qball said:
A
medical physicist is first and foremost a physicist? This makes me think he either doesn't work in medical physics, as claimed, or that he is covering for the fact that
medical physicists are little more than over-glorified medical technicians.
This is, in fact, the great secret of medical physics. You don't need to know anything about medicine or physics.
This makes me think this poster has yet to pass his or her qualification exam.
I think some people look at the first, basic courses in medical physics and form their opinion about the entire field based on those. They see for example some basic dosimetry calculations that use the inverse square law, some TMRs and a wedge factor and think that's all there is to the field. But that's like basing your opinion of astrophysics on a first year astronomy course.
It is true that we don't use differential equations or advanced E&M or quantum every day in the clinic. But they come up in research, or when you're given a problem in the clinic that the "technicians" (dosimetrists, radiation therapists, imaging technicians), engineers, trades, and physicians can't solve.
One of the problems my research group is interested in for example is combining a linear accelerator with an MRI unit. Try solving some of the RF issues that come up without any background in E&M. Or for that matter try designing any of your own equipment beyond simple phantoms. I have many days where I wish I had a stronger background in electrical engineering.
Or what if a physician asks you to perform a BED (biologically equivalent dose) calculation that accounts for aspects of tumor proliferation that aren't covered in the "standard" formulas? If you have to tell the physician that they had better call a "real" physicist, who took a differential equations class, then you're not doing your job.
What about medicine? To the physicist, a human being is just an irregularly shaped bag of water with a few heterogeneities, right? We don't ever have to account for tissue tolerances when checking treatment plans, or estimate dosimetric uncertainties based on patient motion, or assist physicians with contouring, or write up clinical protocols and procedures, or fuse anatomical images. In fact an argument could be made that
medical physicists know more about anatomy and physiology than physicians in some medical disciplines.
I would close by saying that just because we aren't working on a neutrino oscillation problems, does not mean that
medical physicists aren't doing physics.
I do worry because there are some
medical physicists who hold similar opinions to this poster. These are largely the ones who have done the minimum required to get into the field, contribute little or no research, and who trust manufacturers of medical equipment to get it right and follow pre-defined check-lists for their QA without question.
That sound you hear is Harold Johns rolling in his grave.
And if you have any questions about my credentials, feel free to PM me.