No one wrote it down.

But your institution
has a curriculum.

And someone has been teaching it
for years.

Every deployment that reached the board
without a named owner got approved anyway.

Every agent that acted
without authorization got absorbed.

Every question that landed
on the wrong desk got answered anyway.

The person absorbing it
was faster than the alternative.

Safer than the gap.

Always available.

So the gap stopped being a gap.

It became the lesson.

The gap is survivable.
Someone will always cover it.

That is the curriculum.

The institutions breaking it
are not more patient.

They are not better at frameworks.

They stop being faster than the gap.

They name the Governance Owner
and the Decision Owner
before the deployment goes live.

That Handoff resets the lesson.

Ten reset the architecture.

The team is not waiting for permission.

They are waiting for the pattern
to change.

The Accountability Gap™ (TAG™)
does not close with a framework.
It closes when naming the owner
becomes easier than working around one.

You already know the lesson
you have been teaching.

Every gap you absorb
is the one the institution learns to keep.

Mo Johnson, MD MBA is a cardiothoracic surgeon and the founder of GPe Research. Field Notes are short dispatches from the clinical AI accountability frontier, published alongside the MedicoVigilance™ newsletter at medicovigilance.org.

Follow the work on LinkedIn: linkedin.com/in/mo-johnson

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