Tag Archives: international medical graduates

The Sheriff is Watching, Ft. Bryan Carmody, MD

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The Sheriff of Sodium investigates the current 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 the utility of metrics like Step 1 and Step 2 scores.
  • Like any good sheriff, Dr. Carmody is skeptical, especially about ideas like future physician shortages, and how schools report residency match outcomes.

More about our guest:

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On Top or Down Low: The Status Hierarchies in Medicine ft. Tania Jenkins, PhD

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What you should know about the super hierarchical world of medicine

Have you ever wondered what the world of medicine would look like to an ethnographer? To University of North Carolina Chapel Hill Professor Tania Jenkins, perhaps it looks like a ladder of status, from the lowly med student to the exalted attending (and even higher). For her book Doctors’ Orders: The Making of Status Hierarchies in an Elite Profession, Professor Jenkins spent years looking at the construction and consequences of those distinctions for doctors before, during, and after their training, especially among American, international, and osteopathic residents in two US hospitals.

Cohosts Emma Barr (M3), Bryn Myers (M2), and Greta Becker (M2) discuss with Dr. Jenkins why status hierarchies seem so important in medicine, what they accomplish and inhibit, and why they may be short-changing the system, the practitioners, and the patients.

Dr. Jenkins also helps us answer a question from “Glisten Rumpybottom” about the future of medicine as the scope of practice for mid-level practitioners like nurse practitioners and PAs continues to expand. Is this a safety issue or a turf war?

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The Stages of Life: Love, Body Odor, and Body Donation

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Love is on the air this week, as Cole Cheney hears a declaration of listener Naomi’s feelings…and then gets a Valentine’s week surprise. Also, Dave, Matt Wilson, Levi Endelman, and newbie Tarek Karam confront the perils of old age (apparently, Dave is emitting 2-Nonenal as we speak).  An article on the lower cost of body donation (as compared to funeral costs) has the group thinking about the contributions their own donors have had on both their education and their understanding of how important it is to do one’s best to honor them.  As Match Week creeps up on us, the potential for confusion is high for US hospitals and residents from countries marked for travel bans/extreme vetting/whatever. To the extent the US healthcare system depends on foreign medical graduates and international medical graduates, there may be trouble ahead. PS: If you’re in the neighborhood of Iowa City, consider entering the UI Doc Dash to support the Iowa City Free Medical Clinic and the University of Iowa Mobile Clinic, both of which deliver free care to the medically under-served.  Listeners, share your thoughts with us each week. Call us at 347-SHORTCT any time, and see our Facebook page for a question to consider every Monday.

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