Dr. Obumneke Amadi-Onuoha reflects on clinical and translational science (CTS). CTS is evolving rapidly due to new data sources like artificial intelligence and patient health information. CTS accelerates research from early discovery to application through programs like CTSA. CTS promotes collaboration across disciplines to solve problems. However, the author questions how secure patient data is when using big data tools. Effective CTS requires strong integration through communication to execute research regardless of team members' locations or resources. Issues like lack of self-reflection in teams can negatively impact collaboration. Maintaining diversity and shared vision in research teams is an ongoing challenge.