Conversations with Adam Rosh, MD: Recent Episodes

Adam Rosh

A conversation involves listening and talking. A conversation involves a perception of openness and access and humanity on both sides. In this podcast, Dr. Adam Rosh, an emergency medicine physician and founder of Rosh Review, sits down with leaders in medical and nursing education, social activists, business leaders, athletes, and his mentors, to learn about their success and failures, their ideas and ambitions, and the most valuable lessons they'd like to pass on. Let’s learn together. Let’s connect. And let’s create Conversations.

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Whether you are a ski racer, a young athlete dreaming of the olympics, a parent of a young ski racer, or simply someone who loves to learn, I promise you this conversation does not disappoint and there is a ton of actionable information to take away.

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Former Detroit police chief speaks about police brutality with insights from inside the police department where he rose through the ranks, from Sergeant to Lieutenant to Inspector, fighting crime in a majority Black city.

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“I try to be cynical, but it’s hard to keep up.”

For this episode of Conversations, we venture into the world of finance and speak with Jared Dillian.

Jared is truly a fascinating guy with incredible insights into the world. 

I first came across his insights after reading an expose about him in the NY Times back in 2011. 

Jared worked as a trader at Lehman Brothers starting back in 2001–just weeks before the terrorist attacks of 9/11. He started with Lehman as an index arbitrage trader and then as head of the ETF (or exchange traded fund) desk. During this time, he routinely traded over $1 billion a day in volume. 

His tenure lasted 7 years and ended with a front row seat into the financial industry’s collapse and Lehman Brothers shocking bankruptcy.

After the financial collapse, instead of seeking a new position with one of the big financial firms, Jared started his own financial publishing business, the Daily Dirtnap. 

And it is from the Daily Dirtnap that I’ve come to know Jared so well. 

The Daily Dirtnap is a 3-page newsletter that is delivered to me by email each morning and has helped shape my beliefs not just about finance, but life in general. Honestly, it is pure gold.

In fact, other than reading the NY Times every morning since 1996, there is nothing I’ve read more consistently or with more anticipation than Dillian’s The Daily Dirtnap. 

He’s been described as one of the industry’s most original, entertaining, and contrarian voices and referred to as “the Dr. House of trading.”

His readership is wide ranging from casual investors to professional traders and hedge fund managers.

But wait, there’s more. 

Dillian also publishes the publication the 10th Man—which has the motto “it is a duty of the 10th man to disagree”—which takes a very different spin on the financial markets. It is also one of my favorite publications and one that I encourage you to try out, especially because it is free. 

Other newsletter publications of Dillian’s include ETF 20/20 and Streak Freak.

Beyond newsletter publications, Dillian has also authored two books, 

His first, Streak Freak: Money and Madness at Lehman Brothers, was described by Bloomberg as a disturbingly candid memoir about a poor kid who quit the U.S. Coast Guard to chase his dream of becoming a trader. 

And Publisher Weekly said Dillian offers a candid look at the demise of a corporate behemoth.

Dillian’s second book, All the Evils in the World,” has been described as a riveting tale of a high...

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Everybody has empathy but not everyone has the courage to show it. If everyone shows it, we can make our community, our country, and our world a better place.

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“Why would I be wound up? I’m either ready, or I’m not. Worrying about it right now ain’t gonna change a damn thing.” – Floyd Mayweather Jr. just before a fight, as recalled by Paul Levesque

This is a really great episode for anyone who wants to learn more about studying for high-stakes exams and test taking in general. 

And instead of me doing the interviewing, I had the honor to be interviewed by Jessica Veale, a talented and motivated PA student at Duke University. 

Jessica is the host of the wonderful podcast “The PA Process”.

In this interview, Jessica and I explore test-taking strategies—but not your ordinary test-taking strategies.

We talk about some common learning theories such as retrieval practice, the testing effect, and elaboration, and uncommon ones such as the illusion of knowing.

But where things get really good is in our discussion about:

  • How to digest large amounts of information, especially in the health professions. How studying failure can lead to greater success Engaging in self-talk to increase your test score Using the “I’m an average test taker” theory to answer the most difficult questions (one of my favorites) How to learn from the famous boxer Floyd Mayweather to feel confident on exam day* And so much more

If you are a student of any kind or someone who has to take a high-stakes exam, I promise there is so much value for you in this episode. 

I encourage you to set some time aside, turn up the volume, and listen to this wonderful conversation with Duke University PA Student and host of The PA Process podcast, Jessica Veale.

AUDIO TRANSCRIPT

Jessica Veale:   Hi everyone. My name is Jessica Veale. I’m the creator of The PA Process. This podcast is dedicated to giving advice to pre-PA students, connecting with current PA students, and anything related to the PA profession as a whole. Thanks for tuning in today and let’s get started. Welcome everyone to season two episode two of The PA Process. On today’s episode, my special guest is Dr. Adam Rosh, an ER attending physician and the founder of the well-known question bank Rosh Review. He’s here today to share tips on test-taking preparation, strategies, and tactics. Welcome, Dr. Rosh.

Dr. Adam Rosh:   It’s great to be with you, Jessica. It’s really wonderful to be able to reach out and speak with all of the great PA students around the country.

Jessica:   Thank you. So Dr. Rosh, as a current PA student, I’m quite familiar with Rosh Review and all that it has to offer. But for my listeners who may be unfamiliar with it, can you explain it and what it is and what your motivation was for creating such a useful study tool?

Dr. Rosh:   Yeah, absolutely. I think most people who are in the health professions at some point in their career have taken a standardized test, certification exam at some point and have used a Qbank—a question bank. Rosh Review at its core, it’s a question bank. How that question bank is formulated and structured is very different, I’d say, than most types of question banks that people engage with. It’s not necessarily obvious on the surface.

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“At age 50 I am half way, I imagine the best is yet to come. I have a plan of how to keep achieving. The person I was is not forgotten but the person I aspire to be is something else completely.”

Every so often, we meet someone who forever alters the course of our life.

Today’s episode is with Andrew Rees, who I met back in 2018.

Andrew was born in Northern Ireland and was adopted at a young age and spent his childhood growing up in Russia, Hungary, and Spain. 

His family eventually moved back to England, where he joined the army at age 16. 

After a couple of years in the English army, he completed school and began coaching kids sports and focused on personal fitness.

Andrew’s continued growth led him to move to Switzerland to earn his personal fitness, health, and nutrition degree. 

Of note, these classes were taught in German, which Andrew had to learn in parallel to his classes.

Andrew caught his first break when he applied for a personal trainer position with a facility associated with the Swiss Olympic Organization. 

It was here that Andrew grew his skills and learned how to get people to believe in themselves and to do things they never thought was possible. 

He talks about the impact he had on an athlete training for the Paralympics and the impact she had on him. 

In 2016, Andrew and his American wife moved from Switzerland to Michigan, where Andrew was looking for ways to implement the skills he learned as a personal trainer and coach.

One year later, Andrew launched his personal training business, UrbanGym.

It started with Andrew driving a trailer packed with gym equipment and parking it next to athletic fields where he would conduct weekly drop-in fitness classes.

Eventually, he converted his garage to a gym and in a short time became the busiest trainer in Detroit. 

Which is how we eventually met. 

Since 2018, I have spent 2–3 hrs a week working out with Andrew. 

Andrew is not your ordinary personal trainer who tells you what to do and watches you struggle trying to do it!

As you’ll hear in this interview, Andrew brings much more than simply his advanced fitness knowledge to these workouts. 

His experience from traveling the world, working in various European countries, and being on his own journey of personal growth, brings a unique dynamic that I’ve never seen before in a personal trainer or fitness instructor. 

This is a special conversation where Andrew talks about his journey through life.

While Andrew has significantly improved my fitness over the years, our greatest interactions have been the conversations we have before and after our workout sessions. 

And I assure you, this conversation does not disappoint. 

I encourage you to set some time aside, turn up the volume, and listen to this wonderful conversation with the founder of UrbanGym, and my good friend, Andrew Rees.

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This episode is incredibly special as Danielle McGuire and I speak with attorney Angela Povilaitis, who is a nationally recognized voice for victims of sexual assault, domestic violence, and child abuse.

Currently, Angela is an attorney with the State of Michigan whose work focuses on sexual assault, domestic violence, and other crime victim rights issues.

Prior to that, she was a senior attorney in the State Attorney General’s Criminal Division, and lead prosecutor on multi-victim domestic violence, stalking, and sexual assault cases. 

And for 12 years, she served as an assistant prosecuting attorney for Wayne County, working on cases of child abuse, child and adult sexual assault, child homicide, and other felony cases.

Povilaitis gained worldwide attention in 2018 as lead prosecutor in the case against former USA Gymnastics physician Larry Nassar, who was convicted in January 2018 of sexually assaulting numerous young girls. 

Attorney Povilaitis was instrumental in arranging for more than 200 of Nassar’s victims to give impact statements to the court during his sentencing hearing, while the world watched live on television. This was perhaps one of the defining moments of the #MeToo movement. 

In this episode of Conversations, Povilatis talks about her journey to becoming a prosecutor, what led her to focus on sexual and domestic violence cases, and what it means to be victim centered, offender focused, and trauma informed. 

She also talks about three distinct cases that I’d like to provide some background about to give you context. 

The first case: The People vs. Father James Rapp 

Rapp was a Catholic priest accused of sexually assaulting young boys at Lumen Christian High School in Jackson, MI, in the 1980s. In 2015, Povilaitis filed 19 sexual assault charges against Rapp, who eventually pleaded no contest. The night before Rapp’s sentencing in April 2016, Povilaitis organized a dinner and meeting for about 10 victims. The next morning, several gave impact statements during the sentencing.

The second case: The People vs. Calvin Kelly  

The defendant was an interstate truck driver serial rapist who preyed upon vulnerable women, including those struggling with drug addiction and poverty. Led by Povilaitis and her cold case sexual assault team, the Michigan Attorney General’s office linked Kelly to 11 reported rapes in 4 states spanning over 20 years. Povilaitis issued charges in 2014 and after many adjournments, delays, and appeals, a two-week jury trial began in September 2017 where 3 victims testified. Kelly was acquitted despite overwhelming evidence. Shortly after his acquittal, Kelly was charged with three rapes in Tennessee. At the time of this podcast,

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Today’s episode is with Dr. Billy Goldberg. 

Some of you may recognize Dr. Goldberg from his work as an author. 

His first book, Why Do Men Have Nipples? Hundreds of Questions You’d Only Ask a Doctor After Your Third Martini  was published in August, 2005 and reached #1 on the New York Times Bestseller List where it remained for 11 weeks

His second book Why Do Men Fall Asleep After Sex? More Questions You’d Only Ask a Doctor After Your Third Whiskey Sour was published in August, 2006, and also reached #1 on the New York Times Bestseller List.  

I’ve read both of these books and found them to be extremely informative and very entertaining.

In February 2008, Dr. Goldberg began to host his own show, the Dr. Billy Goldberg Show on Doctor Radio Sirius XM Channel 110. 

When not writing books or hosting his show, Dr. Goldberg is an emergency medicine physician at NYU/Bellevue Hospital in the heart of New York City.

I met Dr. Goldberg during my training at NYU/Bellevue and consider him a role model for his unique ability to combine humor and levity to patient care and resident education. 

This was a really fun interview.

We talk about Billy’s childhood, how he became interested in media, the event that led to the idea of his first book Why do Men Have Nipples, the most influential people in his life, and the best advice he provided me on the final day of residency training and so much more. 

So without further adieu, sit back, relax, and enjoy this wide-ranging conversation with Dr. Billy Goldberg.

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Hello and welcome to another episode of Conversations. I am your host, Adam Rosh.  Normally on this show I sit down and talk to leaders from various backgrounds such as medicine, business, entertainment to learn about their successes and failures,

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Dara is a locomotive when it comes to getting things done, but I can also tell you that she is someone who brings everyone together, finds the best in them, and builds something where the whole is greater than the parts.

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"Perhaps his greatest influence," said Rama Rao, a mentor of mine and fellow emergency medicine physician, "has been to teach us that to become a better physician, you need only to devote yourself to one task: becoming a better person. The rest, it seems, will follow."

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Today’s conversation has been a long time in the making. 

There is no justice I can do in this introduction to Dr. Lewis Goldfrank that would convey the impact he has had not only on me, but on the world.

Dr. Goldfrank is the former chairman of the department of emergency medicine at New York University and Bellevue hospital, the nation’s first public hospital.  He is a member of the Institute of Medicine of the National Academy of Sciences and is widely considered one of the founders of emergency medicine and medical toxicology. 

He has authored countless scientific articles, won numerous prestigious awards and is the editor of the most recognized medical toxicology book in the world, Goldfrank’s Toxicology, now in its 11th edition. 

I can say that every decision I make, literally every decision, is influenced by the teachings of Dr. Goldfrank. 

And I know this is also the case for anyone who has ever spent time with him.

Dr. Goldfrank is a positive force in so many ways. He is one of those rare people who lives the ideals he embodies.  

When Dr. Goldfrank speaks, people gather to listen. And then they are inspired to act. 

“Perhaps his greatest influence,” said Rama Rao, a mentor of mine and fellow emergency medicine physician, “has been to teach us that to become a better physician, you need only to devote yourself to one task: becoming a better person. The rest, it seems, will follow.” 

Dr. Goldfrank has been at the helm through many disasters, such as 9/11, the AIDS crisis, crack, cocaine, and opioid, and tuberculosis epidemics, hurricane Sandy, and so many more. 

He is a champion for the homeless and fervently believes in the worth of every single human being, which is the principle that has guided his life.

Instead of trying to give you a preview of everything we spoke about in this interview, I am simply going to say, this is the most intimate, detailed conversation that I have ever heard Dr. Goldfrank engage in. 

It is motivating, inspiring, and one that I will cherish for the remainder of my life. 

There is an exchange in Chapter 5 of Through the Looking-Glass, a famous children’s novel by Lewis Caroll, it goes like this:  

The Queen says, “I’m just one hundred and one, five months and a day.”

“I can’t believe that!” said Alice.

“Can’t you?” the Queen said in a pitying tone. “Try again: draw a long breath, and shut your eyes.”

Alice laughed. “There’s no use trying,” she said: “one can’t believe impossible things.”

“I daresay you haven’t had much practice,” said the Queen. “When I was your age, I always did it for half an hour a day. Why, sometimes I’ve believed as many as six impossible things before breakfast.”

Dr. Goldfrank helps you believe in impossible things. And often turns the impossible into possible. 

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Conversations reset the power and compliance dynamic because conversations enable us to be heard. Conversations generate their own interest because after you speak your piece, you’re probably very focused on what someone is going to say in response.You don’t have to have a conversation, but if you choose to have one, go all in and actually have one. Today, I introduce the podcast titled “Conversations”. Let’s learn together. Let’s connect. And let’s create Conversations.

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“Preserve your ideals, don’t let the people around you poke fun at them, and look for where you get your fulfillment and make sure that it is still there and go after it if it is not.”–Peter Rosen, MD

I think most of you who are emergency physicians know who Peter Rosen is. I mean, let’s face it, back in 2004 when I was a resident, I carried around his 3-volume textbook set everywhere…it was my way to exercise and learn at the same time. I’m just kidding. But I do appreciate that Dr. Rosen decided to merge his textbook into a 2-volume set.

Now…I’ve listened to many other interviews with Peter Rosen and can honestly say this is one you don’t want to miss. We go pretty deep and cover a lot of topics:

  • Dr. Rosen’s morning rituals His take on physician burnout How he maintains a healthy marriage Parenting advice Who is the most successful person he knows What books have shaped him personally and professionally How two patients had such an impact on his career that he’ll never forget them His regrets When are you too old to be practicing emergency medicine His views on podcasts Open access journals Differentiating happiness vs fulfillment What he thinks he’ll never get to do in life* What he wants to be remembered for * And much, much more

This is Peter Rosen like you’ve never heard him before. So, whether you are a medical student, resident, junior or senior level attending, physician assistant, nurse,…or someone not even in the health professions…there is something for everyone in this episode.

Show Notes:How to maintain your ideals [5:42]The second law of thermodynamics and how it applies to life [5:50]Dr. Rosen’s start as an emergency physician [7:00]Dr. Rosen’s best published paper [10:15]PAs and NPs in the emergency department [12:20]Cardiac care [23:00]The emergency physician is what I dreamed what the physician was [25:40]When do you stop practicing emergency medicine? [26:00]Death is our failure for the emergency physician [28:00]Acute grief is like being kicked in the testicles [28:35]Nonsurgical appendectomies influenced by money [31:00]Rafael Nadal and appendicitis [32:30]Online, open-access medical education [33:40]Podcasts [36:10]5 ways to die [39:15]Two patients Dr. Rosen will always remember [41:58]What is Dr. Rosen most proud of [46:20]Lessons from Dr. Rosen’s father [47:20]Something people don’t know about Dr. Rosen [50:00]How reading has impacted Dr. Rosen [50:30]Favorite books [52:00]Parenting tips [1:00]Definition of success [1:05]Not getting into medical the first time [1:02]Being remembered [1:05]Do people have a calling [1:06]Advice on marriage [1:09]Morning rituals [1:14]On burnout [1:30]

Books Mentioned:The Red and the Black by StendhalThe Youngest Science: Notes of a Medicine-Watcher by Lewis ThomasThe Lives of a Cell...