Category Archives: Short Coat Podcast

All episodes of the Short Coat Podcast.

Preparing for Residency Interviews

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Preparing for Residency Interviews

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Photo by Matt From London

Welcome to Night Float! In this series  of special episodes, resident physicians take a break from the demands of their days (and nights) to offer information, guidance, and support to medical students and to share their residency experiences. Fourth year medical students are currently in the heart of residency interview season, and they are doing all they can to secure a position through the residency match process. In the first episode of Night Float, Dr. Desiré Christensen (R2: Psychiatry) and Dr. Matt Maves (R1: Pediatrics) discuss their interview experiences and offer suggestions about how to prepare.

Helpful links

AAMC Careers in Medicine – Careers in medicine is a resource designed to assist medical students in choosing a specialty and navigating the residency match process in a strategic way.

Doximity – Doximity is a network of physicians and medical students.

FREIDA – FREIDA is the AMA Residency & Fellowship Database.

We Want to Hear From You

What are your residency interview stories? What suggestions do you have for medical students preparing to match? Medical students, what questions do you have about the residency application process?

Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.

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Bropocalypse 2017

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The national #MeToo conversation continues

creepy man photoDave found himself hosting with another group of women, so what better time to talk about #MeToo and the powerful people being taken down by their sexual harassment and abuse of their less-powerful victims?  Erin Pazaski, Hillary O’Brien, Laura Quast, and Liza Mann weigh in on why this seems to have staying power in the news cycle, and why it seems to destroy some powerful men and not others.  Plus, since this is a group of friends who, through med school, have come to know each other well, Dave challenges each to answer questions as their friends would.

This Week in Medical News

Speaking of creepy, The University of Miami has a problem on its hands with a medical student who’s been posting other students’ social media pics of their car selfies and beach photos on websites where other folks are excited by such things.  A New Hampshire doc loses her license after refusing to use an EHR because she’d rather practice ‘medical art’ (and not properly tracking her prescribing practices).  And more medical schools want to hear from premeds what they think about the national debate on the ACA and the individual insurance mandate.

We Want to Hear From You

Your thoughts and comments are important to us!  Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.

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More Surgery for Better Global Health: Dr. Mark Shrime

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Is surgery too expensive for global health?

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Is surgery ‘too expensive’ for global health?

Mark Shrime is an otolaryngologist (and American Ninja Warrior competitor) who may just be on the leading edge of change in the way global health sees surgery.  In this conversation with Tony Mai, Amanda Manorot, Brian Wall, and Hadeal Ayoub, Dr. Shrime argues that the way surgery is used in international development to date–surgeons fly in for two weeks, do their thing, and fly back out–doesn’t do much to allow their host countries to develop their own surgery skills.  For his part, he’s managed to arrange his work at Harvard to allow him two months abroad helping to strengthen health systems in countries like Congo, Haiti, Cameroon, and Madagascar.

The problem is, policy-makers see surgery as ‘too expensive,’ disregarding it as a tool for global health intervention.  Ebola and Zika therefore get all the attention.  But analysis of the cost-effectiveness of surgery as a tool in global health efforts belies this view, and shows the burden of surgical diseases may be as high as a third of the global total.  Fortunately, Dr. Shrime has good advice for future surgeons who face a system that embraces Relative Value Units as a measure of physician performance, and yet want to pursue work outside their hospitals to effect global healthcare change.

We Want to Hear From You

What are your thoughts on the effort to elevate surgery as a global health intervention? Any thoughts on who we should interview next? Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com to share your ideas.

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Thanksgiving surprise: they didn’t vomit

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Happy Thanksgiving to Short Coats Everywhere!

Dave loves all Short Coats–he’s like a benevolent god, except without any godly powers or omniscience (as well as a slightly lower sense of self-importance) but with plenty of love. However, he does like to put people in iffy situations, which is why he and his wife Christine fired up the Short Coat Test Kitchen to create Golden Thanksgiving Perfection Salad for the co-hosts.  Perfection not included, but Gabe Conley, Claire Casteneda, and noobs Erik Kneller and Nick Evans don’t hate it.  While they ‘enjoy’ that, listener Rachel messaged us on Facebook to suggest we discuss the latest news in chronic traumatic encephalopathy research, in which former NFL player Fred McNeill is the first to have had a PET scan before his death, which means there is now evidence that PET scans can be used as a diagnostic tool for CTE.  Speaking of research, Dave pops a quiz from tweets on #weirdresearch.

This Week in Medical News

A 7-year-old boy has had 80% of his skin replaced with close to 1 square meter of skin genetically engineered from his own cells…and he’s doing great!  And another genetic engineering first will soon bear fruit (or fail) for a man who is the first to have had his DNA engineered from within as a treatment for Hunter syndrome.

We Want to Hear From You

How was your break?  Did you miss school?  Do you have things for us to talk about? Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.

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The Business of Medicine

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Should medical students learn more about the business of medicine?

Medical school definitely hasn’t made a priority of teaching about how medicine works as a business.  MDs who get involved in that side of healthcare typically learn on the job. But recent caller Ryan is interested in that topic, and wanted to hear from us about what CCOM students are learning about it.

A couple years ago, M4 Joe Nellis and some other students founded the Healthcare Management and Delivery Science Distinction Track.  One reason was that their families had questions they couldn’t answer about the topic.  They also knew that decisions about healthcare delivery and outcomes evaluation were being made without MDs having a clear idea (or even input on) how and why.  Joe and M2s Philip Huang and Amanda Manarot got together with Dave to talk about what they’ve learning on issues like teamwork, e-health, data and decision-making. And while the healthcare leaders of tomorrow still have to learn much of the biz after they leave medical school, having a fuller grasp of the forces that affect how medicine is practiced is key, especially as the private practice of medicine gives way to employment in hospitals and other organizations.

This Week in Medical News

Dave took issue with this article which posits that doctors’ salaries are a problem for healthcare costs, despite the fact that according to the author’s own figures, that amount makes up about 1/32 of the cost of healthcare per US household.

We Want to Hear From You

Do you want to learn about this stuff?  Or are you content to worry only about taking care of patients? Tell us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.

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“I’ve Got Some Bad News”

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Delivering bad news is an art.

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Photo by Powerhouse Museum Collection

When  many people think about becoming a physician, they focus on the positive side of the practice of medicine. Things like diagnosing and successfully treating patients, forming therapeutic relationships, and even income and prestige get most attention.  But there is one thing that receives less attention: sometimes, doctors deliver very bad news to their patients.  Learning how to do that gracefully in a way that supports patients rather than devastating them is an important skill.  And in a team-based environment, it can be tricky. So, M3 Mark Moubarek shows M1s Joyce Wahba, Gabe Conley, and new co-host Claire Casteneda the ropes.  Of course, Dave devises an educational exercise to “help.”

This Week in Medical News

In other bad news, it’s not getting any easier to get into medical school…in fact, it’s getting harder.  In the last decade, applications have doubled for top 10 schools focusing on primary care, and others (like Iowa) have increased 1.5 times.  Time to be interesting, applicants!

We Want to Hear From You

Are you doing something more interesting than checking off the boxes on your medical school application? We definitely want to know about it.  Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.  If you’re doing something really interesting, maybe we’ll interview you on the show!

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Reaffirming points of pride, and life in rural Iowa

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We’re Iowa proud

grain elevator view photo
Photo by cwwycoff1

Dave has been noticing a certain mid-semester droopiness among some students at the College of Medicine.  Perhaps, he conjectured, we all need a bit of a pick-me-up.   So, Levi Endelman, Issac Schwantes, and new co-host Derek Bradley share things about themselves of which they are proud.  Issac isn’t much impressed by Dave’s point of pride.  And the boys reminisce about their rural Iowa upbringings, from careening over the ubiquitous gravel roads to romancing atop grain elevators.

This Week in Medical News

Vox has begun collecting data from ER visitors on the resulting bills, so the American Hospital Association issues a warning to its members.  And the US opioid epidemic is finally a national emergency, officially.  Will the president’s latest proclamation have any effect?  Will the American taxpayer get its $57,000 worth?

We Want to Hear From You

What do you do when you’re academically down in the dumps?  Do you take your cell phone to the bathroom?  Admit it! Show the world you aren’t afraid of its judgement by calling us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.

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Med School Medicine vs. Real World Medicine

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In migrant health clinics, the ideal world of medicine goes out the window.

In Iowa and many other states, migrant workers are a big part of the economy.  Many of these people don’t have time for and can’t afford regular medical care.  But leaving them without care isn’t an option, either.  Fortunately, there are organizations which engage with this population. The Carver College of Medicine, for instance, has a very strong emphasis on learning through serving the medically underserved.  By setting up migrant health clinics where those workers live–in their often temporary and extremely basic housing communities–students can learn about the practice of medicine outside a doctor’s office or hospital while bringing badly needed healthcare to those who’d otherwise forgo it.    Second-year med student Jesse White suggested a show on working with these populations.  Joined by fellow second-year Erin Steele and retired Physician Assistant Peg Bouska, we discuss the non-ideal world of practicing medicine without the right spaces, equipment, systems, and tools…and what students learn about medicine by doing so.

We Want to Hear From You

Is learning through service important to you?  What experiences have you had with service learning, and what did you learn? Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.  We’d love to hear from you.

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Alumni Visit

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A visit with those who made it through med school

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Med students’ secret weapon. Photo by Pseph

Alumni Nate Curl, MD (emergency medicine, ’07) and Cathryn Turner (pediatric psychiatry, ’10) returned to the Carver College of Medicine last week to attend The Examined Life Conference Jason and Dave put on every year.  It was a great opportunity to connect Levi Endelman and Matt Wilson with them for a discussion of their paths to med school, the kinds of experiences they’ve had since graduating, and some of the things they’d like to have done differently.  They also helped answer a listener question from Mary, who is concerned about what she’s heard: that self-care–eating healthy, exercise, etc.–in medical school and beyond is well-nigh impossible for such chronically busy people.

We Want to Hear From You

What concerns do you have about entering medical school? Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.  We’ll try to help.

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Planning Now for MD Happiness

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Can You Plan Now for Happiness Later?

happiness photo
Photo by ecastro

Once you’re on the path to doctorhood, it can be hard to step off.  You’ll probably be happy…but what if you find out you’d rather just skate?   Sure, you’re making money, you’re an important part of the medical profession, you’ve got this under control…but there’s something missing: happiness, satisfaction.  How can medical students prevent happiness from not happening?  How can anyone?  Eric Snieders, Brady Campbell, Erica Henderson, and Marissa Evers take the example of San Diego’s local hero Slomo (former neurologist John Kitchin) as well as the apparently happy lives of hunter gatherers and residents of Norway, (but perhaps NOT the residents of the US of A) and try to think about what will keep them happy as they wend their way through the medical industrial complex.

This Week in Medical News

Thinking about tattooing your eyeball?  No?  Hmm, weird.  Well, a Canadian model would like you to think again…especially if you’re planning on having your boyfriend do it.  You’ve been warned.

We Want to Hear From You

Are you eyeing a tattoo?  Got one you want to show us? We want to see it!  Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.  Do all three!

Continue reading Planning Now for MD Happiness