The Spark

• Additional Resources:
  • Chinese Hospital Website
  • UCSF–Chinese Hospital Collaboration:
    • https://www.ucsfhealth.org/about/our-affiliates/chinese-hospital
    • https://chinesehospital-sf.org/chinese-hospital-and-ucsf-health-collaboration
  • Risse, Guenter B. "Translating Western Modernity: The First Chinese Hospital in America." Bulletin of the History of Medicine, vol. 85 no. 3, 2011, p. 413-447. Project MUSE, https://dx.doi.org/10.1353/bhm.2011.0066.
  • Chinese Hospital Documentary
    • Chinese Hospital Documentary Part 1 - Late 1800's to 1925
    • Chinese Hospital Documentary Part 2 - 1925 to 1979
    • Chinese Hospital Documentary Part 3 – 1979 to 2016
    • Chinese Hospital Documentary Part 4 – History of American Medical Health Insurance and CCHP

In this final episode of our AI in dermatology mini-series, Chloe sits down with Dr. Sarah Coates to learn more about global dermatology and the potential of AI to improve access to care in low-tech friendly settings.

Dr. Coates shares her experience developing an AI tool to diagnose Kaposi's sarcoma–a type of skin cancer that disproportionately affects people living with HIV in Sub-Saharan Africa–and the importance of validating every step of AI development.

Finally, she and Chloe discuss the challenges and ethics of AI use for real-world, under-resourced settings, and exciting possibilities for improving patient care and provider education.

In honor of our final episode, a special thanks to the UCSF Department of Dermatology and the UCSF Dean's Yearlong Inquiry Funding office for supporting the creation of these episodes.

Additional Resources

• Applications of Artificial Intelligence for High-Burden, Underserved Skin Diseases in Global Settings: a Review
• Artificial Intelligence-based Diagnosis of Kaposi Sarcoma using Photographs in Dark-skinned Patients

Music by Podington Bear, licensed under CC BY-NC 3.0.

In this episode, Chloe, Dr. Jenna Lester, and Dr. Fatuma Rinderknecht discuss the importance of addressing health disparities in dermatology. They explore the Skin of Color program at UCSF, their personal journeys into dermatology, and delve into the role of artificial intelligence (AI) in dermatology — highlighting biases in AI models and the need for diverse and representative data sets to improve health outcomes. The conversation emphasizes the importance of education, representation, and patient involvement in addressing these disparities and ensuring the highest standard of care for all patients.

Additional Resources

• Rinderknecht FA, Nwandu L, Daneshjou R, Lester J. The Impact of Artificial Intelligence on Health Equity in Dermatology. Curr Derm Rep. 2024;13(3):148-155. doi:10.1007/s13671- 024-00436-w

In this episode, Chloe and Dr. Maria Wei discuss the integration of artificial intelligence (AI) into dermatology, particularly in skin cancer diagnosis and patient care. They explore the various applications of AI, the importance of precision medicine, and patient attitudes towards AI in clinical settings. The conversation highlights the challenges of robust data in AI training, the balance between AI benefits and risks, and the future directions for AI in dermatology.

References & Resources

• Artificial intelligence-enabled precision medicine for inflammatory skin diseases. ArXiv. 2025 May 14. Tang A, Wei ML, Haemel A, La C, Sirota M, Lee EY. PMID: 40463698; PMCID: PMC12133082.
• Stress testing reveals gaps in clinic readiness of image-based diagnostic artificial intelligence models. NPJ Digit Med. 2021 Jan 21; 4(1):10. Young AT, Fernandez K, Pfau J, Reddy R, Cao NA, von Franque MY, Johal A, Wu BV, Wu RR, Chen JY, Fadadu RP, Vasquez JA, Tam A, Keiser MJ, Wei ML. PMID: 33479460; PMCID: PMC7820258.
• Young AT, Xiong M, Pfau J, Keiser MJ, Wei ML. Artificial Intelligence in Dermatology: A Primer. J Invest Dermatol. 2020;140(8):1504-1512. doi:10.1016/j.jid.2020.02.02
• Young AT, Amara D, Bhattacharya A, Wei ML. Patient and general public attitudes towards clinical artificial intelligence: a mixed methods systematic review. Lancet Digit Health. 2021;3(9):e599-e611. doi:10.1016/S2589-7500(21)00132-1

In this episode, Chloe speaks with Dr. Jack Resneck, Jr. about his journey from self-proclaimed "policy nerd" to dermatologist, former President of the American Medical Association, and prominent figure in national and global health policy. He discusses the importance of physician storytelling in advocating for patients, the lessons learned from past technological revolutions in healthcare, and the ethical considerations surrounding AI in medicine. Dr. Resneck emphasizes the need for physician involvement in the development of AI tools to ensure they address real healthcare challenges and improve patient care. He also highlights the importance of ethical patient inclusion in research and the many implications of using AI in healthcare.

Additional Resources

• Resneck JS Jr, Abrouk M, Steuer M, et al. Choice, Transparency, Coordination, and Quality Among Direct-to-Consumer Telemedicine Websites and Apps Treating Skin Disease. JAMA Dermatology. 2016;152(7):768-775. doi:10.1001/jamadermatol.2016.1774
• AMA's new president Jack Resneck Jr., MD, on the year ahead | Moving Medicine
• Revisions to the Declaration of Helsinki on Its 60th AnniversaryA Modernized Set of Ethical Principles to Promote and Ensure Respect for Participants in a Rapidly Innovating Medical Research Ecosystem

In the last episode of our season, Paul and Chloe sit down with UCSF Chancellor Sam Hawgood, MBBS, to discuss the stages of his career, what's inspired him to stay at UCSF for over three decades, how keeping an open mind has led him to interesting places, and the importance of an inquisitive spirit as you take on new roles. Music by Podington Bear, licensed under CC BY-NC 3.0.

In the penultimate episode of the season, Paul chats with Dr. Talmadge E. King, Jr., Dean of the School of Medicine & Vice Chancellor for Medical Affairs at UCSF, about how clinicians and specialties choose each other, the intentionality of truly collaborative environments, and how his career has steered him towards leadership.