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

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.

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.

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!

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.

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.

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.

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.

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.

[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 discussion Sometimes, 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/9781668030332 We 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].

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?

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.