Gunjan Shah

AI strategy without execution is just a slide deck. I own both, through to revenue. The frameworks below aren't theoretical. Every one has been stress-tested in production clinical environments.

How I Think About Clinical AI

Most AI failures in healthcare are not model failures. They are strategy failures: wrong problem, wrong data, wrong governance, wrong moment in the workflow.

Getting it right requires a framework that holds across the full lifecycle: from problem selection through model deployment, post-market monitoring, and change control. In regulated clinical environments, that framework is not optional. It is the product.

Frameworks I Work With

Every build is governed by a structured set of decision layers:

Model Selection Scorecard

Systematic evaluation of AI approaches against clinical, regulatory, and operational requirements before a line of code is written.

Human-in-the-Loop Ladder

Defines where and how clinician oversight is embedded. Not a toggle. A tiered architecture calibrated to clinical risk.

Evidence Verification Ladder

Gates deployment on clinical evidence quality. Real-world validation, not benchmark performance.

Data Quality Gates

Data quality as a prerequisite, not an afterthought. Structured checkpoints before model training and before deployment.

Oncology Knowledge Infusion

Domain-specific clinical context embedded into model design, training data curation, and output interpretation.

Monitoring & Change Control

Post-market surveillance built in from day one. Drift detection, revalidation triggers, and structured change management.

Advisory

I work selectively with early-stage healthcare and health tech companies on AI strategy, product development, and responsible deployment in regulated clinical environments.

If you are building AI in oncology and need a strategic framework that holds up in practice, not just in pitch decks, that is the conversation worth having.