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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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