The Short Coat Dave Etler and the Students of the University of Iowa Carver College of Medicine

It’s hard to become a doctor when you’ve never met one.

It’s sometimes easy to forget from the ivory tower that relatively few American’s have, or take, the opportunity to advance beyond high school. This, of course, means that their children are also less likely to do so. Those kids that do decide to make that leap are at a distinct disadvantage to their peers whose parents did go to college. And those who advance further to attend medical school are even more rare, and are still disadvantaged compared to their peers. We call those students “first-generation in medicine,” and they’re an important group. They represent an opportunity to have a medical workforce that can serve their patients better because they understand a wider range of patient experiences and determinants of health at a gut level. PA1 Julie Vuong, M1 Amanda Litka, and MD/PhD student Faith Prochaska are first-gen in college students , and M1 Holly Hemann is first-gen in medicine. They sat down to talk with Dave about their battles to overcome the barriers to enter a medical career, what it means for their future practice of medicine, and how learning about medicine is often a gut-wrenching experience that highlights the struggles their families back home have in maintaining their own health. Meanwhile, some medical schools have gone tuition free, which should have been good news…but so far it has actually *decreased* the number of low-income students that matriculate at those schools, as well as lowering the number of students from those schools who enter primary care.



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We welcome your feedback, listener questions, and shower thoughts. Do you agree or disagree with something we said today? Did you hear something really helpful? Can we answer a question for you? Are we delivering a podcast you want to keep listening to? Let us know at https://theshortcoat.com/tellus and we’ll put your message in a future episode. Or email theshortcoats@gmail.com.

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You deserve to be happy and healthy. If you’re struggling with racism, harassment, hate, your mental health, or some other crisis, visit http://theshortcoat.com/help, and send additions to the resources there to theshortcoats@gmail.com. We love you. Music provided by Argofox. License: bit.ly/CCAttribution

DOCTOR VOX – Heatstroke: youtu.be/j1n1zlxzyRE

Catmosphere – Candy-Coloured Sky: youtu.be/AZjYZ8Kjgs8

Hexalyte – Wandering Hours: youtu.be/FOAo2zsYnvA

[This episode is sponsored by Beginly Health, at http://beginlyhealth.com/shortcoat. Whether you're actively searching or casually exploring job opportunities, the Beginly platform matches you with complete anonymity until you're ready for the next step.]

Its Our monthly roundup of news from the margins of medicine! M1s Fallon Jung and Taryn O’Brien, M2 Jeff Goddard, and MD/PhD studnet Riley Behan Bush are on hand for our monthly news roundup. Including news that presidential candidate and anti-vaxxer Robert F. Kennedy’s brain was ‘eaten’ by a worm and his love of tuna sandwiches. Virtually all healthcare providers globally suffer from a clinical psychiatric disorder. Beethoven really liked lead-sweetened wine, which is probably why he was so sick and deaf. And a Tesla Cybertruck owner smashed his own finger with his vehicle’s frunk to prove that his vehicle’s frunk couldn’t smash his own finger. And can we guess what the shitty life pro tip from Reddit is? Plus lots more observations and revelations from the margins of medicine!

We Want to Hear From You: YOUR VOICE MATTERS!

We welcome your feedback, listener questions, and shower thoughts. Do you agree or disagree with something we said today? Did you hear something really helpful? Can we answer a question for you? Are we delivering a podcast you want to keep listening to? Let us know at https://theshortcoat.com/tellus and we’ll put your message in a future episode. Or email theshortcoats@gmail.com.

We do more things on…

Instagram: https://www.instagram.com/theshortcoat

YouTube: https://www.youtube.com/theshortcoat

You deserve to be happy and healthy. If you’re struggling with racism, harassment, hate, your mental health, or some other crisis, visit http://theshortcoat.com/help, and send additions to the resources there to theshortcoats@gmail.com. We love you. Music provided by Argofox. License: bit.ly/CCAttribution

DOCTOR VOX – Heatstroke: youtu.be/j1n1zlxzyRE

Catmosphere – Candy-Coloured Sky: youtu.be/AZjYZ8Kjgs8

Hexalyte – Wandering Hours: youtu.be/FOAo2zsYnvA

“I honestly have had the most relaxing time I’ve had in forever, and for anybody who’s like, that’s ridiculous, just wait.” The most charitable definition of a hot take is a position taken in order to generate conversation. The more usual definition is a position taken to create controversy (and clicks). Dave asked his co-hosts to come with some hot takes, and it’s up to you to decide which definition they’re using, but PA1 Conner Lieser and M1s Radha Velamuri, Amanda Litka, and Sri Nandakumar offer their hot takes on how hard med school is, the admissions process, shadowing, advice from more advanced students, and more.

We Want to Hear From You: YOUR VOICE MATTERS!

We welcome your feedback, listener questions, and shower thoughts. Do you agree or disagree with something we said today? Did you hear something really helpful? Can we answer a question for you? Are we delivering a podcast you want to keep listening to? Leave a message at 347-SHORTCT (347-746-7828) and we’ll put your message in a future episode (use *67 to be an “Unknown caller”). Or email theshortcoats@gmail.com.

We do more things on…

Instagram: https://www.instagram.com/theshortcoat

YouTube: https://www.youtube.com/theshortcoat

You deserve to be happy and healthy. If you’re struggling with racism, harassment, hate, your mental health, or some other crisis, visit http://theshortcoat.com/help, and send additions to the resources there to theshortcoats@gmail.com. We love you. Music provided by Argofox. License: bit.ly/CCAttribution

DOCTOR VOX – Heatstroke: youtu.be/j1n1zlxzyRE

Catmosphere – Candy-Coloured Sky: youtu.be/AZjYZ8Kjgs8

Hexalyte – Wandering Hours: youtu.be/FOAo2zsYnvA

From classroom to exam room, what you need to know.



[This episode is sponsored by Beginly Health. https://www.beginlyhealth.com/shortcoat

Whether you’re actively searching or casually exploring job opportunities, the Beginly platform matches you with complete anonymity until you’re ready for the next step.]



M1s Fallon Jung and Alex Nigg, M2 Jeff Goddard, and MD/PhD student Riley Behan Bush hear listener Megan’s request for more news on critical healthcare changes from our overlords in the courts and the government. Riley shares insights from her lab work as she works toward finishing her PhD. This episode unpacks the FTC’s move to ban non-compete clauses for doctors, a pivotal Supreme Court case on Idaho’s abortion policies, and new consent requirements for performing invasive procedures you didn’t know were being done on anesthetized people.

We Want to Hear From You: YOUR VOICE MATTERS!

We welcome your feedback, listener questions, and shower thoughts. Do you agree or disagree with something we said today? Did you hear something really helpful? Can we answer a question for you? Are we delivering a podcast you want to keep listening to? Let us know at https://theshortcoat.com/tellus and we’ll put your message in a future episode. Or email theshortcoats@gmail.com.

We do more things on…

Instagram: https://www.instagram.com/theshortcoat

YouTube: https://www.youtube.com/theshortcoat

You deserve to be happy and healthy. If you’re struggling with racism, harassment, hate, your mental health, or some other crisis, visit http://theshortcoat.com/help, and send additions to the resources there to theshortcoats@gmail.com. We love you. Music provided by Argofox. License: bit.ly/CCAttribution

DOCTOR VOX – Heatstroke: youtu.be/j1n1zlxzyRE

Catmosphere – Candy-Coloured Sky: youtu.be/AZjYZ8Kjgs8

Hexalyte – Wandering Hours: youtu.be/FOAo2zsYnvA

Medicine isn’t always kind to its disabled practitioners, but let’s change that. In 2023, a group of Iowa med students founded our chapter of the Medical Students With Disabilities and Chronic Illness, a group “working to remove barriers for students and professionals with disabilities, increasing representation of diverse perspectives in medicine.” M1 Holly Hemann, MD/PhD student Faith Prochaska and PA1s Olivia Quinby and Julie Vuong discuss their lived experiences as students navigating disability and chronic illness. They illuminate the essential support systems, the process of securing necessary accommodations, and the powerful sense of community among students facing similar challenges. And they look critically at how these personal experiences enrich the medical profession and underscore the urgent need for inclusivity in medical training. Their personal stories of coping with PTSD, ADHD, daily vestibular migraines, and celiac disease show how these experiences are shaping their medical journey. They also discuss what colleagues present and future can do (or must do better) to understand and support those who face barriers due to their physical and mental conditions.



Learn more:

https://www.nytimes.com/2017/07/11/upshot/doctors-with-disabilities-why-theyre-important.html

https://www.ama-assn.org/delivering-care/health-equity/physicians-disabilities-bring-diversity-valuable-perspective

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6902201/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7955270/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8740697/

https://www.docswithdisabilities.org/

We Want to Hear From You: YOUR VOICE MATTERS!

We welcome your feedback, listener questions, and shower thoughts. Do you agree or disagree with something we said today? Did you hear something really helpful? Can we answer a question for you? Are we delivering a podcast you want to keep listening to? Let us know at https://theshortcoat.com/tellus and we’ll put your message in a future episode. Or email theshortcoats@gmail.com.

We do more things on…

Instagram: https://www.instagram.com/theshortcoat

YouTube: https://www.youtube.com/theshortcoat

You deserve to be happy and healthy. If you’re struggling with racism, harassment, hate, your mental health, or some other crisis, visit http://theshortcoat.com/help, and send additions to the resources there to theshortcoats@gmail.com. We love you. Music provided by Argofox. License: bit.ly/CCAttribution

DOCTOR VOX – Heatstroke: youtu.be/j1n1zlxzyRE

Catmosphere – Candy-Coloured Sky: youtu.be/AZjYZ8Kjgs8

Hexalyte – Wandering Hours: youtu.be/FOAo2zsYnvA

It’s a freestyle episode…can’t we just have a rambling conversation? Sometimes it’s nice to just sit down and have a rambling conversation. That’s this episode, with MD/PhD students Madi Wahlen and Sahaana Arumugam and M3s Jacob Hansen and Jacob Lam. We discuss the non-weighty topics of why people don’t know they shouldn’t stare at a ball of fusion in the sky, niche online community drama, a Texas transplant surgeon accused of manipulating transplant lists, everyday things that might not be things someday, why Dave doesn’t yet want an electric vehicle, the co-hosts plans for their futures beyond seeing patients, and so much more that is barely relevant to medical school. If you don’t like this kind of episode, do we have a solution for you--https://theshortcoat.com/tellus!

We Want to Hear From You: YOUR VOICE MATTERS!

We welcome your feedback, listener questions, and shower thoughts. Do you agree or disagree with something we said today? Did you hear something really helpful? Can we answer a question for you? Are we delivering a podcast you want to keep listening to? Leave a message at 347-SHORTCT (347-746-7828) and we’ll put your message in a future episode (use *67 to be an “Unknown caller”). Or email theshortcoats@gmail.com.

We do more things on…

Instagram: https://www.instagram.com/theshortcoat

YouTube: https://www.youtube.com/theshortcoat

You deserve to be happy and healthy. If you’re struggling with racism, harassment, hate, your mental health, or some other crisis, visit http://theshortcoat.com/help, and send additions to the resources there to theshortcoats@gmail.com. We love you. Music provided by Argofox. License: bit.ly/CCAttribution

DOCTOR VOX – Heatstroke: youtu.be/j1n1zlxzyRE

Catmosphere – Candy-Coloured Sky: youtu.be/AZjYZ8Kjgs8

Hexalyte – Wandering Hours: youtu.be/FOAo2zsYnvA