Methods

Key Takeaways

• Integrates literature across educational debt, practice scale, and clinical AI
• Draws from ADA HPI, ADEA, peer-reviewed, and real-world AI evidence
• Uses qualitative synthesis to identify system-level patterns and interactions
• Develops the DSI Framework linking workforce, organization, and technology
• Applies scenario-based modeling to illustrate governance-dependent outcomes
• Positions governance—not technology—as the decisive driver of system outcomes

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