Tag Archives: Jeff Goddard

Short Coat Podcast

The Practicalities of Policy; Alex Trebot Returns

Audio
Share

Podcast: Play in new window | Download (Duration: 52:08 — 47.7MB)

Subscribe: Google Podcasts | Spotify | RSS | More

Democracy is messy

  • Dave declared this recording day to be “Effort Free Friday,” as it was officially Thanksgiving Break! That didn’t stop M2 Jeff Goddard from telling the story of a recent meeting of the AMA Students Section that offered an object lesson on how policy is (or in this case, isn’t) made.
  • Among many other topics, some students wanted the AMA to declare a position on the current Israel-Hamas war. In the end, the AMA declined to do so, perhaps deciding that it didn’t have the political capital on a divisive issue that could threaten its ability to participate in other conversations it has a more direct role in. Co-hosts M2 Happy Kumar, MD/PhD student Faith Goddard, and MD/PhD student Riley Behan Bush talk about their personal efforts to understand this compilated issue.
  • In the spirit of the tenets of Effort Free Friday, Dave dragged Alex Trebot out from the AI closet to host a trivia contest.

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…

Continue reading The Practicalities of Policy; Alex Trebot Returns →
Short Coat Podcast

Sleeper Specialties: Nuclear Medicine

Audio
Share

Podcast: Play in new window | Download (Duration: 1:11:13 — 65.2MB)

Subscribe: Google Podcasts | Spotify | RSS | More

Medicine, Work-Life Balance, and Physics, together at last

Dr. Michael Graham, a seasoned Nuclear Medicine practitioner and professor at the University of Iowa, reached out to us recently because at a national level his specialty is experiencing a shortage of new residents. The reasons for this include a less-than-perfect fit with the way it’s traditionally been lumped into radiology, a field with some parallels but some important training differences.

M1 Fallon Jung, PA1s Olivia Quinby and Noah Vasquez, and M2 Jeff Goddard talk with Dr. Graham about how the field has evolved and changed the dynamics of patient care and medical practice.

Decoding Nuclear Medicine with Dr. Michael Graham

For those in the dark, nuclear medicine is the area of medical practice that uses radioisotopes for diagnosis and, increasingly, treatment. The secret weapon is the ability to see bodily function and metabolism unlike routine imaging.

One reason we think nuke med is a sleeper specialty is lifestyle–compared to some of the more procedural specialties like surgery or OB, there is a more regular schedule on offer. Dr. Graham suggests that those who might find a good fit with nuke med studied engineering or physical sciences, and he offers some pointers for students considering a career in nuclear medicine and how it intersects with the broader field of radiology.

Touching on future trends in healthcare, we discussed newer ‘theranostic’ agents – a combination of therapeutic and diagnostic modalities. This rapid and promising development offers targeted treatment – increasing effectiveness while minimizing side effects.

Ensuring Work-Life Balance

Dr. Graham also helps us answer listener Molly’s question: how do medical students and doctors achieve a balance between their work and their personal lives. The balance in nuke med, as Dr. Graham highlights, can be somewhat smoother than in other medical specialties.

More about our guest:

Website: https://medicine.uiowa.edu/radiology/profile/michael-graham

Continue reading Sleeper Specialties: Nuclear Medicine →
Short Coat Podcast

Piecing Together American Healthcare, ft. Dr. Ilana Yurkiewicz (Part 1)

Audio
Share

Podcast: Play in new window | Download (Duration: 47:54 — 43.9MB)

Subscribe: Google Podcasts | Spotify | RSS | More

We have GOT to get it together

What’s the best way to navigate a fragmented healthcare system? How are patients both the victims and unwitting custodians of their own medical stories? And can primary care address gaps in long-term cancer treatment? We had a fun conversation with Dr. Ilana Yurkiewicz, the author of ‘Fragmented, A Doctor’s Quest to Piece Together American Healthcare.’ Jeff, Fallon, AJ, and Alex walked away not only enlightened about the gaps in the contemporary healthcare system but also the importance of primary care and specialists working together to build patient relationships and keep clinical information flowing.

The Primary Care Revelation

Dr. Yurkiewicz took an unconventional career path. Why would a trained medical oncologist with board certifications in hematology and oncology choose to open a primary care practice for cancer patients and survivors, you might wonder? The answer delves deep into the very core of our healthcare system’s inefficiencies.

Cancer treatment doesn’t end at remission. The aftermath brings a basket full of new health issues that often go overlooked. During these critical times, patients need primary care doctors who are also knowledgeable about oncology — enter the innovative primary care practice Dr. Yurkiewicz established.

Fixing Fragmentation in Healthcare

Unfortunately, the tools physicians use to track their patients’ progress aren’t great at sharing. The shortcomings of electronic medical records (EMR) are a source of frustration that healthcare providers commonly face due to their disjointed nature. Keeping the patient in the loop when it comes to their reports and critical information was highlighted as a key responsibility of healthcare providers in a fragmented system–the current state of affairs is that the patient is the one with the most incentive to keep track of their data! This only highlights the urgent need for an interconnected EMR system, that patients are often the only source of continuity in their healthcare narrative.

A Glimpse Into the Future of Healthcare

There are countries that do this better, but modifying the existing system rather than attempting to building a new one from scratch based on them may be tough. Though countries like the Netherlands boast more streamlined healthcare systems, it’s crucial to devise a model that accommodates the unique challenges and strengths of American healthcare and culture.

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…

Continue reading Piecing Together American Healthcare, ft. Dr. Ilana Yurkiewicz (Part 1) →
Short Coat Podcast

Selfie-Diagnosis, Fentanyl Anti-Doses

Audio
Share

Podcast: Play in new window | Download (Duration: 1:09:14 — 63.4MB)

Subscribe: Google Podcasts | Spotify | RSS | More

  • Dave’s been seeing a lot of videos on social media that suggest “You might have {insert condition} if you {insert experience or behavior that most people have or do to some degree}.” Which is great–it’s always nice to know that you are not alone, that your experience is not unique. But how should physicians work with a social media self-diagnosis?
  • There may some day be a vaccine against fentanyl, meant to protect against overdoses. This is great news, if it works out, because people die from fentanyl overdose every day. Who will get it, what affect it will have on anesthesia, and the parallels to how people view HPV vaccines will among the things we’ll be watching.
  • And Dave has co-hosts Jeff, Jacqueline, Faith, and Riley practice their doctoring on each other.

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…

Continue reading Selfie-Diagnosis, Fentanyl Anti-Doses →
Short Coat Podcast

Med-Techbros, Shortage Woes, and Ig Nobel Probes

Audio
Share

Podcast: Play in new window | Download (Duration: 58:25 — 53.5MB)

Subscribe: Google Podcasts | Spotify | RSS | More

  • As another physician shortage looms, M2s Jeff and Olivia and M1 Fallon look at the reasons–the market forces, political issues, and the missing incentives. There is some good news–a shortage of physicians means that residents get a ton of solicitations for post-training jobs.
  • Elon Musk’s Neuralink might be bad for monkeys, but the FDA has cleared the way for human trials to begin. What place do techbros–who have a rep for “moving fast and breaking things”– have in medicine where lives are at stake?
  • And Dave gives a pop quiz on this year’s Ig Nobel Prize winners.

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…

Continue reading Med-Techbros, Shortage Woes, and Ig Nobel Probes →
Short Coat Podcast

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

Audio
Share

Podcast: Play in new window | Download (Duration: 1:08:57 — 63.1MB)

Subscribe: Google Podcasts | Spotify | RSS | More

[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:

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

Continue reading The Chains of Med Ed History, with Adam Rodman (Recess Rehash) →
Short Coat Podcast

Mothers Deserve Better

Audio
Share

Podcast: Play in new window | Download (Duration: 58:33 — 53.6MB)

Subscribe: Google Podcasts | Spotify | RSS | More

[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…

Continue reading Mothers Deserve Better →
Short Coat Podcast

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

Audio
Share

Podcast: Play in new window | Download (Duration: 50:27 — 46.2MB)

Subscribe: Google Podcasts | Spotify | RSS | More

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!

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…

Continue reading AMA says “provider” is out; OB/Gyn ditches residency application they helped create →
Short Coat Podcast

The Evolution of Acceptable

Audio
Share

Podcast: Play in new window | Download (Duration: 55:14 — 50.6MB)

Subscribe: Google Podcasts | Spotify | RSS | More

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…

Continue reading The Evolution of Acceptable →
Short Coat Podcast

Are We More Empathetic than AI?

Audio
Share

Podcast: Play in new window | Download (Duration: 1:16:47 — 70.3MB)

Subscribe: Google Podcasts | Spotify | RSS | More

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…

Continue reading Are We More Empathetic than AI? →