Rank #1: Peace Be With You, Russian Sex Geckos
Nathan Miller and Aline Sandouk return to react and discuss the latest news and info from the world of medicine and medical education. We say a little prayer for some Russian geckos sent into space for what should have been the time of their lives, but sadly wasn’t. We also applaud the NIH’s solution to … Continue reading Peace Be With You, Russian Sex Geckos →
Rank #2: Your Pre-med Clinical Experience Can Cost You Money and Waste Your Time…and Hurt Your Application.
Medical school admissions committees look for clinical experiences on applications, so it behooves premeds to seek out ways to get into the clinic as a way of learning about the practice of medicine and to show they are serious about becoming a physician. But there are clinical experiences that can hurt your application, and the Association of American Medical Colleges want to warn premeds that participation might signal a lack of judgement. Corbin Weaver, Kylie Miller, Teneme Konne, and Levi Endelman give some advice on the ones to avoid. Meanwhile our president-elect is thinking about creating a 'commission on autism,' and may be looking to a well-known anti-vaxxer to head it up. And a cybersecurity flaw leaves pacemakers and defibrillators wide open to hackers, allowing them to shock patients or drain batteries. And we find out whether our co-hosts can really understand their patients, even if they speak sdrawkcab. 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.
Rank #3: Millennials may be changing healthcare (ft. Martin Makary, MD)
Continuing our recent discussion on the price of healthcare in the United States, on this episode we talk with Dr. Martin Makary. Dr. Makary is a surgeon at Johns Hopkins, a best-selling author, and a health policy expert. Dr. Makary's latest book entitled The Price We Pay: What Broke American Health Care--and How to Fix It, is due out in September. We were so glad to talk with him, because it's all-too-easy to be jaded about the 'business' of healthcare when one in five Americans are in collections over healthcare debt. But Dr. Makary combines outrage at the market forces that have created a used-car-lot sales environment with optimism about healthcare's future prospects for transparency and fairness. Things are changing, he says! Interestingly, the medical students doing research with him--pouring their hearts, souls, and minds into it--have helped to create that sense of optimism in him. In other words, millennials may be saving American healthcare even as they're killing the napkin and real estate industries.
On top of all that, while The Price We Pay is an indictment of the insurance and billing practices that hinder the work of doctors and the healing of patients, the book is also a guidebook to the things that can and are being done to restore medicine's mission.
The post Millennials may be changing healthcare (ft. Martin Makary, MD) appeared first on The Short Coat Podcast.
Rank #4: Night Float: Choosing a Specialty
From an early age people are asked, “What do you want to be when you grow up?” Whether they knew it all along or discovered their career path along the way, medical students have made a commitment to the answer, “I want to be a doctor.” As soon as that answer is given, however, an equally challenging question awaits. “What kind of doctor do you want to be?” In the second episode of Night Float, Dr. Tony Chung (R1: Ophthalmology), Dr. Travis Snyders (R2: Internal Medicine), and Lisa Wehr (M4) discuss the process of choosing a specialty. Some medical students will have an ‘aha’ moment, while many others will face a timeline and search more for a ‘tipping point’ that favors a particular choice. The resident physicians share their own experiences with decision making and encourage students to explore their options through making early connections, asking questions, gaining experiences, and not being discouraged or dissuaded even when the process involves navigating unsolicited advice or looping back around. How are you going about making your choice of specialty? What questions do you have about specialty choice? In general, what would you like to hear from residents about their medical school or residency experiences? Call us at 347-SHORTCT anytime, visit our Facebook group, or email email@example.com.
Rank #5: How Premeds Find Their Med Schools
Among the biggest projects a premed faces: not just getting into medical school, but getting into one that meets their needs. Do they want a school strong in service learning activities? Will they be happy in a system that recognizes academics first and foremost? Is the location more important than other factors? These are only a few of the factors that go into the decision...and Dave's co-hosts couldn't care less about them. There were only two things that M1s Kyle Leubka, Gabriel Conley, Joyce Wahba and Eric Schnieders were most interested in... Listeners Ryan and Michelle called in to pitch show ideas. Ryan wants a show about Technology, Business, and Policy (he's a podcaster at the University of Pennsylvania medical school...check them out). And Michelle wants to know whether her currently well-cared-for Husky will survive having a med student owner. Watch for future episodes, guys! What topics would you like to see us tackle? Do you have any strongly held criteria you're using to judge medical schools? Call us at 347-SHORTCT anytime, visit our Facebook group, or email firstname.lastname@example.org. Do all three!
Rank #6: The False Dichotomies in Medical Politics, Physician Lifestyles, and Public Discourse
This episode is all about false dichotomies--situations or ideas that seem like dilemmas (and thus require a difficult choice to be made) but which really aren't. Much of the public discussions of things like the hours that residents work, the funding for medical research, the lifestyles that residents are forced to lead, the choices that prospective medical students make are couched in terms of either/or choices. Corbin Weaver, Matt Wilson, John Pienta, and Kaci McCleary discuss the alleged dilemmas that we encounter in medicine and medical education, and conclude that these choices are often not mutually exclusive. It is possible to have both shorter hours and safer patient handoffs and quality education, despite rules that seem to indicate otherwise. It is possible to adequately fund basic science research and fund a sensible national defense, despite presidential budgets that slash NIH funding. And should listener Justin study during the summer prior to med school to begin medical school on the right foot, or will he struggle if he takes a break to live a little? Listeners, share your thoughts and questions with us each week. Call us at 347-SHORTCT any time.
The post The False Dichotomies in Medical Politics, Physician Lifestyles, and Public Discourse appeared first on The Short Coat Podcast.
Rank #7: A Doctor’s Story with Terrence Holt
On this week’s show, Dr. Terrence Holt, author of Internal Medicine: A Doctor’s Stories visits with Writing and Humanities Program Director Jason Lewis, and students Cole Cheney, Ethan Forsgren, Aline Sandouk, and a studio audience. Dr. Holt is a geriatrician at the University of North Carolina in Chapel Hill. His book is about residency, and is … Continue reading A Doctor’s Story with Terrence Holt →
Rank #8: Self-Doubt and Riding the Ethical Railroad
One of our podcasting goals is to encourage others to create their own shows, especially medical learners. So John Pienta, Irisa Mahaparn, Adam Erwood, and Erin Pazaski were pleased to hear from listener Terel, who got it and launched a podcast of her own! Go, Terel! Although perhaps she and her fellow pre-meds should (not) consider the path taken by another undergrad, who decided to skip all that pesky applying and test taking and just declare herself a medical student so she could jump right in and start seeing patients. On the other hand, if you worked hard getting your MD, then getting married to it may be something to consider. And Dave offers his co-hosts some practice at answering health questions they might really hear someday, which he pulled from the saddest place on the internet: Yahoo! Answers. Listeners, share your thoughts with us each week. Call us at 347-SHORTCT any time, and email email@example.com.
Rank #9: The Stages of Life: Love, Body Odor, and Body Donation
Love is on the air this week, as Cole Cheney hears a declaration of listener Naomi's feelings...and then gets a Valentine's week surprise. Also, Dave, Matt Wilson, Levi Endelman, and newbie Tarek Karam confront the perils of old age (apparently, Dave is emitting 2-Nonenal as we speak). An article on the lower cost of body donation (as compared to funeral costs) has the group thinking about the contributions their own donors have had on both their education and their understanding of how important it is to do one's best to honor them. As Match Week creeps up on us, the potential for confusion is high for hospitals and residents from from countries marked for travel bans/extreme vetting/whatever by the US president. To the extent the US healthcare system depends on foreign medical graduates and international medical graduates, there may be trouble ahead. 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.
The post The Stages of Life: Love, Body Odor, and Body Donation appeared first on The Short Coat Podcast.
Rank #10: Keeping Up With Your Interests and Relationships
Stress is a part of medical school. Worrying about tests, studying until you drop, late nights, early mornings, and drinking from the firehose all seem to promote the idea that med students should do nothing else but study. Dave, Aditi Patel, Marc Toral, Levi Endelman, and Kylie Miller agree, which is one reason Aditi and Dave put on a monthly Art Club. Students get together over lunch and have fun with paints, ceramics, drawing, whatever! No pressure, just an hour away from medicine. And speaking of being away from medicine, a listener calls into 347-SHORTCT with a question about how best to keep in touch with family and friends who might not understand the demands of medical school. And we discuss Aditi's family (who just happen to be the subject of a documentary available on Netflix) and the methods they're using to select her future husband. And we play Superfight!
Rank #11: Recess Rehash: The Ultimate Taboo: Medicine and Suicide
Just hours before a new crop of medical students are to be welcomed into the world of medicine, Kaci McCleary, John Pienta, Aline Sandouk, Mark Moubarek, and Lisa Wehr confront one of the most uncomfortable topics in medical education: physician and student suicide. Among doctors, suicide rates are much higher than among the general population. The long hours, high pressure (from both one's internal monologue and from outside sources) to succeed, fear of public humiliation regarding one's shortcomings, isolation, inadequate supervision, the stigma against mental illness, the career penalties faced by those who admit to unwellness, and more, all contribute to the problem. Institutions also have a difficult time addressing incidents of physician suicide effectively, as they try to walk a tightrope strung between respect for the privacy of the deceased, the needs of colleague survivors to talk about it, the desire to avoid adverse publicity. Meanwhile, the work does not stop. The only breaks are a moment of silence, a visit with a grief counselor, or an "open forum" to discuss one's feelings.
The post Recess Rehash: The Ultimate Taboo: Medicine and Suicide appeared first on The Short Coat Podcast.
Rank #12: Compassion Isn’t Easy
Compassion fatigue is a problem for many practitioners. In medicine, some of the needs are so great, and the resources are often so finite. Aline Sandouk, John Pienta, Rob Humble, and Kaci McCleary discuss what happens when caring itself becomes a limited resource, the reasons empathy can dwindle, ways to cultivate it, and the role that compassion can play in caring for oneself. We also learn what monks and nuns are teaching us about how compassion manifests positivity and even neural plasticity. Also, in his role as showrunner, Dave talks with the group about whether it's a good time (or even a good idea) to spread the word through things like t-shirts (you can let him know what you think about it), and the crew visits with the strange patients over at Yahoo! Answers, where people are vibrating on command, accidentally pulling out their nerves, and considering cranial anatomy.
Rank #13: Applying to Med School? Don’t Worry About the Money (so much).
While Dave and the crew try a recipe from the Med School Success Cookbook, they consider listener Imari's question: how much did co-hosts Aline Sandouk, Eric Schnieders, Gabe Conley, and Irisa Mahaparn think about finances when choosing a medical school? While it's important to know what your financial standing will be when you graduate, including your loans and how they're affected by scholarships and living situation, we think there are more important things to think about. And Maggie has noticed many med schools have co-ed fraternities and wants our thoughts on their benefits for students. Happy to help explore this interesting and fun possibility for lowering costs, sharing responsibilities, and joining a new med school fam, Maggie! Now that the Large Hadron Collider has finished tearing a hole in the universe, researchers are using the technology in its subatomic particle detectors to create 3D color x-rays. And CRISPR-Cas9 has proved to be an excellent tool for editing genomes...and also tearing them up and spitting them back out with all kinds of errors and random deletions. Do you belong to a med school fraternity? What's it like? Call us at 347-SHORTCT anytime, visit our Facebook group, or email firstname.lastname@example.org.
The post Applying to Med School? Don’t Worry About the Money (so much). appeared first on The Short Coat Podcast.
Rank #14: Recess Rehash: Medical School Secondary Applications: What Do They Want?
A listener wants to know more about the secondary application. Given the the turnaround time often recommended (a week), how important are they? Do they need to be as well crafted as your personal statement? What do schools get out of them? And are they just a way for schools to extract more money from applicants? We asked our medical school's admissions staff for answers to these questions so you can get on with crafting your best possible application. And JC writes in to say nice things, including that he wants to start his own show when he matriculates this fall. Go, JC, GO! In science and medicine news, one major destination for patients' medical dollars is the emergency room visit. One recent study asks what do docs know about the costs of caring for some common complaints they see in the ER? Turns out, not much...but when doctors are in charge of knowing the costs of care, is the patient really helped? Meanwhile, a startup in (where else) California wants to charge $8000 to give old people young blood, because we need more dystopian sci-fi concepts. And a discussion on the problems people can experience surrounding orgasms reveals something about Kylie that would have made Jim Henson blush. We LOVE hearing from listeners, and we really work hard to answer your questions. If you have something to say or a question to ask, call us at 347-SHORTCT any time, and email email@example.com.
The post Recess Rehash: Medical School Secondary Applications: What Do They Want? appeared first on The Short Coat Podcast.
Rank #15: Unwanted Sexual Attention from Patients
Listener Zipadee Doodah (not her actual name) was the victim of unwanted sexual attention from a patient. Because her employer didn't have a policy in place to deal with it, she fought for one. But she wonders, what sort of training do medical students get on dealing with unwanted advances from patients? Kaci McCleary, Erik Kneller, Eric Schnieders, and newbie co-host Cheryl Wang offer their perspectives. Plus we consider a clever approach from a restauranteur who was surprised to learn that her efforts to create a welcoming, inclusive place of business had a harassment problem of its own. How she dealt with it might be a model for medicine. We also heard from Yanis, who's got an MBA/MA and is applying to medical school. But he's worried a lack of science-types to write letters of recommendation letters might hurt his chances. Finally, Paulius responded to our recent episode on test anxiety--specifically, Dave's painful ice cube technique--with a more gentle technique of his own.
Rank #16: Planning Now for MD Happiness
Once you're on the path to doctorhood, it can be hard to step off. You'll probably be happy...but what if you find out you'd rather just skate? Sure, you're making money, you're an important part of the medical profession, you've got this under control...but there's something missing: satisfaction. How can medical students prevent that from happening? How can anyone? Eric Snieders, Brady Campbell, Erica Henderson, and Marissa Evers take the example of San Diego's local hero Slomo (former neurologist John Kitchin) as well as the apparently happy lives of hunter gatherers and residents of Norway, (but perhaps NOT the residents of the US of A) and try to think about what will keep them happy as they wend their way through the medical industrial complex. Thinking about tattooing your eyeball? No? Hmm, weird. Well, a Canadian model would like you to think again...especially if you're planning on having your boyfriend do it. You've been warned. Are you eyeing a tattoo? Got one you want to show us? We want to see it! Call us at 347-SHORTCT anytime, visit our Facebook group, or email firstname.lastname@example.org. Do all three!
Rank #17: The Med Student Humblebrag
This time, Greg Woods, Aline Sandouk, Ethan Craig, Kaci McCleary, and Cole Cheney talk about the medical student humblebrag, as well as the score-comparison conversations that happen after exams, this despite the common reassurance from administrators and professors that these scores aren’t the most important thing about one’s medical school experience. Also, guys, is smoking deleting your … Continue reading The Med Student Humblebrag →
Rank #18: Relax or Prepare? Advice for Incoming Med Students
Listener Amanda is like many medical students--anxious and worried. In her case, she wonders if she won't be as prepared for med school as her classmates when she starts in the fall, because they are "ahead" of her due to their experience and former careers. We've got you, Amanda: Aline Sandouk, Hillary O'brien, Erik Kneller, and Sanjeeva Weerasinghe are here to help. Also, which of our hosts are on team Yannie or Laurel? It doesn't matter, because Dave did some sophisticated analysis and discovered something about the morphing audio clip that has the internet arguing again. The netflix series 13 Reasons Why returns for season 2 today as we record this, and Netflix has announced it's response to mental health professionals' concerns with the content. Speaking of mental illness, Blue Cross Blue Shield has released a new study that says diagnoses of major depression are on the rise. A portrait of Henrietta Lacks, the unwitting donor of the amazing HeLa cell line used for just about every kind of study of every kind of disease these days, is hung in the National Portrait Gallery. Do you have a question we can help answer? Do you need advice? We're giving away answers for free (along with SCP key fobs)! Call us at 347-SHORTCT anytime, visit our Facebook group, or email email@example.com.
The post Relax or Prepare? Advice for Incoming Med Students appeared first on The Short Coat Podcast.
Rank #19: The Harsh Truths and Pleasant Realities of Med School
Happy New Year! With the holidays slowing down the pace of listener questions, Dave asks new co-host LJ Agostinelli and old hands Rob Humble and Hillary O'Brien to discuss the harsh truths and pleasant realities of studying medicine. Plus, Yahoo! Answers gets another visit, and manages to live up to Dave's characterization of it as the saddest place on the internet. Scientists make themselves chuckle while proving a point about the gold standard of research, the randomized controlled trial, by elaborately studying whether parachutes save lives. Expensive drugs eek out a win over cheap exercise in treating high blood pressure, causing doctors and patients everywhere to cry, "Meh." And in the battle to curb the ever-increasing national sleep debt, Dave gets a weighted blanket for Christmas.
The post The Harsh Truths and Pleasant Realities of Med School appeared first on The Short Coat Podcast.
Rank #20: “I’ve Got Some Bad News”
When many people think about becoming a physician, they focus on the positive side of the practice of medicine. Things like diagnosing and successfully treating patients, forming therapeutic relationships, and even income and prestige get most attention. But there is one thing that receives less attention: sometimes, doctors deliver very bad news to their patients. Learning how to do that gracefully in a way that supports patients rather than devastating them is an important skill. And in a team-based environment, it can be tricky. M3 Marc Moubarek shows M1s Joyce Wahba, Gabe Conley, and new co-host Claire Casteneda the ropes. Of course, Dave devises an educational exercise to "help." In other bad news, it's not getting any easier to get into medical school...in fact, it's getting harder. In the last decade, applications have doubled for top 10 schools focusing on primary care, and others (like Iowa) have increased 1.5 times. Time to be interesting, applicants! Are you doing something more interesting than checking off the boxes on your medical school application? We definitely want to know about it. Call us at 347-SHORTCT anytime, visit our Facebook group, or email firstname.lastname@example.org. If you're doing something really interesting, maybe we'll interview you on the show