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Hosted by Dr. Sarah Matt · 🇺🇸 US · EN-US · 25 episodes
Established thought leaders with verified media credentials.
Healthcare innovation is broken. We have billion-dollar AI running on 1990s infrastructure. We have startups dying in "Pilotitis." And we have leaders frozen by analysis paralysis. Dr. Sarah Matt (The Clinical Realist) is here to fix the disconnect between the tech stack and the trauma bay. Join Dr. Matt—physician, strategist, and author of The Borderless Healthcare Revolution —as she cuts through the hype to reveal what actually works in modern medicine. No buzzwords. No fluff. Just the raw, unvarnished truth about how to lead, build, and survive in the future of healthcare. If you are tired of the "Star Trek" vision and want the "Clinical Reality," this is your show. Subscribe to The Sarah Matt Briefing for weekly insights on healthcare AI, access strategy, and the business of medicine: https://drsarahmatt.com/newsletter-signup
Dr. Sarah Matt hosts The Clinical Realist, a health show with 25 episodes published.
Ask a health system CEO about their women's health strategy and you will hear two things. Labor and delivery. Mammography. Then they wipe their hands, and the checkbox is checked. Priya Bathija spent nine years at the Am
Most clinical trial eligibility criteria are written by people who have never run a site. Lisa Sonneborn has run one for 15 years. She built the first stand-alone clinical trial facility in Upstate New York, focused on A
People whose care is scattered across multiple providers, with no single person or system holding the whole picture, have more than double the risk of dying, even after accounting for how sick they already are. Amy Andra
Most healthtech founders solve a real clinical problem, get piloted in a few systems, and then discover that solving the clinical problem was never the same thing as building a company someone would actually buy. Dr. Rox
Two years ago, every health system was running an AI pilot. Today, most are still running AI pilots. The technology improved dramatically. The deployment gap between what a board approves and what happens in an exam room
Patient experience gets treated as a soft metric. Amanda Brummitt, FACHE, has spent 25+ years in health system operations proving it is a margin lever, a retention lever, and the first thing most AI rollouts ignore.\n\nI
Dr. Marschall Runge, MD, PhD, Dean of the University of Michigan Medical School and CEO of Michigan Medicine, sits across the table from health tech founders every day. In this episode, he shares the institutional realit
The pilot succeeded. The value analysis committee approved it. The implementation team did their job. And then the physician quietly stopped using it. That's the physician's veto: the force that kills more health tech de
The AI tool you bought last quarter, the one bundled into your EHR upgrade, the one your hospital piloted on your unit. Was it cleared by the FDA as a medical device? Most physicians do not know the answer. The vendor's
Medical school teaches you pathophysiology, pharmacology, and clinical reasoning. It does not teach you how the money actually works. In this episode, Dr. Sarah Matt breaks down the economic structures that govern every
Recorded live at Cornell Ithaca. This is the extended cut of Dr. Sarah Matt's keynote on the central design flaw in modern healthcare: a system optimized for an "average" patient who does not exist. When you build clinic
Most clinical AI governance frameworks tell you how to evaluate tools before you deploy them. Nobody talks about how to exit a tool that is not working. In this episode, Dr. Sarah Matt walks through the anatomy of sunk c
Most health systems that deployed clinical AI in Q1 are now six to eight weeks post-launch and starting to see the governance gap. Dr. Sarah Matt explains what the gap looks like in production, why retrofitting governanc
Your pilot worked. You got approval to scale. Six weeks into full implementation, something is wrong: not catastrophically wrong, just wrong enough to make you wonder whether "it worked in the pilot" meant anything at al
Most health systems that fail at clinical AI adoption are not failing because the tool is bad. They are failing because they diagnosed the problem wrong before they ever touched a vendor pitch. In this episode, Dr. Sarah
You ran the pilot. The AI worked. The clinicians loved it. The outcomes were solid. Then you tried to roll it out system-wide and it fell apart. This is the 90% problem, and it is not a technology problem. It is an adopt
Health system boards are approving eight-figure AI investments without a governance framework that tells them what they are actually approving. They are receiving technology presentations. What they need are risk assessm
A physician executive signed a clinical validation form. Eleven months later, she was the one accountable in peer review after an AI-assisted recommendation contributed to a delayed diagnosis. She had not read the indemn
When an AI tool causes a patient harm, who gets called into the review meeting? In almost every health system, the answer is the physician. The same physician who was brought into the procurement conversation as a valida
Health systems are signing AI contracts they cannot govern. That is the real problem. Not the technology. In this episode, Dr. Sarah Matt, physician executive and healthcare strategy advisor, breaks down the three govern
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The Clinical Realist is hosted by Dr. Sarah Matt. The show is categorised under health (fitness) and has published 25 episodes.
The Clinical Realist has published 25 episodes.
The Clinical Realist regularly covers health, fitness, medicine. It sits in the health category, with a fitness focus.
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