EP43: Dr. H. Peter Soyer on overdiagnosis, Fitzpatrick skin type, and emotional intelligence

I love to talk to people who are honest and confident in their honesty! Dr. Richard Carr is an internationally known expert in dermatopathology and pathology, and he speaks honestly about emotional intelligence as a muscle, recognizing our own weaknesses, and tailoring emotional intelligence to the individual. Being hypercritical can be a strength in that you think deeply about things, and it is worth hearing how he deals with hypercritical thoughts. Dr. Richard Carr trained in dermatopathology with Dr. Phillip H. McKee and Dr. Eduardo Calonje at St Thomas’ hospital and the St John’s Institute of Dermatology. He received the Royal College of Pathologists (RCPath) Diploma in Dermatopathology (set at expert referral level) and consults on cases throughout the United Kingdom. After being educated in Sheffield which is north of London, he started practicing in London with “big city ways”. He has now been practicing in the same community for 25 years in Warwick, England. He is a dedicated teacher, locally, nationally, and internationally. He is married with two daughters.

Dr. Ron Stotts has been meditating for decades, and he shares some of the foundational building blocks of being able to transformatively lead. Learn about "big mind", "STOP", and how to breathe. We touch on emotional intelligence, self-compassion, other compassion, and more. Dr. Ron Stotts, PhD explores what is possible for individuals, organizations, nations, and the world. He guides people into the highest levels of conscious leadership where they create a 40% percent increase in productivity and profit through creating what are referred to as “learning” or “developmental” organizations to bring out the best of all the stake holders involved. Dr. Stotts is a three-time best-selling author, has a Ph.D. in psychology, is a licensed Doctor of Chiropractic, and has been a meditation teacher for decades. 

Dr. Mitesh Patel is a physician and behavioral scientist! He helped found the Penn Medicine Nudge Unit, a first for healthcare. We talk about behavioral nudges, both for healthcare and home life, and the small things that we can each do to nudge behavior. Dr. Mitesh Patel MD MBA is a physician executive and behavioral scientist. He is currently Chief Clinical Transformation Officer at Ascension , the largest non-profit healthcare system in the US. He works on strategic vision and implementation of programs to transform clinical care using behavior nudges, EHR Apps, machine learning, artificial intelligence, remote patient monitoring, and virtual care. Previously, he was the Founding Director of the Penn Medicine Nudge Unit, the world’s first behavioral design team embedded within health system. 

LOOK AGAIN! A world full of colors can become gray due to habituation. Waking ourselves up to truly see the amazing things around us, as well as the problems that should be fixed, takes dishabituation. This conversation focuses on habituation and dishabituation, how they are defined, and what we can do to get life to resparkle. Cass R. Sunstein is the nation’s most cited legal scholar and is also a prolific writer of popular nonfiction. His most recent book, which he coauthored with Dr. Tali Sharot, is Look Again: The Power of Noticing What Was Always There, which will be hitting bookstores on 2/27/24. He is also the coauthor of Nudge with Dr. Richard Thaler as well as the coauthor of Noise with Drs. Daniel Kahneman and Olivier Sibony. He served in multiple different capacities in the US government and has advised the United Nations as well as the World Health Organization. He is currently the Robert Walmsley University Professor at Harvard Law School.

Dr. Angelina Hong wrote about love and medicine, describing  “the blurry spectrum, balancing out physical, mental, and emotional pain with the immense honor of saving and cherishing human life, while simultaneously struggling to reconcile our altruistic goals with realistic but necessary human incentives.” Her writing resonates with me. Dr. Angelina Hong, MD, is currently an internal medicine resident at HCA Healthcare in Florida. She attended the University of Texas Medical Branch School of Medicine and the University of Houston for her undergraduate degree. She is a poetess who has written about love and medicine, and in honor of Valentine’s Day, she is here today.

2023 was a tough year for me (if you've been listening, you know some of the reasons why). My memory was somewhat affected, and it was hard for me to hold things in my head (thankfully, this has gotten better). Listening back to these past episodes was a treat for me, and I hope that this compilation might help other listeners as well. 

Dr. Ashley Wysong is a force of nature, and I recently had the pleasure of hearing her lecture at Yale. She seamlessly integrated practical advice in a presentation full of clinical pearls. She's learned a lot to help her be successful, and she shares some of her useful tips with me. Dr. Ashley Wysong, MD is the University of Nebraska Medical Center Department of Dermatology Founding Chair, Professor, and William W. Bruce MD Distinguished Chair of Dermatology. She is a nationally recognized leader, Mohs micrographic surgeon, and translational researcher. She is passionate about educating and mentoring others.

Dr. Jeffrey Cohen took a course called Mindful Medicine as a medical student, and it continues to influence him today. He learned about metacognition and cognitive biases, and he emphasizes approaching all interactions with humility, curiosity, and grace. Dr. Jeffrey M. Cohen, MD is a board-certified medical dermatologist and the Director of the Psoriasis Treatment Program at Yale School of Medicine. Graduating from Harvard Medical School, Dr. Cohen completed his dermatology residency at New York University School of Medicine. His current research focuses on skin condition epidemiology, the links between skin disorders and other medical issues, and improving the delivery of dermatologic care. He has over a hundred peer-reviewed articles and serves on the Editorial Board of the Journal of the American Academy of Dermatology and the Medical Board of the National Psoriasis Foundation.

Dr. Doolittle has a Master's in Divinity as well as an MD, and his research spans hepatitis, HIV, and wellness and burnout. He'll often ask his trainees, "How is your spirit?" It was a pleasure to talk to him about the intersection of medicine and spirituality, the inner life, how it might relate to burnout, insights on how to stave off burnout, and the connection among curiosity, wonder, and love. Dr. Benjamin Doolittle, MaDiv MD is a Professor of Medicine, Pediatrics, and Divinity, the Director of the Internal Medicine-Pediatrics Residency Program, Medical Director of the Faculty-Resident Continuity Clinic, and a Professor of Religion and Health at Yale University. He has special expertise in addition, hepatitis C, HIV, and primary care. His research focuses on the intersection of medicine and spirituality, wellness, and burnout. Dr. Doolittle is an ordained minister and serves at New Haven’s Pilgrim Congregational Church. He is quoted as saying, “The medicine is easy, but everything else is hard,” and, “Faith offers…mystery, wonder, love – which are not illogical, but are not logical either.” More on Dr. Doolittle as well as an article on bio-psycho-social-spiritual training for trainees.

It's always instructive to hear how someone who started a movement, like that of Narrative Medicine, defines it. Listen in to how Narrative Medicine began for Dr. Charon, why narrative capacity is a better term than narrative competence, and what burnout might really mean.  Dr. Rita Charon, MD PhD is a physician, literary scholar, and founder of the narrative medicine program at Columbia University. She is a Professor of Medicine and Professor of Medical Humanities and Ethics at the College of Physicians and Surgeons of Columbia University. She has received numerous awards, including a Kaiser Faculty Scholar Award, a Rockefeller Foundation Bellagio Residence, a John Simon Guggenheim Fellowship, the Virginia Kneeland Frantz Award for Outstanding Woman Doctor of the Year, Outstanding Woman Physician of the year in 1996, the National Award for Innovation in Medical Education from the Society of General Internal Medicine in 1997, and the 2018 Jefferson Lecturer in the Humanities by the National Endowment for the Humanities.