Tag Archives: social determinants of health

Short Coat Podcast

They Way Most Docs are Paid Doesn’t Lead to Healthier Patients

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How the system pays doctors can change healthcare outcomes—sometimes in scary ways.

The way docs are paid can make patients sicker…or can lead to healthier ones. The payment schemes most docs work under incentivize them to fix patients, while others motivate them to prevent illness—and geriatrician Dr. Jonathan “Nathan” Flacker is here to explain why. This episode rips the curtain off RVUs, fee-for-service traps, and the real reason your doc is rushing through your visit (hint: it’s not personal, it’s math).

We dig into ChenMed’s wild idea: what if clinics got paid to keep you out of the hospital? Turns out, when money flows toward health instead of procedures, everyone wins. Except maybe the $400M proton beam facility (for the record, we love proton beams, but you might not need them if you can avoid cancer altogether).

Is concierge-style medicine only for the wealthy? What happens when you build “rich person care” for low-income seniors? And how many patients can a doc see well before it all breaks? If you’re dreaming of a career where you actually help people instead of just clicking boxes—this one’s a wake-up call.

Also: Love calls, RVU debt, and why pajama time should be illegal.

Episode credits:

  • Producer: Jeff Goddard
  • Co-hosts: Riley Behan-Bush, Zach Grissom, Alex Nigg
  • Guest: Dr. Jonathan “Nathan” Flacker, ChenMed

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

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Short Coat Podcast

Medicine Can Cure TB—But Humanity Won’t

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When a CURE exists but ACCESS doesn’t, who do we blame?

Tuberculosis is curable. We just don’t care enough to cure it. That’s the premise behind John Green’s book, Everything Is Tuberculosis. In this episode, M1s Zach Grissom, Kate Timboe, and Tyler Pollock, and Srishti Mathur consider that premise, and what it says about humanity’s stubborn failure to solve a solvable problem. They unpack how cultural narratives, like romanticizing TB, stigmatizing the poor, path dependency, and greed have fueled inequities that keep TB deadly across the globe. The group reflects on Henry Rider’s story, which serves as the emotional spine of the book, and how John Green’s storytelling approach hits harder than raw data ever could.

From an emphasis on short-term thinking to postcolonial infrastructure (built to extract, not connect), the book dissects the history and systems that allow TB to persist even when we can easily cure it. The crew also talks about what medical education could look like if it centered stories instead of slide decks—and why Green thinks Mario Kart might be the best metaphor for how humanity could achieve global health equity.

Get your copy:

Everything Is Tuberculosis

[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!

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.

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

Continue reading Medicine Can Cure TB—But Humanity Won’t →
Short Coat Podcast

Small Towns, Big Impact: Rural Medicine ft. Peter Kaboli, MD (Recess Rehash)

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Podcast: Play in new window | Download (Duration: 57:12 — 52.4MB)

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[We’re still in the midst a summer break, so here’s a rerun in case you missed it.]

The unique experiences and challenges of practicing medicine where everyone knows your name

  • M1 Fallon Jung, PA1 Olivia Quinby, MD/PhD student Faith Prochaska, M2 Jeff Goddard, and special guest Dr. Peter Kaboli dive deep into the heart of rural medicine. We kick off with a candid discussion about growing up in small towns and how these experiences shape our understanding of community and healthcare.
  • Dr. Kaboli, an expert in rural health with the Veterans’ Administration, shares his insights into the nuances of rural medicine. We explore the multifaceted challenges and rewards of practicing medicine in rural settings, from the importance of forming deep connections with patients to navigating the scarcity of healthcare resources.
  • Telemedicine, workforce issues, geographic barriers, and the digital divide are central to the art of medicine in small towns and on county roads, sometimes requiring innovative approaches to healthcare delivery.

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?  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”). Or email theshortcoats@gmail.com.

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Short Coat Podcast

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.

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.

We want to know more about you: Take the Listener Survey

Continue reading Against the Odds: First-Generation in Medicine →
Short Coat Podcast

Small Towns, Big Impact: Rural Medicine ft. Peter Kaboli, MD

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Podcast: Play in new window | Download (Duration: 57:12 — 52.4MB)

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The unique experiences and challenges of practicing medicine where everyone knows your name

  • M1 Fallon Jung, PA1 Olivia Quinby, MD/PhD student Faith Prochaska, M2 Jeff Goddard, and special guest Dr. Peter Kaboli dive deep into the heart of rural medicine. We kick off with a candid discussion about growing up in small towns and how these experiences shape our understanding of community and healthcare.
  • Dr. Kaboli, an expert in rural health with the Veterans’ Administration, shares his insights into the nuances of rural medicine. We explore the multifaceted challenges and rewards of practicing medicine in rural settings, from the importance of forming deep connections with patients to navigating the scarcity of healthcare resources.
  • Telemedicine, workforce issues, geographic barriers, and the digital divide are central to the art of medicine in small towns and on county roads, sometimes requiring innovative approaches to healthcare delivery.

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?  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”). Or email theshortcoats@gmail.com.

We want to know more about you: Take the Listener Survey

Continue reading Small Towns, Big Impact: Rural Medicine ft. Peter Kaboli, MD →