Precision medicine needs more than better science.
It needs the operational layer science alone cannot provide: clinical pathways, interpretation, behaviour change, follow-up, governance, delivery, technology, evidence and continuous improvement. Every one of those is a design problem — and it is where most innovations fail.

The Precision Medicine Adoption Gap™
Between validated science and routine clinical care sits an operational layer — eligibility, interpretation, workflow, follow-up, evidence. Invisible in a trial. Decisive in practice. This is the gap most precision innovations never cross.
Governance is not a compliance layer. It is the product.
A molecular result is only the beginning. PMG physicians determine eligibility, interpret findings in the patient’s context, direct follow-up and remain accountable for every clinical decision. That governed pathway is what turns validated science into routine care.
