Monolithic vs Plugin-Based Medical AI Architectures

When I started working on medical AI infrastructure at a university hospital, the first real question wasn't about models or FHIR or GPU scheduling. It was simpler: how do you structure a system that multiple research teams can use, without it turning into a nightmare to maintain? That question led me to rethink how medical AI actually gets deployed in practice. The Monolithic Approach - and why it breaks The most common starting point is a monolithic setup: one codebase, one container, one pip...