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DPM Shadowing Inquiry

The College of Podiatric Medicine at Western University of Health Sciences is pleased to assist prospective students in identifying shadowing opportunities with podiatric physicians. Please complete the form below, and we will contact you to discuss your options.

Contact Information

First Name*

Last Name*

Email Address*

Phone Number*

Shadowing Experience

What is your current educational status?

Undergraduate student

Graduate student

High school student

What are your reasons for wanting to shadow a Podiatric Physician? (Select all that apply)

Gaining insight into the daily life of a Podiatric Physician

Fulfilling academic requirements

Other

What aspects of Podiatric Medicine are you most interested in or excited about?

Foot and ankle anatomy and biomechanics

Diagnosis and treatment of foot and ankle conditions (e.g., fractures, sports, injuries, deformities)

Surgery

Other

Have you participated in any previous shadowing experiences? If yes, please select all that apply.

Podiatric Physician

General Practice/Family Medicine

Internal Medicine

Physical Therapy/Occupational Therapy

Other

Shadowing Request

Please specify where you would like to shadow.

Country

City

Region

Postal Code

What is your availability for shadowing? (e.g., days of the week, times)

Monday AM

Monday PM

Tuesday AM

Tuesday PM

Wednesday AM

Wednesday PM

Thursday AM

Thursday PM

Friday AM

Friday PM

Is there anything else you would like us to know or any questions you have about the shadowing program?