One rarely talked about aspect of this is that doctors - generally speaking - only trust other doctors. They won't buy an EMR system from someone without the necessary "street cred" - however well-designed that system is.

I know of a large EMR software provider that went as far as to hire physicians as salespeople because having doctors talk to other doctors made sales a lot easier for them.

Interesting! I think I ran head into this without realizing it. I prototyped a product for doctors at one point, and trying to even talk to them about it was quite a slog...

Is this really rarely talked about? In any field you have the leaders having to choose who they listen to. Dunning kruger is real, you have to have a way to separate the overconfident ones from the ones with actual clinical knowledge.