Tag Archives: Jeff Goddard

Short Coat Podcast

The Doctor Doesn’t Know Either: Inside the Diagnostic Crisis, with Alexandra Sifferlin

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The feedback loop that would make doctors better diagnosticians doesn’t exist.

Louise walked five minutes. Then her legs turned to stone. She stood at the side of the road, waiting for them to work again—and nobody figured out why for thirty years.

Author and New York Times Health and Science Opinion Editor Alexandra Sifferlin has spent years as a journalist fielding emails from patients who couldn’t get a straight answer from medicine—not because their doctors were incompetent, but because diagnosis is harder, messier, and more difficult to do in 15 minutes than anyone wants to admit. Her book The Elusive Body: Patients, Doctors, and the Diagnosis Crisis traces the problem from rural Kentucky to the NIH’s Undiagnosed Diseases Network, and her conversation with M4 Jeff Goddard, M1 Madelyn Klemmensen, and M2 Zach Goddard goes deep on the mechanics of how diagnostic errors actually happen: availability bias, the missing feedback loop, specialty tunnel vision, and the slow erosion of trust that pushes patients toward people selling them supplements.

The students here aren’t just asking sympathetic questions, although Jeff is literally a character in the book, something Dave found out in real time on this episode. They push on the hard stuff: when is a placeholder diagnosis ethical, whether AI will save us or become a crutch, and what do you actually do about a healthcare system where the patient bounces between docs who don’t have answers. What they keep landing on is uncomfortable—medicine doesn’t have great solutions to this, but the relationship between patient and physician might matter more than the technology of medicine. Solving the diagnostic crisis might mean uncomfortable, expensive changes.

Episode credits:

  • Producer: Jeff Goddard
  • Co-hosts: Zach Grissom, Madelyn Klemmensen
  • Guest: Alexandra Sifferlin, https://www.alexandrasifferlin.com/
  • Production: SCP Media Lab–Anna Roger, Cyrus Barati, Isa Perez-Sandi, Zach Grissom, Sarah Upton, Srishti Mathur, David Lee, and Jacob Thompson 

The views and opinions expressed on this podcast belong solely to the individuals who share them. They do not represent the positions of the University of Iowa, the Carver College of Medicine, or the State of Iowa. All discussions are intended for entertainment purposes only and should not be taken as professional, legal, financial, or medical advice. Nothing said on this podcast should be used to diagnose, treat, or prevent any medical condition. Always seek qualified professional guidance for personal decisions.

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!

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They Way Most Docs are Paid Doesn’t Lead to Healthier Patients (Recess Rehash)

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Podcast: Play in new window | Download (Duration: 1:11:48 — 98.6MB)

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[ICYMI, here’s a rerun of a show released earlier this year. We’ll be back with new shows starting next week!]

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

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!

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The Unexpected Power of Student Doctors (Recess Rehash)

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Podcast: Play in new window | Download (Duration: 1:10:07 — 96.6MB)

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[We weren’t available to record a new show for you this week, so enjoy this rerun instead!]

Clinical students are sometimes the only ones who have time to listen

In the clinic, med students can feel like bystanders, but they can make all the difference for patients. M3 Jeff Goddard, M3 Tracy Chen, M2 Alex Nigg, and M4 Matt Engelken recount stories of the patients that stuck with them—some painful, some beautiful, and some just plain awkward. From OB-GYN to peds to the ER, they share how student doctors—who can often feel like tagalongs—can often be the ones offering emotional support, catching critical miscommunications, or just being the one person with time to care. We reflect on the pressure to look competent, the sting of lukewarm evaluations, and how one med student realized a patient wasn’t constipated—just heartbroken.

Also in this episode: talking to dying patients, babies are scary, and what not to say when to overwhelmed family.

A med student comforts a patient. Concerned family are dimly seen in the background. Text: "No One Else Noticed:

Episode credits:

  • Producer: Dave Etler
  • Co-hosts: Matt Engelken, M4; Jeff Goddard, M3; Tracy Chen, M3; Alex Nigg, M2

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!

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From Broke to Bank: Money Lessons Med School Skips

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Med School ROI: Still Worth the Debt?

Doctors make bank, so why do they feel poor? We’re breaking down the brutal reality of medical money myths—starting with the lie that your six-figure salary will solve everything. With financial advisor Tyler Olson, M4s Jeff Goddard and Trent Gilbert, and M2 Luke Geis ask whether med school is still a good investment or just an expensive trap wrapped in prestige.

We talk always-on-the-verge-of-disappearing Public Service Loan Forgiveness, we drag lifestyle creep, go full scorched-earth on bad budgeting, and explain why even a half-million bucks a year won’t automatically save you from living paycheck to paycheck. If you’ve ever looked at an attending and thought “they must have it made,” this episode will explain why they often don’t.

Learn what to do before residency, how to prep for your 4th-year expenses, why disability insurance might be more important than your board scores, and whether that $15/month budget app is actually worth it. Spoiler: Tyler prefers sticky notes on mirrors.

Oh—and if you thought $275K was a lot, wait until taxes take their cut.

Episode credits:

  • Producer: Jeff Goddard
  • Co-hosts: Luke Geis, Trent Gilbert
  • Guest: Tyler Olson, Olson FP

[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!

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 From Broke to Bank: Money Lessons Med School Skips →
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Short Coat Podcast

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

Audio

Podcast: Play in new window | Download (Duration: 1:11:48 — 98.6MB)

Subscribe: Spotify | RSS | More

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

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

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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!

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How a Walk in the Park Sparked a Health Movement, ft. David Sabgir, MD

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A cardiologist ditched the standard lecture and took a walk with his patients. You can too!

Cardiologist David Sabgir was tired of telling patients to exercise, so he did something ridiculous…and it spawned a movement. Walk With A Doc began with a simple idea: don’t just recommend lifestyle changes—live them, with your patients, in the wild. In this episode, we unpack the surprising power of walking with a community instead of talking at patients about exercise, and how a one-mile stroll has turned into an international public health initiative. Co-hosts M3 Jeff Goddard, and M1s Sydney Skuodas, Michael Arrington, and Zach Grissom are also asking: what happens when docs and med students bring their kids, their real lives, and their full humanity into community care? For some, it could be a real antidote to burnout, and the solution might be hiding in the park—with some sneakers and your neighbors. The cardiologist that stared it all shares how failing at patient motivation led to something wildly more effective.

This episode is your unofficial permission slip to stop recommending change and start doing it.

Episode credits:

  • Producer: Jeff Goddard
  • Co-hosts: Zach Grissom, Michael Arrington, Sydney Skuodas
  • Guest: David Sabgir, MD

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!

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Your Thesis Won’t Change the World (and Here’s Why)

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The path to discovery is paved with bureaucracy

Einstein was a patent clerk when he first proposed his famous equation that explained our universe…something that could never happen today. This week, we’re calling out the slow, tangled mess that is academic science. Why do some of the best ideas never leave a lab notebook? Why are 20-somethings with world-changing potential still spending 8 years writing theses that probably won’t be read? And why does grant funding seem allergic to risk?

MD/PhD student Riley Behan-Bush is juggling frustration, big ideas, and the reality of PhD science, and M3 Jeff Goddard, MD/PhD student Jess Smith, and M1 Sarah Lowenberg question whether Einstein would even make it today. Should the NIH institute a funding lottery? Jeff thinks Dave’s ringtone means he needs to grow up. And we finish strong by turning a stack of random medical words into fake personal statements.

It’s messy, it’s a little salty, and it’ll make you wonder how anything changes in medicine or science.

Episode credits:

  • Producer: Dave Etler
  • Co-hosts: Jeff Goddard, Sarah Lowenberg, Riley Behan-Bush, Jess Smith

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!

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