Fortuna: Domain experts cannot replace ML engineers in LLM fine-tuning
Brendan Fortuna · ⚡️Using RFT to Build Clinical Superintelligence · Jul 29, 2025 · at 17:16
Brendan Fortuna (Ambience Healthcare) addresses whether AI engineering requires machine learning engineers or solely domain expert clinicians.
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“I think the domain experts, like in our case, clinicians, they're really good at like debugging model outputs, meeting with users, distilling that feedback into something actionable, maybe annotating or doing evals, but they don't necessarily have like, you know, the right intuitions about what techniques to even try in the first place. And I think that's where machine learning engineers and researchers come in and they kind of guide, guide the domain expert teams.”
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