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Can someone tell me if I have a ton of patient care hours working as a medical assistant, do I still need shadow hours? Seems silly since I already work with PA's and physicians. Who would I shadow if I already am a paid employee? 

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It is silly, but many programs require it. Find out how many hours the programs you are interested require and get the hours. It is just another hoop to hop through, like the GRE. 

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