The AI race has been about model size for years. The real bottleneck is memory: trustworthy, auditable knowledge that persists across years, not conversations. Medicine will feel this shift first.
Prompting has a ceiling. Once you hit it, you are coordinating every step manually while the AI handles individual tasks. Here is the framework and three live workflows I use to cross that line.
For physician-developers, burnout often comes from low-value technical friction. The answer is not more endurance. It is better delegation to systems, automation, and agents.
For physician-builders, agentic engineering is not prompt magic. It is bounded context, vertical slices, observability, and accountability.
Maternal-Fetal Medicine Specialist | Founder, CodeCraftMD | Atlanta Perinatal Associates