Automate.clinic functions as a medical practice that connects AI developers with physicians to train and refine healthcare AI models through a Doctor-in-the-Loop™ infrastructure. This setup emphasizes domain-specific expertise for handling complex clinical reasoning, diagnostic uncertainty, and edge cases that generalist training cannot address effectively. Physicians engage in intellectually challenging work like evaluating AI outputs, correcting errors, and collaborating via peer reviews and case conferences, all within a community resembling an academic institution rather than a gig platform.