diff --git a/public/js/admin.js b/public/js/admin.js
index c83947d1..f7d06011 100644
--- a/public/js/admin.js
+++ b/public/js/admin.js
@@ -975,6 +975,8 @@ initImageSettings();
     .then(function(r) { return r.json(); })
     .then(function(data) {
       if (data.success) {
+        // Disabling removes a model from every picker, not only this list.
+        announceModelsChanged();
         showToast(modelId + ' ' + (enabled ? 'enabled' : 'disabled'), 'success');
         loadAdminModels();
       } else {
@@ -1028,6 +1030,16 @@ initImageSettings();
       });
   }
 
+  // The model roster changed. Every picker that lists models listens for this,
+  // because otherwise they keep whatever they were given when the tab loaded:
+  // adding a model used to refresh the default-model dropdown alone, and the
+  // Clinical Assistant, review-model and image pickers only caught up on a page
+  // reload. The detail carries nothing — a listener re-reads the list itself,
+  // so there is one source of truth rather than a payload to keep in step.
+  function announceModelsChanged() {
+    try { document.dispatchEvent(new CustomEvent('models-changed')); } catch (e) {}
+  }
+
   function addDiscoveredModel(id, name, btn) {
     fetch('/api/admin/config/models/add-discovered', {
       method: 'POST',
@@ -1037,7 +1049,8 @@ initImageSettings();
     .then(function(r) { return r.json(); })
     .then(function(data) {
       if (data.success) {
-        showToast('Added: ' + name + ' — now select it as default and click Set Default', 'success');
+        announceModelsChanged();
+        showToast('Added: ' + name + ' — it is now selectable everywhere models are chosen', 'success');
         if (btn) { btn.textContent = 'Added'; btn.disabled = true; btn.style.background = 'var(--green)'; }
         // Refresh model lists, then auto-select the newly added model
         fetch('/api/admin/config/models', { headers: getAuthHeaders() })
@@ -1105,6 +1118,7 @@ initImageSettings();
     .then(function(r) { return r.json(); })
     .then(function(data) {
       if (data.success) {
+        announceModelsChanged();
         showToast('Removed: ' + modelId, 'info');
         loadAdminModels();
       } else {
@@ -1121,6 +1135,7 @@ initImageSettings();
           .then(function(r) { return r.json(); })
       ]).then(function(results) {
         if (results[0].success) {
+          announceModelsChanged();
           showToast('All models cleared', 'info');
           loadAdminModels();
         } else {
diff --git a/public/js/admin/clinicalAssistant.js b/public/js/admin/clinicalAssistant.js
index b7cc6e76..a70ea96f 100644
--- a/public/js/admin/clinicalAssistant.js
+++ b/public/js/admin/clinicalAssistant.js
@@ -80,6 +80,18 @@ export function initClinicalAssistantAdmin(adminEscapeHtml) {
     if (e.detail && e.detail.tab === 'admin') loadAssistantAdmin();
   });
 
+  // The roster changed while this card was already on screen. Its loader is
+  // guarded so it runs once per visit, which is right for a tab change and
+  // wrong here — without this, a model added in the Models card did not appear
+  // in the chat, allowed-models or review pickers until the page was reloaded.
+  document.addEventListener('models-changed', function() {
+    // The loader keeps unsaved drafts, so re-running it costs nothing but a
+    // refreshed list of options.
+    if (configState === 'loading') return;
+    configState = 'idle';
+    loadAssistantAdmin();
+  });
+
   document.addEventListener('click', function(e) {
     if (e.target.closest('#btn-save-assistant-config')) saveAssistantAdmin();
     if (e.target.closest('#btn-retry-assistant-config')) loadAssistantAdmin();
diff --git a/public/js/admin/imageSettings.js b/public/js/admin/imageSettings.js
index f3a897ba..4e8f091c 100644
--- a/public/js/admin/imageSettings.js
+++ b/public/js/admin/imageSettings.js
@@ -145,4 +145,12 @@ function makeBudget(value) {
 
 export function initImageSettings() {
   document.addEventListener('tabChanged', e => { if (e.detail?.tab === 'admin') load(); });
+  // A model added in the Models card has to show up in these dropdowns without
+  // a page reload. `loaded` exists so a tab revisit does not refetch; a roster
+  // change is the one case where refetching is the point.
+  document.addEventListener('models-changed', () => {
+    if (loading) return;
+    loaded = false;
+    load();
+  });
 }
diff --git a/test/models-changed-propagation.test.js b/test/models-changed-propagation.test.js
new file mode 100644
index 00000000..dbc95379
--- /dev/null
+++ b/test/models-changed-propagation.test.js
@@ -0,0 +1,54 @@
+// Adding a model in the Models card has to reach every picker that lists models.
+// It used to refresh the default-model dropdown alone, so a newly added model
+// was invisible in the Clinical Assistant, review-model and image pickers until
+// the page was reloaded — which is not obvious, and looks like the add failed.
+const test = require('node:test');
+const assert = require('node:assert/strict');
+const fs = require('node:fs');
+const path = require('node:path');
+
+const read = f => fs.readFileSync(path.join(__dirname, '..', f), 'utf8');
+
+test('every mutation of the model roster announces it', () => {
+  const admin = read('public/js/admin.js');
+  assert.match(admin, /function announceModelsChanged\(\)/);
+  assert.match(admin, /new CustomEvent\('models-changed'\)/);
+
+  // Add, remove, clear-all and enable/disable each change what is selectable.
+  const announced = (admin.match(/announceModelsChanged\(\);/g) || []).length;
+  assert.ok(announced >= 4, 'expected an announcement on add, remove, clear and toggle; found ' + announced);
+
+  for (const [label, marker] of [
+    ['add-discovered', "config/models/add-discovered"],
+    ['remove custom', "config/models/custom/"],
+    ['clear all', "config/models/clear-all"],
+    ['toggle', "config/models/toggle"]
+  ]) {
+    const at = admin.indexOf(marker);
+    assert.ok(at > -1, label + ' call site missing');
+    // The announcement lives inside that call's success branch.
+    assert.ok(admin.slice(at, at + 900).includes('announceModelsChanged()'),
+      label + ' does not announce the change');
+  }
+});
+
+test('the pickers listen, and re-run a loader that is otherwise once-per-visit', () => {
+  const assistant = read('public/js/admin/clinicalAssistant.js');
+  assert.match(assistant, /document\.addEventListener\('models-changed'/);
+  // Its guard must be cleared, or the listener fires and the loader returns early.
+  assert.match(assistant, /configState = 'idle';\s*\n\s*loadAssistantAdmin\(\);/);
+  assert.match(assistant, /if \(configState === 'loading'\) return;/, 'no reload mid-flight');
+
+  const images = read('public/js/admin/imageSettings.js');
+  assert.match(images, /document\.addEventListener\('models-changed'/);
+  assert.match(images, /loaded = false;\s*\n\s*load\(\);/);
+  assert.match(images, /if \(loading\) return;/, 'no reload mid-flight');
+});
+
+test('the toast no longer tells people to go and set a default', () => {
+  // It used to say "now select it as default and click Set Default", which was
+  // advice for the one dropdown that did refresh.
+  const admin = read('public/js/admin.js');
+  assert.doesNotMatch(admin, /now select it as default and click Set Default/);
+  assert.match(admin, /selectable everywhere models are chosen/);
+});