Tag Archives: Julie Vuong

The Disease Medicine Suffers From That’s Causing Immense Suffering

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Groupthink Kills

Do any of these ideas sound familiar?

Whether born by C-section or vaginally, outcomes are the same for babies.

Opioids aren’t addictive.

Appendicitis must be treated by appendectomy.

Children shouldn’t have peanuts until they’re at least 3 years old.

Antibiotics have no downside.

Hormone replacement therapy causes breast cancer.

These recommendations and many more were based largely upon unexamined ideas and bad science. And in recent years through well-designed science we’ve been learning that they made patients sicker.

Dr. Marty Makary is a public health researcher and bestselling author whose new book, Blind Spots: When Medicine Gets it Wrong and What It Means for Our Health, is an incredibly accessible exploration of the pitfalls of medical groupthink and the importance of questioning deeply held assumptions in medicine. It explores how medical training often suppresses big-picture thinking and critical questioning. Co-hosts M2 Alex Nigg, PA2 Julie Vuong, and M3 Jeff Goddard, and M2 Fallon Jung talk with Dr Makary about the disconnect between what’s practiced in medicine and science, the dangers of dismissing new ideas due to fear of association with discredited concepts, and the significance of maintaining scientific objectivity. The episode combines personal anecdotes, practical advice for navigating medical school, and a thought-provoking discussion on improving transparency and trust in healthcare. Join us for an engaging exploration of the critical issues in modern medicine and the role of young doctors in driving change.

More about Marty Makary:

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New Students Arrive, How to Live in the Present, and Staying Sane While Applying

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Welcome New MD/PA students!

M2s Leticia Franciso and Gizzy Keeler, who served as orientation leaders for this year’s new crop of medical and PA students, were in a good position to talk about the experience of transitioning from Orientation Week to the first year of medical school, highlighting the changes in attitudes and relationships they saw. They, along with PA2 Julie Vuong and M4 Katie Higham-Kessler compare the pre-med and medical school environments and offer advice to incoming students. And our admissions expert Rachel Schulista returns to help answer questions from listener JustAGirl who’s trying to stay sane during the application process while the other applicants around her are not being especially helpful, and listener Chris’s worry that he’s looking to the future at the expense of the present. Plus, the importance of having diverse experiences, the real value of personal statements in applications, and why the pursuit of genuine personal interests will help you get into med school and beyond. Join us!

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Blechardy and Beans

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Med School is Non-Trivial, but…

Against the backdrop of a new class of MD and PA students arriving at the University of Iowa Carver College of Medicine, Dave and the co-hosts–including M3 Hend Al-Kaylani, PA2 Julie Vuong, M2 Gizzy Keeler, and M3 Trent Gilbert–share their humorous and sometimes ‘smelly’ experiences from their first semester, play a trivia game Dave made up called ‘Blechardy with Alex Trebot 2.0,’ and eat jelly beans. This is high-yield stuff, folks.

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Public Studying, Ultrasound Oopsie, and Stealing Valor from Nurses: AITA

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It’s another trip through Reddit, arbiter of A-holishness

  • What lessons does medical school teach? Aside from the foundations of cellular life, mechanisms of health and disease, and clinical and professional skills? As M2 Holly Hemann, MD/PhD student Miranda Schene, PA Professor Jeremy Nelson, and PA1 Julie Vuong discover, it can teach you where it’s not appropriate to study external reproductive anatomy, that some people consider wearing scrubs an example of stolen valor, and that it’s sometimes best for a student to keep his mouth shut. It’s okay, we’re here to learn from each other!

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How Med Students Do Long Distance Relationships

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It’s all about the plan!

Listener Neurotic Premed dropped us a message at https://theshortcoat.com/tellus to ask what medical students in long-distance relationships, both platonic and romantic, do to keep them alive and healthy. MD/PhD student Madi Wahlen, M2 Fallon Jung, M3 Jeff Goddard, an PA2 Julie Vuong have a lot of experience in that area. From long-distance parenting to making sure friends still feel connected, it takes planning and intentionality along with a slight tweak to what it means to be “together.” They share how they do it successfully!

Plus, Chinese researchers appear to have cured a man of his diabetes, Ozempic is powerful enough to affect the food and beverage industry’s bottom lines, and Florida allows c-sections outside of hospitals in a bid to improve access.

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If you’re asking, you might be the a**hole

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Life’s grey areas, offered up for internet discussion

Sometimes, you need someone to tell you if you’ve crossed the line. That’s why Reddit’s Am I The A**hole subreddit exists. M2 Holly Hemann brought some med-school themed samples for MD/PhD students Miranda Schene, Faith Prochaska, and PA2 Julie Vuong to react to. How compatible is MMA fighting and med school? Is it okay to get a secret horse? And isn’t an Eagle Scout the same as a doctor when you get right down to it? Let’s talk about all that!

From the discussion:

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Does the Medical Profession Glorify Misery?

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[This episode is sponsored by Beginly Health. The Beginly platform matches physicians and APPs with employers with complete anonymity until you’re ready for the next step. Dave and Beginly founder Kristi Olsen chat about what residents should be asking employers about when planning for their post-residency gigs and beyond.]

Do everything you can to avoid the misery trap

On this episode we welcome guest Dr. Joshua Trebach, an emergency medicine physician here at Iowa. This past spring he posted on X that medicine must “lose the mentality of thinking its okay to be miserable for years (or decades) to justify it being ‘finally worth it’ in the end.”

We couldn’t agree more–live now, not later! Which is why PA2 Julie Vuong, M2 Fallon Jung, and MD/PhD student Madi Wahlen are each finding ways to reject that mentality. Indeed, medical education is changing, perhaps slowly, to reinforce the idea that just because medicine can be a difficult life doesn’t mean that you should obsessively look forward to the day it gets better. That day is a long way away, so do what you can (what you must) to be who you want to be even as you’re drinking from the firehose.

Also, we answer one of listener Mohamed’s questions on how he can jump right into his first year this fall with his eyes on patient advocacy.

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Against the Odds: First-Generation in Medicine

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It’s hard to become a doctor when you’ve never met one.

It’s sometimes easy to forget from the ivory tower that relatively few American’s have, or take, the opportunity to advance beyond high school. This, of course, means that their children are also less likely to do so. Those kids that do decide to make that leap are at a distinct disadvantage to their peers whose parents did go to college. And those who advance further to attend medical school are even more rare, and are still disadvantaged compared to their peers. We call those students “first-generation in medicine,” and they’re an important group. They represent an opportunity to have a medical workforce that can serve their patients better because they understand a wider range of patient experiences and determinants of health at a gut level.

PA1 Julie Vuong, M1 Amanda Litka, MD/PhD student Faith Prochaska are all first-generation students in college or medicine, and M1 Holly Hemann is engaged in outreach activities focused on first-generation students. They sat down to talk with Dave about their battles to overcome the barriers to enter a medical career, what it means for their future practice of medicine, and how learning about medicine is often a gut-wrenching experience that highlights the struggles their families back home have in maintaining their own health.

Meanwhile, some medical schools have gone tuition free, which should have been good news…but so far it has actually *decreased* the number of low-income students that matriculate at those schools, as well as lowering the number of students from those schools who enter primary care.

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Disability in Medicine: The Every Day Struggle

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Medicine isn’t always kind to its disabled practitioners, but let’s change that.

In 2023, a group of Iowa med students founded our chapter of the Medical Students With Disabilities and Chronic Illness, a group “working to remove barriers for students and professionals with disabilities, increasing representation of diverse perspectives in medicine.” M1 Holly Hemann, MD/PhD student Faith Prochaska and PA1s Olivia Quinby and Julie Vuong discuss their lived experiences as students navigating disability and chronic illness. They illuminate the essential support systems, the process of securing necessary accommodations, and the powerful sense of community among students facing similar challenges. And they look critically at how these personal experiences enrich the medical profession and underscore the urgent need for inclusivity in medical training. Their personal stories of coping with PTSD, ADHD, daily vestibular migraines, and celiac disease show how these experiences are shaping their medical journey. They also discuss what colleagues present and future can do (or must do better) to understand and support those who face barriers due to their physical and mental conditions.

Learn more:

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The PERFECT specialty? Occupational Medicine ft. Matthew Kiok, MD, MPH

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Occupational Medicine offers a great lifestyle, scope mix, and early-career satisfaction

Matthew Kiok, MD, MPH tells us he’s found the perfect specialty. Occupational Medicine is one of those careers we’re exploring in our sleeper specialty series–those which you might not immediately think of when you’re considering a career as a physician. Dr. Kiok tells M1 Fallon Jung, PA1 Julie Vuong, and M2 Jeff Goddard that he has great work-life balance and a satisfying scope of practice. He makes a difference in peoples’ lives by keeping them safe in their workplaces or assessing work-related injuries, even testifying as an expert in court. His experiences highlight the unique challenges and rewarding moments in his chosen career and insights into the complicated relationship between doctors, employers, and employees. He offers advice to those considering a similar career path–and he even gave us his email address if you want to ask him more about it! What a guy!

More about our guest:

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