The Clinical Realist Podcast By Dr. Sarah Matt cover art

The Clinical Realist

The Clinical Realist

By: Dr. Sarah Matt
Listen for free

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

© 2026 The Clinical Realist
Economics Hygiene & Healthy Living Management Management & Leadership Physical Illness & Disease
Episodes
  • What Physicians Actually Need to Know About AI Contracts Before They Sign Anything
    Mar 25 2026
    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 indemnification clause. Almost no physician does.In this episode, Dr. Sarah Matt breaks down the four contract clauses that matter most to physicians in AI procurement, the five questions every physician executive needs answered in writing before their name goes on any clinical validation document, and where physician executives have actual leverage in AI contract negotiation and when that leverage disappears.What you will take away:- The four contract clauses that define your liability in an AI deployment- Why your name can appear in a vendor contract you have never seen- Five questions to get answered in writing before you sign any clinical validation document- Where physician executives have genuine leverage in AI contract negotiation, and when that leverage expiresWebsite: https://drsarahmatt.com | Book a conversation: https://calendly.com/sarahmattmd | LinkedIn: https://www.linkedin.com/in/sarahmattmd/



    Resources & Links:

    📖 Get the Book: "The Borderless Healthcare Revolution" is available now on Amazon and major retailers.

    💼 Work with Dr. Matt:
    Looking for a keynote speaker or strategic advisor?
    Visit: drsarahmatt.com

    🔗 Connect on Social:
    LinkedIn: https://www.linkedin.com/in/sarahmattmd/
    YouTube: www.youtube.com/@DrSarahMatt

    📧 Subscribe to The Briefing: drsarahmatt.com/newsletter-signup


    Disclaimer:
    The views expressed on this podcast are those of Dr. Sarah Matt and her guests. They do not necessarily reflect the official policy or position of any affiliated institutions. This content is for informational and educational purposes only and does not constitute medical advice or a professional consulting relationship.

    Show more Show less
    16 mins
  • The Physician's Role in AI Procurement: Accountability Before Authority
    Mar 18 2026

    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 validator after the vendor had already completed four executive demos, built the business case, and received board approval.

    That is not a governance design. That is liability assignment after the fact. And it is one of the most expensive mistakes health systems are making in AI right now.

    In this episode, Dr. Sarah Matt makes the case for what actual physician leadership in AI procurement looks like — and what the distinction is between being invited to validate a decision already made and having genuine authority over the clinical risk embedded in that decision.

    The argument matters practically: health systems that build physician leadership into AI procurement at the authority level, not the validator level, move faster on AI implementation, not slower. Clinical buy-in is not a late-stage change management problem. It is an early-stage governance design decision.

    Dr. Matt draws on her experience advising health systems and physician executives who have found themselves accountable for outcomes they did not control, in tools they did not select, for deployments they were brought into after the strategic architecture was already set.

    This episode is for physician executives, CMOs, CMIOs, CNOs, and clinical leaders who are currently in, or about to enter, AI procurement conversations — and for the health system CEOs and boards who want to understand why physician leadership in AI keeps underperforming and what the structural fix requires.

    What you will take away from this episode:

    • The difference between physician validation and physician authority in AI procurement
    • Why organizations that build genuine physician authority into AI governance move faster, not slower
    • What the accountability gap looks like when something goes wrong, and how to close it before deployment
    • The specific organizational design decisions that determine whether physician executives can succeed or are structurally set up to fail



    Resources & Links:

    📖 Get the Book: "The Borderless Healthcare Revolution" is available now on Amazon and major retailers.

    💼 Work with Dr. Matt:
    Looking for a keynote speaker or strategic advisor?
    Visit: drsarahmatt.com

    🔗 Connect on Social:
    LinkedIn: https://www.linkedin.com/in/sarahmattmd/
    YouTube: www.youtube.com/@DrSarahMatt

    📧 Subscribe to The Briefing: drsarahmatt.com/newsletter-signup


    Disclaimer:
    The views expressed on this podcast are those of Dr. Sarah Matt and her guests. They do not necessarily reflect the official policy or position of any affiliated institutions. This content is for informational and educational purposes only and does not constitute medical advice or a professional consulting relationship.

    Show more Show less
    10 mins
  • Why Most Health Systems Will Fail at AI — And It's Not the Technology
    Mar 11 2026

    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 governance layers where AI deployment fails in health systems — and why organizations that conflate technology procurement with organizational readiness are setting themselves up for expensive, very public failures.

    The strategic layer: who actually owns the AI portfolio, and what happens when that answer is "nobody in particular." The operational layer: why AI pilots that succeed in a controlled environment die on contact with real clinical workflows. The clinical layer: who is accountable when an AI recommendation contributes to a patient harm event — and whether your organization has that answer in writing before deployment, or is planning to figure it out afterward.

    Dr. Matt draws on direct experience working with health systems navigating AI procurement, implementation failures, and the organizational redesign required to make these tools actually function. The argument she makes is not anti-AI. It is pro-governance. Health systems that build the organizational infrastructure before the contract signature will move faster, perform better, and retain clinical trust longer than those that are still building it after something goes wrong.

    This episode is built for CMOs, CMIOs, CNOs, physician executives, and health system leaders who are being asked to put their professional credibility behind AI deployment and want a precise framework for what has to be in place before they do.

    What you will take away from this episode:

    • The three-layer governance framework for clinical AI deployment
    • Why operational AI governance is a workflow problem, not a technology problem
    • What named clinical accountability actually requires, and why committees are not a substitute
    • The single question that reveals whether your organization is governance-ready before you sign

    If you are making AI investment decisions in a health system this year, this episode is the pre-work.



    Resources & Links:

    📖 Get the Book: "The Borderless Healthcare Revolution" is available now on Amazon and major retailers.

    💼 Work with Dr. Matt:
    Looking for a keynote speaker or strategic advisor?
    Visit: drsarahmatt.com

    🔗 Connect on Social:
    LinkedIn: https://www.linkedin.com/in/sarahmattmd/
    YouTube: www.youtube.com/@DrSarahMatt

    📧 Subscribe to The Briefing: drsarahmatt.com/newsletter-signup


    Disclaimer:
    The views expressed on this podcast are those of Dr. Sarah Matt and her guests. They do not necessarily reflect the official policy or position of any affiliated institutions. This content is for informational and educational purposes only and does not constitute medical advice or a professional consulting relationship.

    Show more Show less
    14 mins
No reviews yet