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Just wait on the letter. Unfortunately, most schools will not review a secondary/app until its complete, so if a DO/physician letter is required, they won't review it until that comes in.
Don't worry though, just get as much of your stuff in as possible, and maybe explain to her how important it is to have the letter in early, but make it clear you understand how important it is for you to spend at least a month shadowing her. If that doesn't work and you have the time, it wouldn't hurt to look for another person to shadow. Just keep shadowing the first DO, in case the next one you find doesn't work out.
As far as other schools, the LECOMs do review apps and offer ii's before LORs are sent in. In fact, you have until the interview day to submit LORs.
Don't worry though, just get as much of your stuff in as possible, and maybe explain to her how important it is to have the letter in early, but make it clear you understand how important it is for you to spend at least a month shadowing her. If that doesn't work and you have the time, it wouldn't hurt to look for another person to shadow. Just keep shadowing the first DO, in case the next one you find doesn't work out.
As far as other schools, the LECOMs do review apps and offer ii's before LORs are sent in. In fact, you have until the interview day to submit LORs.