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).

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.

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.

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!

Med Students discuss their “Why Medicine?” answers. Dave welcomes newly minted medical and PA students at the Carver College of Medicine to share their first-week experiences and the challenges of adapting to medical school. M1s Sydney Skuodas, Michael Arrington, Alex Murra, Luke Geis, and PA1 Harrison Parker discuss what they’ve learned about time management, personal growth during “gap years,” overcoming imposter syndrome, and balancing personal life with rigorous medical training. The co-hosts also discuss the personal motivations behind their decisions to pursue medicine, revealing stories of past careers, family influences, and the aspiration to impact lives directly. Don’t worry about the shock device we’re using, I’m sure they’re fine, plus it was Luke’s idea.

5 listener questions ANSWERED! Dave Etler is joined by co-hosts MD/PhD student Riley Behan-Bush, and M1s Zach Elias and Demir Tuken, and M3 Hend Al-Kaylani to tackle a backlog of listener questions. Listener DeeDee shares her struggles with med school, parental expectations, and anxiety and depression–should she be in medical school at all? Cameron worries about overcoming a rocky academic start, Marvin’s trying to understand the value of an undergrad minor degree, Avery wants our take on how well CCOM integrates LGBTQ+ health education into the curriculum, and the cohosts weigh in on the differences between allopathic and osteopathic schools for Zion. We’re bringing our personal experiences, practical advice, and our flip phones to the table!

You need things to keep you grounded, so keep those hobbies going, or find some. We've said it before, we'll say it again: studying medicine will consume everything if you let it...so don't let it. Your hobbies--whether you pursue them steadily or they shift over time--help you achieve your goals in medicine, too. M3 Jeff Goddard, MD/PhD student Miranda Schene, and M2s Kaitlin Grimes and Sri Nandakumar talk about their hobbies and what they get out of them. Whether it's reaching that flow state, increasing their engagement in their work, reducing the chances of burnout, or adding to their understanding of the world they live in, pastimes and avocations keep docs grounded and creative.

Once again, we decide who's the asshole. Dave is joined MD/PhD students Riley Behan-Bush and Miranda Schene, M3 Jeff Goddard, PA2 Julie Vuong, and M2 Holly Hemann for yet another AITA episode on humor in medicine, debating the appropriateness of jokes at others' expense and the limits of comedy among emotionally volatile family members. The group also considers the complexities of family expectations, particularly in cultural contexts where children are perceived to owe careers to their parents' investments. Listener feedback is highlighted, addressing concerns about biased opinions on PA and NP independence discussed in a previous episode. They share candid insights on dealing with criticism and the professional way to handle conflicts between NPs, PAs, and physicians, and dissect themes of academic preparation, sibling rivalry, and the stress of high-stakes professional examinations.

MD/PhD student Riley Behan-Bush, M4 Katie Higham-Kessler, and M3s Olivia Jenks and Elvira Nguepnang discuss 2024's trends and topics in healthcare and medical education with Medscape's Senior Editor of Reports Jon McKenna. The episode kicks off with exploring how AI is being adopted in healthcare, particularly in note-taking and administrative tasks, rather than diagnostic applications. The panel delves into Medscape's recent report on the medical school experience, highlighting issues like imposter syndrome, wellness, and equity in medical education. Jon provides insights from his surveys, noting encouraging trends in students' sleep and exercise habits. The discussion also covers the challenges residents face, including work-life balance and the impact of systemic changes on residency experiences. The episode wraps up with an examination of the gender pay gap in medicine and what (if anything) can be done about it.

It's the Thanksgiving holiday in the United States, so M4 Katie Higham-Kessler, PA2 Julie Vuong, and MD/PhD students Miranda Schene and Riley Behan-Bush give thanks to their future patients' for their surprising questions (as suggested by Reddit's r/AskDoctors and similar subs). Should one be concerned about foamy pee? How can one get white again? What can one do about a head dent? The crew also express thanks by giving and receiving compliments, something Dave thnks doesn't happen enough (although that's probably just him). Happy Thanksgiving!