Monthly Archives:
January 2018

The PANCE Study Plan They Don’t Teach You in PA School

Published: January 26, 2018   |   Author: Adam Rosh   |   Category: Blog, Physician Assistant, Study Strategies   |   Tagged: , , , , ,   |   Read more

At the end of 2016, I had a PA student reach out to me after having failed her PANCE four times. The fifth time she took the PANCE, she crushed it and easily passed. These are the techniques we employed for her that you can use to prepare for your exam. 

How to Self-Reflect and Choose Your Medical Specialty This Year

Published: January 25, 2018   |   Author: Sarah Platt, MD   |   Category: Blog, Emergency Medicine, Family Medicine, Internal Medicine, OB/GYN, Pediatric Emergency Medicine, Pediatrics, Psychiatry   |   Tagged: , , ,   |   Read more

“Keep your minds open,” the dean announced at M3 orientation, “maybe you’ve always dreamed of becoming an orthopedic surgeon but will fall in love with psychiatry.” As freshly minted third year medical students with wrinkle free and yet to be coffee/pen/bodily fluid stained short white coats we entered clinical rotations much like undifferentiated cells, eager to be shaped and influenced as we transformed into the future physicians we were to become. However, for many students, choosing a specialty is not as easy as dreaming and falling in love. There is a fine line three quarters into M3 year when the reaction to uncertainty about choosing a specialty changes from a response of “you’ve got time” to a reaction that may make you feel like somehow over a few short months you became defective. In the midst of the uncertainty and doubt you then receive an email that it’s time to schedule your fourth year electives and are advised to “choose them wisely” as you are reminded that residency applications will be due just three months into the year. If that story sounds all too familiar of you anticipate that this could happen to you, don’t panic, you’re not alone, let’s get through this together.

Rapid Review: Transient Tachypnea of the Newborn

Published: January 25, 2018   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , , ,   |   Read more

Transient Tachypnea of the Newborn Patient will be a child shortly after birth Complaining of sudden onset of difficulty breathing PE will show tachypnea, nasal flaring, retractions and hypoxia CXR will show parenchymal infiltrates and fluid in the pulmonary fissures Most commonly caused by residual pulmonary fluid Treatment is supportive, self-resolving within 72 hours Comments: Most common cause of neonatal respiratory distress Sample question: A full-term male read more…

What Is the Likelihood of Passing Your PANCE or PANRE?

Published: January 19, 2018   |   Author: Adam Rosh   |   Category: Blog, Physician Assistant, What's New   |   Tagged: , , ,   |   Read more

Over the course of the last few years, we compiled real world scores from thousands of individuals who took the PANCE and PANRE exams. Using this data to aid learners in self-assessment of their preparedness for the PANCE and PANRE exams, we developed a proprietary algorithm using a regression model and standard correction factor to convert your Rosh Review performance to a projected PANCE and PANRE exam performance.

Podcast Ep 40: Croup, Trigeminal Neuralgia, PJP Pneumonia, & More

Published: January 18, 2018   |   Author: Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.   |   Category: Emergency Medicine, PodCast   |   Tagged: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,   |   Read more

Dreams and dedication are a powerful combination. -William Longgood Welcome back to Roshcast for Episode 40! After a quick detour last week to talk with Dr. Rosh, we are back at it with our regular routine. But before we get going, if you have any thoughts or feedback on last week’s episode, or even if you have read more…

Rapid Review: Septic Arthritis

Published: January 18, 2018   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , , , ,   |   Read more

Septic Arthritis Patient will be complaining of fever, monoarticular pain with decreased ROM Labs will show WBC > 50,000 with > 75% PMNs Diagnosis is made by arthrocentesis Most commonly caused by: Age < 35: N. gonorrhea, S. aureus overall Treatment is IV ABX, surgical washout Sample question: A 23-year-old man with a history of intravenous heroin use presents to the emergency department with a read more…

Rapid Review: Megaloblastic Anemia

Published: January 4, 2018   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , ,   |   Read more

Megaloblastic Anemia Patient will be a vegan or alcoholic Complaining of fatigue, weakness PE will show pallor, glossitis Labs will show MCV > 100 and hypersegmented neutrophils Most commonly caused by vitamin B12 (Cobalamin) or folate deficiency Comments: only vitamin B12 deficiency results in neurological symptoms Sample question: A middle-aged patient in the ED has a hemoglobin of 8.1 g/dL with an MCV of 112 fL. Which of read more…

Podcast Ep 39: Special Episode! Listen to an Interview with Dr. Rosh

Published: January 3, 2018   |   Author: Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.   |   Category: Emergency Medicine, PodCast   |   Tagged: , , , ,   |   Read more

As we mentioned at the end of episode 38, this won’t be a regular old RoshCast. Instead of our regularly scheduled content, we put together an interview with Dr. Adam Rosh – the namesake of the Rosh Review, former program director, and most importantly an emergency physician who has dedicated the last 20 years of his life to education. This episode provides a gold mine of actionable information, tools, strategies, and tactics that you can use not only for your upcoming Shelf exam, In-Training exam, or ABEM Certification exam, but any high stakes endeavor. 

Dr. Jennifer Beck-Esmay, Winner of the EMRA/Rosh Review One Step Further Award

Published: January 2, 2018   |   Author: Adam Rosh   |   Category: Awards and Scholarships, Blog, Emergency Medicine   |   Tagged: , ,   |   Read more

The Rosh Review “One Step Further” Award is awarded to a resident who exemplifies the ideals of continuous education and self-improvement and who goes “one step further” to improve a weakness or accelerate a strength. The winner is awarded a plaque by EMRA and a $1,000 check from Rosh Review. Rosh Review will also make a $1,000 donation on behalf of the winner to, a nonprofit organization that allows individuals to make direct donations to public school classroom projects. So those students can also go “One Step Further” in their education.