Serelora co-founders Spencer Wozniak and Luis Cisneros discuss what trustworthy clinical AI should look like, prompted by a dispute involving OpenEvidence and Doximity. Drawing on clinical experience and product-building lessons, they argue for transparent reasoning, traceable sources, physician oversight, and AI that augments rather than replaces medical judgment. Keywords clinical AI, healthcare AI, medical AI transparency, explainable AI, clinical decision support, AI scribes, physician liability, evidence-based medicine Key Topics Spencer Wozniak and Luis Cisneros introduce Serelora and explain their clinical backgrounds and motivation for building healthcare AI. The OpenEvidence-Doximity dispute raises questions about data privacy, competitive intelligence, and whether clinical AI systems should protect their reasoning.Luis argues that clinical AI should expose its reasoning and the evidence behind recommendations so physicians can assess risk drivers and trust outputs.They discuss how clinical differences across specialties, institutions, and populations make a single centralized reasoning approach inadequate.Source links, patient documentation, benchmarks, and physician feedback can help reveal hallucinations and improve clinical systems.They distinguish qualitative clinical reasoning from quantitative analysis, arguing that calculations should use validated tools rather than rely on language models over unstructured records.AI scribes should preserve physician judgment: reviewable notes, addenda, edits, transcripts, and audit trails can support learning and legal traceability.A physician's experience, intuition, and ability to notice what a patient does not say remain essential; AI is best treated as an augmenting tool.A failure during an 80-minute scribe session exposed a server memory limit; processing transcripts in chunks fixed the issue.Patient skepticism about outreach messages prompted the founders to consider testing clearer communications and alternative channels.Takeaways “We need to glass box it.”“The AI is an extension of you.”“The doctor is gonna be able to capture what the patient didn't say.”“They are tools to augment our capacity.”"AI is nothing more than a machine to translate your ideas.”“You still need to review it.”“The only way to get better is to be able to have a system that provides you that.”“There’s not one school of thought that exists in medicine.”“The real question is, how do you make it useful”“We want to build and learn.”"There's an art to it too."
