Shadowing a PA: What to Watch, What to Ask, How to Get an LOR, and What NOT to Do

Posted on July 21, 2025Comments Off on Shadowing a PA: What to Watch, What to Ask, How to Get an LOR, and What NOT to Do

So you landed a PA shadowing opportunity—woohoo! 🎉
You’ve got your stethoscope earrings on (purely for vibes), your notebook ready, and your “I’m ready to be a sponge!” mindset locked in.

But… now what?

Shadowing a physician assistant is one of the most powerful things you can do to strengthen your PA school application. It gives you a behind-the-scenes peek into the world you’re about to enter—and it also gives PA schools a reason to take your app seriously. But to make the most of it, you’ve gotta do more than stand quietly in the corner.

Here’s exactly what to watch, what to ask, and what not to do when shadowing a PA.


🩺 What to Watch During Your PA Shadowing Experience

1. Clinical decision-making in action
Watch how the PA approaches each patient. Do they go straight to diagnostics? Ask lifestyle questions? Order labs? Notice the process—this is where your clinical brain starts forming.

2. Interactions with patients and families
How does the PA deliver tough news? How do they build rapport quickly? These soft skills are just as important as medical knowledge.

3. Communication with the healthcare team
Observe how PAs interact with nurses, physicians, techs, front desk staff. Collaboration is at the heart of the PA role, and schools want to know you get that.

4. How time is managed
Shadowing is a great place to see what “real life” looks like—how PAs balance charting, patient load, urgent interruptions, and more.


❓ What to Ask the PA

Keep a small notebook (yes, really!) and jot questions as they come up—but wait to ask until the end of the shift unless they invite questions in real-time.

Here are some great Qs to get you started:

  • What made you choose the PA profession?
  • What do you wish you knew before PA school?
  • What’s your favorite part of this specialty?
  • What’s the biggest challenge in your current role?

Pro tip: Ask one or two meaningful questions that show you’ve been paying attention. Quality > quantity.


🚫 What NOT to Do While Shadowing a PA

Let’s avoid rookie mistakes, shall we?

❌ Don’t act like a patient.
You’re there to observe, not get your sore throat checked out.

❌ Don’t interrupt patient interactions.
Unless the PA specifically asks for your input or lets you chime in, keep your observations to yourself.

❌ Don’t dress like you’re going to brunch.
Professional, neutral attire is a must—even for virtual shadowing.

❌ Don’t take notes during patient interactions.
It can make patients uncomfortable. Wait until after the visit to jot down your thoughts.

❌ Don’t be passive.
You don’t need to be chatty, but you do need to be present. Make eye contact, nod, be engaged—even in silence.


🔥 Want More Shadowing Opportunities (Without the Awkward Cold-Email Hustle)?

We got you.

Inside our PA-Cers Membership, you’ll get weekly virtual PA shadowing sessions in a TON of specialties you may not have access to in person. Think ortho, derm, trauma surgery, OB/GYN, psych, and more. It’s like a backstage pass to every part of medicine. 🎟️

Here’s what makes PA-Cers amazing:

✅ Weekly live shadowing hours with practicing PAs
✅ Hours of replay content (yes, all that count for your CASPA!)
✅ Counts as a professional membership on CASPA too!
✅ Clinical workshops + med term refreshers
✅ Access to specialties you would never get to see otherwise

💥 Want in? Join PA-Cers and start stacking your shadowing hours (and confidence) the smart way.


Final thought:
Shadowing is more than a checkbox—it’s your golden opportunity to show PA schools, “I know exactly what I’m getting into, and I’m ready.” So go in with intention, stay curious, and above all—soak it in.

You’re meant for that white coat. Let’s get you there. 👊🏼

Comments Off on Shadowing a PA: What to Watch, What to Ask, How to Get an LOR, and What NOT to Do