Physicians log nearly 2 desk hours for every hour with a patient. That is a 2016 Annals of Internal Medicine number, and it holds even though every physician I know runs a delegation chain. The front desk runs the schedule, a biller handles the claims and a scribe writes the note. What stays on the physician's plate is the clinical work itself, the literature check and the risk score. Almanac wants that part. The pitch is an AI teammate that slots into the same chain. Each conversation runs…