2024 Shadowing Program - Volunteer Physician Application

Thank you for your interest in volunteering with the Student Shadowing Program (Shadowing Program).

The Shadowing Program is a collaborative offering from the Alberta Medical Association's Section of Family Medicine, Section of Rural Medicine, and the Alberta College of Family Physicians. The program provides new medical students from the Universities of Alberta and Calgary with the opportunity to experience the specialty of family medicine and all it has to offer!

Your responses to the following questions will aid us in the matching process.

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* 1. Please provide the contact information for you and your practice (i.e., where the shadowing placement will take place).

Note: information provided below will be shared with the student you are matched with.

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* 2. Which of the following best describes your workplace setting? Please select all that apply.

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* 3. Shadowing placements will occur between June 8th to 28th and August 10th to 25th. Please indicate which days and what time you will be available for shadowing.

  AM PM ALL DAY
Saturday, June 8
Sunday, June 9
Monday, June 10
Tuesday, June 11
Wednesday, June 12
Thursday, June 13
Friday, June 14
Saturday, June 15
Sunday, June 16
Monday, June 17
Tuesday, June 18
Wednesday, June 19
Thursday, June 20
Friday, June 21
Saturday, June 22
Sunday, June 23
Monday, June 24
Tuesday, June 25
Wednesday, June 26
Thursday, June 27
Friday, June 28
Saturday, August 10
Sunday, August 11
Monday, August 12
Tuesday, August 13
Wednesday, August 14
Thursday, August 15
Friday, August 16
Saturday, August 17
Sunday, August 18
Monday, August 19
Tuesday, August 20
Wednesday, August 21
Thursday, August 22
Friday, August 23
Saturday, August 24
Sunday, August 25

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* 4. Are you interested in matching with more than one student?

Note: Matches are facilitated on a one-to-one basis. You will not be matched with more than one student at a time, unless specified in the comment box below.

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* 5. Would a student with a second language fluency benefit more from shadowing in your clinic?

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* 6. If you have any additional comments or questions, please let us know.

Upon making a match, a follow-up email will be sent to you with further instructions.
If your availability should change or you require further assistance, please email: shadowing@acfp.ca.

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