The Short Coat: An Inside Look at Getting Into and Getting Through Medical School

How should Thomas choose between his great career options? We’ve all been there: faced with some good options, which one do we choose? Listener Thomas wrote in with his dilemma: he studied and loves engineering, but what about medicine? M1s Jacqueline Nielson, Fallon Jung, and Sri Nandakumar discuss what they studied as undergrads, what made them realize that medicine is the right path, and how to...

Why docs don’t like the word “provider,” and the surprise dealt to the AAMC by OB residency programs a Delaware-based health system, is taking a stand against the use of the term “provider” to describe physicians. The AMA agrees, saying they oppose the term “provider” as inadequate and urging MDs to insist on being identified as "physicians." Co-hosts Nicole (Pathology Extern), Riley (MD/PhD stude...

Why do we struggle to change when our world changes around us? Philadelphia’s Mütter Museum is beloved by its visitors. Styled as an homage to Victorian displays of medical and biological curiosities, its exhibits include human remains with extreme pathologies…and sometimes dubious provenance. Once such items were joyfully collected by rich men to fill their cabinets of curiosities. But times have...

AI chatbots can help brainstorm ways to communicate more compassionately. We’ve talked about the study that found patients rated responses by the recent generation of AI chatbots significantly better in both quality and empathy than physicians. We decided to test ourselves on our efforts to bring up awkward topics with patients and others by comparing our answers to those provided by Anthropic’s C...

Meet one doctor working to counter once-fringe anti-vax conspiracy theorists. M2 Jeff Goddard invited internationally-renowned virology and immunology expert Dr. Paul Offit on the show to talk about his lifelong struggle to fight vaccine misinformation. MD/PhD Students Riley Behan-Bush, and Madi Wahlen join Jeff to talk with Dr. Offit about his work educating politicians and policy-makers (as well...

How do you choose between jumping in with both feet vs. watching and learning? Listener Jordan DM’d to say that she’s having trouble finding the right balance of initiative and observation in her clerkships. To stand out, should she jump into situations and try to contribute? Or is it better to step back and observe? M2s Trent, Bridget, Maddie, and Yumi discuss their ideas about it, and we ask som...

[A Note to Listeners: this episode features discussions of sex abuse, rape, and other crimes that many listeners will find disturbing.] Insights From the Bench on How Doctors Can Work With The Law To Protect Victims of Sexual Assault. The Honorable Rosemarie Aquilina–the judge in the Larry Nassar USA Gymnastics Sex Abuse trial–talks with us about how even well-meaning doctors can ruin prosecutions...

Recognizing good advice and discarding the bad is part of the admissions process. Aline has finished her PhD! She walks Jeff, Riley, and AJ through what defending a dissertation is like, and looks back on some of the things she’s learned about herself and about science. And, bad advice is like a leaky umbrella that lets you down when you need it most. So how do you recognize good advice and distin...

Speaking up for your patients will have profound impacts. Short Coat Savannah’s previous work in mental health settings exposed her to situations where she had to report abuse. She left us a message at 347-SHORTCT asking us to talk about patient advocacy. MD/PhD student Riley, PA1 Faith, M1 Jeff, and M3 Happy–along with some of our faculty–look at what doctors actually do to advocate for their pat...

How will schools assemble student bodies that reflect society? The Supreme Court has struck down the use of race-conscious admissions practices–affirmative action–that many colleges use to counteract bias against admitting people of color. Short Coats Hend (M2), Nicole (M3), Faith (MD/PhD) and AJ (M4) discuss why that’s a problem, and what might happen now that AdComms are forced to use proxies to...

Consciousness remains a final frontier of neuroscience and psychiatry…and even immunology M2s Trent Gilbert, Olivia Jenks, PA1 Faith Anton, and M4 Sarah Costello discuss what it might mean that doctors recently discovered a group of patients, previously diagnosed with schizophrenia, who might actually have other treatable immunological disorders that present as psych disorders. We also discuss a n...

Think of it as education you don’t have to pay for! In an episode best described as…laid back?…calm?…sleepy?…Nicole, Alex, and Sarah discuss why those AdComm-required experiences are actually important. Both the colleges and the applicants themselves benefit from them, but in the rush to ‘get them over with,’ their utility gets overlooked. Instead, they’re often seen by applicants as a means to an...

Decisions made at the end of life are among the most complicated. M1 Jeff, M3 Ananya, and MD/PhD students Riley and Miranda discuss what they’re taught about the ethics surrounding death. What are the physician’s responsibilities? How do they balance the patient’s wishes, the family’s desires, the directive to do no harm and to provide the best possible care, and the need to ensure that such consi...

Med students are smart, but how much useless info can they spout? It’s Spring Break, so we’re taking a break from our usual content to bring you a trivia contest featuring M4 Emerald, MD/PhD students Riley and Faith, and CCOM Learning Communities Coordinator Cody. Dave created a trivia bot using chatGPT, and to ratchet up the tension, he poured some shots of mysterious and probably unpleasant liqu...

First year of med school contains many life lessons. We are fortunate to have a friends group of first-year students on the show to look back on their experience and reflect on what they discovered. M1s Olivia and Katie, and PA1 Faith talked with Dave and admissions guru Rachel about how their lives have changed, what they realized about themselves, and their plan for incorporating those lessons i...

The importance of getting your head outside of medical school. Lots of people have hobbies, and perhaps many of those people use them to step outside their day-to-day lives for a while for a peaceful break. Is there time for a hobby or three in medical school? M3s AJ and Alex, M1 Hend, and MD/PhD student Sam say there absolutely is! In fact, it’s possible the importance of finding time for your ou...

Burnout is the wrong word for what’s ailing healthcare workers. The term burnout doesn’t really cover what happens to physicians and others in healthcare. Dr. Wendy Dean and others are coming around to the idea that what’s really happening is moral injury–what happens when you want to do the right thing but aren’t allowed to do it. M1s Jeff, Faith, and Linda visit with Dr. Dean to talk about moral...

Some stories from history that remind us medicine has come a long way. Podcaster Ryan Nanni, of the Shutdown Fullcast, joins M2 Matt, M1 Jeff, Md/PhD student Riley, and Communities Director Cody to talk about some ‘fun’ stories from history. For example, how did a man named “Doctor” (his first name) probably kill President Garfield? And what was the dumbest, most dangerous marathon in Olympics his...

The beginning of the 20th century brought huge changes to medicine; we’re still trying to cope with them. Special guest, Dr. Adam Rodman, visits with M1s Jeff, Faith, and Linda and PA 1 Kelsey, to talk about “path dependency,” the idea that a complex system (like medical education) is almost impossible to change without starting over. The path we have taken to today constrains what we can do tomor...

Faith is an important part of the human condition–let’s explore that. M1 Hend invited David Kozishek, a chaplain at the University of Iowa Hospitals and Clinics, to talk with M3 AJ, M1 Jeff and new co-host M1 Ervina to talk about the role of chaplains on the healthcare team. David also helps the co-hosts discuss the role that religion may play in their lives as future physicians, the tensions and...

The process of “doing research” is a methodical slog. AJ has finished up some interventional radiology research and gotten it published recently. He and Daniel, Jeff, and Mallory–who’ve all been down that road–walk Dave through the research process, step by step. The crew discusses how they’ve found a problem to examine, done the background lit searches, gotten approval from the ethics watchdogs,...

Recognizing good advice and discarding the bad is part of the admissions process. Aline has finished her PhD! She walks Jeff, Riley, and AJ through what defending a dissertation is like, and looks back on some of the things she’s learned about herself and about science. And, bad advice is like a leaky umbrella that lets you down when you need it most. So how do you recognize good advice and distin...

[Content warning: this episode contains frank discussions of an issue that some listeners will see as political. That isn’t our intention, but definitely reach out with your feedback.] Guns are a fact of life, so let’s deal with the problems more effectively. The ownership of firearms is a uniquely American right, and for some the underpinning of a uniquely American problem. Gun deaths recently pa...

Evidence leads to practice, but when is enough enough? Equipoise was a new word for Dave, Mitch, Nathen and Riley. Jeff explains that it describes a state of equilibrium at which debate on a topic is no longer required, and factuality has effectively been achieved. But in science, that state has time and again been upset by new ideas and evidence that initially seem wrong. So, who decides whether...

Dr. and Lady G have a new podcast! Will and Kristin Flanary, better known as Dr. and Lady Glaucomflecken, visit with The Short Coats to talk about their new podcast, Knock Knock, Hi! AJ, Madi, Zay, Jacob, and Hend talk with the Flanarys about the value of satirizing medicine–a surprisingly universal source of workplace comedy–an its ability to humanize physicians. Kristin discusses her experiences...