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Notes from the engineers building it.

6 essays on clinical AI, AI-first development, embedded teams and the discipline of shipping in healthcare. We post when there’s something worth your time.

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Featured

What we’re thinking about right now.

Featured

May 8, 20269 min read

The state of clinical AI in 2026

A practitioner’s year-end review: what shipped, what broke, what we are betting on next.

ZZowork EngineeringEngineering teamRead the post

All posts

Every post we’ve published.

6 essays across clinical AI, engineering culture, behavioral health and team. Filter by category below.

BH × AI

Why behavioral health is the hardest place to put AI

Sparse data, qualitative outcomes, the strictest compliance bar in healthcare. Behavioral health is brutal for AI. It is also where it matters most.

ZZowork Engineering7 min

Apr 22, 2026Read

Eng

AI-first development: 6× throughput without 6× bugs

OpenAI reports 6× productivity from AI power users. Here is how we keep that throughput from turning into 6× incidents.

SSuraj Gadhvi8 min

Apr 4, 2026Read

Team

Engineering an embedded pod across five time zones

Pacific, Eastern, GMT, IST, JST. We run a 24-hour engineering loop without anyone working at 2am. This is the playbook.

PZowork People6 min

Mar 18, 2026Read

Evals are the new tests

Unit tests cover code. Evals cover behaviour. For AI in clinical settings, you need both, and the eval framework is the harder problem.

ZZowork Engineering7 min

Feb 28, 2026Read

Eng

Model-agnostic architecture: why we don’t pick a single AI vendor

GPT-5 last quarter, Claude this quarter, your own fine-tuned Llama next quarter. Designing for any of these in isolation is malpractice. Here is the integration surface we use instead.

ZZowork Engineering8 min

Feb 10, 2026Read

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