Confused about 4th year? This is your episode! Newly matched 4th year med students Maggie Knisley (pediatrics), Dan Binder (family medicine), and Steve Bigach (orthopedics) school Ian on the ins and outs of 4th year of medical school. Show notes can be found  here. This is a wide ranging conversation that starts at the end of 3rd year and takes the listener through the completion of 4th year.  A complete list of discussion topics for this episode can be found here, but includes:  Acting internships Away rotations Letters of recommendation Residency applications and ERAS The Step 2s (CK and CS) Residency interviews The rank list The Match SOAP aka "the scramble" Life post-match  Special thank you to Katie Bedard, MD; Alice Yu, MD; Gary Parizher, MD; Kelly Manger, MD; and Karishma Habbu, MD for their help in formulating the discussion topics. And an extra special thank you to Kristol Das, MD for sitting patiently through a dry run of the interview to identify missing topics and to make sure the 4th Year Episode would flow properly :) Please enjoy with Maggie, Dan, and Steve!   Check out the TUMS Resources page, which includes a complete list of book recommendations made by guests on this show.

The 4th Year Episode #1

The Undifferentiated Medical Student (TUMS) podcast is about helping medical students to choose a medical specialty and plan a career in medicine.  The list of career options available to medical students is large, but the time to explore them all is short.  Moreover, mentorship in medical school is lacking, and many medical students tackle the task of career planning alone, most struggling and almost all clutching to the hope that 3rd year clinical rotations will definitively resolve their remaining uncertainties about how they want to specialize. However, having been distracted by the relentless pace of their pre-clinical curricula and specter of Step 1, 3rd year medical students are eventually confronted with the reality that there are simply too many specialties to explore in one year and that they may not even get to finish their clinical rotations before important decisions about their careers need to be made (e.g., the planning of acting internships) if they are to be competitive applicants.  Thus, mentorless and clinically unexposed, many medical students are forced to make wholly uninformed decisions about their futures.  By interviewing at least one physician from each of the 120+ specialties listed on the AAMC's Careers in Medicine website 1) about their specialty, 2) how they decided this specialty was right for them, and 3) for advice about long-term career planning irrespective of the specialty they went into, this podcast aims to enumerate the details of every specialty and provide virtual mentorship on how best to go about moving past being an undifferentiated medical student.

Medicine

Science & Medicine

Health & Fitness

This is another exciting conversation with a physician who is following a non-traditional career path! Dr. Arup Roy-Burman Dr. Roy-Burman is a pediatric intensivist (aka pediatric critical care specialist) and former Medical Director of the Pediatric Intensive Care Unit at UCSF Benioff Children’s Hospital. Dr. Roy-Burman is now the CEO of Elemeno Health, which he cofounded in 2016. Dr. Roy-Burman completed his undergraduate degree at UC Berkley in 1989; completed his medical degree at UCSF in 1994; completed his residency in pediatrics at Stanford in 1997; and then returned to UCSF for a fellowship in pediatrics critical care (aka PICU fellowship), which he completed in 2000. After his fellowship, Dr. Roy-Burman took his first attending job at the Children's Hospital of Oakland eventually crossing the Bay to fill the role of Medical Director of the PICU at UCSF Benioff Children’s Hospital in 2011, where he was also the Director of Transport, Access and Outreach. In this dual role of Medical Director of the PICU and Director of Transport, Access, and Outreach allowed Dr. Roy-Burman to interact with large swaths of the healthcare system from inpatient to outpatient and with all sub-specialities who consult in the PICU. With this experience of the inter-workings of the hospital system combined with his clinical understanding of patient care and provider pain points, he decided to co-found Elemeno Health, which received backing from famed accelerator and venture capital firm, Y Combinator. At a high-level, Elemeno Health is a SAAS (software as a service) company whose software aims to help push best-practices to front-line providers as well as capture feedback from these front-liners, thereby closing the "knowledge-practice gap." ***Medical students, residents and all interested parties:*** If interested in joining the Elemeno Health team, Dr. Roy-Burman would love to hear from you at info@elemenohealth.com! Please enjoy with Dr. Roy-Burman! P.S. We recorded this one in Dr. Roy-Burman's car on his drive from an investor meeting in Palo Alto back to his startup digs in Oakland, which makes for an interesting listen! Try to get through the first 5 minutes--the audio gets much better.

Ep 072 - PICU (and Entrepreneurship) with Dr. Arup Roy-Burman

This is an exciting interview with Dr. Marty Makary, a New York Times bestselling author and Johns Hopkins surgeon, who talks about what he calls the "hybrid specialist" and the importance of non-traditional careers in medicine. Get a free audiobook along with a free 30-day Audible trial membership at www.audibletrial.com/TUMS Dr. Marty Makary Dr. Makary is a New York Times bestselling author and Johns Hopkins general surgeon and Professor of Health Policy. His book The Price We Pay (book trailer below) takes on surprise medical bills and reveals how individuals and businesses can lower their health care costs. Described as “a must-read for every American” by Steve Forbes and a “deep dive into the real issues driving up the cost of health care” by Dr. Don Berwick, The Price We Pay is the “The Big Short” of American Medicine. Makary is a frequent medical guest on NBC and FOX News and a leading voice for physicians, writing for the Wall Street Journal and USA Today. Dr. Makary serves as executive director of Improving Wisely, a national physician collaboration to reduce unnecessary medical care and lower health care costs.  He is also the founder of Restoring Medicine, an advocacy effort to help people who can’t afford their medical bills. His current research focuses on the appropriateness of medical care, administrative waste, price and quality transparency, and the impact of health care costs on low-income populations. Dr. Makary was the lead author of the original articles on the Surgical Checklist and later served in leadership with Atul Gawande on the World Health Organization Surgery Checklist project. Makary has published more than 250 scientific articles, including articles on payment reform, vulnerable populations, and opioid prescribing guidelines. He is also an advocate for treating medical conditions when possible with healthy foods and lifestyle medicine.  Dr. Makary has been elected to the National Academy of Medicine and named one of America’s 20 most influential people in health care by Health Leaders magazine. Lastly, his book Unaccountable was adapted for television into the hit medical series The Resident. His newest book, The Price We Pay, now available for order online and in stores on September 10, 2019, tells the stories of health care’s disruptive innovators and the new movement to restore medicine to its mission.

Ep 071 - The Hybrid Specialist and Non-Traditional Careers with Author/Surgeon Dr. Marty Makary

Get a free audiobook along with a free 30-day Audible trial membership at www.audibletrial.com/TUMS Dr. Tamar Shafran Dr. Shafran is an attending general and pediatric ophthalmologist in Cleveland, OH. Dr. Shafran received her medical degree from the Sackler School of Medicine in 2010; completed residency training in Ophthalmology at University Hospitals of Cleveland/Case Western Reserve University School of Medicine in 2014, followed by a fellowship in Pediatric Ophthalmology at Rainbow Babies & Children’s (also here at Case Western) in 2015. Dr. Shafran now practices both general and Pediatric Ophthalmology. She is also a diplomate of the American Board of Ophthalmology and a published author in medical literature with a strong background in teaching. She is married to a pediatrician, Dr. David Shafran, Dean of the Physician Assistant Program at Case Western, and resides in the Cleveland area with her children. Please enjoy with Dr. Tamar Shafran!

Ep 070 - Ophthalmology with Dr. Tamar Shafran

The topic of today’s show is not a specialty, but rather a new podcast that I am very excited to help introduce to the world called All Access: Med School Admissions, and the person here to tell us about it is its creator and host, Christian Essman, the Director of Admissions at Case Western Reserve University School of Medicine. From the All Access website: Applying to medical school can be a very complex and confusing process! On top of that, finding reliable and accurate information about the application process can be even more challenging. With nearly 15 years of admissions experience, Christian Essman of Case Western Reserve University School of Medicine, gives the listener a unique view into the medical school admissions world through a series of revealing interviews with key admissions figures from around the country. All Access: Med School Admissions brings the listeners into informative and entertaining conversations between admissions colleagues. Listeners will learn about a variety of medical schools, what makes their programs unique, and what they are looking for in their prospective students. Most importantly, Christian will lead the discussion on a variety of medical school admissions-related topics where you will get insight directly from the most authoritative sources out there - his admissions friends. Subscribe on  iTunes and  Spotify. Email Director Essman at allaccess@case.edu.

Calling All Premeds - New Podcast "All Access: Med School Admissions"

This episode is sponsored by Audible! Head over to www.audibletrial.com/TUMS for a free audiobook when you sign up for a free 30 day trial membership! Check out the TUMS Resources page for a complete list of book recommendations made by guests on this show (as well as other goodies). Dr. Janani Krishnaswami Dr. Krishnaswami is the Program Director of the  Preventive Medicine Residency at the University of Texas - Rio Grande Valley School of Medicine. Dr. Krishnaswami received her medical degree from the University of Michigan in 2008; completed residency training in Internal Medicine and Preventive Medicine at the University of California, San Francisco and Kaiser Permanente, as well as completed a Masters in Public Health in Epidemiology at the University of California –Berkeley all by 2012, eventually taking the job as Program Director in 2015. Since completing her training, Dr. Krishnaswami’s research has center on the cultural context of wellness and measuring “best practices” of community engaged programs focusing on preventing sedentary behavior and obesity. In support of this effort, Dr. Krishnaswami’s has focused on building health “outside the hospital” by engaging students, community members and trainees in community-based, participatory efforts to promote wellness, prevent chronic disease, and sustain health. Prior to her role as Program Director at Rio Grande Valley, Dr. Krishnaswami served as the Associate Program Director for Preventive Medicine at the University of California – Los Angeles, where she led curriculum development on community engagement and quality improvement. In addition, she developed and taught a novel health policy curriculum for the Kaiser Permanente Los Angeles Internal Medicine residency program, and mentored Family Medicine and Internal Medicine residents through the program’s first community-engaged research elective. Based on her work in curriculum design and medical education, she was invited to serve on the national steering committee directing the creation of a novel inter-residency health policy fellowship, led by George Washington University and Kaiser Permanente. Importantly, this work led Dr. Krishnaswami to establish the Preventive Medicine program at Rio Grande Valley as the first ACGME-accredited residency based on the “Community-Engaged Lifestyle Medicine” curriculum, which aims to build health equity and local health in the training of residents. In her spare time, Dr. Krishnaswami tends to her own wellness through her hobbies of writing, singing and fitness, and spending time with her husband and young son. Please enjoy with Dr. Janani Krishnaswami!

The 4th Year Episode #1

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