Tag Archives: shelf exams

Five Med Students on Thriving in Clerkships

Audio September 17, 2026 Dave Etler

Podcast: Play in new window | Download (Duration: 1:09:35 — 97.1MB)

Podcast (video): Play in new window | Download (Duration: 1:09:35 — 10.3GB)

Five M3s explain what actually happens when preclinical learning meets real patients.

Dave sits down with a crew of M3s and one asterisked MSTP M4 — Riley Behan-Bush, Samantha Gardner, Srishti Mathur, Sahana Sarin, and Sarah Upton — to talk about the actual experience of clerkships: what the jump from three semesters of preclinical book-learning into surgery, psychiatry, emergency medicine, and family medicine really feels like, why the first two weeks can swing from “best of med school” to “worst of med school” depending entirely on the rotation you land, and how you’re supposed to figure out your place on a team that changes every two weeks. They dig into the actual mechanics of honoring a clerkship — shelf exam cutoffs that can sit at 90%+, evaluations that make up 70-80% of a grade, and the particular indignity of missing honors by a single point after doing everything right.

The group works through how to handle conflicting instructions from residents and attendings, how to ask questions without challenging the hierarchy (“for my own understanding, can you explain why you decided…”), and how to actually figure out a specialty when you love everything, including surgery where you’ll stand for hours. Sahana’s pros-and-cons journal after every rotation gets a real endorsement. Also, they answer a batch of questions submitted by their own preclinical classmates: how much free time you actually get (some), whether Des Moines versus Iowa City rotations matter (it depends what you want out of medicine), and what actually makes clerkship life easier — which turns out to be a year’s supply of Costco garbage bags, a cellular hotspot, and, for at least one host, a husband who meal preps.

Episode credits:

Producer: Isa Perez-Sandi
Co-hosts: Srishti Mathur, Sarah Upton, Samantha Gardner, Riley Behan Bush, Sahana Sarin
Production: SCP Media Lab–Anna Royer, Cyrus Barati, Isa Perez-Sandi, Zach Grissom, Sarah Upton, Srishti Mathur, David Lee, and Jacob Thompson

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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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From the Archives:

Short Coat Podcast

Game of Med School — We Actually Made It

Audio June 18, 2026 Dave Etler

Podcast: Play in new window | Download (Duration: 1:19:32 — 117.7MB)

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We road-test a card game to show pre-meds what medical school actually feels like

You draw a card: “You are assigned a 28-hour call shift.” Is that plus four points or minus four? It depends entirely on who you are — and that’s kind of the point. The Short Coats (Well, Dave) has been talking about this idea for a while–can we make a card game that captures the twists and turns of medical school? Well, we’ve given it a try, and now we finally play it — the Game of Med School, a prototype card-based playthrough of the full medical school path, from premed clubs to residency match. Cyrus Barati, who helped build the game, takes on the Gunner identity and immediately gets routed to clinical years while still underwater on points. M4 Fallon Jung (pregnant, unbothered) draws the Resilient Student card and somehow converts a failed Step exam into a net positive. M3s Sarah Upton and Zach Grissom round out the cast, with Zach’s Non-Traditional Student racking up an improbable collection of degrees, nursing licenses, and EMT certifications before anyone gets to medical school proper.

The cards lead to real conversations: What’s a post-bacc worth on an application? How do you handle a professionalism flag? What actually happens when your PI moves states mid-MD-PhD? How do you tell a patient bad news — and does a med student ever actually have to? Does your identity change any of that? Sure, the game has bugs (too many negative cards, the routing logic skips too much), and the crew catches them all in real time. But there’s also laughs and insights, so that’s fine.

By the end, everyone graduated (naturally), the points got bumped to 2x, and Dave admitted the whole thing will need another iteration. Would you play this game? Listener feedback is always welcome at theshortcoat.com/tellus!

Episode credits:

Producer: Cyrus Barati, Dave Etler
Co-hosts: Cyrus Barati, Zach Grissom, Sarah Upton, Fallon Jung
Production: SCP Media Lab–Anna Royer, Cyrus Barati, Isa Perez-Sandi, Zach Grissom, Sarah Upton, Srishti Mathur, David Lee, and Jacob Thompson

We Want to Hear From You: YOUR VOICE MATTERS!

The Short Coat Podcast is FeedSpot’s Top Iowa Student Podcast, and its Top Iowa Medical Podcast! Thanks for listening!

Continue reading →

From the Archives:

Short Coat Podcast

Step Exams: Ready Or Not Here They Come

Audio March 19, 2026 Dave Etler

Podcast: Play in new window | Download (Duration: 1:13:01 — 101.3MB)

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Three exams that might drive you crazy.

If you’re a pre-med, you may have heard about Step exams. But what are they? When the hell are you supposed to start studying? Should you be doing Anki cards in the womb? And are your scores actually going to determine your entire future? This episode is basically your reality check from people who’ve either survived these medical licensing exams or are currently drowning in practice questions right now. M4 Zay Edgren and M3 Radha Velamuri help M1 Isa Perez-Sandi and M2 Zach Grissom understand the whole chaotic timeline—from Step 1 going pass fail (RIP to the days when that score mattered) to Step 2 being the new make-or-break moment for your residency application. And let’s not forget Step 3 which comes later and is–some will say–just another expensive box to check during residency.

You’ll hear honest takes on when people actually start medical board exam preparation, how medical school rotations can change everything about studying for these beasts, what those clinical vignette questions are really testing, and why practicing on actual patients beats memorizing the whatever cycle. Whether you’re an pre-med just learning what “shelf exam” means, deep in medical student board preparation hell, or a parent of one of those—we’ve got the insider info, the real timeline, and exactly zero sugarcoating. Plus: hot takes on curly hair management, why being ten years old means you’re already behind, and a very specific discussion about dumpster diving that makes sense in context. But probably not.