Tag Archives: empathy

AITA? Probably!

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But sometimes everyone’s a jerk.

Self-evaluation is important, especially in medicine, but sometimes you just gotta ask–was I a jerk? Dave Etler, MD/PhD student Miranda Schene, M4 Happy Kumar, and M2 Holly Hemann use Reddit’s ‘Am I the Asshole?’ submissions to exploring feelings of impostor syndrome, the ethics of classroom behavior, fair recognition of achievements, and cases of medical malpractice. Along the way, they provide practical advice for medical school admissions, dissect the delicate balance of maintaining professionalism in the medical field, and what to think when even mom craps on your dreams. Shut up, mom!

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.

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Are We More Empathetic than AI?

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AI chatbots can help brainstorm ways to communicate more compassionately.

  • We’ve talked about the study that found patients rated responses by the recent generation of AI chatbots significantly better in both quality and empathy than physicians.
  • We decided to test ourselves on our efforts to bring up awkward topics with patients and others by comparing our answers to those provided by Anthropic’s Claude-2. Did M2 Jeff Goddard, M3 Betty Tu, M2 Yumi Engelking, and MD/PhD student Riley Behan-Bush do better than a bot?
  • Betty and Yumi told us about CCOM’s new First Generation and Low-income in Medicine Association chapter.
  • And we review some of the health advice found on social media, including videos by Tik Tok’s urmomstoering, angelapharmd, heyitskikiiiiii, and mirandaksmith.

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: Take the Listener Survey We do more things on…

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Race-Conscious Admissions Ends, Upends Schools’ Diversity Efforts

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How will schools assemble student bodies that reflect society?

  • The Supreme Court has struck down the use of race-conscious admissions practices–affirmative action–that many colleges use to counteract bias against admitting people of color. Short Coats Hend (M2), Nicole (M3), Faith (MD/PhD) and AJ (M4) discuss why that’s a problem for patients, and what might happen now that AdComms are forced to use proxies to diversify their classes.
  • Harvard continues it’s run of bad legal luck with the news that its morgue manager has been selling body parts. And chatbots are helping docs talk to their patients with more empathy.
  • Dave subjects his co-hosts to another concoction of food items.

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: Take the Listener Survey We do more things on…

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“Soft” Skills: The Importance of Learning to Communicate

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Communication skills are just as important as medical knowledge and clinical skills

  • M3 Ananya, M3 Eric, MD/PhD student Madi, and our admissions guru Rachel talk about communication skills and their importance for patient outcomes, professional development and advancement, and career satisfaction.
  • Whether it’s patients reviewing their notes in the electronic health record, residents passing on knowledge to students, providers empathetically communicating findings and plans to patients with no scientific background, or scientists collaborating professionally with their colleagues, everything depends on this thing that humans do all the time–with varying degrees of success.
  • Meanwhile, some students may see these as “soft” skills, giving less importance to them than grades on exams or their scores on boards.

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: Take the Listener Survey

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Lessons from the Wards: what Future Residents Need to Know (Ft. Dr. Abbey hardy-Fairbanks)

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TL;DR

  • Abbey Hardy-Fairbanks is an OB/Gyn who often works with expectant moms who use drugs.
  • Future resident MDs: this episode features some of the many things she’s learned about meeting patients where they are, practicing medicine without judgement, and understanding what she and her clients can and cannot accomplish in the moment.
  • Approaching patients with an open heart from the first moment, even when their lives are outside society’s mainstream or approval, can mean the difference between losing them for good and them coming back to see anyone for more help.

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!
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Ambien Dreams

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This week, listener Jen sent us an article from JAMA in which the author bemoans his tendency to let the electronic health record (coupled with his data-entry difficulties) dominate his attention at the expense of his ability to really see and empathize with his patients.  The cost: missing clues that indicate a patient’s progressive decline and family dynamics that contribute to the condition.

Meanwhile, Chrissy Teigen and John Legend find themselves chewing on sleeping pill side effects, causing us to wonder–why is Ambien still on the market, unless it’s to create really great slam poetry?  And we practice our teamwork in a mobile game called SpaceTeam, proving perhaps that not all such games make for good podcast fodder–you decide, but don’t @ us, we already know the answer.

This Week in Medical News

Will we see a shift in the standard of care for appendicitis, now that a Finnish study has backed up the mounting evidence that it can often successfully without surgery?  And a study on the high costs of poor healthcare around the world suggests that fixing it will cost 6% of the cost of doing nothing.

We Want to Hear From You

Do you have suggestions for what we should talk about on SCP? Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.  Pick your favorite!

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Lack of Empathy: A Med School Dealbreaker?

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Everyone knows: doctors have to have empathy…right?

empathy photo
Photo by Pierre Phaneuf

Listener Mo wrote to us at theshortcoats@gmail.com to ask us if a lack of interest in dealing with the foibles of patients–with their anti-vaccine beliefs, their non-compliance with treatment, and reliance on the latest internet fads–means he should reconsider his med school dreams.  Lucky for Mo, Kaci McCleary, Irisa Mahaparn, and newbs Melissa Chan and Dabin Choi were on hand to propose some paths forward for non-empathetic med school applicants, as well as outlining some of the less obvious areas empathy comes in handy they might want to think about.  There isn’t a lot of wiggle room in this area…but there’s a little, and maybe Mo can squeeze into those cracks and come out with an MD on the other side.

This Week in Medical News

Is the ubiquity of IV saline an example of institutional inertia?  And in response to this article, the gang explores the institutional and systemic barriers that AMCAS and some schools’ admissions committees have erected against disadvantaged students.

We Want to Hear From You

Are you a disadvantaged applicant worried about your grades, money, and connections? Tell us your story at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.

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Considering The Other Sides

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Photo by madstreetz

With the close of the election of 2016, many people, including us, found themselves dismayed and surprised by a great many things.  But why were we so shocked?  Now that our hindsight has been LASIK’d, some are noticing the truth that was hiding in plain sight: people were feeling ignored.  And those people were the ones that the electoral college protects: rural Americans. In this episode, we (that is, Dave, Mark Moubarek, John Pienta, Rob Humble, and Amy Hanson) try to step out of our bubble. We cast our eyes on our own ignorance and speculate a little on what our fellow Americans want.  We try to avoid politics in this episode in favor of thoughtful, empathetic consideration.  Let us know whether or not we were successful.

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Compassion Isn’t Easy

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Photo by Half Chinese

Compassion fatigue is a problem for many practitioners. In medicine, some of the needs are so great, and the resources are often so finite. Aline Sandouk, John Pienta, Rob Humble, and Kaci McCleary discuss what happens when caring itself becomes a limited resource, the reasons empathy can dwindle, ways to cultivate it, and the role that compassion can play in caring for oneself.  We also learn what monks and nuns are teaching us about how compassion manifests positivity and even neural plasticity.
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Sudden Empathy, Too Much Empathy, and A Lack of Empathy

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empathy photo
Photo by Sean MacEntee

Poor lister Erin. She writes to let us know she can’t find the first 44 episodes of the show, now that she’s listened to all eighty(!) of those available on iTunes. We explain how she can fill the sad hole in her life this tragedy has left. Dave’s shower thoughts lead Aline Sandouk, Amy Young, Marc Toral and Kaci McCleary to discuss the utility of giving not a single feldercarb what people think of you. On the flip side, an article in the New York Times offers a peek at what can happen if you go from not caring (or even knowing) what people think to caring all too much, when transcranial magnetic stimulation suddenly enables an autistic man to understand what others are thinking of him.
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