Beyond the Buzzword: What Clinical Reasoning in AI Really Requires, is cliexa’s argument that “clinical reasoning” has become an overused term in healthcare AI, obscuring critical differences between documentation tools that optimize for efficiency and true reasoning infrastructure that supports decision-making under uncertainty. cliexa makes the case that genuine clinical reasoning AI must be transparent, outcome-calibrated, and auditable. The paper uses Mayo Clinic Platform–qualified cliexaAI OUD Risk Prediction solution as a real-world example.