Tag Archives: Miranda Schene

The Ethics of End-of-Life Care

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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.

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Medical School Hot Takes, Part 2

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More possibly terrible ideas about how the world should work

  • Dave and Riley enjoyed the first hot takes episode so much, they decided to do a follow up of those they didn’t get to.
  • Aline, Alec, and Miranda join in, with their takes: no medical students who haven’t failed, Tik Tok filters are doing to damage to children’s brains, students lie about their ability to hear heart murmurs, and more.
  • Listener and US Marine Tanner writes in to ask about his undergraduate education plan as his military service draws to a close, but Dave has concerns about how admissions committees will view undergrad education at a for-profit institution.

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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Urology = Mac & Cheese, and other Thanksgiving Questions Answered

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What Thanksgiving dish will you become?

  • Happy Thanksgiving! Dave and co-hosts Matt, Miranda, Happy, and Chirayu take a moment to acknowledge and call out those they’re thankful for.
  • The gang settles an age-old question: what medical specialty would each Thanksgiving dish be?
  • Listener Thor wants to know: how can he be the best and most “helpful” shadower possible?

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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Is A Research Year Right for You?

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Many medical students decide to take a year “off” to do research. But is it necessary?

  • M2s Zach and Elvire, PA2 Ethan, and Md/PhD students Miranda and Riley talk about why a student would want to take a whole year out of med school to do research.
  • Some reasons discussed include ambitions for a research-heavy specialty program; to make up for deficiencies in other areas; and just to increase one’s skills in the event that their future careers might benefit.
  • The gang pimp each other on important ‘medical’ knowledge, and Dave fires up the SCP Test Kitchen to create more efficient snacks for busy students.

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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Stop Gatekeeping “Doctor.”

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Yes, you will (did) work hard to get your MD, but others have doctorates, too.  Lighten up.

  • Noah (M2), Ariele (PA2), Nicole (M2), and Miranda (MSTP) discuss the impulse many MDs and MDs-to-be have to gatekeep the word “doctor” when advanced practice providers use it.
  • PhDs, DNPs, AuDs and many more also have doctorates. Instead of worrying about who worked harder to get it, better perhaps to support each other and not worry about who deserves to call themselves a doctor.
  • The American Board of Radiology did something crazy–they told programs their trainees will get a bunch of leave for birthing and non-birthing parents to care for their newborns.
  • Noah and Ariele try the third hand experiment. Tik Tok science for the win? Or is it social pseudoscience?

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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Adding a PHD: Choosing the Right Option for YOu

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Should you do a combined MD/PhD, an Medical Scientist Training Program, or get them one-at-a-time?

TL;DR

  • There are at least three ways an aspiring MD/PhD can add those last three letter to their name, but why choose one way over another?
  • To celebrate our CCOM Art Show, the crew makes some art for Dave to admire (See them for yourselves on our Instagram.
  • The co-hosts answer Dave’s probing questions as he tries to get to know them even 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”).

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Rushing to Med School means Missed Opportunities (RECESS REHASH)

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The gods of podcasting smote our recording session last week, but at least we can enjoy this rerun. Luckily, it’s a good one!

Taking your time may actually be better for your career than rushing through it

TL;DR

  • Rushing to med school may be a good idea, but there is a danger of missing experiences that make you a better student and a better doctor. But if you’re going to do it…go hard.
  • Nutrition is well covered in the med school curriculum, but there’s a lot we don’t understand.
  • Falling off a tall stack of milk crates on purpose has questionable health benefits.

Listener (and graduating high-school senior) Stephanie called 347-SHORTCT to ask about her plans to finish undergrad in 2 years and start med school at 19. While her actual question was how she could get everything done, our question was what would she miss out on that might inform and educate her about her medicine dreams? MD/PhD students Miranda Schene and Riley Behan, M2 Eric Boeshart, and M1 Zach Shepard discuss the cons.

Another listener, Varsha, wants to know how much nutrition is covered in med school; and Dave points out a study that claims a hot dog reduces your life expectancy by 36 minutes. One more thing that reduces life expectancy: the milk crate challenge.

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!

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The Coming Physician Exodus: Why Doctors May Leave the Profession Soon (Recess Rehash)

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COVID taught many employees what their employees think of them. Doctors are no different.

TL;DR

  • Most people don’t see themselves as partners in success, but as hired hands. Doctors are employees, too, and have similar issues with their employers!
  • 30% of administrators reported losing physicians during the pandemic. Either an exit from healthcare or a mass shift of physicians from low-engagement jobs to higher engagement positions may have already begun.
  • We discuss what a great job for a doctor might look like.

We’ll be back next week with a new episode. Meanwhile, as COVID continues to wreak havoc in healthcare, it seems like a good time to revisit this topic. Enjoy.

In this episode future physicians M2 Nicole Hines, and MD/PhD students Miranda Schene, Aline Sandouk and newcomer Riley Behan are on hand to talk about “employee engagement,” the idea that workers–and physicians are workers, remember–feel best utilized and appreciated when they are partners rather than cogs in the success of their employers.

And while many physicians have experienced job dissatisfaction and burnout, COVID seems to have taught some docs that they no longer have to put up with that. As employers of all kinds struggle to bring disengaged workers back to their dissatisfying, low-paying jobs, a white paper from a physician recruiter ominously suggests that doctors are also re-thinking their work as employees.

With that in mind, Dave asks his co-hosts what, for them, might be the features of a job that they could feel engaged with, like a partner in success?

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!

Continue reading The Coming Physician Exodus: Why Doctors May Leave the Profession Soon (Recess Rehash)

Recess Rehash: When Life Is Getting In the Way of Med School: the Value of the Tactical Retreat.

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Save Your Resources to Fight Another Day

TL;DR

  • Medical school is all-consuming, but sometimes you need to take time to deal with the slings and arrows of life.
  • Don’t be afraid that you’ll jeopardize your career by taking a leave during medical school. Better to do it before your situation causes harm to your test scores or grades.
  • A Brown University study finds that schools are failing in their diversity goals for admitting URMs.

We’re on a holiday break, but we’ll be back next week. Until then, enjoy this rerun.

Poking around on Reddit’s r/medschool, Dave found a rather desperate message from an M3 who’s life is collapsing around him–death, marriage troubles, family illnesses, and all at the same time. so much so that Dave fears their progress might suffer. Is it time for what a military commander might call a “tactical retreat?” Note: Dave isn’t really sure of the technical definition of a tactical retreat, but let’s just say it’s about stepping back and conserving your resources until the situation becomes more favorable to your goals. It’s a metaphor, go with it.

And co-hosts Aline Sandouk (MD/PhD), Nicole Hines (M1), AJ Chowdhury (M1), and Miranda Schene (MD/PhD) discuss the disappointing news that medical schools have made negative progress in attaining diversity goals for students underrepresented in medicine, despite years of effort.

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!

Continue reading Recess Rehash: When Life Is Getting In the Way of Med School: the Value of the Tactical Retreat.

Finding Meaningful Research Opportunities

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You can ‘do’ research in med school or undergrad, but no one’s going to just give you the opportunity

research photo

TL;DR

  • If you want to be an author on a publication, you’ve got to be open with your lab about your goals.
  • Go into research with the aim of improving your skills, and know exactly what skills you want to work on.
  • Some kinds of research are easier to do and get published in medical school.

“Friederick” (not his real name) wanted to know more about how to get good research positions in undergrad and medical school. But what does ‘good’ mean in that context? MD/PhD students Miranda Schene and Riley Behan, M1 Grant Stalker, and M4 Emma Barr have thoughts on how to look for an opportunity to publish, how best to understand the job of being an research assistant, and how to approach the principle investigator with your goals.

Riley discusses her impending nuptuals, and how she’s been thinking about a COVID wedding in late 2021, and the gang practices delivering bad news–diseases that Dave generated on some website–with Emma as the instructor.

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!

Continue reading Finding Meaningful Research Opportunities