Shadowing at UCHealth

University of Colorado Hospital and Metro Denver Clinics

**This application is designed for individuals with a current faculty appointment at an Academic Medical Center (AMC) in the United States and existing privileges to practice clinically at an academic hospital**

Welcome to the application process for shadowing at UCHealth University of Colorado Hospital. We are committed to providing an enriching learning experience and are delighted to support you through the application process.

In an effort to reduce requirements for the application process for AMC faculty, submission of a letter from leadership at your academic facility will replace the health and TB requirements. Completion of the required online training modules within your portal is mandatory.

Question?

Please reach out to us at uchshadowing@uchealth.org or call 720.848.1886 with any questions or concerns. We look forward to supporting your learning experience at UCHealth!

New User Details

User ID

User ID (verify)

Password

Password (verify)

Applicant Information

* Please select your situation:

* I am shadowing for an interview

* First name

Middle initial

* Last name

Preferred Name

Preferred Pronouns

* Address:

Apartment #

* City:

State

Zip code:

* DOB (MM/DD/YYYY)

* E-mail (a professional email address associated with your home facility is required in this field)

* Cell Phone (xxx-xxx-xxxx)

Education

Highest level of education completed

* School Name

* Degree/Major

Current student

School Attending (if applicable):

Are you a physician or APP at an academic medical center in the United States?

If yes, please list the name of the academic medical center.

Are you actively teaching at the academic medical center? Check box if yes.

Are you actively practicing clinically at the academic medical center? Check box if yes.

Emergency Contact

Please provide the name, number, and email of someone we may contact in case of an emergency

* First and last name:

* Relationship

* Phone (Mobile)

* E-mail

International Phone Number

Shadowing Information

* Are you shadowing at UCHealth University of Colorado Hospital on the Anschutz Medical Campus

If no, please input the facitity or clinic you are hoping to shadow at

* Date of Shadowing Visit (1 date per application)

* Start time (please use military time)

* End Time (please use military time)

Total hours cannot exceed 12 hours in a 12 month time period. If you are scheduled to shadow across multiple days, please complete a returning shadower application for each date.

** please make sure the total shadowing hours you requested match the time between your start and end times**

* Total number of shadowing hours requested for this event:

* UCHealth Sponsor Name

* UCHealth Sponsor Email Address (please double check spelling)

* UCHealth Sponsor Phone Number

* UCHealth Department Shadowing:

* Why do you wish to shadow with UCHealth?

Health Information Upload

* Letter of Good Standing from leadership at your home institution. The letter must:  Confirm that you are in good standing Confirm that you are an active faculty member with existing privileges to practice clinicallyBe written on offical letterhead from your home institution By uploading a Letter of Good Standing, all health record requirements are waived for Academic Medical Center Faculty members. 

For questions in this area, we highly encourage you to review our FAQs

Please note: this is not an automated process, please allow ample time for application and document review

Shadower's E-Signature

As a participant in the UCHealth Shadowing Program, it is essential that all Shadowers are proficient in the English language to ensure the safety of our patients, the integrity of our clinical environments, and a respectful, effective experience for both our care teams and Shadowers.

* I confirm that I can communicate clearly in English, both verbally and in writing. This includes understanding medical conversations, safety procedures, policies, and general communication from UCHealth staff and patients.  I acknowledge that if, at any point during my shadowing, it is determined that I am not proficient in English and this is impacting safety, clinical workflows, or my experience, I may be removed from the program at the discretion of UCHealth University of Colorado staff.

I certify that all responses on this document are true to the best of my knowledge. I agree that this information may be verified by UCHealth staff. I understand that any misrepresentation of information constitutes cause for separation or termination from the Shadowing Program.

* Shadower's Name: Please type your name here as a form of electronic signature.

* Effective date

After you click 'Submit' you will be redirected to the home page.

This is a good time to review all FAQs if you haven't done so already.

Next Steps: Access your account and complete the Shadowing Orientation Quiz, HIPAA training, and the listed Agreements. All steps must be completed at least 7 days prior to your shadowing date. Please inform your Sponsor to expect an email asking them to acknowledge date and time of your shadowing request.

Please watch for an email regarding the status of your application.

Please check your SPAM folder and add uchshadowing@uchealth.org to your contacts list to avoid missing our emails.