Kaci McCleary, Dylan Todd, Amy Young and Corbin Weaver are on hand this time to talk about the two-week specialty rotations, like Ophthalmology and Radiology. You see, as Kaci entered her clinical clerkships, she had four of these short rotations in a row, and found herself hating them. They seemed like a waste of time, and weren’t offering her much in the way of hands-on experience. While her experience isn’t universal, we thought some might question the utility of these short rotations, especially if one isn’t going into a specialty but is more focused on primary care. Fortunately, there’s some hope on the horizon in the form of instant learning through brain stimulation. Will future med students even need two-weekers? This leads us into a discussion on the place of rebellion in medical school. Does medicine need people who buck the system? How should someone who sees herself as firmly outside the box react when they’re surrounded by it?
The opinions expressed in this feed and podcast are not those of the University of Iowa or the Roy J. and Lucille A. Carver College of Medicine; nor do they reflect the views of anyone other than the people who expressed them. If you have feedback on anything you hear on the show, positive or not, let us know.
Corbin Weaver visits the local grocery store to hear a presentation on pelvic floor disorders, part of the store’s health outreach efforts, and marvels at the fact that A) many people seem to have a very foggy notion of anogenital functions, and B) that some also seem to have no inhibitions about bringing up embarrassing bodily foibles in a room full of strangers. Also, Dave points out that sometimes medical research reaches into the past to ‘discover’ ancient remedies that actually work. So Corbin, Mark Moubarek, Alex Volkmar, and new host Erin Renfrew sample and evaluate some folk- and old-timey prescriptions to see if they have any merit, aside from causing very bad breath and wet, salty feet. Continue reading Searching for Cures from Old-Timey Remedies, Dopamine Headphones, and Cuban Vaccines→
Social psychologist Amy Cuddy’s well known TED talk discusses the utility of ‘power poses,’ and medical students are always looking for ways to feel more powerful. So Dave challenges Ellie Ginn, Tony Rosenberg, Marc Toral, and Mark Moubarek to give them a try. Zika remains a force for making people crazy, and Brazil has banned the use of a larvicide incorrectly linked with Monsanto as a result of a report from a group of Argentinian physicians who advocate for the ban of insecticides. Tony suggests a better option: mosquito-mesh body suits. In fact, he’s full of ideas, including replacing the traditional family-medicine feces chart, used to help patients discuss their poop with their doctors, with plastinated specimens; and he’s considering launching a company that offers fecal transplants from specimens provided by celebrities and sports figures.
Dave helps Mark Moubarek, Amy Young, Rob Humble, and Corbin Weaver to practice their clinical skills by answering random people’s “health” questions from the saddest place on the Internet. But first we discuss the AMA’s policy to support the ban on direct to consumer advertising of drugs and implantable devices, and how such advertising makes the doctor-patient relationship complicated. Will drug companies retaliate by advocating for bans on advertising doctors and hospitals to patients. Researchers in the UK may be about to get the green light to edit the genes of human embryos seeking answers to why some miscarriages happen. Are we approaching the slippery slope?
Zika has been in the news, if you haven’t noticed, as a neglected tropical disease which has been linked to a frightening surge in birth defects in Central and South America. The response to Zika is going to depend upon the science–which is very much up in the air–along with economic and cultural factors. Chief among those are huge income disparities, population complexities, and limits on access to family planning options. On today’s episode, Ellie Ginn, Marielle Meurice, Kevo Rivera, and Jessica Waters meet up with one of the researchers who is fighting this bug. Dr. Selma Jeronimo isn’t a household name in the US, but she is becoming one in her home country of Brazil. She is the director of the Institute of Tropical Medicine of Rio Grande do Norte, and a professor of biochemistry and medicine at the Federal University of Rio Grande do Norte in Natal. Her job is investigating Brazil’s endemic diseases. Continue reading Brazil’s Zika Crisis→
Dr. Paul Farmer is sort of the rock god of global health. He’s an incredibly busy and influential guy, so when he flew in from Liberia to spend the entire day here with us at the Carver College of Medicine, it wasn’t easy to keep the stars from our eyes. Of course, he’s a physician, but he’s also a medical anthropologist, chief of Brigham and Women’s Division of Global Health Equity, professor of medicine at Harvard, and the UN Special Adviser to the Secretary-General on Community Based Medicine and Lessons from Haiti. One of the things you notice about Dr. Farmer is that although he’s clearly a celebrity in his field, it doesn’t dampen his enthusiasm, idealism, and the pleasure he takes in meeting students who share his passion for understanding and changing how healthcare is delivered to the world’s neediest people. Continue reading Dr. Paul Farmer and Liberation Medicine→
Dave and Emily White, fresh from the University of Iowa Center for Teaching, Learning and Technology’s yearly 4Cast conference, talk about their presentation on the podcast, which was fun. And they, along with Rob Humble and Doug Russo, talk about the President’s recent State of the Union address, including the so-called “moonshot” to cure cancer. Can that even work? Rob takes issue with the whole moonshot comparison.
John Pienta, Cole Cheney, Amy Young, and newbie Rob Humble join Dave to discuss the recent winter break, the Rose Bowl, and Stanford’s half-time band performance. We discuss doctors who are non-compliant with their own recommendations for patients. Is that something they should be condemned for, or is it human nature? And when patients are non-compliant or engage in risky behavior, should docs acknowledge that as normal human behavior and avoid shaming them for it? Continue reading Normalizing Human Behavior, Transvaginal Speakers, and Deflating Outsized Egos→
Cole Cheney returns from our state capital, where he’s been doing his clerkships at our kind-of satellite campus (more about this program specifically is here, if you’re interested). He and Kaci McCleary, John Pienta, and Rachel Schenkel talk about the differences between doing rotations in a teaching hospital and doing them in a community hospital. For example, how are community hospital patients different? And in that setting, what does it really mean if your patient is non-compliant? Cole reveals that he’s ‘afraid’ he’s going to love psychiatry and wants to know: are other students also wary of the specialty? We talk about the downsides of the field, as well as the rather big professional and caregiving upsides. Continue reading Losing the white coat, psych fears, and Internet questions answered→
Broadcasts from the amazing and intense world of medical school.