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INTERVIEWING DR KAREN FREILICH

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by Rachel Ko

edited by Caitlin Kane

illustrated by Pia Barraza

1 July 2023

Science in the real world is never straight-forward.

The realm of medicine and health is particularly intricate, riddled with myths and marvels. This makes the healthcare journey a difficult one to navigate, both for the patient, and for the provider. It is undeniably a field where an ever-evolving myriad of factors makes the bedside experience vastly different to the textbooks. 

In my first year studying medicine, I am constantly realising that a strong understanding of the fundamentals is often a saving grace, while learning to dispel the mirage of medicine as a simple science. Enter Humerus Hacks, a podcast recommended to me in the first week of medical school by peers who had walked the treacherous road before. A guiding light in the murky waters of medical education, Karen and Sarah’s playful banter lays out high-yield medical content with catchy mnemonics and gracious advice.

In this interview, we had the special opportunity to talk to Dr Karen Freilich, one of the hosts of Humerus Hacks, about her journey in medicine so far as a young GP, and the story of how she created a podcast that masters the art of science communication in a perfect marriage of education and entertainment.

 

 

 

Tell us about your journey with science, and your career so far. 

I’ve just completed my GP Fellowship training after about 12 years of study. It’s a relief to be done —medicine is a long slog! I’ve had a brilliant time and been fortunate to take part in exciting studies. I took some time off clinical medicine to complete a Masters of Reproductive and Sexual Health Research in London (LSHTM) as well as completing a Diploma of Obstetrics (DRANZCOG). 

I currently teach at the University of Melbourne’s Medical School as a tutor in Sexual Health, and write and train high school sexual health educators through Elephant Ed. I work as a GP most days of the week, in a clinic with a focus on sexual and reproductive health and I’m a proud medical abortion and contraception provider. I’m also fortunate to work at Monash in the Sexual Medicine and Therapy Clinic, and work together with the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM). It’s a tricky balance wearing a number of hats, but I love the diversity. 

Unsurprisingly everything I do is focused in sexual and reproductive health through clinical work, education, advising and science communication. My career is certainly tailor-made to my interests and passion, and took quite some time to get to this point! I love being able to educate on both a one-on-one and broader level on sexual and reproductive health care, particularly through a reproductive justice lens. 

 

What was the inspiration behind Humerus Hacks?

 

In the early years of medical school, my mate Sarah and I used to spend hours and hours trying to memorise different antibiotics and the differences between them. It felt incomprehensible to have to learn not only a new science, but an entirely new language behind it. It felt like a Duolingo course! So in order to scrape through exams, we made silly little stories to try and remember the differences between gentamicin, amoxicillin etc..

Fast forward a few years and Sarah and I ended up running a weekly study group for the year below us, filled with our mnemonics and silly stories. We developed a bit of a cult following (if I say so myself!). It seemed there was a real appetite for otherwise tedious and dry medical education made fun and entertaining. 

In final year, we both ended up on placements requiring huge drives. We turned to podcasts for ‘edutainment’ — and found there simply were none. So we did what everyone in 2016 was doing, bought a microphone and recorded our own. We were a bit mortified at the start and convinced we wouldn’t get internships if our future employers heard us swearing and being inappropriate online, so we hid our faces and were anonymous with our names. 

Fortunately it turned out we had nothing to be nervous about, and Humerus Hacks was a hit. Sarah is a musical genius and recorded the intro song with her band. It’s now been over 50 episodes and over 150,000 downloads. We’re often in the iTunes Medical Podcasts Top 10! The inspiration has and always will be pure study laziness — trying to make studying more interesting, fun and accessible and ultimately, more memorable. 

 

What is the process of developing and recording an episode?

Me, Sarah, or another co-host or friend (Callum, Bridget, Robbie and Dan to name a few!) sitting on a couch with a microphone and chinwagging about a topic. If we’re lucky, maybe some prep. I’d love to suggest it’s more fancy than that! I have brilliant colleagues who play an integral role. Alex edits our episodes and does a brilliant job. And Bella creates fantastic art for the episodes. Sometimes I play around on Canva too for some social media. Shout out as well to our friends who helped with some graphic design and audio. It’s definitely a team effort, and so many people to thank for their ongoing contributions and support. 

 

What is your relationship with your audience like?

Our audience sends us messages and emails all the time — even if we haven’t made an episode in months! It’s a joy to receive any messages and warms our hearts every time. We get the most delightful and lovely messages. We also get a lot of requests which I wish we could keep up with more, the irony of doing our own exams over the past few years! We try to respond to all messages and keep up with requests. Knowing that our silly little mnemonics has helped anyone with exams is a huge joy. 

 

How has science communication evolved since you began?

Mnemonics have been a huge part of medicine for a very long time. In fact, I have my uncle’s Medical Mnemonic book from 1958! Some of them have aged terribly, unsurprisingly, but many we still use to this day. So, we are far from inventing the wheel. 

In saying that, the boom of social media and podcasts over the past few years has lent itself to subspecialised Instagram pages, YouTube channels and more podcasts than I could have ever imagined. Making medical education (and science communication) fun has become much more mainstream and accepted as a genuine study tool. Who knew, making dry education entertaining actually works…! 

 

What has been the biggest challenge in your science communication journey?

 

Hands down, time. I run Humerus Hacks with a group of excellent friends and colleagues, but we all happen to be medical students or doctors. Unsurprisingly, it means we are all always bogged down with shift work, exams, and burn out. Humerus Hacks is a labour of love. So we make an effort if and when we can, without any time pressure. I wish we had more time! 

 

What role would you say science communication plays in your daily practice?

I’m a GP with a special interest in sexual medicine as well as a sexual health tutor for medical students. I also write and train individuals to run high school sexual health education. I’ve also been fortunate to be a guest host on ABC Breakfast Radio under ‘Doctor Breakfast’ providing science communication for a number of medical topics. So, it plays a huge role in my daily practice! 

I particularly enjoy the interplay of small scale science communication through one-on-one patient interactions compared with larger scale communication through radio, teaching and podcasts. They balance each other really well, and I enjoy the individualised, tailored approach whilst simultaneously thinking of the broader public health messaging.  

 

What role would you say science communication plays in society generally?

There is so much misinformation floating around. As a huge fan of social media and TikTok myself, I can see how these avenues can be both a wonderful source of information but simultaneously promote unnuanced, oversimplified and often blatantly incorrect health messaging. Social media (including podcasts) provides a really accessible, often free avenue for science information that is otherwise inaccessible. 

However, we have a responsibility to ensure the information is correct, up to date, and safe. Social media loves a quick snap messaging, but science is almost always more nuanced and complex. A 30 second TikTok often unsurprisingly misses the mark! So, accurate and accessible science communication is the key — the hard thing is making it fun and interesting. 

 

What are your immediate goals in science communication this year, and what do you hope to achieve in science communication in the long-term?

 

Great question! I am thoroughly enjoying my career balance at the moment. It’s a great mix of GP clinic, sexual medicine and therapy clinical work, sexual health teaching, and radio/podcasting. I’d love to make more Humerus Hacks episodes now that I’ve finished my own training and have (hopefully) both more knowledge and time! 

I’ve put together a SPHERE Sexual and Reproductive Health podcast focusing on upskilling clinicians to provide medical abortion and contraception in primary care. I am also loving radio work and would love to keep going with this. I may or may not delve into the TikTok world… watch this space! Long term, hopefully ongoing science communication in the field of sexual and reproductive healthcare.   

 

What advice would you give to students exploring the world of science communication?

 

Social media is a game changer that had only just begun when I was a student. TikTok, Instagram etc all provide a free and accessibly way to both gain knowledge and skills, and to educate others. Science students in all disciplines have such incredibly knowledge and insight, and if you’re interested, there’s a willing and enthusiastic audience out there. 

The phrase ‘see one, do one, teach one’ forever rings true. Teaching and providing science communication helps your own education, and has always been my favourite learning tool. Finally, and I cannot emphasise this enough, being a student is long, tedious, and exhausting. Enjoy the process and look after yourself and your colleagues as a priority! 
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It is undeniable that Humerus Hacks is a project succeeding on its steadfast mission to uncover the mirage of medicine. Through a blend of education and entertainment, it reveals the intricate realities of science in health, as a complex and ever-changing landscape that demands a strong foundation of knowledge and willingness to adapt. We extend our heartfelt gratitude to Dr Karen Frielich, for not only agreeing to talk to us, but also for all of her work to demystify the healthcare journey, both for the professional, and for the patient.

You can check out 'Humerus Hacks' on Spotify , on Apple Music, or online!

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