2013. The ACGME had just rolled out its new milestones, and Santhosh Cherian — then a fourth-year medical student on an internal medicine rotation — watched the faculty teaching him medicine drown in the tracking those milestones demanded. Data compiled by hand. Reported every six months. Nights lost to spreadsheets instead of patients.
He had built software before medical school, and it was his own faculty who pushed him: build something better. He didn't set out to build a "platform." He set out to answer a question: What would clinical education management look like if it were designed by someone who actually lives it?
He carried the question through residency and into practice — he's still an emergency radiologist today — and Medtrics grew the way his career did: from one evaluation tool into an operating system. Technology, people, and process, delivered as a single engagement.