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The Pelago story is about workflow discipline, not a two-week miracle

Speed is valuable when the team has already defined the task, the reviewer and the boundaries.

A two-week assistant can sound like permission to skip planning. The opposite is true: focused scope is what makes rapid implementation possible.

What practices should take from this

Pelago's reported pattern keeps a care-team member in the loop and uses AI to prepare considerations rather than independently direct care. That allocation of responsibility should be explicit in every clinical-support project.

For a small practice, a two-week sprint can produce a controlled proof of concept using synthetic or de-identified examples. Production should follow only after security review, failure testing, user training and a decision about ongoing monitoring.

Move quickly through reversible learning. Move deliberately when patient information or clinical action enters the workflow.