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[Content warning: this episode contains frank discussions of medical examiner photos our students had to view during lectures, and which some listeners will find disturbing.] Friendships, food, and failing forward gets med students through the first year. No one tells you how much of med school is powered by free pizza and shared panic. As M1s Alexis Baker, Samantha Gardner, Raegen Abbey, and Zach Grissom wrap up their first year at the University of Iowa Carver College of Medicine, we talk about what actually got them through M1: strategic free food hunting, skipping lectures for sanity, and learning to live with the sound of your own stomach during exams. This raw and ridiculous reflection features stories of biochem-induced breakdowns, unexpected weight loss, and vacation cruises gone very wrong. We also play “Vibey,” a game that perfectly captures med student emotional trauma. Bonus topics: marriage math, spring break disasters, moldy mugs, and the shock of learning how people die for credit.
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Clinical students are sometimes the only ones who have time to listen. In the clinic, med students can feel like bystanders, but they can make all the difference for patients. M3 Jeff Goddard, M3 Tracy Chen, M2 Alex Nigg, and M4 Matt Engelken recount stories of the patients that stuck with them—some painful, some beautiful, and some just plain awkward. From OB-GYN to peds to the ER, they share how student doctors—who can often feel like tagalongs—can often be the ones offering emotional support, catching critical miscommunications, or just being the one person with time to care. We reflect on the pressure to look competent, the sting of lukewarm evaluations, and how one med student realized a patient wasn’t constipated—just heartbroken. Also in this episode: talking to dying patients, babies are scary, and what not to say when to overwhelmed family.
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Don’t be the doctor making $400k with $0 in the bank. You risk your financial future by ignoring this ER doc’s advice — and Dr. Jim Dahle should know. The emergency physician and founder of The White Coat Investor joins M1s Luke Geis, Zach Grissom, Hunter Fisher, and Katherine Yu to share how he got burned early in his career — and what he did to fix it. From why disability insurance should top your post-grad checklist, to how physicians get targeted by shady financial “advisors,” to why home ownership in residency might not be the best idea — Dr. Dahle walks us through real, usable advice. He breaks down the cost of a good financial advisor, explains why index funds beat stock-picking 95% of the time, and why you should aim to be more than just an employee in medicine. We also get into financial planning for med students with kids, and why chasing hot stocks is a losing strategy, and how disability insurance can save your bacon.
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Behind every successful doctor is someone who paid their rent or walked their dog. Dave Etler, MD/PhD student Miranda Schene, M1 Jay Miller, and M3 Jeff Goddard blast off this episode with ass-tronaut Katy Perry before diving into Reddit’s finest med school dumpster fires. Should you crush (AKA, be vocally realistic about ) your C-average friend’s medical dreams? Is a boyfriend who gives unwanted pop-quizzes to his exhausted med student girlfriend helping, or being an a-hole? We also tackle the awkward truth about teaching hospitals – yes, that medical student might be practicing on YOUR sensitive bits (hopefully with proper patient consent)! Finally, we settle a debate over who deserves the credit: the emergency medicine resident or the partner who paid his rent, fed his pets, and sacrificed their social life for years. Join us for a trip through the messy human side of medical training that your white coat ceremony definitely can’t prepare you for!
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What do MD and PA students really think about their lives? We check the vibes. Jeff Goddard (M3), Kim Fairhead (M1), Gabbi Bullard (PA1), and Annie Dotzler (PA1) for a game that checks med student experiences on their vibes. The group tackles the truth about reflex hammer skills, confessing to the internal chaos that underlies a fake-it-till-you-make-it confidence during physical exams. Annie and Gabby share their structured yet surprisingly "vibes-based" approach to studying before exams, complete with coffee-shop meetups and rapid-fire knowledge exchange. Meanwhile, Annie's meal prep aspirations take a dramatic turn when studying fatigue leads to an actual kitchen fire. The conversation weaves through medical curriculum frustrations, the evolution of study techniques from pre-clinical to clinical years, and the underlying question of whether we are just "hallucinating large language models" themselves.
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Tuberculosis is curable. We just don’t care enough to cure it. That’s the premise behind John Green’s book, Everything Is Tuberculosis (https://everythingistb.com/). In this episode, M1s Zach Grissom, Kate Timboe, Tyler Pollock, and Srishti Mathur consider that premise, and what it says about humanity’s stubborn failure to solve a solvable problem. They unpack how cultural narratives, like romanticizing TB, stigmatizing the poor, path dependency, and greed have fueled inequities that keep TB deadly across the globe. The group reflects on Henry Rider’s story, which serves as the emotional spine of the book, and how John Green’s storytelling approach hits harder than raw data ever could. From an emphasis on short-term thinking to postcolonial infrastructure (built to extract, not connect), the book dissects the history and systems that allow TB to persist even when we can easily cure it. The crew also talks about what medical education could look like if it provided stories with slide decks—and why Green thinks Mario Kart might be the best metaphor for how humanity could achieve global health equity.
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Everyone knows med school is hard. For some, it’s even harder. Dave Etler hosts a raw conversation with med students M1 Emily Baniewicz, M3 Jeff Goddard, PA 1 Chloe Kepros, and M3 Madeline Ungs about the reality of navigating disability during medical training. With insights from Jenna Ladd, PhD, CCOM's recently hired accessibility specialist, they dig into accommodations that range from extra time to simply having a chair. The group shares stories of advocating for themselves while trying to keep up in a system not designed with their bodies or brains in mind. They discuss how their chronic illnesses, anxiety, and invisible disabilities show up in pre-clinical courses and clinical clerkships, why getting help can feel like a confession, and why pushing for equity isn’t about advantage over others — it’s about access. Also, yes, someone did pass out during shadowing. And while some may say a disability means they don’t belong here, the fact is, medicine needs them.
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All of med school leads up to one moment: Match Day. But how do get there? Dave Etler sits down with graduating M4s Mallory Kallish (surgery), Matt Engelken (OB/gyn), Jacob Lamb (radiology), and Will Sai (famiy medicine) to unpack the uncertainty and pressure around choosing a medical specialty. They share how they landed their matches—not through sudden epiphanies, but through trial, error, and sometimes vibes. We hear about emotional rotations, mentors who came through clutch, and interview seasons fueled by spreadsheets or sheer gut instinct. And yes, we talk about the infamous stereotypes: are you “too nice” for surgery, or “too male” for OB? Also in this episode: the hidden power of palliative care, how to survive pre-clinical burnout, why some specialties get unfairly labeled “dead ends,” and what it means to feel like you belong in a specialty—even if you don’t fit the mold.
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Turning down that med school acceptance might cost more than you think. Listener “my initials are ARM” got into medical school—cue the confetti—but now that reality’s set in, she’s not feeling great about her only acceptance. The school is small, expensive, and far from home. Should she go anyway or risk reapplying in hopes of a better fit next year? MD/PhD students Michael Arrington, Shruthi Kondaboina, Jessica Smith, and M1 Maria Schapfel weigh the real costs of walking away from an acceptance, from the red flags admissions committees look for to the gamble of getting in again. They get honest about finances, family, and the very unsexy truth about how much the campus “vibe” actually matters. Plus, what to say if you do it anyway. Bonus: the MD/PhD students dish about why they took that road, while Maria counters with why MD is better for her.
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[Because of Spring Break, instead of a new episode you can enjoy this re-run! If NPR can do it, so can we. We’ll be back next week.]
Life’s grey areas, offered up for internet discussionSometimes, you need someone to tell you if you’ve crossed the line. That’s why Reddit’s Am I The A**hole subreddit exists. M2 Holly Hemann brought some med-school themed samples for MD/PhD students Miranda Schene, Faith Prochaska, and PA2 Julie Vuong to react to. How compatible is MMA fighting and med school? Is it okay to get a secret horse? And isn’t an Eagle Scout the same as a doctor when you get right down to it? Let’s talk about all that!
From the discussion:Admissions: https://www.reddit.com/r/AmItheAsshole/comments/10sjyd2/aita_for_almost_ruining_a_friends_med_school/Scope of Practice: https://www.reddit.com/r/AmItheAsshole/comments/emu7yf/aita_i_said_my_husband_shouldnt_try_to_help_sick/The clinical years: https://www.reddit.com/r/AmItheAsshole/comments/gf82i0/aita_for_letting_medical_students_observe_when_im/Financial aid: -
Can Art, Nature, and Community Replace Pills?
What if doctors prescribed a painting class instead of or alongside pills? Journalist Julia Hotz, author of The Connection Cure, joins M3 Jeff Goddard, and MD/PhD student Riley Behan-Bush to discuss social prescribing, a growing healthcare movement that treats patients with art, nature, movement, and community rather than just medication. We look at the barriers to making this idea work in the U.S., from insurance hurdles to physician overwork to healthcare’s obsession with quick fixes. But the UK’s social prescribing model reduced ER visits by up to 50%, and it acknowledges loneliness might be as dangerous as smoking 15 cigarettes a day. Can medical students lead the charge toward healthcare that actually reduces physicians’ moral injury?
More about our guest:https://www.hotzthoughts.com/https://www.socialprescribing.co/https://www.simonandschuster.com/books/The-Connection-Cure/Julia-Hotz/9781668030332We 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 [email protected].
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How future doctors are navigating social media’s impact on public education. How can a well-meaning medfluencer be sure they’re actually helping? M1 Zach Grissom, M2 Fallon Jung, M3 Jeff Goddard, and M4 Matt Engelken sit down with third-year DO student Nik Bletnitsky to discuss the role of social media in medical education. Current and Future doctors are increasingly using these platforms to share medical knowledge—but, even if you’re careful to offer the best information, what are the hidden dangers?The conversation covers the sometimes blurry line between education, misinformation, and contradicting someone’s doctor’s advice. How disclaimers work (or don’t), and why the Dunning-Kruger effect can turn a curious patient into an overconfident self-diagnoser.Should doctors be influencers? Can patients trust what they see online? And is it possible to make medical knowledge accessible without accidentally making things worse?
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Reddit’s “Am I the Asshole?” makes us question everything. It showcases the best and worst in people—and this week, we’re analyzing some choice cases through the lens of med school. M1s Srishti Mathur, Sahana Sarin, Maria Schapfel, and Mahaasrei Ghosh debate whether people in these scenarios are truly in the wrong or just victims of someone having a very bad day. We break down the pressure on pre-meds and med students to do research, the value of publications, and the “gunner” mentality. Is bench research a necessary evil, or are pre-meds wasting their time? When is it appropriate to insist on being called ‘Doctor?’ Is it okay to go nuclear to take someone down a notch when they need it? Is a degree in design and marketing as important as an MD? It’s a chaotic mix of ethics, egos, and existential crises—so strap in.
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They might know the citric acid cycle, but do med students know what ancient doctors used for pain relief, or the shape of wombat poop? Join us for Blechardy! the trivia game show that involves a certain amount of suffering! Contestants answer medical and pop culture questions—but with potentially disgusting jellybeans that make any actual knowledge meaningless. This week’s medical student co-hosts: M3 Jeff Goddard, and M1s Cara Arrasmith, Tyler Pollock, and Keely Carney, with quizmaster Audra King, battle through ancient medicine facts, Iowa trivia, and the weirdest animal knowledge. Who will emerge victorious, and who will regret every bite? We don’t even know, and we were there! Along the way, we discuss podcast rivalries (should we start fake beef with Joe Rogan?) and the questionable benefits of coffee beans digested by animals. Come for the trivia, stay for the suffering.
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There are many reasons healthcare professionals write: to process trauma, build empathy, or simply because stories demand to be told. This week we've got a thought-provoking conversation with Dr. Carol Scott-Conner, a surgeon, poet, and editor of The Examined Life Journal; Katie Runde, a novelist exploring themes of love and loss; Jeff Goddard, an M3 medical student and soon-to-be-published author; and Linda Peng, a sci-fi writer and Bowman Prize-winning author. They discuss the challenges of writing about real patients while maintaining ethical boundaries, the impact of narrative medicine on medical education, and why residency often leaves little time for self-reflection even though that's where it can be most helpful. Plus, they break down the blurred line between fiction and lived experience in writing and whether good storytelling requires personal experience. No matter why doctors, patients, and medical students write, it's a powerful tool that can sooth some of healthcare's most difficult problems where the participants' humanity and the system come together.
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Anki? Lecture notes? Study groups? Med students spill the truth about what actually works. First semester of med school is like eating a never-ending stack of pancakes—it’s fast, overwhelming, and it doesn’t care if you’re full. Listener G asked us for some tips, and in this episode, M1s Zach Grissom, Megan Perry, Jay Miller, and Srishti Mathur take us through the rough transition from undergrad to medical school and what they wish they knew before starting. From study methods that failed (Anki obsession, passive learning) to strategies that actually worked (active recall, selective focus, study groups), they share what helped them survive. Burnout hits hard, and everyone here felt it–the mental exhaustion, learning to take breaks, and the power of peer support. Plus, the surprising truth about exams—sometimes failing is the best teacher. they also tackle balancing med school with real life: keeping hobbies, staying social, and even reading trashy novels. Finally, an improv game throws the med students into hilarious situations. Listen for our unfiltered med school survival tips, study hacks, and some much-needed laughs!
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What happens when medical students trade books for the chaos of real patient care? They spent months and months learning medicine from books. Then suddenly, they were thrown into hospitals with real patients, real pressure, and only the barest clue what they were doing. In this episode, Dave sits down with M4s Jacob Hanson and Happy Kumar, and M3s Zay Edgren and Tony El-Sokkari to relive their first clerkship experiences—the awkward mistakes, every unexpected challenge, and the moments that made them feel like they actually belonged in medicine. From simulated patients yelling at them, to missing the first day of a rotation, to being told never to ask an attending questions, the crew shares the ups and downs of transitioning into the hospital world. They also break down how to ask for feedback the right way, what attendings actually expect from students, and why residency interviews feel like a mix of speed dating and job interviews. Plus, a wild case of “cheese hands” (Xanthelasma, if you’re fancy) makes them all question their dietary choices.
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In this episode, host Dave Etler has been (kidnapped? It's unclear) and replaced by his grumpy brother Dominic Etler, MD, Harvard, Class of '96. Confused M1s Megan Perry, Jay Miller, Cara Arrasmith, and M4 Matt Engelken nevertheless buckle down to address listener Giovanni's question about supporting his fiancé during her trip through med school. The group explores the challenges of medical school, including managing relationships, dealing with harsh weather, and maintaining mental health. They provide insights into staying sane during tough rotations, the importance of maintaining hobbies, and ways loved ones can offer support. The episode also covers the balance between professional and personal life, emphasizing the need for mutual support in relationships. Of course, Dr. Etler does not represent the views of the Carver College of Medicine. In fact, he's kind of a jerk (and, our lawyers want you to know, a satirical character).
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Do Patients Have to Perform to Be Taken Seriously in Medicine? How does "respectability politics" play out in healthcare, and specifically, pain management? PA1 Chloe Kepros, M1 Zach Grissom, M1 Srishti Mathur and M3 Jeff Goddard unpack how patients often adjust their behavior and appearance to gain credibility in medical spaces. From the history of pain measurement to the biases in how pain is treated today, the cultural and social dynamics shaping the decisions healthcare providers make about their patients' pain is more than an academic exercise. When patients feel they must dress up for doctor visits, use advanced terminology, or even give their pain scale number a little boost, just to be taken seriously, is that just society in action? Or is it a barrier to care? What does it mean to be truly seen in medical spaces? Plus, pre-med listener Violet asks about balancing vulnerability and professionalism during med school interviews.
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The rollercoaster of medical school transitions is hitting some peaks, from the first nerve-wracking days of clerkships to the unglamorous realities of OB-GYN rotations. M3 Elvire Nguepnang, M2 Gizzy Lundquist, M3 Jeff Goddard, and M1 Katherine Yu open up about the leap from textbooks to patient care, beginning advanced clerkships, and just staying on the path—and why it’s okay to feel a little lost. Along the way, they share their experiences with delivering placentas, unpack how seemingly minor lessons from preclinical years suddenly become crucial in the real world, and the new sensory ability they'd choose if they could.
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