Tag Archives: legislation

The Rural Doc Crisis and the Med Students Who Plan to Be Where They’re Most Needed

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The Truths and Solutions for Small-Town Healthcare.

We’re talking about rural medicine, where the needs are huge, the systems are broken, and sometimes, you just have to trust the process. Did you know that rural Americans have only 13.1 docs per 10,000 people compared to 31.2 in urban areas? Yeah, the need is real. But why are these students signing up for the challenge? And what the heck does a $50 billion Senate program have to say about processed cheese slices?

M2s Srishti Mathur, Megan Perry, Kassidy Brady, and M1 Megan Ahman grew up seeing the healthcare gaps firsthand, and now they’re dreaming of a career in rural medicine. From small town Iowa, Nevada, and Illinois, they explain that coming from a smaller area often fosters a skewed (but positive) perception of healthcare. Learn why practicing in a smaller community will allow them to wear multiple hats and take on greater roles, not just as a physician but as advocates for public health.

We look at the incentive programs designed to lure doctors into underserved areas, offering significant loan forgiveness if you practice primary care rurally for a number of years. We then open up the debate on compulsory rural service (a common practice in other countries). Does it work? We also discuss the new $50 billion Senate program intended to transform rural healthcare, analyzing the requirement for physicians to take continuing education on nutrition, and Feds’ barring of low-income people from buying “non-nutritious” foods (whatever that means).

You’ll discover the crucial pros and cons of rural practice, the opportunities rural physicians have to offer a wider medical practice than would be practical in an urban setting. The crew examines how telehealth might bridge the specialist gap, not just for patient-to-physician interaction, but for physician-to-physician collaboration. We also explore the valuable lessons learned from required under-resourced community rotations, emphasizing that knowing where patients come from and learning the community culture is beneficial, even for future urban specialists.

Finally, stick around as we take an unexpected, macroscopic look at everyday office objects and ultra-processed food–things look great from a distance but are confusing, even off-putting, when you zoom in; but can the co-hosts figure out what they’re seeing?

Episode credits:

  • Producer: Megan Perry, Kassidy Brady
  • Co-hosts: Srishti Mathur, Megan Ahmann

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.

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New Women’s Health Restrictions?

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Our new monthly legislation and policy roundup

Project 2025 is the name of a project that hopes to serve as a blueprint for a future conservative administration that would promote natural family planning methods and reduce insurance coverage for certain contraceptives. M1s* Fallon Jung, Taryn O’Brien, and Gizzy Keeler (who are–boop boop boop!–leveling up to M2s), with help from Curriculum Manager Billie Ruden, discuss what that might mean for training MDs, where they’ll be willing to go, and why it’s not just OB/Gyn aspirants paying attention. Meanwhile, congress will consider a bill to make permanent several telehealth changes that were enacted to ease the healthcare crisis during the COVID crisis. KFF.org releases a helpful primer about the US healthcare system everyone should know about, and a scandal at the NIH further jeopardizes trust in science.

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3 ways medicine changed this week

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From classroom to exam room, what you need to know

[This episode is sponsored by Beginly Health. Whether you’re actively searching or casually exploring job opportunities, the Beginly platform matches you with complete anonymity until you’re ready for the next step.]

M1s Fallon Jung and Alex Nigg, M2 Jeff Goddard, and MD/PhD student Riley Behan Bush hear listener Megan’s request for more news on critical healthcare changes from our overlords in the courts and the government. Riley shares insights from her lab work as she works toward finishing her PhD. This episode unpacks the FTC’s move to ban non-compete clauses for doctors, a pivotal Supreme Court case on Idaho’s abortion policies, and new consent requirements for performing invasive procedures you didn’t know were being done on anesthetized people.

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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