Dr. Peter Rosen Like You’ve Never Seen Him Before

Photo credit: http://denveremergency.tumblr.com

Photo credit: http://denveremergency.tumblr.com

“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
Today’s episode is very special to me….and let me tell you, you are in for a treat. We’ll be talking with Dr. Peter Rosen.
 
I think most of you who are emergency physicians know who Peter Rosen is. I mean, lets 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 talk about everything from:
  • 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 Stendhal
The Youngest Science: Notes of a Medicine Watcher by Lewis Thomas
Lives of a Cell: Notes of a Biology Watcher by Lewis Thomas
The Medusa and the Medusa: More Notes of a Biology Watcher by Lewis Thomas
The Horse and Buggy Doctor by Arthur Hertzler
A Confederacy of Dunces by John Kennedy Toole
The Horse and Buggy Doctor by Arthur Hertzler
Cicero: Selected Works by Marcus Tullius Cicero
Best regards,
Adam 
Founder, Rosh Review

Comments (5)
  1. M Morkin MD
    April 9, 2017

    Maybe add to your summary about any comments he made about being censured by ACEP
    for violating its ethical guidelines on expert witness testimony? That’s a podcast I’d love to hear.

    Reply
    • Adam Rosh
      April 9, 2017

      Yes, it would be nice to hear Dr. Rosen’s perspective.
      This is the article from ACEP Now http://www.acepnow.com/article/acep-issues-public-censure/
      And some of Rosen’s reply in Emergency Medicine News https://www.dropbox.com/s/i4hq2unvfvkdgs5/News__Rosen%2C_Censured_by_ACEP%2C_Disputes_Claims_as.1.pdf?dl=0

      Reply
      • Tony Gerard
        July 4, 2017

        Can you please ask Peter if he understands that he made a mistake in this case? Would he be willing to address this in a follow-up letter in EM News?

        It’s important for the specialty.

        He is entitled to his opinion about the medical issues, but if he really doesn’t know why he was censured, this is a ” Trump” like response. His comments in ACEP News were self protective, and he does not seem to know how his testimony will be misused.

        When the Georgia legislature passed tort reform in 2005, it was to protect emergency physicians. The new law required “ clear and convincing evidence of gross negligence”. Rosen’s testimony eroded this standard, with potentially devastating implications for physicians and medical malpractice reform.

        What is at issue in this case is not the medical questions, but the legal ones. Maybe he was ignorant of the legal implications of his testimony?

        Regardless, the end result was that he undermined malpractice reform in Georgia. His testimony can now be used by plaintiff attorneys to get around Georgia’s malpractice reform laws. Emergency phyiscians in Georgia now face the risk that ordinary malpractice claims will be misconstrued as grossly negligent.

        And he falsely accused a fellow EP! He accused an emergency physician of something far beyond ordinary negligence : gross negligence.

        Gross negligence is defined as negligence that is so extreme that “ it shocks the conscience”.

        In this case, the courts had already dismissed a claim of malpractice against the physician, based on Georgia’s malpractice standards, which were designed to protect emergency providers. Why would Rosen undermine these? The case had already been dismissed by the court, and by an appellate court, for failing to meet the “gross negligence” requirement. But the plaintiff attorneys, with Rosen’s help, took this case to the the Georgia Supreme Court. Based on Rosen’s testimony, the Georgia Supreme Court held that the treating physician’s treatment may have been grossly negligent. Of course the physician settled at this stage, rather than facing potential criminal charges.

        If a physician is found guilty of gross negligence, the potential consequences go far beyond a malpractice payout. The physician can lose their license, face criminal charges, and cause the physician’s malpractice coverage to be denied. Medical malpractice insurance does not cover “willful or grossly negligent acts”, so the physician is personally liable for all legal costs -and judgments related to the lawsuit. The physician would pay out of pocket. Additionally, these physicians could then face punitive damages because gross negligence is considered “ intentional misconduct and malice”. State licensing boards often revoke physicians licenses and impose fines for gross negligence.

        Reply
  2. Jeff Cater
    November 30, 2017

    His opinion on the scope of practice for PA/NP’s is dead wrong in this day and age. I’ve been a practicing EM PA for over 15 years and in practice in total for 23. Thank goodness the group of physicians I work of have an alternate view on PA/NP utilization. I am blessed to be able to manage all comers in our department and not just the ‘simple things after the doctor saw them’. The fact I am able to perform central lines, LP’s, intubations, procedural sedation, fracture reduction, cardioversion and manage stroke, trauma, sepsis etc…very competently would probably give him nightmares…..all of this under the years of tutelage of my forward thinking EM group.

    Reply

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