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

The $100,000 H-1b visa fee landed in September 2025 like a fire alarm in the hallways of medicine—hospitals panicked, advocacy groups mobilized, and a lot of people predicted the international resident pipeline would collapse. Dr. Bryan Carmody, The Sheriff of Sodium rejoins co-hosts David Lee, Mukund Viswanadha, and Isa Perez-Sandi to ask the question nobody was asking: was the panic grounded in reality? More interesting to think about: why rural physician shortages are a compensation and incentive problem, not a numbers problem; why loan forgiveness alone probably isn't moving the needle; and what separates effective physician advocacy from "just expressing emotion and hoping facts do the work." Then graduating high-school listener Aditi asks whether community college is a viable launch pad for medicine.

We've all got that mental image of medical students – the type-A perfectionists grinding through textbooks even on the porcelain throne, right? Well, our first-year medical students at Iowa are about to blow up every assumption you've ever had. The people memorizing a zillion anatomical structures aren't exactly who you'd expect.

M1s Chase McInville, Lillian Schmidt, Jonah Albrecht, and Abbie Townsend reveal why your pre-med study plans are probably useless, how a hockey ref's confidence translates to patient care, and why some medical students refuse to study on Saturdays. We explore the real traits that matter (spoiler: it's not being a genius), bust the myth about cutthroat competition, and discover why medical school might actually be more collaborative than you thought.

The Carver Carnival is the Carver College of Medicine's unofficial exhale — an end-of-year celebration where students who have been running on caffeine and anxiety for nine months can finally look up from their notes. In an unusual move, the Short Coat took its mic into the crowd and asked what these med students actually learned. The EKG crisis that resolved by Thursday, the anatomy confabulations that somehow pass, and the therapy dogs reveal a recurring theme: medical school is both harder and more fun than you might expect, the competition is a myth (at least, here), and the best thing you can do the hour before your next exam is probably go to the gym instead of studying. And the financial aid guy in the dunk tank sends memes at the end of bad-news emails.

Riley Behan-Bush found the MD/PhD program through a Google search. Hannah Van Ert had already started a career in nursing before a research lab changed her path completely. Eight years (!) of combined medical and scientist training later, they're in their final stretch — and it often didn't feel like a long slog of schooling. They sit down with MSTP faculty Darren Hoffman, PhD, and Martha Carvour, MD/PhD (CCOM Class of 2012) to talk about how it works, what this path actually costs, who gets access to it, and whether federal funding cuts are about to make it a lot harder to find out.

For the full list of our favorite places, visit https://theshortcoat.com/haunts.

Iowa City is small enough that you can bike from the hospital to a wood-fired pizza place and back before your study group notices you're gone — but it's also weird and big enough that you can spend your first semester missing half of what makes it worth being here. If you're heading to Iowa City this fall, this episode gives you six months of discovery in about an hour--visit https://theshortcoat.com/?p=23180 for the list! Then the group offers their hot takes on med school life: whether ceremonies are designed for students at all, whether shadowing requirements are an equity problem, and whether students who hit a wall should be able to master out (it's possible, but it's also not on the website).

Dave and his M1 co-hosts Lily Schmidt, Melia Patrick, Jonah Albrecht, and Anna Royer, take a field trip to Reddit's AITA sub— because self-reflection is not usually how people figure out if they're the problem. Four posts, four verdicts, and get genuinely sidetracked in the best way: there's a chlamydia anecdote Dave shares, a philosophical debate about whether watching movies at 2.5x speed makes you a bad partner, and a surprisingly earnest conversation about what med students actually owe their families when they become the designated "medical person" in the room. And (med school parents, take note) a doctor-mom posts about telling her struggling pre-med daughter she isn't cut out for medicine--and Reddit tears her a ne...helps her understand why that's not the best approach.

Four medical students— Lily Schmidt, Melia Patrick, Jonah Albrecht, and Anna Royer— talk through how they landed on their "last free summer ever" plans: research fellowships, a genetics scholars program, global health immersion in Ecuador, Colorado fourteeners, and the lingering question of whether any of it actually matters for residency. Jonah is off to Ecuador in part to avoid a lab. Lily is in a clinic implementing joint-capture software partly because she can't do chart review without going sideways. Melia is doing genetics because she actually likes the patient population. Sure, they're all deciding to do something med school adjacent. But they are exercising the option to choose the focus of their attention in this last summer of life at the margins of medicine.