Plasma sheet electron precipitation, much of it driven by whistler mode waves, is critical for magnetosphere-ionosphere coupling. This precipitation leads to a secondary electron population at low altitudes, which moves upward along magnetic field lines to the equatorial plasma sheet. We investigate observational evidence for such electron precipitation and the ionospheric feedback provided by the secondary electron outflows. Using the near-equatorial Time History of Events and Macroscale Interactions during Substorms (THEMIS) mission, we show that whistler mode wave bursts are accompanied by enhanced field-aligned electrons. The properties of these electrons are not related to the whistler mode waves, as would have been expected from local wave-particle interactions. Thus, it is unlikely that the field-aligned electrons are formed by electron Landau resonance with whistler mode waves. This population can be the secondary electron outflows resulting from plasma sheet electron precipitation to the ionosphere. Combining THEMIS, Cluster, and Fast Auroral Snapshot Explorer (FAST) measurements, we show that this field-aligned electron population is also observed at low altitudes, where it is associated with high-frequency electrostatic waves. These low-altitude waves are likely generated by the secondary electron outflows and, in turn, scatter these electrons outside of the loss cone, allowing them to be observed by the wide field-of-view particle instrument on the near-equatorial THEMIS spacecraft. We discuss how this secondary electron population can subsequently alter whistler mode wave generation and propagation in the magnetosphere.