The Short Coat: An Inside Look at Getting Into and Getting Through Medical School

The way docs are paid can make patients sicker...or can lead to healthier ones. The payment schemes most docs work under incentivize them to fix patients, while others motivate them to prevent illness—and geriatrician Dr. Jonathan "Nathan" Flacker is here to explain why. This episode rips the curtain off RVUs, fee-for-service traps, and the real reason your doc is rushing through your visit (hint: it’s not personal, it’s math). We dig into ChenMed’s wild idea: what if clinics got paid to keep you out of the hospital? Turns out, when money flows toward health instead of procedures, everyone wins. Except maybe the $400M proton beam facility (for the record, we love proton beams, but you might not need them if you can avoid cancer altogether). Is concierge-style medicine only for the wealthy? What happens when you build “rich person care” for low-income seniors? And how many patients can a doc see well before it all breaks? If you're dreaming of a career where you actually help people instead of just clicking boxes—this one's a wake-up call. Also: Love calls, RVU debt, and why pajama time should be illegal.

We’re passing judgment—because someone has to. This week’s Reddit-fueled medical panel takes on uncomfortable questions that your group chat definitely isn’t ready for: Is dating an OB-GYN inherently weird? Should your partner be your #1 even when you're literally delivering babies at 3 AM? And what happens when your parents think taking three days off is career suicide? We drag a few well-meaning but very misinformed relatives, unpack how culture collides with medicine, and dissect how med students actually keep their relationships alive. Plus, one brave listener dares to ask: “Can I move out of my family’s one-bedroom and still be a good daughter?" Expect spicy, real talk, and a few questionable ideas we’re choosing not to redact.

These M2s made the most of their “break.” Summer in med school: is it beach vibes or big-doings? Turns out, it’s a weird mix of both—and we’re here for it. In this episode, we get the inside scoop from second-year med students Tyler Pollock, Cara Arrasmith, Anjali Puranam, and Sophia Nopoulos on how they spent their first “break.” Spoiler: it includes orthopedic research, global health rotations in Ecuador, community hospital crash courses, and teaching the next wave of M1s! We’re also talking about gap years. Yep, those mysterious in-between years that admissions committees don’t actually hate. In fact, they might be your greatest flex. Whether you’re curious what a summer research fellowship really looks like or wondering if you’ll be the only 27-year-old in your class (you won’t), this episode proves you’ve got options—and none of them are bad. Stick around for pediatric murmurs, shoulder anatomy, and why some med students literally dream in Spanish.

Real answers for your real med school dilemmas. We’ve had some listener question stacking up like it’s the ER waiting room at shift change—and now we’re finally calling some names. This week, we’re clearing the board and giving straight talk on everything from whether Rainey might regret her choice of DNP over med school, Worried Traveler’s fears of surviving their first clinical rotations, and Zion’s untested study habits. You’ll hear why reputation beats job title, the art of asking questions without tanking the vibe, and some ideas on making the transition from an easier undergrad education to med school madness. M4s Hend Al-Kaylani, Maryam Ahmad, and Madeline Ungs confront the awkward task of making friends in med school and why it’s okay if you’re not instantly every resident/faculty favorite. Bonus web feature! If you fear you never learned to study, visit this episode’s webpage (https://theshortcoat.com/dnp-doubts-prepping-for-patients-and-smarts-self-doubt-listener-questions-answered/) for a video series by Dave and friends–Zion, this one’s for you, and everyone else out there who needs to upgrade their study techniques!

And the real reason you’re not getting clear advice about applying to residency. Listener Baffled J. Whoseadaddy (not his real name) asked us why his med school kids complain that the residency application process is confusing and “a black hole.” This week, hosts Dave Etler, Chase Larsson, Zach Grissom, and Madeline Ungs unpack why no one can seem to agree on what residency programs want… and what they actually do. Spoiler: it’s not a first-author publication, committee position, or flawless grades. They’re joined by recent Carver College of Medicine grad Dr. Teneme Konne, now a full-fledged family medicine attending (and “professional yapper”), who spills the truth on how programs really evaluate applicants. From what happens behind closed doors during interview debriefs to how introverts can still stand out, we break it all down. If you’re sick of performative CV-building, tired of mixed signals (literally), and unsure how to be “authentic” without sounding like a TED Talk… this one’s for you. Episode credits: Producer: Dave Etler Co-hosts: Chase Larsson, Zach Grissom, Madeline Ungs Guest: Teneme Konne, MD, CCOM ’22 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? Let us know at https://theshortcoat.com/tellus and we’ll put your message in a future episode. Or email theshortcoats@gmail.com. The Short Coat Podcast is FeedSpot’s Top Iowa Student Podcast, and its Top Iowa Medical Podcast!  Thanks for listening! We do more things on… Instagram: https://www.instagram.com/theshortcoat YouTube: 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...

The rollercoaster of medical school transitions is hitting some peaks, from the first nerve-wracking days of clerkships to the unglamorous realities of OB-GYN rotations. M3 Elvire Nguepnang, M2 Gizzy Lundquist, M3 Jeff Goddard, and M1 Katherine Yu open up about the leap from textbooks to patient care, beginning advanced clerkships, and just staying on the path—and why it’s okay to feel a little lost. Along the way, they share their experiences with delivering placentas, unpack how seemingly minor lessons from preclinical years suddenly become crucial in the real world, and the new sensory ability they'd choose if they could.

They might know the citric acid cycle, but do med students know what ancient doctors used for pain relief, or the shape of wombat poop? Join us for Blechardy! the trivia game show that involves a certain amount of suffering! Contestants answer medical and pop culture questions—but with potentially disgusting jellybeans that make any actual knowledge meaningless. This week’s medical student co-hosts: M3 Jeff Goddard, and M1s Cara Arrasmith, Tyler Pollock, and Keely Carney, with quizmaster Audra King, battle through ancient medicine facts, Iowa trivia, and the weirdest animal knowledge. Who will emerge victorious, and who will regret every bite? We don’t even know, and we were there! Along the way, we discuss podcast rivalries (should we start fake beef with Joe Rogan?) and the questionable benefits of coffee beans digested by animals. Come for the trivia, stay for the suffering.

How future doctors are navigating social media’s impact on public education. How can a well-meaning medfluencer be sure they’re actually helping? M1 Zach Grissom, M2 Fallon Jung, M3 Jeff Goddard, and M4 Matt Engelken sit down with third-year DO student Nik Bletnitsky to discuss the role of social media in medical education. Current and Future doctors are increasingly using these platforms to share medical knowledge—but, even if you’re careful to offer the best information, what are the hidden dangers? The conversation covers the sometimes blurry line between education, misinformation, and contradicting someone’s doctor’s advice. How disclaimers work (or don’t), and why the Dunning-Kruger effect can turn a curious patient into an overconfident self-diagnoser. Should doctors be influencers? Can patients trust what they see online? And is it possible to make medical knowledge accessible without accidentally making things worse?

Turning down that med school acceptance might cost more than you think. Listener “my initials are ARM” got into medical school—cue the confetti—but now that reality’s set in, she’s not feeling great about her only acceptance. The school is small, expensive, and far from home. Should she go anyway or risk reapplying in hopes of a better fit next year? MD/PhD students Michael Arrington, Shruthi Kondaboina, Jessica Smith, and M1 Maria Schapfel weigh the real costs of walking away from an acceptance, from the red flags admissions committees look for to the gamble of getting in again. They get honest about finances, family, and the very unsexy truth about how much the campus “vibe” actually matters. Plus, what to say if you do it anyway. Bonus: the MD/PhD students dish about why they took that road, while Maria counters with why MD is better for her.

Docs are in denial, but the economic incentives make it inevitable. Meanwhile, you’re working hard to become a doctor — and now a bot might take your place? The Sheriff of Sodium, Dr. Brian Carmody, is back on the Short Coat to say what nobody wants to hear but might need to: yes, AI in medicine is real, and the value proposition makes docs’ replacement inevitable. From primary care AI to image-heavy fields like pathology, we’re talking actual use cases. We break down physician automation, the AMA’s waning influence, and why corporations – and even patients – might be the real force behind AI-driven doctor job loss. If you thought medical school guaranteed career security, this might shake your certainty. But there are specialties and human-only qualities that you can lean into for a bright future amidst the bots. Then the Sheriff, M3 Jeff Goddard, MD/PhD Miranda Schene, M2s Sarah Lowenberg and Taryn O’Brien pivot to a deeply personal listener question: should a pre-med student push through to med school while struggling with mental health, like her parents want her to? Or take time off to regroup?

Cardiologist David Sabgir was tired of telling patients to exercise, so he did something ridiculous…and it spawned a movement. Walk With A Doc began with a simple idea: don’t just recommend lifestyle changes—live them, with your patients, in the wild. In this episode, we unpack the surprising power of walking with a community instead of talking at patients about exercise, and how a one-mile stroll has turned into an international public health initiative. Co-hosts M3 Jeff Goddard, and M1s Sydney Skuodas, Michael Arrington, and Zach Grissom are also asking: what happens when docs and med students bring their kids, their real lives, and their full humanity into community care? For some, it could be a real antidote to burnout, and the solution might be hiding in the park—with some sneakers and your neighbors. The cardiologist that stared it all shares how failing at patient motivation led to something wildly more effective. This episode is your unofficial permission slip to stop recommending change and start doing it.

"How are you using AI in med school?" That’s the question Dave posed to his co-hosts this week. Near-M3s Fallon Jung and Amanda Litka and almost-PA3 Julie Vuong discuss AI-fueled study sessions, and Dave points out a Google tool that turns docs into knowledge. They talk about what helps, what haunts, and what might accidentally erase their clinical instincts. Meanwhile, Fallon admits to looking to a robot to plan a bachelorette party. Amanda wants to ditch the white coat. And strong mints and clementines are the secret to surviving 3AM bowel resections. Also on the docket: what they've learned in their first few months seeing patients, OB night shift scaries, and which specialist they'd rather be stranded on an island with. Listeners: do you use AI to get you through school? How? Sound off at https://theshortcoat.com/tellus!

The path to discovery is paved with bureaucracy Einstein was a patent clerk when he first proposed his famous equation that explained our universe...something that could never happen today. This week, we’re calling out the slow, tangled mess that is academic science. Why do some of the best ideas never leave a lab notebook? Why are 20-somethings with world-changing potential still spending 8 years writing theses that probably won't be read? And why does grant funding seem allergic to risk? MD/PhD student Riley Behan-Bush is juggling frustration, big ideas, and the reality of PhD science, and M3 Jeff Goddard, MD/PhD student Jess Smith, and M1 Sarah Lowenberg question whether Einstein would even make it today. Should the NIH institute a funding lottery? Jeff thinks Dave's ringtone means he needs to grow up. And we finish strong by turning a stack of random medical words into fake personal statements. It’s messy, it’s a little salty, and it'll make you wonder how anything changes in medicine or science.

Are things getting better or worse? What if your a career in medicine, the collapse of civilization, and the maternal mortality crisis all shared one uncomfortable truth–progress doesn’t guarantee clarity, balance, or justice? In this episode, M3 Zay Edgren confesses he’s feeling a bit doomy about humanity’s chances, and M2 Taryn O’Brian feels frustrated with medicine’s successes with acute care while primary care languishes. But M3 Jeff Goddard (and Dave) are more optimistic, at least on the grand scale. What every future healthcare worker needs to ask is, “What does helping actually mean when the system is stacked with trade-offs? You’ll get insight into how real medical students think through messy, high-stakes issues—like why we’re amazing at keeping preemies alive but failing mothers, or why primary care is where the real impact happens but nobody wants to do it. We explore what career indecision really looks like when you’re smart, driven, and yet unsure. You’ll also hear honest takes on burnout, idealism, and what med students actually think about the world they’re about to inherit—and remake. If you’re staring down the med school track wondering what’s waiting for you on the other side, this episode hands you the context no class will. You’ll leave smarter, more grounded—and possibly nervous, but in a productive way.

[Content warning: this episode contains frank discussions of medical examiner photos our students had to view during lectures, and which some listeners will find disturbing.] Friendships, food, and failing forward gets med students through the first year. No one tells you how much of med school is powered by free pizza and shared panic. As M1s Alexis Baker, Samantha Gardner, Raegen Abbey, and Zach Grissom wrap up their first year at the University of Iowa Carver College of Medicine, we talk about what actually got them through M1: strategic free food hunting, skipping lectures for sanity, and learning to live with the sound of your own stomach during exams. This raw and ridiculous reflection features stories of biochem-induced breakdowns, unexpected weight loss, and vacation cruises gone very wrong. We also play “Vibey,” a game that perfectly captures med student emotional trauma. Bonus topics: marriage math, spring break disasters, moldy mugs, and the shock of learning how people die for credit.

Clinical students are sometimes the only ones who have time to listen. In the clinic, med students can feel like bystanders, but they can make all the difference for patients. M3 Jeff Goddard, M3 Tracy Chen, M2 Alex Nigg, and M4 Matt Engelken recount stories of the patients that stuck with them—some painful, some beautiful, and some just plain awkward. From OB-GYN to peds to the ER, they share how student doctors—who can often feel like tagalongs—can often be the ones offering emotional support, catching critical miscommunications, or just being the one person with time to care. We reflect on the pressure to look competent, the sting of lukewarm evaluations, and how one med student realized a patient wasn’t constipated—just heartbroken. Also in this episode: talking to dying patients, babies are scary, and what not to say when to overwhelmed family.

Don’t be the doctor making $400k with $0 in the bank. You risk your financial future by ignoring this ER doc’s advice — and Dr. Jim Dahle should know. The emergency physician and founder of The White Coat Investor joins M1s Luke Geis, Zach Grissom, Hunter Fisher, and Katherine Yu to share how he got burned early in his career — and what he did to fix it. From why disability insurance should top your post-grad checklist, to how physicians get targeted by shady financial “advisors,” to why home ownership in residency might not be the best idea — Dr. Dahle walks us through real, usable advice. He breaks down the cost of a good financial advisor, explains why index funds beat stock-picking 95% of the time, and why you should aim to be more than just an employee in medicine. We also get into financial planning for med students with kids, and why chasing hot stocks is a losing strategy, and how disability insurance can save your bacon.

Behind every successful doctor is someone who paid their rent or walked their dog. Dave Etler, MD/PhD student Miranda Schene, M1 Jay Miller, and M3 Jeff Goddard blast off this episode with ass-tronaut Katy Perry before diving into Reddit’s finest med school dumpster fires. Should you crush (AKA, be vocally realistic about ) your C-average friend’s medical dreams? Is a boyfriend who gives unwanted pop-quizzes to his exhausted med student girlfriend helping, or being an a-hole? We also tackle the awkward truth about teaching hospitals – yes, that medical student might be practicing on YOUR sensitive bits (hopefully with proper patient consent)! Finally, we settle a debate over who deserves the credit: the emergency medicine resident or the partner who paid his rent, fed his pets, and sacrificed their social life for years. Join us for a trip through the messy human side of medical training that your white coat ceremony definitely can’t prepare you for!

What do MD and PA students really think about their lives? We check the vibes. Jeff Goddard (M3), Kim Fairhead (M1), Gabbi Bullard (PA1), and Annie Dotzler (PA1) for a game that checks med student experiences on their vibes. The group tackles the truth about reflex hammer skills, confessing to the internal chaos that underlies a fake-it-till-you-make-it confidence during physical exams. Annie and Gabby share their structured yet surprisingly "vibes-based" approach to studying before exams, complete with coffee-shop meetups and rapid-fire knowledge exchange. Meanwhile, Annie's meal prep aspirations take a dramatic turn when studying fatigue leads to an actual kitchen fire. The conversation weaves through medical curriculum frustrations, the evolution of study techniques from pre-clinical to clinical years, and the underlying question of whether we are just "hallucinating large language models" themselves.

Tuberculosis is curable. We just don’t care enough to cure it. That’s the premise behind John Green’s book, Everything Is Tuberculosis (https://everythingistb.com/). In this episode, M1s Zach Grissom, Kate Timboe, Tyler Pollock, and Srishti Mathur consider that premise, and what it says about humanity’s stubborn failure to solve a solvable problem. They unpack how cultural narratives, like romanticizing TB, stigmatizing the poor, path dependency, and greed have fueled inequities that keep TB deadly across the globe. The group reflects on Henry Rider’s story, which serves as the emotional spine of the book, and how John Green’s storytelling approach hits harder than raw data ever could. From an emphasis on short-term thinking to postcolonial infrastructure (built to extract, not connect), the book dissects the history and systems that allow TB to persist even when we can easily cure it. The crew also talks about what medical education could look like if it provided stories with slide decks—and why Green thinks Mario Kart might be the best metaphor for how humanity could achieve global health equity.