Post by Leane Van der Merwe

A doctor can realistically see about 20–30 patients per day. That limit has almost nothing to do with medical knowledge. It’s a workflow problem. Every consultation requires the doctor to gather history, structure information, reason through possible diagnoses, decide on investigations, prescribe treatment, and document everything. So we started asking a different question: What if the doctor didn’t have to perform every step of the consultation personally? I’m a medical doctor working in rural South Africa and founder of PRIME (Predictive Response Integrating Medical Expertise). PRIME restructures the consultation workflow. Nurses capture structured clinical information while AI assists with clinical reasoning, investigations and treatment pathways. The doctor remains responsible for the final decision but supervises the process rather than performing every step. In early testing, the doctor’s role shifts from a 20-minute consultation to roughly 30 seconds of final clinical decision-making and oversight. The vision is simple: Allow one doctor to safely supervise far more consultations while maintaining clinical oversight. What makes this particularly exciting is that this isn’t just a concept. I run clinics, which means PRIME can be deployed and tested immediately in a real clinical environment. We currently have two technical co-founders and are expanding the team. We’re looking for a technical co-founder / founding engineer interested in building at the intersection of AI and healthcare infrastructure; someone who enjoys building quickly, thinking in systems, and solving real-world problems at scale. The ambition is to build the operating system for primary care clinics. If this resonates with you - or you know someone who would be a great fit - please reach out.