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Short Coat Podcast

DROWNING IN EXTRACURRICULAR ACTIVITIES

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Doing stuff outside of your coursework is fantastic…until it isn’t.

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Actual photograph of Gwyneth Paltrow’s “This Smells Like My Vagina” candle in use.

Listener Tasneem Ahmed–a fourth-year medic at London’s King’s College–joins MD/PhD student Aline Sandouk, M4 Holly Conger, and M1s AJ Chowdhury and Alex Belzer on the show. She wrote to us at theshortcoats@gmail.com because she wanted to talk with us about those times when extracurricular activities are too much of a good thing. These activities are important to both schools and students as a way to convey and learn vital lessons about service and career opportunities. But there is a temptation to overdo it in an attempt to distinguish oneself as a competitive applicant. Take that far enough, and it’s a recipe for exhaustion and burnout.

We also take time to compare the two systems of medical education, dance on the grave of Step 2 CS, and cover the most important story of January 2021: Gwyneth Paltrow’s exploding vagina candle.

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!

Short Coat Podcast

Is Medicine A Calling, or a Job?

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Which take on medicine is best for patients and provider mental health?

Dave and the gang–including M1s AJ Chowdhury and Alex Belzer; M4 Holly Conger; and MD/PhD student Aline Sandouk–take a look at the prevalent idea that medicine is a “calling,” somewhat like religion is for many. That’s an imperfect analogy, but there are parallels. People talk, for instance, about the sacrifices, the altruism, the service, and the requirement that doctors be at all times upstanding and display exceptional integrity. This view has some obvious benefits for the profession, including that its practitioners are laser focused on being the best physicians and people they can be.

But that view of physician-hood carries with it a lot of weight. When medicine is viewed as a calling, being a physician may become one’s primary identity. And when perfection remains frustratingly out of reach, the risk is that you’ll come to view yourself as a bad person and not as a doctor who is still learning. At least, that’s what Dave worries, but is it true?

Plus, Holly brings us up to date on life as an M4, especially her search for a residency position.

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!

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What You Should Tell Your FAmily About Med School

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How they can help, support, and understand what you’re doing here.

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“I’m afraid medical science has yet to find a cure for ‘Brown Owies,’ madam.”

[We livestream our recording sessions most Fridays on our listeners Facebook group, The Short Coat Student Lounge. Join us to add your questions and comments to the show!]

Families are a blessing (usually). A source of support, love, and acceptance, they can prop you up in those moments when you need it. Sure, sometimes they goof–well meaning comments, misplaced efforts to help, and untimely visits do happen–but they just want what’s best.

On this episode MD/PhD student Aline Sandouk and M1s AJ Chowdhury, Alex Belzer and Nicole Hines talk about the things they’d have wanted their families to know about before med school began.

Speaking of misguided attempts to be helpful, Dave leads the team in an exercise to develop their communication skills, to see if the crew get their medical points across to their patients even when forced to speak as cavemen.

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!

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MD or DO: What is the Difference?

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Are you an allopath or an osteopath?

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Photo by cogdogblog

[Happy New Year! Did you know you can join The Short Coat Student Lounge on Facebook, and help us with the show? We livestream there every time we record, and if you’re there you can help us make sure we get all the angles.]

A while back we got a somewhat provocative listener question: do osteopathic medicine students have a disadvantage in entering competitive specialties?

Our answer back then was not really. And we weren’t wrong, but recently Dr. Ian Storch of the DO or Do Not Podcast offered to sit with us and expand on our ideas. Of course, M3s Jenna Mullins, Allison Klimesh, and MD/PhD student Miranda Schene were only too happy to get some new information on the topic. And he brought with him two of his podcasting DO students, Amir Khiabani and Courtney Merlo. Among the clarifying points they offered:

  • Why do people choose an osteopathic education over an allopathic education?
  • What is the real deal with board exams–do DOs really have to take both the USMLE and COMLEX boards?
  • Do osteopaths really experience bias when trying to match in subspecialties?
  • What is osteopathic manipulative medicine, anyway?

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!

Short Coat Podcast

Recess Rehash: Microaggressions: preparing to experience, witness, and commit them

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Photo by F H Mira

[Were on a break from recording,  it we’ll be back on January 14 with a new episode.  Enjoy this rerun for now!]


Good intentions are everywhere.  Good behavior…well, that’s more complicated.  Such is the case with microaggressions, the term coined by Harvard University psychiatrist Chester Pierce in 1970 to describe minor yet hurtful comments.  Pierce’s original definition encompassed statements aimed at African Americans, but of course one can accidentally or purposefully put down any minority individual–women, LGBTQ+ individuals, non-white ethnicities, and more.

Unfortunately, nearly 50 years after Dr. Pierce proposed the term, microaggressions are still a thing.  Dave admits to his sins, and M1s Sahaanna Arumagam and Nathen Spitz, along with SCP intern Joel Horne discuss how to prepare for the inevitability of witnessing, experiencing, and  committing microaggressions.

Plus, can this week’s co-hosts diagnose their weird patients’ quirks?

Buy Our Merch and Give At The Same Time

You care about others, or you wouldn’t be into this medicine thing. Our #merchforgood program lets you to give to our charity of the semester and get something for yourself at the same time!

This Week in Medical News

Speaking of good intentions gone awry, hospitals are relying on AI algorithms to direct extra treatment at those who need it, except the AI thinks wealthy white people are needier than African American patients.  And researchers announce an effective treatment for 90% of cystic fibrosis patients.

We Want to Hear From You

What are your microaggression stories? Tell us at 347-SHORTCT anytime or email theshortcoats@gmail.com.

Continue reading Recess Rehash: Microaggressions: preparing to experience, witness, and commit them →

Short Coat Podcast

Recess Rehash: This Student’s Shame is Changing Our Curriculum

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Photo by Joe Gatling

[Happy New Year!  We are taking a break from recording, and our next new show is out on January 14.  In the meantime, enjoy this rerun.  This episode was sponsored by Pattern. We hope you’ll check out their disability insurance offerings for docs at http://patternlife.com/partner/shortcoat.]

Doctors and medical students often have an identity based on perfection and infallibility.  Often it that identity comes from their own expectations of themselves, and sometimes it comes from external sources.  Whatever the source, it’s both motivating and problematic to feel shame when mistakes are made,  or when knowledge is imperfect.

Fourth-year student and future OB/Gyn doc Luci Howard visited with MD/PhD student Aline Sandouk and M1s Caitlin Matteson, Morgan Kennedy, and Emerald Dohleman to talk about her project to create a curriculum about shame and medical student identity.  Her shame–as a first-gen college graduate, as a perfectionist, and as someone who’s made mistakes–was holding her hostage in some ways, but now her curriculum works to illuminate and combat the negative effects of shame in medical education, and it will soon be integrated into the College of Medicine’s curriculum. Her work means that future medical learners will learn how to react productively and rationally when they inevitably achieve less-than-perfection.

Buy Our Merch and Give At The Same Time

You care about others, or you wouldn’t be into this medicine thing. Our #merchforgood program lets you to give to our charity of the semester and get something for yourself at the same time!

We Want to Hear From You

Would you be willing to share experiences that have felt shameful in order to help others? Call us at 347-SHORTCT anytime or email theshortcoats@gmail.com.

Continue reading Recess Rehash: This Student’s Shame is Changing Our Curriculum →

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Vaccine Fever

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Happy Holidays!

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As we recorded this show, vaccine doses were beginning to spread across the world–well, across the rich countries of the world, anyway. The poorer countries were left with the WHO’s risky donation-funded program to distribute doses, causing concern that the program might just collapse because some countries we could mention decided not to contribute. We’re looking at you, United States of America and China.

We discuss ‘the right to be forgotten,’ a right which many in the USA and elsewhere might not meaningfully have. And Dave pretends to be a medical educator with a pop quiz on historical medical practices.

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!

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Recess Rehash: Liver Bits, Cold Glocks, and Cancer of the Cancer

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[Last week’s show encountered some technical difficulties. So enjoy this rerun instead. We promise it’s cool.]

“He who laughs has not yet heard the bad news.”

Photo by firepile

Co-hosts Nathen Spitz, Brandon Bacalzo, Mariam Mansour, and Greta Becker rehash their recent microbiology exam which they say kicked their butts, and how they deal with that nasty feeling. Dave discusses what Naegleria Fowleri means to him. Nathen and Mariam reminisce on their experiences with patient instructors and standardized patients.

And the gang practices giving bad news to their patients, using made-up diseases with names created by neural networks and assisted by their attending “Dr. Etler.”

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!

Short Coat Podcast

AMA: Racism is a Public health Threat. SCP Co-hosts: Gosh, really?

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[This episode is sponsored by Panacea Financial, a Division of Sonabank, Member FDIC. Please support our sponsor by visiting https://panaceafinancial.com/]

In mid-November, the American Medical Association declared racism to be a public health threat. With that declaration, they adopted policies to acknowledge and recognize racism as detrimental to the health and well-being of all of America’s citizens, and to encourage the study of its effects and the creation of medical education curricula.

Great! But this week’s co-hosts, Nathen Spitz, Aline Sandouk, Sahaana Arumugam, and Ananya Munjal, have mixed feelings and hope that the AMA won’t be among the many institutions that have made similar declarations without taking real action.

But first, listener Malcolm wrote in to theshortcoats@gmail.com to ask how he might take advantage of his fortunate position as the holder of multiple acceptances to medical school in negotiating for financial aid. The co-hosts have definitely got some advice, based mostly upon our fantasies of being in the same position.

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!

Short Coat Podcast

Recess Rehash: When Doctors Do Harm ft. Danielle Ofri, MD

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Hippocrates set a high bar.

A portrait of Dr. Danielle Ofri, Author of When We Do Harm: A Doctor Confronts Medical Error

[Hope your Thanksgiving was excellent, safe, and happy! We didn’t record anything this week, so here’s a rerun for you.]

Dr. Danielle Ofri–NYU professor of medicine, Bellevue Hospital internist, and author of great renown–joined us this time to talk about her new book, When We Do Harm: A Doctor Confronts Medical Error.  Examining medical errors is a something all good physicians do–sometimes on a stage in front of their colleagues but often surreptitiously. However, “mistakes were made” simply isn’t acceptable to most patients and lawyers. Meanwhile, the shame felt by practitioners who make mistakes is not only unhelpful but hinders their development and can contribute to burnout and depression.   Because of the consequences of shame are so dire, Dr. Ofri argues in her book that confronting mistakes in a humane, understanding, and open fashion is vital. 

Not many years ago, a headline grabbed her attention:  medical errors are the third-leading cause of death in the United States.  How can that be? she wondered.  If people were dying at that rate, wouldn’t physicians have noticed this earlier?  Of course, it turns out that the story of medical error is much more complicated than that headline would lead one to believe, and set Dr. Ofri on the path to this latest book.  Join MD/PhD student Aline Sandouk, M4 Marisa Evers, M2 Jessica De Haan, and M4 Anne Nora for this discussion on the sources of error, the causes, and the ways to understand and learn from the inevitable.

We also discuss her and her colleagues’ experiences fighting COVID-19 in New York City and learning about the disease in real time.

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!