In this interview, Dr. Dean Dalili, Chief Medical Officer and Blake Swinehart, Director of Strategic Growth, reflect on how the ambient AI landscape is shifting, especially for specialty and complex care. They discuss why generic, one-size-fits-all solutions often fall short in departments like oncology and what clinical leaders now need: context-aware platforms that integrate deeply with EHRs, reduce provider burden, and support the full care journey. With increasing demand for measurable ROI and tailored workflows, the conversation highlights the emergence of an “ambient operating system”—a foundation that augments rather than replaces provider workflows. For oncology teams, that means enabling richer documentation, more accurate notes, and even clinical trial matching. The next wave of ambient AI will need to do more than document. It will need to understand.