Shadowing at UCHealth

University of Colorado Hospital and Metro Denver Clinics

**This application is designed for New Applicants**

Welcome, and thank you for your interest in a shadowing experience at the UCHealth University of Colorado Hospial. This application serves as the initial step in requesting a shadowing opportunity. We are committed to providing an enriching learning experience and are pleased to support you through the application process.

Please ensure that all required materials have been gathered before beginning the application process.

As a leading academic medical center, UCHealth University of Colorado Hospital is dedicated to providing aspiring healthcare professionasl the chance to gain insight and experience observing our committed clinicians and administrators.

Questions?

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

* Cell Phone (xxx-xxx-xxxx)

Education

Highest level of education completed

* School Name

* Degree/Major

Current student

School Attending (if applicable):

Emergency Contact

Please provide the name, phone number, and email address 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 you answered no, enter the name of the facility or location where you hope to shadow:

* 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 matches 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

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

* Results of a negative TB test completed within the last 12 months. Acceptable TB tests include: Skin test (PPD), blood test (Quantiferon Gold), Chest x-ray report

* Required immunization documentation (MMR, TDAP, Varicella) - Completed immunization series or positive titers.MMR: measles, mumps, rubella: multi-step vaccination series TDAP: diptheria, pertussis, tetanus: multi-step vaccination seriesVaricella: chickenpox: mulit-step vaccination series 

Required immunization documentation (additional upload if needed) - Completed immunization series or positive titers.

Required immunization documentation (additional upload if needed) - Completed immunization series or positive titers.

* Flu Vaccination (Required from October 1 to May 31).If all or some of your requested Shadowing experience falls within this timeframe, please plan to provide this documentation at time of submission.

COVID -19 Vaccination (optional, yet highly recommended - documentation not required at this time).

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: Please 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.