The Short Coat

It’s a freestyle episode…can’t we just have a rambling conversation? Sometimes it’s nice to just sit down and have a rambling conversation. That’s this episode, with MD/PhD students Madi Wahlen and Sahaana Arumugam and M3s Jacob Hansen and Jacob Lam. We discuss the non-weighty topics of why people don’t know they shouldn’t stare at a ball of fusion in the sky, niche online community drama, a Texas transplant surgeon accused of manipulating transplant lists, everyday things that might not be things someday, why Dave doesn’t yet want an electric vehicle, the co-hosts plans for their futures beyond seeing patients, and so much more that is barely relevant to medical school. If you don’t like this kind of episode, do we have a solution for you--https://theshortcoat.com/tellus!

Occupational Medicine offers a great lifestyle, scope mix, and early-career satisfaction. Matthew Kiok, MD, MPH tells us he's found the perfect specialty. Occupational Medicine is one of those careers we're exploring in our sleeper specialty series--those which you might not immediately think of when you're considering a career as a physician. Dr. Kiok tells M1 Fallon Jung, PA1 Julie Vuong, and M2 Jeff Goddard that he has great work-life balance and a satisfying scope of practice. He makes a difference in peoples' lives by keeping them safe in their workplaces or assessing work-related injuries, even testifying as an expert in court. His experiences highlight the unique challenges and rewarding moments in his chosen career and insights into the complicated relationship between doctors, employers, and employees. He offers advice to those considering a similar career path--and he even gave us his email address if you want to ask him more about it! What a guy!

Are you better off as a surgeon or in palliative care? MD/PhD student Jacqueline Nielsen, M2 Hend Al-Kaylani, and M1 Fallon Jung play with personality to see if their path toward choosing the right medical specialty should be dependent on their personality traits. From the introspective nature of psychiatry to the rapid decision-making required in emergency medicine, Dave and crew explore how tests like The Big 5 or Meyers Briggs might influence their specialty choices. Some question the scientific validity of most personality testing, but the Big Five has some evidence behind it, so Dave also created a custom GPT to analyze their test results and suggest best (and worst) specialties for all of them. This episode also touches upon the broader implications of these choices on personal satisfaction and professional success in medicine. Also, we ponder our consumption of news and its impact on mental health and the Kate Middleton mystery's hold on the world.

M1 Fallon Jung, PA1 Olivia Quinby, MD/PhD student Faith Prochaska, M2 Jeff Goddard, and special guest Dr. Peter Kaboli dive deep into the heart of rural medicine. We kick off with a candid discussion about growing up in small towns and how these experiences shape our understanding of community and healthcare. Dr. Kaboli, an expert in rural health with the Veterans' Administration, shares his insights into the nuances of rural medicine. We explore the multifaceted challenges and rewards of practicing medicine in rural settings, from the importance of forming deep connections with patients to navigating the scarcity of healthcare resources. Telemedicine, workforce issues, geographic barriers, and the digital divide are central to the art of medicine in small towns and on county roads, sometimes requiring innovative approaches to healthcare delivery.

Speaking up for your patients will have profound impacts. Short Coat Savannah’s previous work in mental health settings exposed her to situations where she had to report abuse. She left us a message at 347-SHORTCT asking us to talk about patient advocacy. MD/PhD student Riley, PA1 Faith, M1 Jeff, and M3 Happy–along with some of our faculty–look at what doctors actually do to advocate for their patients in that situation, as well as other more common situations. Plus, Jeff licks an elephant to right an old wrong.

Dave hosts a weird cocktail party for his co-hosts, M1s Fallon Jung and Taryn O'Brian, MD/PhD student Jacqueline Nielson, and M3 Chirayu Shukla. The group dives into a variety of topics: surreal dreams, spring break plans, which celebrity they would replace one of their organs with, book recommendations, personal stories, and AI-generated songs about Menards and Chirayu's curtailed tennis career.

Dave hosts a weird cocktail party for his co-hosts, M1s Fallon Jung and Taryn O'Brian, MD/PhD student Jacqueline Nielson, and M3 Chirayu Shukla. The group dives into a variety of topics: surreal dreams, spring break plans, which celebrity they would replace one of their organs with, book recommendations, personal stories, and AI-generated songs about Menards and Chirayu's curtailed tennis career.

The Sheriff of Sodium investigates the state and future of medical training. If you’ve wondered how well the system that trains future doctors works, or about what factors really determine which medical students get into the most competitive residency programs, this episode is for you. M1 Fallon Jung, M2 Jeff Goddard, and M4 AJ Chowdhury get deep into these issues with a very special guest – Dr. Brian Carmody, known on his blog and YouTube channel as “The Sheriff of Sodium.” Dr. Carmody, a pediatric nephrologist by training, closely analyzes and shares data-driven perspectives on medical education, pulling on threads to understand whether the current medical training system is truly functional, fair, and efficient, examining factors like student debt burdens, physician shortages projections, and why people cheat on licensing exams. Like any good sheriff, Dr. Carmody is skeptical, especially about ideas like future physician shortages, and how schools report residency match outcomes.

An alumni of CCOM and SCP returns to prove: you can do it! MD/PhD student Miranda Schene, M2 Jeff Goddard, and M1 Fallon Jung visit with alumni Teneme Konne, MD, now a second-year resident. They start by smacking their foreheads over AI-generated images in a recent medical journal, unpacking the rigorous demands of peer review and its pivotal role in scientific accuracy. The conversation then shifts to Dr. Konne’s journey in medicine, and the broad responsibilities of family medicine practitioners beyond clinical care. The resilience and growth he achieved during residency offer a comprehensive insight into the realities of becoming a doctor. Key moments include discussions on medical misinformation, the integral role of primary care physicians, and the personal and professional evolution experienced through residency. It wasn’t completely smooth, but he did it! And the crew discusses Medscape’s Physician Lifestyle & Happiness Report 2024.

Understanding others begins with asking questions. M3 Jacob Hansen, and M1s Taryn O’Brien, Alex Nigg, and Fallon Jung consider recent studies highlighting the ineffectiveness of traditional implicit bias training and the disparities in medical care for children of color. Jacob successfully finished Step 1 and the co-hosts tap him for some of his insights from clinical rotations, particularly learning he won’t be pursuing a career in surgery. Dave tries to understand an important aspect of med student culture using his Gen X brain: memes, including their potential as educational tools. We Want to Hear From You: YOUR VOICE MATTERS! We welcome your feedback, listener questions, and shower thoughts.  Do you agree or disagree with something we said today?  Did you hear something really helpful?  Can we answer a question for you? Are we delivering a podcast you want to keep listening to?  Leave a message at 347-SHORTCT (347-746-7828) and we’ll put your message in a future episode (use *67 to be an “Unknown caller”). Or email theshortcoats@gmail.com. We want to know more about you: We do more things on… Instagram: https://www.instagram.com/theshortcoatYouTube: https://www.youtube.com/theshortcoat You deserve to be happy and healthy. If you’re struggling with racism, harassment, hate, your mental health, or some other crisis, visit http://theshortcoat.com/help, and send additions to the resources there to theshortcoats@gmail.com. We love you. Music provided by Argofox.  License: bit.ly/CCAttributionDOCTOR VOX – Heatstroke:

Happy Valentines Day! MD/PhD student Faith Prochaska, and M1s Taryn O'Brien and Fallon Jung share how they navigate relationships amidst their hectic schedules. With quizmaster Jeff Emrich from student financial services, they play The Just Married Game and discuss their personal plans, the balance between work and personal life, and their insights into relationships in med school through a series of questions answered by their partners--can they guess what their partners think of them? The group also touches on the impact of medical school on their personal lives, highlighting the importance of communication and support in maintaining strong relationships.

“I honestly have had the most relaxing time I’ve had in forever, and for anybody who’s like, that’s ridiculous, just wait.” The most charitable definition of a hot take is a position taken in order to generate conversation. The more usual definition is a position taken to create controversy (and clicks). Dave asked his co-hosts to come with some hot takes, and it’s up to you to decide which definition they’re using, but PA1 Conner Lieser and M1s Radha Velamuri, Amanda Litka, and Sri Nandakumar offer their hot takes on how hard med school is, the admissions process, shadowing, advice from more advanced students, and more.

“A nice re-imagining of how healthcare could be delivered.” It’s another sleeper specialty episode! This time we’re visiting with Andrea Weber, MD, MME. Herself a graduate of the Carver College of Medicine, she is now assistant director of Addiction Medicine and associate program director of the Internal Medicine and Psychiatry residency program. M4s AJ Chowdury and Nabeel Baig, M1 Fallon Jung, and PA1s Noah Vasquez and Julie Vuong quiz her about why she chose med-psych, the combined training she received, the different paths med-psych trainees can take, and much, much more. This is an info-packed episode!

Preventing disease and injury in life, the skies, and at work. It's another sleeper specialty episode! This time we're talking about a *really* low-key one: Preventive Medicine. M2 Jeff Goddard asked Dr. Silvia Caswell of Loma Linda University to join us to talk about her work in one aspect of prev med: lifestyle medicine. There are others under the prev-med umbrella, too, including occupational medicine and aerospace medicine. PA1 Conner Liser is also on hand to talk about the training she completed, the work she does with patients, the differences between the work that primary care providers do and her work, and the day-to-day life of working in her specialty. You're not going to want to miss this one.

In another in our series on "sleeper specialties," we visit with Internal Medicine-Pediatrics (Med-Peds) doc Brittany Bettendorf. M1 Alex Nigg and M2 Madeline Ungs learn about this lesser known specialty that combines the detective work of internal medicine with a focus on kids with childhood diseases, including managing their transition to adult care. There aren't many residencies for med-peds, which alone makes it a sleeper! And Dr. Bettendorf talks about her work in medical humanities at CCOM as a Medicine and Society course director, Humanities Distinction Track co-director, editor of our literary journal, and more.

A common question new medical students have is whether they should get a pet. Will they feel neglected when I have to be at the hospital or the library? Will they be too expensive for a poor med student? Will they be too much work? The answer to those questions can be answered by realizing that PLENTY of us do own pets, and we all do just fine. Also, Dave cornered some frightened-looking M1s during orientation for some people-on-the-street interviews. Riley, Mao, Madi and Matt discuss their answers.

These might be very bad ideas…but we’ll talk about them anyway. Riley leads a discussion with Jeff, Levi, and Katie of unpopular opinions about medicine and medical education. Anki sucks! Gap years should be mandatory! All clerkships should be optional! 8th graders should review scientific papers! We don’t know about you, listeners, but the co-hosts enjoyed this discussion so much you can look for a part 2 in December!

M1 Hend invited David Kozishek, a chaplain at the University of Iowa Hospitals and Clinics, to talk with M3 AJ, M1 Jeff and new co-host M1 Ervina to talk about the role of chaplains on the healthcare team. David also helps the co-hosts discuss the role that religion may play in their lives as future physicians, the tensions and compatibilities between evidence and faith, and how they might respond when their own beliefs may in conflict with standard practices. We'd love to hear your thoughts on this episode--does religion play a big part of your life? How would you respond to the scenarios we talked about? What questions do you have about the connections between faith and healthcare?

Short Coat co-hosts Brian Young (M1), Jeff Goddard (M2), and Fallon Jung (M1) discussed the challenges and experiences of medical school, including personal anecdotes about coping with stress, the demands of the curriculum, maintaining emotional well-being, the significance of peer support, and the importance of learning from both academic and personal experiences. Brian talked about a student-led initiative, Nets for Nets, aimed at providing mosquito nets to a community in Southern Mexico, illustrating the blend of medical education with social responsibility. Also, Dave shows his co-hosts pairs of images he got an AI to make, and his co-hosts try to work out which is the most like their actual medical school experiences thus far.

Bringing the healthcare pieces together Dr. Ilana Yurkiewicz, co-director of Stanford University’s Primary Care for Cancer Survivorship Program, author, and science journalist, returns to continue our discussion from November 9 about our fragmented health system and what can be done about it. M2 Jeff Goddard, M1s Fallon Jung and Alex Nigg, and MD/PhD student Jacqueline Nielson talk with her about what’s missing from the medical safety nets that help low SES patients get emergency care, what kind of AI we really need to bind pieces of of the system together (hint: AIs that offer differential diagnoses and other doctor stuff probably isn’t it!), and the need for continuous incremental change in medicine.If we’re ever going to get there, she says, we need a collaborative approach with involvement from various stakeholders in healthcare, including patients, healthcare workers, programmers, insurance companies, and policymakers. The aim: to move medicine from a fee-for-service model to one that is driven by the actual value doctors provide their patients (and that removes bureaucratic burdens instead of creates them). More about our guest: Website URL: https://ilanayurkiewicz.com/ Social Media URL: https://twitter.com/ilanayurkiewiczAmazon URL: https://www.amazon.com/dp/0393881199/ref=cm_sw_su_dp We Want to Hear From You: YOUR VOICE MATTERS! No matter where you fall on any spectrum, we want your thoughts on our show.  Do you agree or disagree with something we said today?  Did you hear something really helpful?  Are we delivering a podcast you want to keep listening to?  We’ll be sure your ideas are heard by all–leave a message at 347-SHORTCT (347-746-7828) and we’ll put your message in a future episode (use *67 to be an “Unknown caller”).We want to know more about you: We do more things on… Instagram: https://www.instagram.com/theshortcoatYouTube: https://www.youtube.com/theshortcoat You deserve to be happy and healthy. If you’re struggling with racism, harassment, hate, your mental health,