David Forslund [mailto:[EMAIL PROTECTED] wrote:
> I don't want to stop "fun", but I don't think a physician 
> should be expected to do this unless they want to.  In that 
> case I think of them doing computer science, not medicine.  

Physicians spend much of their working lives prescribing complex (or
sometimes simple) molecules to patients in the from of drugs. To do so
effectively requires increasing levels of familiarity with organic and
inorganic chemistry, biochemistry and physiology, pharmacology and then
clinical pharmacology (not to mention toxicology and pharmaceutics). 

Physicians spend much of their working lives recording, retrieving,
transforming and using complex (or sometimes simple) parcels of
information (about patients, treatments etc). To do so effectively
requires increasing levels of familiarity with...well, there is still
some debate about what the hierarchy should include, but there is no
doubt it should include large chunks of computer science, or at least
"information science", and many would argue it should include basic
programming skills - indeed programming skills are being taught in some
medical schools now. Not that most physicians will (or should need to)
do their own programming in 3rd or 4th generation programming languages,
any more than most physicians need to synthesise their own drugs - but
it is important to appreciate what is involved. And yes, physicians (or
other clinicians) who specialise in health informatics often write their
own code, just like physicians who specialise in pharmacology often get
involved in drug synthesis (at least drug molecule design, if not the
actual beakers and Bunsen burner stuff).

Tim C



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