USMLE prep leave Archives | The Short Coat

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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.

Episode credits:

Producer: Zay Edgren
Co-hosts: Isa Sandi-Perez, Zach Grissom, Radha Velamuri, Zay Edgren

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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What med schools don’t tell you about hitting pause.

Turns out, pausing med school can actually be the smartest career move. Whether you’re spiraling in burnout, floundering in step prep, or just eyeballing that MPH, here’s an option you should consider: taking a leave of absence.

MD/PhD student Riley Behan-Bush, and M2s Srishti Mathur, Megan Perry, and Jay Miller take on the taboo option you’ll only find in the student handbook—what happens when med students hit pause. From Riley’s built-in MD/PhD “leave” to Srishti’s public health ambitions and Dave’s stats on distress, the Short Coats break down the reasons people step back… and why they return stronger.

Of course, going on leave isn’t without risks. The crew spills on insurance nightmares, loan limbo, and the heartbreak of watching your classmates match without you. But they also dish on planning your leave, making it productive, and protecting your peace.

Look to your left. Look to your right. Y’all are going to graduate.