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The Disease Medicine Suffers From That’s Causing Immense Suffering

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Groupthink Kills

Do any of these ideas sound familiar?

Whether born by C-section or vaginally, outcomes are the same for babies.

Opioids aren’t addictive.

Appendicitis must be treated by appendectomy.

Children shouldn’t have peanuts until they’re at least 3 years old.

Antibiotics have no downside.

Hormone replacement therapy causes breast cancer.

These recommendations and many more were based largely upon unexamined ideas and bad science. And in recent years through well-designed science we’ve been learning that they made patients sicker.

Dr. Marty Makary is a public health researcher and bestselling author whose new book, Blind Spots: When Medicine Gets it Wrong and What It Means for Our Health, is an incredibly accessible exploration of the pitfalls of medical groupthink and the importance of questioning deeply held assumptions in medicine. It explores how medical training often suppresses big-picture thinking and critical questioning. Co-hosts M2 Alex Nigg, PA2 Julie Vuong, and M3 Jeff Goddard, and M2 Fallon Jung talk with Dr Makary about the disconnect between what’s practiced in medicine and science, the dangers of dismissing new ideas due to fear of association with discredited concepts, and the significance of maintaining scientific objectivity. The episode combines personal anecdotes, practical advice for navigating medical school, and a thought-provoking discussion on improving transparency and trust in healthcare. Join us for an engaging exploration of the critical issues in modern medicine and the role of young doctors in driving change.

More about Marty Makary:

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New MD and PA Students: Why Medicine?

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Med Students discuss what led them to med school

Dave welcomes newly minted medical and PA students at the Carver College of Medicine to share their first-week experiences and the challenges of adapting to medical school. M1s Sydney Skuodas, Michael Arrington, Alex Murra, Luke Geis, and PA1 Harrison Parker discuss what they’ve learned about time management, personal growth during “gap years,” overcoming imposter syndrome, and balancing personal life with rigorous medical training. The co-hosts also discuss the personal motivations behind their decisions to pursue medicine, revealing stories of past careers, family influences, and the aspiration to impact lives directly. Don’t worry about the shock device we’re using, I’m sure they’re fine, plus it was Luke’s idea.

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New Students Arrive, How to Live in the Present, and Staying Sane While Applying

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Welcome New MD/PA students!

M2s Leticia Franciso and Gizzy Keeler, who served as orientation leaders for this year’s new crop of medical and PA students, were in a good position to talk about the experience of transitioning from Orientation Week to the first year of medical school, highlighting the changes in attitudes and relationships they saw. They, along with PA2 Julie Vuong and M4 Katie Higham-Kessler compare the pre-med and medical school environments and offer advice to incoming students. And our admissions expert Rachel Schulista returns to help answer questions from listener JustAGirl who’s trying to stay sane during the application process while the other applicants around her are not being especially helpful, and listener Chris’s worry that he’s looking to the future at the expense of the present. Plus, the importance of having diverse experiences, the real value of personal statements in applications, and why the pursuit of genuine personal interests will help you get into med school and beyond. Join us!

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Blechardy and Beans

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Med School is Non-Trivial, but…

Against the backdrop of a new class of MD and PA students arriving at the University of Iowa Carver College of Medicine, Dave and the co-hosts–including M3 Hend Al-Kaylani, PA2 Julie Vuong, M2 Gizzy Keeler, and M3 Trent Gilbert–share their humorous and sometimes ‘smelly’ experiences from their first semester, play a trivia game Dave made up called ‘Blechardy with Alex Trebot 2.0,’ and eat jelly beans. This is high-yield stuff, folks.

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Public Studying, Ultrasound Oopsie, and Stealing Valor from Nurses: AITA

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It’s another trip through Reddit, arbiter of A-holishness

  • What lessons does medical school teach? Aside from the foundations of cellular life, mechanisms of health and disease, and clinical and professional skills? As M2 Holly Hemann, MD/PhD student Miranda Schene, PA Professor Jeremy Nelson, and PA1 Julie Vuong discover, it can teach you where it’s not appropriate to study external reproductive anatomy, that some people consider wearing scrubs an example of stolen valor, and that it’s sometimes best for a student to keep his mouth shut. It’s okay, we’re here to learn from each other!

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What Does “Perfect” Mean in Med School?

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Why perfect isn’t always the goal

Listener Noah wrote to us from the UK asking–among other things–how he could flourish when he starts medical school. One statement caught our eye, however: that he was determined to do everything right the first time. M4s Matt Engelken, Chirayu Shukla, Happy Kumar, and Jacob Lam discuss their perspective on how that’s not necessarily the right goal to aim for.

Then listener Tiffany, a med student herself, asked the boys how they prepared for the Step 1 licensing exam. That word “licensing,” it turns out, is important–as a pass/fail exam, this isn’t like most exams, where the goal is to get as close to perfection as is possible. Instead, the idea is to demonstrate your general knowledge and pass without losing your mind.

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Stem Cell Shenanigans, Hopkins Hype, and Buxton’s Bravery

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July 2024 News Roundup

This week, M3 Jeff Goddard, M2 Taryn O’Brien, and MD/PhD student Riley Behan Bush are on hand to discuss July’s news. First, it’s hard to ignore Johns Hopkins joining the tuition free bandwagon thanks to Michael Bloomberg…but this gift goes further…maybe it could actually have a desired effect! Meanwhile, the New York Times offered an expose on a practice that might prey on the emotions of anxious new parents–cord blood stem cell storage. And the public health world marks the passing of the man who exposed the infamous Tuskegee Study…a scandal that’s still reverberating today.

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AITA? Probably!

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But sometimes everyone’s a jerk.

Self-evaluation is important, especially in medicine, but sometimes you just gotta ask–was I a jerk? Dave Etler, MD/PhD student Miranda Schene, M4 Happy Kumar, and M2 Holly Hemann use Reddit’s ‘Am I the Asshole?’ submissions to exploring feelings of impostor syndrome, the ethics of classroom behavior, fair recognition of achievements, and cases of medical malpractice. Along the way, they provide practical advice for medical school admissions, dissect the delicate balance of maintaining professionalism in the medical field, and what to think when even mom craps on your dreams. Shut up, mom!

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How Med Students Do Long Distance Relationships

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It’s all about the plan!

Listener Neurotic Premed dropped us a message at https://theshortcoat.com/tellus to ask what medical students in long-distance relationships, both platonic and romantic, do to keep them alive and healthy. MD/PhD student Madi Wahlen, M2 Fallon Jung, M3 Jeff Goddard, an PA2 Julie Vuong have a lot of experience in that area. From long-distance parenting to making sure friends still feel connected, it takes planning and intentionality along with a slight tweak to what it means to be “together.” They share how they do it successfully!

Plus, Chinese researchers appear to have cured a man of his diabetes, Ozempic is powerful enough to affect the food and beverage industry’s bottom lines, and Florida allows c-sections outside of hospitals in a bid to improve access.

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

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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.

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