Dr. Roth attended medical school at the State University of New York Downstate Medical Center. Upon graduation in 1977, he came to Miami for internal medicine training at Jackson Memorial Hospital/University of Miami School of Medicine. His interests in the field of Nephrology were stimulated by the nephrology faculty at the medical center and he remained at UM/JMH for his fellowship training in nephrology. During this fellowship he met Dr. Joshua Miller, the Chief of Transplantation and began a lifelong interest in the field of kidney transplantation. Dr. Roth was offered a position on the faculty at UMMSOM in 1982 and did several years of basic immunology research under the mentorship of Dr. Miller. He then transitioned into the clinical arena of kidney transplantation as a transplant nephrologist, one of only a handful of such individuals around the country at that time. He assumed the role of Medical Director for the Kidney Transplant Program and published extensively on his work in basic science as well as clinical transplantation. One area of particular interest was the intersection of the then newly discovered hepatitis C virus and kidney disease and transplantation. He became recognized as a thought leader in this area, publishing extensively and leading the critical phase III trial that demonstrated the safety and efficacy of direct acting antiviral agents to treat hepatitis C infected patients with kidney disease. His involvement in the nephrology fellowship training program steadily expanded until he eventually became the Training Program Director. Several years later he assumed the position of Chief of the Division of Nephrology and Hypertension. Dr. Roth also became involved with the Florida Society of Nephrology (FSN), eventually becoming its President. Under his leadership the organization as grown into the strongest state nephrology society in the country. He has championed many initiatives for the FSN, including a recent partnership with the University of Miami Katz Family Division of Nephrology and Hypertension on an NIH-funded project to stimulate interest in a nephrology career amongst first year medical students.