The Undifferentiated Medical Student

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.

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!

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!

See below for time stamps. This episode is sponsored by OnlineMedEd! Use this link to sign up for a free account. Then come back and use this link to get $80 off their annual premium subscription! Check out the TUMS Resources page for a complete list of book recommendations made by guests on this show (as well as other goodies). Show notes for this episode can be found here. Dr. Mark Rockoff Dr. Rockoff is a Professor of Anaesthesia at Harvard Medical School and Vice-Chairman of the Department of Anesthesiology, Perioperative and Pain Medicine at Boston Children's Hospital. A native of New Jersey, he graduated from the Massachusetts Institute of Technology in 1969 and Johns Hopkins Medical School in 1973. He then completed residencies in both pediatrics and anesthesiology at the Massachusetts General Hospital, followed by a fellowship in neuroanesthesiology at the University of California at San Diego. After leaving San Diego, he was on staff at MGH for two years when he moved to Boston Children's Hospital where he has been since 1981. Dr. Rockoff is board-certified in pediatrics, anesthesiology, pediatric anesthesiology, and critical care medicine. He has been a member of the Residency Review Committee for Anesthesiology of the Accreditation Council for Graduate Medical Education and is a Past-President of the Society for Pediatric Anesthesia and the American Board of Anesthesiology. He is Chairman of the Archives Committee at Boston Children's Hospital and has had a longstanding interest in American and medical history. Importantly, Dr. Rockoff is seen by many as the father of combined pediatric-anesthesiology training spearheading the founding of the first combined residency program in Boston. He and his wife have three children and two grandchildren and reside in Hingham, MA. Please enjoy with Dr. Mark Rockoff! Time Stamps Part 1: "Tell us about your specialty" [10:54] Routines, patients and outcomes [19:13] Most exciting / most mundane [44:50] One thing you wish you had known [48:43] One thing to consider in earnest [58:52] How practice changes depending on setting [59:44] Specific questions about combined peds-anesthesia [1:08:17] Biggest challenges / prediction for the next 10-20 years [1:17:56] Resources [1:22:46] Part 2: "Tell us about how you decided your specialty was right for you" [1:24:54] Part 3: "Give us advice for long-term career planning irrespective of your choice of specialty" [1:42:43] Book recommendations [2:02:44]

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.

SPECIAL ANNOUNCEMENT Ever thought about going to an American Medical Student Association convention? AMSA has teamed up with TUMS to offer a discount code (code: TUMS) that gets you $50 off convention registration, as well as $25 off AMSA membership! I specifically requested that the code also apply for pre-med students as well as current med students, so even if you're still on the war path, the code'll still work! The convention is March 8-11 in Washington, DC, and the Keynote Speaker is Dr. Francis Collins, Director of the National Institutes of Health, which promises to be awesome! So, if you're thinking about going, head on over to amsaconvention.org/register and enter the promo code "TUMS" at check out! ----- Help Ian interview all *190+* specialties! www.undifferentiatedmedicalstudent.com/suggestions TUMS Email template to facilitate reaching out to guests! Become a TUMS patron! Show notes for this episode can be found here. Dr. Miguel Escalón Dr. Escalón (@dr_escalon) is the Program Director of the Physical Medicine & Rehabilitation Residency at Mount Sinai Ichan School of Medicine. Dr. Escalón completed his undergraduate degree at The University of Chicago in 2005; completed his medical degree and a masters of public health at the University of Illinois at Chicago in 2009; completed his residency in Physical Medicine & Rehabilitation at Baylor College of Medicine in 2013; and finally a fellowship in Spinal Cord Injury Medicine at Mount Sinai in 2014. In addition to Program Director, Dr. Escalón serves as the Director of Critical Care Rehabilitation. In this position, Dr. Escalón works closely with physical therapists, occupational therapists, speech therapists, and recreational therapists, as well as neuropsychologists, and other medical and surgical specialists in order to provide comprehensive care in the rehabilitation and mobilization of critically ill patients, especially those patients in the ICU. Outside of the clinic, Dr. Escalón is involved with research into brain and spinal cord injury especially as it relates to pain, spasticity and the role of technology in recovery. In particular, he is involved in the use of robotic exoskeletons to facilitate walking after such injuries. Please enjoy with Dr. Miguel Escalón!

Help Ian interview all *190+* specialties! www.undifferentiatedmedicalstudent.com/suggestions TUMS Email template to facilitate reaching out to guests! Become a TUMS patron! Show notes for this episode can be found here. Dr. Ciro Ramos-Estebanez Dr. Ramos-Estebanez (crecns.com) is a Professor in the Neurocritical Care & Stroke divisions at Case Western Reserve University School of Medicine. Dr. Ramos-Estebanez has completed extensive clinical training including an Internal Medicine residency at Albert Einstein, a Neurology residency at Harvard, a Neurocritical Care fellowship at the University of Miami, and finally a Ph.D. in neuroscience at the University of Cantabria in Spain. Additionally, he will complete his MBA at Case Western's Weatherhead School of Business in 2018. Dr. Ramos-Estebanez is a physician-scientist who combines a clinical career with various research interests. He has published extensively in both the basic & clinical neurosciences. He is currently developing a new metabolic MRI sequence in a stroke rodent model in collaboration with Case Western's Biomedical Engineering Dpt., as well as conducting clinical research involving neuro-ophthalmological outcomes in collaboration with his Ophthalmology & Neurosurgery colleagues. Lastly, Dr. Ramos-Estebanez is leading a multinational project on lumbar puncture in the presence of mass effect. Dr. Ramos-Estebanez mentors minority students, undergraduate and graduate level mentees, as well as residents, and he invites you to join him on his website at crecns.com. Please enjoy with Dr. Ciro Ramos-Estebanez!

Help Ian interview all *190+* specialties! www.undifferentiatedmedicalstudent.com/suggestions TUMS Email template to facilitate reaching out to guests! Become a TUMS patron! Show notes for this episode can be found here. Dr. Ranjith Ramasamy Dr. Ramasamy (www.ranjithramasamy.com) is the Director of Male Reproductive Medicine and Surgery as well as an Assistant Professor of Urology at the University of Miami. Dr. Ramasamy completed his undergraduate degree at Rutgers University in 2003; completed his medical degree at Rutgers University Robert Wood Johnson Medical School in 2007; completed a urology residency at New York Presbyterian Hospital – Weill Cornell Medical College in 2013; then completed a fellowship, sponsored by the NIH, in Male Reproductive Medicine and Microsurgery at Baylor College of Medicine in 2015. Dr. Ramasamy has been integral to the advancement of the field of male reproductive medicine and surgery. He has published over a 100 peer-reviewed articles and authored several book chapters on the topic; is on the editorial board of Urology and the Journal of Andrology, as well as a member of many other journals and societies; and has presented his work at over 25 national and international conferences from the United States to Indian, a remarkable feat considering that he only just completed his formal training two years ago. Dr. Ramasamy is also the founder of a company called Uro-Logic that created an app called Urology Flashcards that has over 10,000 users and that is available for free in iTunes and on Google Play. Of note, Dr. Ramasamy is a former television news anchor also having made appearances on the hit ABC series NY Med as well as ABC Nightly News to talk about foods with aphrodisiac qualities. Please enjoy with Dr. Ranjith Ramasamy!

Go to audibletrial.com/TUMS for a free 30-day trial membership and free audiobook! Help Ian interview all *190+* specialties! www.undifferentiatedmedicalstudent.com/suggestions TUMS Email template to facilitate reaching out to guests! Become a TUMS patron! Show notes for this episode can be found here. Dr. Jeremy Bordeaux Dr. Bordeaux is an Associate Professor of Dermatology and Fellowship Director of Mohs Micrographic and Dermatologic Surgery at Case Western Reserve University School of Medicine and University Hospitals Cleveland Medical Center. Dr. Bordeaux completed his undergraduate degree at North Carolina State University – Raleigh in 1998; completed his medical degree and an MPH at Duke University School of Medicine in 2002; completed a dermatology residency followed by a Mohs Micrographic Surgery and Cutaneous Oncology fellowship at the University of Massachusetts by 2007 after which he joined the faculty in Cleveland. Dr. Bordeaux is a leader in the field of Mohs surgery, especially in the arena of advanced reconstructive techniques to hide the otherwise disfiguring consequences of removing skin cancer from the face. A testament to the patients he has helped and the contributions he has made to the field, including a handful of publications that have changed the practice of dermatologic surgery, Dr. Bordeaux has been voted Best Doctor's in America 3 out of the last 4 years. On top of these accomplishments, Dr. Bordeaux has still managed to have an average of 1 medical student shadow him per week for the last 10 years. Please enjoy with Dr. Jeremy Bordeaux!

Help Ian interview all *190+* specialties! www.undifferentiatedmedicalstudent.com/suggestions TUMS Email template to facilitate reaching out to guests! Become a TUMS patron! Show notes for this episode can be found here. Dr. David Zopf Dr. Zopf is an Assistant Professor of Pediatric Otolaryngology, as well as an Affiliate Professor of Biomedical Engineering at the University of Michigan. Dr. Zopf completed his undergraduate degree as well as a Masters of Science in Neuroscience and Physiology at Purdue University in 2005; complete his medical degree at Indiana University School of Medicine in 2009; completed an otolaryngology residency at Michigan in 2014 followed by a pediatric otolaryngology fellowship at the University of Washington in 2015, after which his returned to Michigan to join the faculty. Dr. Zopf's clinical focus is in caring for children with congenital malformations of the head and neck. He is also part of the Scaffold Tissue Engineering Group in the Department of Biomedical Engineering where he and his colleagues have led the field of medical 3D printing to aid in the treatment of these patients. Among other innovations, his team developed a patient specific, 3D printed airway splint, culminating in a landmark New England Journal of Medicine article detailing this innovation as well as the potential of 3D printing in general for the production of personalized medical devices. Please enjoy with Dr. David Zopf. Selected Show Notes www.thingiverse.com Whoa. Too much cool stuff. STL format. www.otomatch.com Be sure to check out www.headmirror.com, who partners with otomatch.com. Lots of great info on the specialty. www.csurgeries.com Oh yeah, definitely give this one a look. The Bible. Bioresorbable Airway Splint Created with a Three-Dimensional Printer.

Go to audibletrial.com/TUMS for a free 30-day trial membership and free audiobook! Help Ian interview all *190+* specialties! www.undifferentiatedmedicalstudent.com/suggestions TUMS Email template to facilitate reaching out to guests! Become a TUMS patron! Show notes for this episode can be found here. Dr. Meera Harhay Dr. Harhay is a transplant nephrologist and Assistant Professor of Medicine at Drexel University College of Medicine. Dr. Harhay completed her undergraduate degree at Johns Hopkins University in 2003; completed her medical degree, an internal medicine residency, a nephrology fellowship, and a transplant nephrology fellowship all at the University of Pennsylvania by 2014, after which she joined the faculty at Drexel. During her nephrology fellowship, Dr. Harhay also completed a master's of clinical epidemiology and biostatistics and has since published dozens of peer-reviewed articles on kidney disease and transplantation. Her research is currently supported by NIH funding from the National Institute of Diabetes and Digestive Kidney Diseases. Please enjoy with Dr. Meera Harhay!

Help Ian interview all *190+* specialties! www.undifferentiatedmedicalstudent.com/suggestions TUMS Email template to facilitate reaching out to guests! Become a TUMS patron! Show notes for this episode can be found here. Dr. Megan Schimpf Dr. Schimpf is an Associate Professor of Obstetrics and Gynecology at the University of Michigan School of Medicine. Dr. Schimpf completed her undergraduate and medical degree at the University of Michigan by 2001; completed a residency in obstetrics & gynecology at the University of Connecticut in 2005; and then completed a fellowship in Female Pelvic Medicine & Reconstructive Surgery (aka Urogynecology, aka Urogyn) at Hartford Hospital in 2008, after which she eventually returned to Michigan to join the faculty. Dr. Schimpf is a member and spokesperson for the American Urogynecologic Socitey, and her clinical interests include the impact of obstetrics on the pelvic floor, as well as robotic surgery for prolapse and urinary incontinence. Please enjoy with Dr. Megan Schimpf!

Go to audibletrial.com/TUMS for a free 30-day trial membership and free audiobook! Help Ian interview more physicians! undifferentiatedmedicalstudent.com/suggestions Become a patron of the podcast! The show notes for this episode can be found here. Dr. Jeffrey Janis Dr. Janis is full-time faculty as a Professor and Executive Vice Chairman in the Department of Plastic Surgery at The Ohio State University Wexner Medical Center. Dr. Janis completed his undergraduate degree at Washington University Olin School of Business in 1993; completed his medical degree at Case Western Reserve University School of Medicine in 1998; and then completed an integrated plastic surgery residency at The University of Texas Southwestern Medical Center in 2003. Dr. Janis is currently the President-Elect (will take the job in October of 2017) on the Executive Board of American Society of Plastic Surgery, also serving as the Board Vice President of Education, overseeing all education for the largest plastic surgery organization in the world. He has been repeatedly named to the U.S. News and World Report "Top Doctors", and also has received similar recognition by Best Doctors in America, America's Top Plastic Surgeons, and Who's Who in America. Of note, Dr Janis was also part of the team that performed the first full U.S. face transplant at the Brigham and Women's Hospital in Boston, Massachusetts in 2011. Please enjoy with Dr. Jeffrey Janis!