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

If you're thinking of starting over and going to med school, you might wonder what your previous jobs have done to prepare you for it. Good news: your old jobs and activities might matter more than your GPA ever will. And we hear from a listener who wants to know if we were super studious in high school. We try to let him down gently.

This week M3s Srishti Mathur and Zach Grissom are joined by CCOM admissions expert Rachel Shulista and the PA Program clinicals coordinator Andrew Dao. You might think they're here to offer their expertise in some informative way so that Short Coat Listeners can benefit. You'd be wrong, because Dave is making everyone rank things nobody should have to rank: how believable your excuse for missing sleep is, how harsh your last piece of attending feedback was, how likely you are to botch a procedure you've never done before. It's another round of our special version of That Escalated Quickly, the card game where the only rule committing to the rank.

M2s Akshaj Joshi, Anna Royer, Charis Edwards, and Cory Karasek talk about giving and receiving feedback, what it's like reading a stack of evaluative comments about yourself, why "keep reading" is somehow a real evaluation, and whether attendings have started letting AI write their write-ups. Also, do quiet students get read more harshly than talkative ones, does anybody actually change their filler-word habit once someone points it out, and is your personality basically locked in since the day you were born (this one gets a full psychoanalysis of Joshi's baby years). Also, we visit reddit to help people. For instance, an AITA dilemma asks whether refusing hospital visitors after birth makes you the asshole, whether it's awful to end a ten-year relationship over a partner's decision to go to naturopathic school, and somebody's uncle wants a free diagnosis at the next family gathering, and gets read for it, ethically, legally, and personally.

M2 Jack Klitgaard and M4 Fallon Jung are both expecting newborns in the coming months. M2 Regan Demaris has a couple toddlers already, and CCOM Registrar and Curriculum Director Carrie Bernat had her children while putting her husband through medical school two decades ago. In short, it's the perfect group to talk about the challenges and triumphs of cuddling kids while cramming the Krebs cycle.

Fallon's challenge will be how to apply for residency positions with a new little one. Jack faces starting his clinical rotations while stepping into the role of father. Fortunately, both of their spouses are going to stay at home to be the primary caregiver. Regan's toddlers came into the world before medical school and as her husband was in the Navy, which presented its own moments of terror--like how to cope with a daycare disaster while he was incommunicado on a boat somewhere. And Carrie--well, 20 years ago she was working at another medical school and having babies while her husband navigated an MD/PhD program. They were handling it well until her second child was born with a chromosomal microdeletion, upending carefully laid plans.

For pre-meds staring down six figures of debt, the military offers something rare: a fully funded path through medical school built around a mission bigger than the paycheck. Dave sits down with M3 Nick Lebezeder, M3 Lauren VandeKamp, and M2 Lydia Bemnister to walk through the menu of options — among others, the Health Professions Scholarship Program, National Guard and Reserve stipends, USUHS (the military's own medical school in Bethesda, which pays you a second lieutenant's salary while you train), and the Navy's Health Services Collegiate Program. Nick lays out how a three-year HPSP scholarship maps to three years of service after residency, and Lauren walks through the math on longer residencies so nobody signs blind. The commitment is real. So is what it buys: leadership experience from day one, a guaranteed specialty pipeline for the ones who plan ahead, and, for the right person, a sense of purpose civilian medicine doesn't always hand you.

Isabel Ahmann, Alex Fouts, and Nia Tanui, and Giana Michels just survived their first year of PA school alongside the MDs, and to celebrate they're riding 68 miles across Iowa. This year's Register's Annual Bike Ride Across Iowa features a day focused on Why I Ride--that day, July 22, the route runs from Boone to Marshalltown. These physician associate students are dedicating their day to funding cancer screening and prevention across Iowa, especially in the rural communities where the rates are climbing fastest. They're already over $1,000 in fundraising, with sponsors on the shirts, and every rider is committing a dollar per mile. Join the fundraising efforts! https://goldrush.uiowa.edu/miles-that-matter-cycling-to-combat-cancer-in-iowa

As societies and governments wrestle with the rise of artificial intelligence, The Short coats sit down with Dr. Lindsey Knake, a CCOM alum neonatologist and associate chief health information officer, to map out where AI actually stands in medicine right now. M2s Mukund Viswanadha, Deeraj Manika, and Samee Jung sort through the muddle of chatbots, agents, and machine learning, then get specific about the tools already embedded in their days. Dr. Knake also lays out Iowa's new clinical informatics fellowship in detail — a two-year, post-residency program. There's a lot of optimism in this episode, along with some side-eye. If you want to know how AI will affect you as a medical student and future physician, this is the right episode for that!

It's freeform Friday on the pod, which means the Iowa City parking situation is excellent, the rising M2s are bored and slightly guilty about it, and absolutely willing to tell a full story about a stranded boat. As their first year in medical school recedes into their past, Ellie Johnson, Braiden DeSchryver, Sarvin Mousakhani, Regan DeMaris, and Alana Jones join Dave for an episode that reveals the specific texture of med student summer — the productivity guilt your PI has to prescribe against, the hobbies you've been saving since last August, and the strange peace of Iowa City when the academic calendar stops grinding for awhile.

Can The Short Coats make a card game that captures the twists and turns of medical school? Well, we've given it a try, and now we finally play it — the Game of Med School, a prototype card-based playthrough of the full medical school path, from premed clubs to residency match. Cyrus Barati, who helped build the game, takes on the Gunner identity and immediately gets routed to clinical years while still underwater on points. M4 Fallon Jung (pregnant, unbothered) draws the Resilient Student card and somehow converts a failed Step exam into a net positive. M3s Sarah Upton and Zach Grissom round out the cast, with Zach's Non-Traditional Student racking up an improbable collection of degrees, nursing licenses, and EMT certifications before anyone gets to medical school proper.

The cards lead to real conversations: What's a post-bacc worth on an application? How do you handle a professionalism flag? What actually happens when your PI moves states mid-MD-PhD? How do you tell a patient bad news — and does a med student ever actually have to? Does your identity change any of that?

The real question: would you play this game if we gave it away? Listener feedback is always welcome at https://theshortcoat.com/tellus!