As Ayoub describes it, while the medical profession was sold to him as a lucrative and stable career, the reality of modern healthcare hit home during a gap between his fellowship and his full-time role at Northwell Health. Living in New York City and unable to afford rent, he attempted to pick up extra shifts at a local urgent care. Despite a clear workforce shortage and his own need for income, he was told he couldn't start for 90 to 120 days. 'The bottleneck is not the number of doctors, but the fragmented infrastructure connecting them to where they are needed,' said Ayoub, who also serves as an assistant professor of neurosurgery at the Donald & Barbara Zucker School of Medicine. 'Most people assume the issue in healthcare staffing is a lack of doctors, but what we've seen is something different. So in early 2025, Ayoub and Taylor Hakes began pondering a solution. Their initial ideas eventually turned into Saile, a startup with an AI-powered platform designed to serve as an...
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