by Mike Sanders
“Price is what you pay. Value is what you get.”
– Warren Buffett
Can I Get a Rosh Review Discount?
This is a common question. And we have an uncommon answer.
My name is Mike Sanders. I am the Chief Operating Officer of Rosh Review.
At Rosh Review, we are passionate about aligning with organizations that seek to elevate the profession using our content, technology, and analytics. We want to “coinvest” with those who take academics to the next level. We provide discounts to graduate medical education, Physician Assistant, and Nurse Practitioner programs that use our content and technology to help their residents and students succeed.
Individual Discounts and the Rosh Review Discount Code
We provide Rosh Review discount codes to active military, attendees of specific medical conferences, and to large groups of individuals who invest in one package and would like to purchase another (e.g., residents with an in-training exam package who want to buy the initial certification package). We also discount subscriptions to graduating residents whose program has a subscription, so we can bridge the gap between training and a new career. We do not provide Rosh Review discounts to individuals.
Overcoming Failure and Passing the Boards
We offer a free subscription to anyone who fails their certification exam, even if they are not a customer. This includes those who prepared for your exam using any Qbank or attended an on-site class. Failing a certification exam can be devastating, but it shouldn’t signal the end of your journey. An individual can fail a written exam and still be a great clinician. We offer a free subscription if you fail because we have experienced the self-doubt that comes with a short-term loss and the lift you experience when someone believes in you. Having someone root for you can empower you to achieve more. At Rosh Review, we are invested in your success and will help you achieve your goals.
If you have hit a speed bump on your journey to passing your board exam and need a boost of confidence, we offer Michelle’s story. She changed her life. Her success continues to inspire us.
If you gather 10 or more of your colleagues (within the same program, residency, or healthcare system), Rosh Review will provide a 10% group discount. Program directors quickly notice that many of their students and residents are using Rosh Review, and they investigate. Once program directors find out about the expansive offerings of our dashboard (PD Dash), which includes dozens of assessments and mock exams in addition to detailed analytics and user insights, they often purchase it for their program. Those programs succeed with higher pass rates, and individuals get more content and subsidized subscriptions.
We provide program discounts to medical residencies, PA programs, NP programs, medical school clerkships, practice groups, and healthcare systems. The pricing is based on the number of individuals in a program and the types of assessment exams included on the program dashboard. Selecting the right Qbank for a program is a big decision that impacts many individuals. And we might not be the best fit for you. To reduce risk, we provide a free program trial with unlimited access to all Qbank questions (for every individual in the program), the program dashboard, and assessments.
We provide member discounts to organizations that align with our mission to help elevate the specialty. We partner with the Emergency Medicine Residents Association (EMRA), Society of Emergency Medicine Physician Assistants (SEMPA), and American Academy of Emergency Nurse Practitioners (AAENP), for example—organizations who use our tools to create new standards of excellence and share best practices. We also provide a discount to active members of the military.
Why Can’t Rosh Review Provide Everyone a Discount?
We offer a lot of ways to get a discount (see above), but we realize that some people will not fit into these discount categories. Rosh Review’s main pricing philosophy is to provide more value than we capture. From experience, we know that we never complain about paying too much for something that is really good—a product that delivers on its promises. We also know what it feels like when we purchase something cheap that doesn’t deliver. We strongly believe we’ll have a greater impact on the world if we always strive to elevate our game and that of our customers; if we pursue a race to the top and not to the bottom.
This causes much more tension in our business because the discipline of innovation is harder to pursue (in the short term) compared to the tempting quick wins that come from sales gimmicks. We are certainly familiar with the marketing tricks: flash sales, Black Friday deals, inflating prices to show big discounts. These lead to a kind of death spiral. More discounting means cutting corners on content breadth and accuracy, limiting or eliminating customer support, providing shaky technology infrastructure, and not updating tired software interfaces, which leads to more discounting. We don’t want to participate in a race to the bottom.
Our Goal: Priced Below Value Received
We believe Rosh Review’s value far exceeds its price. Rosh Review provides a tremendous amount of quality content, technology, and support. In addition, if we provide a discount for one person, we feel that it should be provided to all people. So we price our product at a point we believe to be not only fair but underpriced for the value received. We do what we can to keep prices affordable and realize that some individuals will not choose our product. We’re okay with that. The market offers many options.
Simply put, the highest levels of commitment and quality costs more. Rosh Review provides superior content, detailed analytics, innovative technology, personalized customer support, an ever-expanding lineup of complementary educational tools (e.g., RoshCast, blog posts, and webinars), Quiz for a Cause, and The Rosh Foundation for expanding medical education in developing countries. To maintain this level of commitment, we have a team of more than 100 people, including practicing physicians, physician assistants, nurse practitioners, developers, data scientists, illustrators, copy editors, video editors, audio editors, educational sales specialists, and administrators. Subscription fees support our mission, allow us to pay our employees a fair wage, and enable Rosh Review to continually invest in your success.
Many of us have left industries where individuals are highly compensated—finance (hedge funds), pharma, high-tech—to pursue a mission to change the world through medical education. We’re investing our time into something that we find personally fulfilling: helping students, residents, and clinicians reach their goals and achieve their dreams.
Heartfelt Hugs and Compensation
Do we truly believe Rosh Review can help change the world? You bet. We see it every day. This is the only company that I’ve been a part of where we consistently receive hugs from complete strangers thanking us for the work we do. Many of them are in tears. We receive hundreds of grateful customer comments directed to our support team on a monthly basis. Rosh Review’s customer feedback is so inspiring that we created a Slack #customerfeedback channel—one of the most watched channels inside Rosh Review. Your success is our joy.
Clinicians might experience this type of gratitude frequently. Those of us in nonclinical roles (e.g., developers, sales specialist, designers, and customer support) have rarely experienced this type of affirmation in our careers. A corporate paycheck can’t compete with receiving heartfelt hugs and this type of customer appreciation.
The Rosh Review Business Model
Business models directly impact pricing models, so it’s important to share ours. Businesses are built along these three main disciplines:
- Operational Excellence – Streamline business processes, deliver the lowest cost with the highest efficiency. Think Amazon.
- Customer Intimacy – Understand your customer. Tailor product or service to specific individual needs with concierge service. Think Nordstrom.
- Product Innovation – Deliver state-of-the-art technologies, innovate, raise the bar even if you make your current product obsolete. Think Apple.
To be successful, we believe we need to focus on a specific discipline to provide the most value to individuals who want what we offer. If we try to pursue multiple disciplines to serve all customers, Rosh Review will fail to serve anyone well. Who has figured out how to provide a Nordstrom-like experience with Amazon discounts? We choose the discipline of product innovation with a minor in customer intimacy. Ideally, we should only focus on one discipline, but our customers really like what we’re doing with customer support, which I’ll touch on later.
Rosh Review Product Innovation
By choosing the discipline of product innovation, our primary focus is to look for ideas both within and outside our industry to help our customers succeed. We search for collaborators to help us tackle big issues and take us one step further. We build business processes to create, build, and deliver advances quickly to customers. That’s why we currently focus on the big data analytics, score prediction, and mobile technologies. Bottom line, we choose to invest in innovation instead of relentless cost cutting.
How Do We Keep Our Costs Low?
Even as we pursue the path of product innovation, we do not neglect operational excellence. We value systems thinking and the interconnectedness of processes as we let humans do what humans do best, and let machines do the rest. We show more respect to our team and customers, and we can also reduce expenses through automation.
Rosh Review is a remote-first company where everyone works from home, a coworking space, or a cafe. We have no expenses for headquarter lease payments, cushy leather chairs, sculptures in a lobby, or budget for large holiday parties. We buy refurbished computer equipment and replace most travel with video conferencing. So where do we invest all the money we save from these areas? You guessed it—product innovation, which includes content, technology, and support.
Does Rosh Review Care for Customers?
Absolutely. We struggle at times with the urge to change to the customer intimacy discipline as we read customer feedback from our support team. The clinicians who struggle with questions or need clarification connect with our doctors, PAs, and NPs and leave the most inspiring comments. There is clearly a need for one-on-one coaching and instruction that’s not being met by the market. We believe our core strength continues to be product innovation around the content creation, delivery, and analytics. We’ll do the heavy lifting in these areas so faculty, attendings, and preceptors can provide bedside teaching.
Will Rosh Review Content Ever Be Completely Free?
Well, if we could find the right business model, we would give our content away for free. Where possible, we already do:
- We provide our content for free to support medical education in developing countries through our international foundation. More than 500 students receive this benefit.
- We support Free Open Access Meducation (FOAM) with our collaboration with Foundations EM by providing free Foundation EM assessments on our dashboard.
- We offer free education through The Rosh Blog, RoshCast, and RoshReveal.
- We use our technology to help address and eliminate the world’s most pressing health crises, such as human trafficking, through Quiz for a Cause.
We value customers who choose quality first. We have never accepted outside funding or private equity. We are only accountable to our customers.
We provide discounts where and when we can. In the end, Rosh Review relies on you—our passionate, dedicated customers who seek the highest-quality educational content. In return, our commitment is to help you reach your goals and achieve your dreams. We will continue to innovate, support, and build products that enable your success.