first, offer a diagnosis and then he would either tell me I was wrong or if he agreed. That went on for thousands of patients (and I wish I was exaggerating). Similar thing happened when I was with a family practice doctor. He would give me the test results and tell me that I needed to come up with a diagnosis or talk with him to come up with something together. If he decided we needed to do something, he would ask me how we should do it. He had me walk him through removing a toenail (he had me read about it during our lunch since he knew we would do it later in the day).
That was way different than when I was in the ER, where I was much more passive in following the doctors, acting like a fly on the wall. There I was more involved with the patients, taking vital, talking, and relaying information to the doctors/nurses. Sure I followed the doctors, but I wouldn't put that as shadowing since that was only like 25% of the time. It was mostly clinical experience, which is different than shadowing.