DORA

Shipping AI to a Million Patients Without an A/B Test — Jared Joselowitz, Ufonia

Aug 19, 2026 · 19:15

Jared Joselowitz, research engineer at Ufonia, explains how the company ships Dora, a regulated medical-device voice agent, safely to patients without A/B tests, since randomizing patients into worse care is unethical. Dora has made 200,000 clinical calls across 20 UK hospitals and is contracted to reach a million patients in two years. Because 5% of patients is thousands and a red dashboard means someone was harmed, Ufonia built Matrix, where an LLM patient (PatBot) converses with Dora and a second LLM judge (BevJudge) flags hazards. A PPI study showed real patients found the simulated patient more realistic than a real patient in 3 of 4 sets, and the judge beat 10 clinicians on sensitivity. Prompts are optimized with GEPA against a cost matrix, because you ship the evidence, not the model.

Leadership in AI Assisted Engineering – Justin Reock, DX (acq. Atlassian)

Dec 19, 2025 · 18:11

Justin Reock, Deputy CTO at DX (acquired by Atlassian), argues that AI's impact on engineering productivity varies wildly and that leaders must move beyond top-down mandates to focus on psychological safety, measurement of actual outcomes, and targeted integration across the SDLC. He presents data showing a 2.6% average increase in change confidence but extreme variability across companies, with some seeing 20% drops. Emphasizes that writing code is rarely the bottleneck; instead, leaders should identify and fix bottlenecks like context switching, citing Morgan Stanley's DevGenAI saving 300,000 hours annually by converting legacy code specs and Zapier reducing engineer onboarding to two weeks via AI agents. Introduces DX's AI Measurement Framework covering utilization, impact, and cost, and stresses trust-building through system prompt feedback loops and temperature settings. The episode delivers actionable guidance on measuring AI's true impact and enabling engineers through education, time to learn, and creative unblocking of usage.