Hospitals pay vendors 6-7 figures yearly for software a frustrated clinician could have built over a weekend. The clinician usually spec’d it out anyway.
Agentic coding tools just flipped the constraint. The gap was never clinical expertise - it was engineering bandwidth. Now that gap is mostly gone.
Academic medicine already has the perfect learning model: tumor boards, M&M conferences, grand rounds. An AI coding academy should borrow that, not bootcamp culture.
The binding constraint now is ownership and incentives. If the inside deal is a black box, talented clinicians route around it and build outside. The system gets nothing.
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