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The Clinical Realist

Hosted by Dr. Sarah Matt · health · EN-US

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About this Podcast:

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

Pitch Analysis

Required Pod Score for this podcast. PitchCentric checks your profile against host openness, topical fit, and audience signals before you generate a pitch.

Contact path

Verified email

Booking probability

31%

Guest openness

Selective

Verified email on file
80/100
Required Score

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Questions about The Clinical Realist

What is The Clinical Realist about?

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.

Who hosts The Clinical Realist?

The Clinical Realist is hosted by Dr. Sarah Matt. The show has published 31 episodes to date.

What has The Clinical Realist covered recently?

Recent episodes include "The Trust Slide Is Aimed at the Wrong Target, with Dr. Fatih Mehmet Gul" (29 October 2026, 28 minutes), "What a Medical Bill Actually Is, with Amy Stillman" (7 October 2026, 26 minutes), and "What Longitudinal Data Actually Contains, with Shashi Shankar" (30 September 2026, 33 minutes).

How often does The Clinical Realist publish?

The Clinical Realist publishes roughly every two weeks, with episodes averaging 29 minutes across 31 episodes.

How hard is it to get booked on The Clinical Realist?

Booking probability for The Clinical Realist is 31%, and the host is rated Selective on guests. The Clinical Realist requires a Pod Score of 80 or higher. The Clinical Realist's contact route on record: verified email.

Who should pitch The Clinical Realist?

The strongest fits for The Clinical Realist are Health & Wellness Services. The Clinical Realist has a health audience.

About the host

Dr. Sarah Matt hosts The Clinical Realist, a health podcast with 31 episodes published.

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Recent episodes

Our AI reads these to draft pitches. Use them as grounding for a pitch that cites a real guest and a specific topic.

  • Episode #35

    The Trust Slide Is Aimed at the Wrong Target, with Dr. Fatih Mehmet Gul

    Oct 29, 202628 minS1

    Every AI vendor deck has a slide about building trust in the algorithm. Dr. Fatih Mehmet Gul thinks it's aimed at the wrong target. The thing eroding isn't trust in the machine. It's the relationship between the people...

  • Episode #33

    What a Medical Bill Actually Is, with Amy Stillman

    Oct 7, 202626 minS1

    The encounter ends, the patient goes home, and then a bill arrives. Amy Stillman argues that a medical bill is not a payment reminder. Patients frequently do not understand what happened to them, what they owe, or what...

  • Episode #32

    What Longitudinal Data Actually Contains, with Shashi Shankar

    Sep 30, 202633 minS1

    Start with a number. In a registry of about 6,000 patients on GLP-1 medications, roughly 45 percent have taken two or more versions of the drug, most often moving from semaglutide to tirzepatide. The largest published...

  • Episode #31

    Who Gets to Say No in Health IT, with Anthony Guerra

    Sep 23, 202634 minS1

    Anthony Guerra has asked roughly the same question about 600 times. He founded Health System CIO in 2010 and has covered health information technology since 2005, which is 16 years sitting across from the people who...

  • Episode #30

    Agency Is Neurological Before It's Philosophical, with Kris Nessa and Erica Olenski

    Sep 9, 202647 minS1

    You cannot will your way to better healthcare outcomes. Agency, it turns out, is not a mindset problem: it is a neurological one, a design one, and a systems one. Kris Nessa has spent her career on both sides of the...

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  • The Clinical Realist

    Trust Debt: The Bill Comes Due at Renewal, with Arvita Tripati

    Sep 2, 202630 min

    Somewhere in your organization there is an AI tool in year two of its contract, performing worse than the day you signed. The model did not change. Your patients did. Arvita Tripati calls what accumulates in that gap...

  • The Clinical Realist

    Your Women's Health Strategy Is Labor and Delivery and a Mammogram, with Priya Bathija

    Aug 5, 202638 min

    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...

  • The Clinical Realist

    Why Clinical Trials Keep Missing the Patients They Are Supposed to Help, with Lisa Sonneborn

    Jul 22, 202636 min

    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...

  • The Clinical Realist

    The Number That Should Stop You: Building Continuity Before Big Tech Does, with Amy Andrade

    Jul 15, 202636 min

    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...

  • The Clinical Realist

    What an Acquirer Is Actually Buying: Exit-Readiness for Healthtech, with Dr. Roxie Mooney

    Jul 1, 202645 min

    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...

  • The Clinical Realist

    AI Is a Power Shift, Not Just a Tool: Dr. Robert Pearl on What Generative AI Actually Changes for Physicians and Health Systems

    Jun 24, 202636 min

    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...

  • Episode #23

    Why Health Systems Keep Getting Patient Experience Wrong | Amanda Brummitt, FACHE

    Jun 17, 202627 minS1

    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...

  • Episode #22

    The Other Side of the Table: What Academic Health Systems Actually Need From Health Tech

    Jun 10, 202641 minS1

    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...

  • Episode #21

    The Physician's Veto: Why Most Health Tech Pilots Die Before They Scale

    Jun 3, 202618 minS1

    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...

  • The Clinical Realist

    When the Algorithm Is a Device: AI, the FDA, and the Question Almost Nobody Is Asking

    May 27, 202618 minS0

    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...

  • The Clinical Realist

    The Economics Nobody Taught You in Medical School

    May 20, 202612 minS0

    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...

  • The Clinical Realist

    The Patient We Never Designed For (Live from Cornell Ithaca, Extended Cut)

    May 13, 202656 minS0

    <p>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...

  • Episode #17

    Sunk Cost, Vendor Lock, and the AI Tools Health Systems Can't Let Go Of

    May 6, 20269 minS1

    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...

  • Episode #16

    The Q2 Governance Problem: When AI Goes Live Without a Safety Net

    Apr 29, 20269 minS1

    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...

  • Episode #15

    The Pilot Trap: What Health Systems Get Wrong About Implementation

    Apr 22, 202610 minS1

    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...

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