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Rosie Smith began their work experience in 2010 as an ADA Department Intern at HCA. In 2011, they worked as a Client Support Services Intern at HCA, followed by a role as a Human Resources Intern at HCA Physician Services in 2012. In 2013, they served as a Training and Education Intern at Sarah Cannon Research Institute. Rosie then transitioned to Sarah Cannon Research Institute, where they held multiple roles, including Global Quality & Education Administrative Assistant and Training & Education Project Coordinator, from 2014 to 2017. Since 2017, Rosie has been with HealthStream, initially as a Regional Account Executive and currently as an Account Manager and Team Lead.

Rosie Smith completed their Bachelor of Science (BS) degree in Psychology from The University of Tennessee at Chattanooga from 2010 to 2013. In addition to their formal education, they obtained a Diversity, Equity and Inclusion in the Workplace Certificate from USF Corporate Training and Professional Education in May 2021. Rosie also has certifications as a Crucial Conversations Workshop Facilitator, Emotional Intelligence Instructor, and NTRINSX, Social Intelligence Instructor, although the specific details regarding the institutions and the dates of these certifications are not provided. Furthermore, they are a True Colours Instructor, although information about the institution and the date of this certification is not available.