qball
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To do a good job as a clinical physicist in a hospital is not necessary to be phd at all. Actually, I think it is not necessary to be a physicist, because what we do is not Physics. Perhaps it was many years ago, but not now. Of course I am referring only to the clinical medical physicist working in hospitals (the vast majority of us), not to the physicist doing research at university or developing technology in the industry. Behind new developments there are some people that we could consider as medical physicist, although most of them are experts in computing, monte carlo methods, specific engineering fields...etc, not in "medical physics" in general.
I have made a similar argument previously, in another thread. I completely agree with this statement. Many fields of medical physics involve research but it is nothing like physics research. Nothing.
I wonder if this is the argument medphys is trying to make. To me he sounds like someone jaded that medical physics as a career didn't turn out to be as intellectually fulfilling as he expected it to be. This is largely the fault of graduate programs which still market medical physics at physics graduates and promise them a field where they can apply their undergraduate knowledge. I mean, hell, I haven't seen the Schrodinger equation, Maxwell's equations, or even so much as geometrical vector in over 2 years -- but I have done a lot of memorizing of dosimetric ratios and calculational algorithms, neither of which I particularly care to learn.
Now that medphys has elaborated on his argument (i.e. he has moved beyond pure insults) I tend to agree with his general assertion. It seems that the clinical physicists I have met have all relied on a single calculational technique -- blame every caclulational error on scatter.
I can definitely see how one can be disappointed with clinical physics, especially if one has a natural inclination toward understanding nature and solving problems. Clinical medical physics (or even med. phys. in general) provides no great depth of understanding into the natural processes that govern radiation oncology. For instance, medical "physicists" are still treating the body as if it were a pure water phantom. Really? Come on. 100 years of physics research and the best you can come up with is "pretend the body is made of water." Yeah, it's close enough for most calculations, but is it really the best we can do?
To further make my point some of the most successful students I have seen in medical physics programs have had engineering backgrounds and not physics. What makes engineers so successful? Could it be that they are trained to accept only a superficial understanding of concepts and parrot them back when asked to do so?
Now, before Choppy starts replying about all the great partial differential equations he has to solve numerically and in his head on a daily basis I have to say I find it hard to believe that most problems that arise in the clinic actually require a deep theoretical knowledge to solve them. To quote a previous example, what happens when MU calculations aren't coming out correctly? Well, it's possible that you have discovered some new physical process by which electrons interact in your solid water phantom, but most likely the ion chamber needs to be recalibrated. That, or you miscalculated.
Let's be honest about what's going on here. All the board exams and degree requirements are not strictly necessary to be a competent "medical physicist." That's why the AAPM is considering a PDMP (professional doctorate) program. So one cannot argue that a research degree and all the problems solving abilities it supposedly confers is strictly necessary to be a good medical physicist if the AAPM is seriously considering a professional program. A professional program would remove any vestige of a medical physics being a supposedly academic degree and put medical physics on the same playing field as, say, a 2-year technical degree in automotive maintenance.
/soapbox
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