What is shadowing? It is basically following the doctor around and seeing what they do. Now the question is, what can I observe? I shadowed a family medicine doctor and i basically got to see him talk with patients, build rapport, diagnose, prescribe and then on to the next patient. no procedures.
i also shadowed an urologist and he was very procedure oriented. i got to observe cystoscopies, biopsies, etc (can't remember the rest right now), but basically, because he was a surgeon i got to see more things. also, he divded his practice so that on certain days, he had clinic where his patients came and he do a follow-up/check up on them and do procedures that didn't involve general anaesthetic. the other days, he would be in the OR doing surgeries. i wasn't allowed to observe surgeries because of legal issues/liabilities.
How did i get recommendations? OKay, what I learned about getting letters is to ask the doctor early on, so that way they are aware of your needs. basically, i was straight up and honest and asked "what do i need to do to get a letter from you" and he said that i should come observe him for two whole days. so i did that and he wrote me letter. what did he write? don't know, but obviously nothing negative since i got into medical school! baby bayba! haha anyway, i learned to ask LOR early on because some doctors do not want to write letters or can't cuz' they're so busy. good luck!