295 episodes

What no one tells you about medical school is just how remarkable it really is. Thanks to the medical students at the University of Iowa med school, and their co-host Dave Etler, you have a window into what *really* happens here at the margins of medicine, and we're here for you every week. Our goal: honest and fun discussions about the things you need to know about being a med student, medicine, and medical education. Get the inside story: give us your questions, comments, and suggestions on social media, at TheShortCoat.com, or by calling 347-SHORTCT. Contribute to our charity of the semester and get SCP merch at The Short Coat Podcast Store.



The opinions we share with you are formed by the sleep deprived, and are thus likely ill-considered and noticeably spur-of-the-moment. And definitely not those of the University of Iowa.

The Short Coat: An Honest Guide to Medical School Meded Media

    • Education

What no one tells you about medical school is just how remarkable it really is. Thanks to the medical students at the University of Iowa med school, and their co-host Dave Etler, you have a window into what *really* happens here at the margins of medicine, and we're here for you every week. Our goal: honest and fun discussions about the things you need to know about being a med student, medicine, and medical education. Get the inside story: give us your questions, comments, and suggestions on social media, at TheShortCoat.com, or by calling 347-SHORTCT. Contribute to our charity of the semester and get SCP merch at The Short Coat Podcast Store.



The opinions we share with you are formed by the sleep deprived, and are thus likely ill-considered and noticeably spur-of-the-moment. And definitely not those of the University of Iowa.

    Step 1 is Pass/Fail. Now what???

    Step 1 is Pass/Fail. Now what???

    The news that the USMLE changed the all-important Step 1 exam--which many residency programs have been using improperly to stratify applicants and which can affect one's specialty choice--to pass/fail starting in 2022-ish caused quite a bit of shock and consternation last week. Sure, some celebrated the change as a victory, but there's just one liiiiiittle problem: the more competitive residency programs feel they need some standardized measure to base their choices on.



    Several listeners wrote in with questions on the change, and the underlying concerns those questions addressed was the uncertainty left in the wake of this change--to wit, "what am I to aim for if there is no three-digit score I can point to as a mark of excellence?" Though the powers-that-be are essentially responding, "we're working on it, we'll get back to you on that," there are some possibilities to consider. And we shall, with the help of M4 Matt Wilson, MD/PhD students Aline Sandouk and Hannah Van Ert, and M1 Nathen Spitz.



    Special thanks to listener Terrified Chihuahua and everyone who reached out with questions on this sudden shift in the medical education landscape!



    We Want to Hear From You: What are your thoughts on how a pass/fail Step 1 score will change medical education and the residency application process? Did we miss anything? Call us at 347-SHORTCT anytime, or email theshortcoats@gmail.com!

    • 51 min
    Why Come to the US for Residency When Turkey has Pet Parks?

    Why Come to the US for Residency When Turkey has Pet Parks?

    Turkish listener Ali would like to come to the US for residency and to practice medicine someday, so he wrote to us to ask us what we knew about how that works.  Co-host Nadia Wahba happened to visit Turkey a while back and blew our minds by letting us in on a little secret: that in the city she visited, there are public parks full of well-cared-for pets you can visit and play with.

    Also, Dave subjects the gang–which also includes MD/PhD student Miranda Schene, M2 Jenna Mullins, and M3 Brendan George–to a game of Great Minds Think Alike: Med School Edition.



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    This Week in Medical News

    A Florida resident calls the cops after they receive what the suspect is a box of Novel Coronavirus (now named Covid-19 by science) from China.  And how an AI alerted some agencies and businesses early to the pandemic, before it blew up and just a day after a now-deceased Chinese ophthalmologist tried to warn his med school classmates.

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    How are you? Tell us at 347-SHORTCT anytime, or email a href="mailto:thes&#x...

    • 50 min
    Singer, Songwriter, Scientist: Rosanne Cash

    Singer, Songwriter, Scientist: Rosanne Cash

    What does Rosanne Cash have to do with science or medicine?

    Sure, the American pop, folk, country, and roots rock legend isn’t technically a scientist.  But it was surprising for us to learn that Rosanne Cash has the soul of one within her, with its arms spread comfortably around her musician and poet souls.  When the University of Iowa’s Hancher Auditorium reached out to the College of Medicine to let us know she’d be putting on a concert and might be interested in coming to speak on a panel, we had to dig a little deeper to find out about the connection.

    Rosanne was diagnosed in 2007 with Chiari malformation with syringomyelia, a disorder of the skull which puts pressure on the brain and causes the cerebellum to protrude into the spinal canal.  It’s an incredibly painful, debilitating problem that is usually diagnosed in children, not in a woman in her 50s.  Her doctors gave her all sorts of diagnoses (some with a dose of condescension), until she diagnosed herself.  Even then, it took finding the right doctor to believe her to get her on the long journey to recovery.  The lessons of her identity and career-threatening condition are profound.

    Then, too, there is Rosanne’s curiosity about music and the brain.  With MD/PhD student Miranda Schene, M1 Alexa Schmitz and neuroscientist Justin Sipla, PhD she was fully on board for an often trippy exploration of how and why we are creatures of rhythm, the “sorcery” our brains use to fabricate meaning from vibrations in the world around us, and what an openness to shared experiences can do for medical students and doctors and their patients.

    There are other connections to medicine.  The link between a performer being on stage for an audience and physicians performing a role for their patients are considerable,

    • 41 min
    $600,000 in med school debt?!

    $600,000 in med school debt?!

    Listener Salutes McGee (not her real name) is planning on med school after her tour of duty. What hard-won skills, she wonders, will transfer to medicine? And Krystal writes in with her med school debt worries. Will she need to plan to pay off $600,000 all in? No need to fear, Krystal and Salutes, because M4s Liza Mann, Derek Bradley, Jessie White, and M2 Abby Fife are here to soothe your fears and answer your questions.



    Dave quizzes his co-hosts on medicinal booze. And And Dave heard from University of Maryland medical student and Elisabeth Fassas that she'd written a book published by Simon and Schuster's Kaplan arm just before she started medical school last fall. So as a bonus, he asked her for some tips on how you can set yourself up for a successful pre-medical experience from the very beginning. Pick up her book, Making Pre-Med Count, at your favorite bookseller.



    This Week in Medical News: For the first time, lab-grown heart muscle tissue has been transplanted into a human patient. And never mind coughing into your elbow or sneezing into a handkerchief; if you want to stop the spread of germs, just lower your damn voice.



    We Want to Hear From You: Are you (or do you know of) a medical student anywhere who's done something cool like Elisabeth Fassas? Write to us at theshortcoats@gmail.com. Maybe we can help spread the word!

    • 55 min
    Do These Things to Manage Your New M1 Life

    Do These Things to Manage Your New M1 Life

    Listener Joseph starts medical school soon, and wants to know how to manage his new life as an M1. Luckily Kylie Miller, Kalyn Campbell, Marissa Evers, and Erica Henderson (all veteran med students) can help, Joseph--bottom line, studying is paramount, but there are keys to success you need to remember.



    Plus, we visit Yahoo Answers for some real-life health questions, including a couple that got Dave thinking about his own embarrassing problems.



    This Week in Medical News, Radiologists have begun to re-think something they've been doing to protect patients since the 1950s. The NIH and many others aren't doing what they're required to do with their research data, leaving important data unreported. And for the first time, drug company executives have been sentenced to jail time for their roles in opioid addiction.



    We Want to Hear From You: Got a burning question for us about med school, being a doctor, or literally anything else? Call us at 347-SHORTCT anytime, or email theshortcoats@gmail.com. Do all three!

    • 1 hr 7 min
    How residency programs misuse STEP 1 scores

    How residency programs misuse STEP 1 scores

    When listener Celebi Jigglypuff (yes, that's a pseudonym) reached out to ask whether we felt taking Step 1 after a year of clinical rotations (as some schools require) was a good idea or not, we were prepared to sink our teeth into that and have a normal show, too. But then, University of Iowa College of Education PhD student Andrea Ash happened to reach out to us because she's been looking at Step 1 as a class project and was surprised about what she was finding. Everything from residency programs using scores for an unintended purpose to a cut score far below the averages that students were obtaining to officials snarking about students who should be studying rather than having lives outside of med school. And thus, Dave's plans for the show were subverted for the greater good--a discussion on much of what's wrong with this important exam that can affect a medical student's dream specialty choice.



    Is all hope lost if you score less than average for a given specialty? Certainly not! These are averages. But it's a source of anxiety that to many seems unnecessary--maybe it's long past time, they say, to make Step 1 pass/fail. Of course, then residency programs would grasp for some other metric to use as a way to weed out their long lists of candidates, but we'd be happy to deal with that in a future show.



    We Want to Hear From You: Did you catch what started us talking about this week's topic? Celebi Jigglypuff's question! See why we love listener questions? Call us at 347-SHORTCT anytime or email theshortcoats@gmail.com and tell us what you want us to discuss on next week's show!

    • 49 min

Customer Reviews

Z 90000000 ,

Stuff

I related to Dr Mrachek and his story! I practiced cardiovascular surgery and dealt with similar stories! His moved me to tears and I presently am also trying to help our youth !!

thebirrrr ,

Refreshing!

I love the mix of humor, light scientific discussions, and unique student perspectives. The host does a wonderful job provoking conversation from his guests and is fun without being over-the-top. I listened as a pre-med and love it even more as a med student. Also, politics and medicine are inseparable, please don’t let the other reviewer deter you from having conversations about things that impact your future career and patients. Thanks guys!

Elenaa* ,

Loved!!!

The microagression episode! And the game has me laughing so hard!

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