EE480: Dr Caitriona Ryan & Dr Niki Ralph: 40,000 Patients a Year at the Institute of Dermatologists

In this episode, Gary sits down with Dr Caitriona Ryan and Dr Niki Ralph, co-founders of the Institute of Dermatologists in Dublin, to unpack how they built a modern “centre of excellence” model in Irish private care - combining medical dermatology, cosmetic dermatology, skincare, and a growing surgical pathway under one roof. They share the realities of scaling a high-trust healthcare business (systems, hiring, standards, and culture), how COVID sparked a major pivot into new services, and why Ireland needs to shift from reactive healthcare to preventative, longevity-led thinking. Plus: the story behind ID Formulas, their new data-driven approach to supplements (including wearables integration), and what they believe actually moves the needle for healthspan. Show Notes Why Caitriona and Niki built a centre of excellence model (and why it’s scalable) A day in the life of two Consultant Dermatologists with five businesses and thousands of patients The difference between medical dermatology and cosmetic dermatology How they protect standards at scale: meetings, feedback loops, SOPs, and hiring The COVID moment that forced a pivot - and led to a new surgical model Their longevity philosophy: healthspan over lifespan The “longevity hype” they’re most sceptical of — and what they’d focus on instead A simple, no-fuss skincare framework for founders (men + women) Links & Resources Institute of Dermatologists (IoD): IoD Instagram: ID Formulas waitlist: Dr Caitriona Ryan Instagram: Dr Niki Ralph Instagram: Things mentioned in the episode WHOOP: Oura Ring: Book — Unreasonable Hospitality (Will Guidara) Book — Outliers (Malcolm Gladwell) Book — Good to Great (Jim Collins) EltaMD UV Clear SPF from IoD site(mentioned as a daily sunscreen option): Episode sponsors Nostra: Azure: Rory’s Travel Club: Chartered Capital: Disclaimer This episode is for general information and education only and does not constitute medical advice. Always consult your GP, pharmacist, or qualified healthcare professional for personalised guidance, especially before starting new supplements or treatments.

You can listen to EE480: Dr Caitriona Ryan & Dr Niki Ralph: 40,000 Patients a Year at the Institute of Dermatologists online on Radio and Podcast. Open the player on this page to stream the available audio.

EE480: Dr Caitriona Ryan & Dr Niki Ralph: 40,000 Patients a Year at the Institute of Dermatologists is an episode from The Entrepreneur Experiment by Gary Fox.

This episode is 75:54 long.

This episode was published on Feb 19, 2026.

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