They Way Most Docs are Paid Doesn’t Lead to Healthier Patients

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How the system pays doctors can change healthcare outcomes—sometimes in scary ways.

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.

Episode credits:

  • Producer: Jeff Goddard
  • Co-hosts: Riley Behan-Bush, Zach Grissom, Alex Nigg
  • Guest: Dr. Jonathan “Nathan” Flacker, ChenMed

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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.

We need to know more about you! https://surveys.blubrry.com/theshortcoat (email a screenshot of the confirmation screen to theshortcoats@gmail.com with your mailing address and Dave will mail you a thank you package!)

The Short Coat Podcast is FeedSpot’s Top Iowa Student Podcast, and its Top Iowa Medical Podcast!  Thanks for listening!

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Family expectations, culture clashes, and career priorities: Who’s the A-Hole?

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When your boyfriend’s an OB/GYN and your friends can’t chill

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.

Episode credits:

  • Producer: Holly Hemann
  • Co-hosts: Srishti Mathur, Samantha Gardner, Kate Timboe, Alexis Baker

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.

We need to know more about you! https://surveys.blubrry.com/theshortcoat (email a screenshot of the confirmation screen to theshortcoats@gmail.com with your mailing address and Dave will mail you a thank you package!)

The Short Coat Podcast is FeedSpot’s Top Iowa Student Podcast, and its Top Iowa Medical Podcast!  Thanks for listening!

Continue reading Family expectations, culture clashes, and career priorities: Who’s the A-Hole?

From Ecuador to Iowa, Ortho to Community Healthcare: the Last of the Summers

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These M2s made the most of their last summer “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.

We need to know more about you! https://surveys.blubrry.com/theshortcoat (email a screenshot of the confirmation screen to theshortcoats@gmail.com with your mailing address and Dave will mail you a thank you package!)

Episode credits:

  • Producers: Cara Arrington, Dave Etler
  • Co-hosts: Cara Arrington, Tyler Pollock, Anjali Puranam, Sohphia Nopoulos

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!

Continue reading From Ecuador to Iowa, Ortho to Community Healthcare: the Last of the Summers

DNP Doubts, Prepping for Patients, and Smarts Self-Doubt–listener questions answered!

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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 our this episode’s webpage for a video series by Dave and friends–Zion, this one’s for you!

Episode credits:

  • Producer: Dave Etler
  • Co-hosts: Hind Al-Kaylani, Maryam Ahmed, Madeline Ungs\

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!

Continue reading DNP Doubts, Prepping for Patients, and Smarts Self-Doubt–listener questions answered!

What Residency Program Directors Actually Want

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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!

Continue reading What Residency Program Directors Actually Want

Placentas, Prostates, and Purple Goggles (Recess Rehash)

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Medical students share insights on hitting milestones and navigating transitions

[We’re on vacation, so enjoy this recent show in case you missed it!]

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.

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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Continue reading Placentas, Prostates, and Purple Goggles (Recess Rehash)

Slap Some Moldy Bread On It: Blechardy! (Recess Rehash)

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What do med students know that isn’t medicine?

[We’re on vacation, so enjoy this recent show in case you missed it!]

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 students: 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.

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!

Continue reading Slap Some Moldy Bread On It: Blechardy! (Recess Rehash)

Medfluencers and Patient Education: Helpful or Risky? (Recess Rehash)

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How future doctors are navigating social media’s impact on public education.

[We’re on vacation, so enjoy this recent show in case you missed it!]

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?

More about our guest:

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!

Continue reading Medfluencers and Patient Education: Helpful or Risky? (Recess Rehash)

She Got Into Med School… But Now She’s Not Sure (Recess Rehash)

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Turning down that med school acceptance might cost more than you think.

[We’re on vacation, so enjoy this recent show in case you missed it!]

Listener “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.

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!

Continue reading She Got Into Med School… But Now She’s Not Sure (Recess Rehash)

Sheriff of Sodium: AI Will Replace Doctors (Reality Check!)

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Docs are in denial, but the economic incentives make it inevitable

You’re working hard to be (or become) a doctor — 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?

Episode credits:

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!

Continue reading Sheriff of Sodium: AI Will Replace Doctors (Reality Check!)

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