Tag Archives: surgery

Short Coat Podcast

From Fire Hose to Final Decision–How Med Students Choose Careers

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Picking a Career in Medicine is Insane.

All of med school leads up to one moment: Match Day. But how do get there?

Dave Etler sits down with graduating M4s Mallory Kallish (surgery), Matt Engelken (OB/gyn), Jacob Lamb (radiology), and Will Sai (famiy medicine) to unpack the uncertainty and pressure around choosing a medical specialty. They share how they landed their matches—not through sudden epiphanies, but through trial, error, and sometimes vibes. We hear about emotional rotations, mentors who came through clutch, and interview seasons fueled by spreadsheets or sheer gut instinct. And yes, we talk about the infamous stereotypes: are you “too nice” for surgery, or “too male” for OB?

Also in this episode: the hidden power of palliative care, how to survive pre-clinical burnout, why some specialties get unfairly labeled “dead ends,” and what it means to feel like you belong in a specialty—even if you don’t fit the mold.

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Short Coat Podcast

Traits to Treat: Personality in Medicine

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Tailoring your medical career to fit your personality

Are you better off as a surgeon or in palliative care? MD/PhD student Jacquelyn Nielson, M2 Hend Al-Kaylani, and M1 Fallon Jung play with personality to see if their path toward choosing the right medical specialty should be dependent on their personality traits. From the introspective nature of psychiatry to the rapid decision-making required in emergency medicine, Dave and crew explore how tests like The Big 5 or Meyers Briggs might influence their specialty choices. Some question the scientific validity of most personality testing, but the Big Five has some evidence behind it, so Dave also created a custom GPT to analyze their test results and suggest best (and worst) specialties for all of them. This episode also touches upon the broader implications of these choices on personal satisfaction and professional success in medicine. Also, we ponder our consumption of news and its impact on mental health and the Kate Middleton mystery’s hold on the world.

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

Bias, Baby Heads, and Memes

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Understanding others begins with asking questions.

  • M3 Jacob Hansen, and M1s Taryn O’Brien, Alex Nigg, and Fallon Jung consider recent studies highlighting the ineffectiveness of traditional implicit bias training and the disparities in medical care for children of color.
  • Jacob successfully finished Step 1 and the co-hosts tap him for some of his insights from clinical rotations, particularly learning he won’t be pursuing a career in surgery.
  • Dave tries to understand an important aspect of med student culture using his Gen X brain: memes, including their potential as educational tools.

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

Dr. Bruce Campbell, and a Fullness of Uncertain Significance

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A cancer surgeon’s stories offer lessons of humility and grace

TL;DR

  • Medicine is filled with both the momentous and the prosaic.  Yet every interaction is a chance to process and understand the impact one person can both have and be subject to.
  • Dr. Campbell suggests students start journaling their experiences early.  Not only might this lead to a lovely book of essays near the end of a career, but it’s also a great tool to track the fleeting experiences that will much sooner make a great personal statement!
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In this episode, M2s Nicole Hines, AJ Chowdhury, Sarah Costello and M1 Zach Shepard visit with the author of a new book, A Fullness of Uncertain Significance: Stories of Surgery, Clarity, & Grace.  Dr. Bruce Campbell is also a head and neck cancer surgeon at the Medical College of Wisconsin.  The book is a series of short vignettes from Dr. Campbell’s life in medicine from as far back as his first experiences as a nursing assistant in 1973.  A blend of the momentous and prosaic, they offer the medical learner a glimpse of what a veteran doctor has seen, and the conclusions he’s drawn from his privileged window into the lives of the people he’s met over nearly 50 years.

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Freezing Development to Help Care for the Disabled (ft. Dr. Ryan Gray)

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The amazing Dr. Ryan Gray, host of quite a few of the pre-med focused podcasts over at mededmedia.com (of which we, of course, are a member), joins Maddie Mix, Hillary O’Brien, Nick Lind, and Kyle Kinder as guest co-host!   Which is good, because we start with a rather difficult topic: should the parents of a profoundly disabled child–who will never be able to care for herself in even the most basic of ways–be allowed to ‘freeze’ her development so that she remains physically six years old if it will enable them care for her at home?

Plus, with the news from our own University of Iowa that surgeons often prepare for surgery by watching YouTube, Dave subjects Dr. Gray and his co-hosts to a YouTube-based health topics pop quiz.

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This Week in Medical News

The decline of rural emergency rooms has gone so far as to create a new kind of telemedicine.  Crazymothers (no, that’s not a slur, that’s what they call themselves) want us to stop calling them anti-vaxxers.  And month-long birth control may become achievable if you can swallow a six-pointed star about 2 inches in diameter.

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Short Coat Podcast

More Surgery for Better Global Health: Dr. Mark Shrime

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Is surgery too expensive for global health?

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Is surgery ‘too expensive’ for global health?

Mark Shrime is an otolaryngologist (and American Ninja Warrior competitor) who may just be on the leading edge of change in the way global health sees surgery.  In this conversation with Tony Mai, Amanda Manorot, Brian Wall, and Hadeal Ayoub, Dr. Shrime argues that the way surgery is used in international development to date–surgeons fly in for two weeks, do their thing, and fly back out–doesn’t do much to allow their host countries to develop their own surgery skills.  For his part, he’s managed to arrange his work at Harvard to allow him two months abroad helping to strengthen health systems in countries like Congo, Haiti, Cameroon, and Madagascar.

The problem is, policy-makers see surgery as ‘too expensive,’ disregarding it as a tool for global health intervention.  Ebola and Zika therefore get all the attention.  But analysis of the cost-effectiveness of surgery as a tool in global health efforts belies this view, and shows the burden of surgical diseases may be as high as a third of the global total.  Fortunately, Dr. Shrime has good advice for future surgeons who face a system that embraces Relative Value Units as a measure of physician performance, and yet want to pursue work outside their hospitals to effect global healthcare change.

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What are your thoughts on the effort to elevate surgery as a global health intervention? Any thoughts on who we should interview next? Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com to share your ideas.

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Short Coat Podcast

Re-doin’ the Drops, a Clash of Wits, and Snapchat Surgery

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Uh, oh. Sauron’s been doin’ the drops again. Photo by Dustin Ginetz

We tried Roto Z eye drops in the past, and were unimpressed.  But thanks to Doug Russo, who secured the real deal–Roto Z Pro eye drops–Kaci McCleary and newbies Matt Wilson, Jenna Schade and Elizabeth Shirazi felt the burn.  Now that they’re suitably refreshed, Dave must do his part to help med students keep their wits about them by playing a game of MegaClash!  Listener and ortho resident Emily calls in to say hello and express concern that med students are forced to choose specialties based on shallow exposures.  We address a worrying sentiment Dave noticed popping up a lot this week: that “if you can see yourself doing anything else besides being a doctor, do that instead.”  But it’s cool, because the National Academy of Medicine has formed a coalition of organizations to address burnout and suicide in medicine and medical education.  And a UK surgeon offers his students a way to observe surgery without all the boring bits, leveraging Snapchat Spectacles.  Listeners, share your thoughts with us each week.  Call us at 347-SHORTCT any time, and see our Facebook page for a question to consider every Monday.

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Short Coat Podcast

The Magic Ch-chingdom.

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Addled by food and centrifugal force, Dave loses touch with reality
Addled by food and centrifugal force, Dave loses touch with reality

Dave returns from his vacation at Disney World in sunny Florida, and recaps for Senuri Jayatilleka, John Pienta, and Cole Cheney his fascination with how Disney takes your money and makes you love it.  How does that relate to medicine?  Who cares, it’s fun! And Suri is puzzled by her surgery shelf exam, which seemed to have few questions on actual surgery.  Continue reading The Magic Ch-chingdom. →