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Sentinel — an agentic system that detects clinician burnout before it hits, acts to reduce it, and verifies the load actually dropped. Sentinel treats the clinician as the patient. Burnout shows up in the data before it becomes reality: rising after-hours charting, growing note backlogs, no recovery days — then suppressed HRV and eroding sleep. Sentinel ingests both sides — EHR activity and schedules as the leading signal, wearable vitals as confirmation — and computes a single Load Index against each clinician's personal baseline. Fully computed, never hardcoded. It helps rather than informs: one recommended action at a time, quick wins with formula-computed score impact, and unlogged strain spikes detected from wearable telemetry that the clinician can tag in one tap. It acts: drafts the note backlog for sign-off, proposes recovery blocks, and escalates to leadership with consent. A Claude-powered voice copilot reasons over the clinician's full context — ask why the score moved, negotiate the schedule, send a coverage request. Privacy is the architecture: wearable and personal health data shape the score but never leave the clinician's view — the hospital sees only the composite score and workload signals it already owns. And Sentinel closes the loop: it re-checks the data days later and verifies the load actually dropped.

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