Tag Archives: Jeff Goddard

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…

Continue reading Mothers Deserve Better

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!

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

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…

Continue reading Dr. Paul Offit Continues The Fight Against Vaccine Misinformation

Bad Advice is a Leaky Umbrella (Recess Rehash)

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[Dave is on vacation this week, so enjoy this previously aired episode]

Recognizing good advice and discarding the bad is part of the admissions process

  • Aline has finished her PhD! She walks Jeff, Riley, and AJ through what defending a dissertation is like, and looks back on some of the things she’s learned about herself and about science.
  • And, bad advice is like a leaky umbrella that lets you down when you need it most. So how do you recognize good advice and distinguish it from bad advice when you’re applying to medical school?

[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”).

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What Patient Advocacy Looks Like

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Speaking up for your patients will have profound impacts

  • Short Coat Savannah’s previous work in mental health settings exposed her to situations where she had to report abuse. She left us a message at 347-SHORTCT asking us to talk about patient advocacy.
  • MD/PhD student Riley, PA1 Faith, M1 Jeff, and M3 Happy–along with some of our faculty–look at what doctors actually do to advocate for their patients in that situation, as well as other more common situations.
  • Plus, Jeff licks an elephant to right an old wrong.

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 What Patient Advocacy Looks Like

The Ethics of End-of-Life Care (Recess Rehash)

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[We’ll be back next week with a new episode! For now, take a listen to this re-run!]

Decisions made at the end of life are among the most complicated.

  • M1 Jeff, M3 Ananya, and MD/PhD students Riley and Miranda discuss what they’re taught about the ethics surrounding the end of life.
  • What are the physician’s responsibilities? How do they balance the patient’s wishes, the family’s desires, the directive to do no harm and to provide the best possible care, and the need to ensure that such considerations are supplied to any and all patients.
  • Add in the myriad cultural and religious beliefs that doctors, patients, and families have, and you get quite a difficult set of calculations to ponder.

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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Continue reading The Ethics of End-of-Life Care (Recess Rehash)

Oath Vs. Enterprise: Moral Injury in Medicine with Wendy Dean

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Burnout is the wrong word for what’s ailing healthcare workers

  • The term burnout doesn’t really cover what happens to physicians and others in healthcare. Dr. Wendy Dean and others are coming around to the idea that what’s really happening is moral injury–what happens when you want to do the right thing but aren’t allowed to do it.
  • M1s Jeff, Faith, and Linda visit with Dr. Dean to talk about moral injury, what people are doing about it, and what still needs to be done.
  • Her book, If I Betray These Words, is available everywhere, and is a great read for anyone interested in knowing why their doctor can’t just do what’s right for their patient.

More about our Dr. Wendy Dean:

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 Oath Vs. Enterprise: Moral Injury in Medicine with Wendy Dean