Physician Assistants: From Clinic to O.R., Partners in Health

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[Content warning: this episode contains discussions interprofessional trust and understanding that people who complain about mid-level creep will find disturbing. Listener discretion is advised.]

Partners in Health

Physician Associate (formerly Physician Assistant) students learn the preclinical curriculum right along side their Doctor of Medicine colleagues here at Iowa. Of course, that means they learn the same things, but also the level of trust and mutual understanding between the two professions is that much more explicit. October 6 to 12 is Physician Associates Week, and PA1 producer Noah Vasquez rounded up some classmates–Olivia Quinby, Emily Sarvis, and Noah Herkert–to talk about how they chose their future profession, what they’re learning, and what their plans are after they graduate.

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The Chains of Med Ed History, with Adam Rodman (Recess Rehash)

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[We’re taking a week off to recover from a really hard exam. Okay, it’s because Dave screwed up the schedule, but here’s a rerun you’ll enjoy ICYMI, and we’ll be back next week with a new episode]

The beginning of the 20th century brought huge changes to medicine; we’re still trying to cope with them

  • Special guest Dr. Adam Rodman, visits with M1s Jeff, Faith, and Linda and PA1 Kelsey, to talk about “path dependency,” the idea that a complex system (like medical education) is almost impossible to change without starting over. The path we have taken to today constrains what we can do tomorrow.
  • We discuss the founding of medical education as we know it today and how that has created an academic medicine system that values facts, science, and publication more than things like equity, empathy, and work-life balance.
  • The good news is that very dedicated people are working to make the sorely needed adjustments to these areas and more…without burning it all down and starting again.

More about Adam Rodman:

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Mothers Deserve Better

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[Content warning: this episode contains discussions of maternal mortality.]

Maternal mortality doubled in the 21st Century.

Motherhood is a revered institution in many cultures, but in the good old US of A there’s one area where mothers are being failed: medicine. Maternal mortality continues to increase to alarming levels, especially among people of color. We explore our thoughts on why, and what doctors can do in an environment in which financial profit is a prime motivator for health systems, rural areas are losing OBs, and nurse staffing levels are too low. Plus, we hear from some influencers with their health advice in a game of unnecessary censorship.

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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Major vs. Medicine: How we Decided

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How should Thomas choose between his great career options?

We’ve all been there: faced with some good options, which one do we choose? Listener Thomas wrote in with his dilemma: he studied and loves engineering, but what about medicine? M1s Jacqueline Nielson, Fallon Jung, and Sri Nandakumar discuss what they studied as undergrads, what made them realize that medicine is the right path, and how to become certain about that. Also, women surgeons are better than male surgeons, according to yet another study, and a supermarket’s chatbot recommends meals for busy people, like delicious chlorine gas.

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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AMA says “provider” is out; OB/Gyn ditches residency application they helped create

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Why docs don’t like the word “provider,” and the surprise dealt to the AAMC by OB residency programs

  • A Delaware-based health system is taking a stand against the use of the term “provider” to describe physicians. The AMA agrees, saying they oppose the term “provider” as inadequate and urging physicians to insist on being identified as such. Co-hosts Nicole (Pathology Extern), Riley (MD/PhD student), and Jeff (M2) discuss why that word might not capture what doctors do.
  • In the mid 90s, OB/Gyn residencies helped to pilot the Association of American Medical Colleges’ Electronic Residency Application Service, or ERAS. This year, to the “surprise and dismay” of the AAMC, the OB residencies are jumping ship this year and starting their own system.
  • Despite the oft-repeated trivia, urine isn’t sterile. I know!

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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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The Evolution of Acceptable

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Why do we struggle to change when our world changes around us?

  • Philadelphia’s Mütter Museum is beloved by its visitors. Styled as an homage to Victorian displays of medical and biological curiosities, its exhibits include human remains with extreme pathologies…and sometimes dubious provenance.
  • Once such items were joyfully collected by rich men to fill their cabinets of curiosities. But times have changed since the museum opened in 1863. The museum’s leaders have decided to reassess the exhibits’ ethical and moral qualities, despite the anger of devoted fans who like it fine the way it is, thanks.
  • Dave, M2 Jeff Goddard, and new co-host M1 Fallon Jung discuss our all-too-human resistance to change, as well as a proposal by a consumer group to open access to a ‘secret’ database of state medical boards’ disciplinary actions against physicians, which they hope will prod medical boards to do their jobs better.

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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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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Dr. Paul Offit Continues The Fight Against Vaccine Misinformation

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Meet one doctor working to counter once-fringe anti-vax conspiracy theorists.

  • M2 Jeff Goddard invited internationally-renowned virology and immunology expert Dr. Paul Offit on the show to talk about his lifelong struggle to fight vaccine misinformation.
  • MD/PhD Students Riley Behan-Bush, and Madi Wahlen join Jeff to talk with Dr. Offit about his work educating politicians and policy-makers (as well as battling anti-vaxxers like 2024 presidential candidate RFK, Jr.) and with the Vaccine Education Center at Children’s Hospital of Philadelphia.
  • One thing is for certain: though fear and doubt about vaccines have existed since the first smallpox vaccine, in the age of social media educating the public about vaccines and science hasn’t gotten any easier.

More about our guest:

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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jump right in or watch and learn: standing out In Clerkships

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How do you choose between jumping in with both feet vs. watching and learning?

  • Listener Jordan DM’d to say that she’s having trouble finding the right balance of initiative and observation in her clerkships. To stand out, should she jump into situations and try to contribute? Or is it better to step back and observe?
  • M2s Trent, Bridget, Maddie, and Yumi discuss their ideas about it, and we ask some faculty and experienced students to weigh in.
  • Plus, a dumb folktale by chatGPT offers us the story of radiologist Dr. William his magical radiograph-reading chicken Clara.

More about our guest:

Website URL Social Media URL Amazon URL [URL template for episode https://media.blubrry.com/theshortcoat/podcast.uiowa.edu/com/osa/CHANGETHIS.mp3]

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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Breaking the Silence: Judge Rosemarie Aquilina on the Power of Trauma-Informed Care (Recess Rehash)

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[Dave is on vacation this week, so have a listen to this previously aired episode. A Note to Listeners: this episode features discussions of sex abuse, rape, and other crimes that many listeners will find disturbing.]

Insights From the Bench on How Doctors Can Work With The Law To Protect Victims of Sexual Assault.

  • The Honorable Rosemarie Aquilina–the judge in the Larry Nassar USA Gymnastics Sex Abuse trial–talks with us about how even well-meaning doctors can ruin prosecutions of sex abuse cases.
  • Trauma informed care, restorative justice, and compassionate advocacy are all tools that must be shared between the law and medicine.
  • As Aline and Jessica discuss very sensitive and disturbing topics with her–listeners beware–we think you’ll find Judge Aquilina’s courage and values resonant with attributes of the best medical practitioners.

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”).

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An honest guide to the amazing and intense world of medical school.