Knowing the Job: Workflow and Vertical Fluency in AI Products

Doctors call the hours they spend finishing notes at home "pajama time." When one of the largest US health systems rolled out an AI scribe across 28 hospitals, it didn't pick the smartest general model. It picked the product that understood the job: billable formats, 55 specialties, and a quick way for doctors to check every line. This episode explains why AI products that win in a field often look less like a clever model and more like a deep understanding of one job. We look at examples from healthcare and law, the difference between workflows and agents, and where the best targets are. Then we make the honest case that general models are catching up.