In 2009 and 2011 I had a video on Youtube about brain surgeries of the future and nanotech drug delivery with the emphasis on two new medical fields Physineers and Nureneers. I came up with the word while truing to explain a Sci-fi character in a tv-show.
A new specialisation in medicine trained in medicine and engineering. A general practitioner with the capability of fixing, tracking and mapping data generated from implants and other devices. I also held a talk at Geek Girl Global 2016 talking about Physineers and the future of implants. I also bring up why we're open to implants, and that having stuff in our body (particularly us women) is no new phenomena. We've always tried to modify our biology. Just look at history of the the coil!
Medical educations of the future will focus heavily on prevention and risk factors as well as interpreting big data and using data and machine learning driven decision processes, rather than classical triage models.
As majority of the population will own wearable technology and track their own health, medical staff will have more access to data, and will encounter a lot more medically literate patients which will require a paradigm shift in the doctor-patient relationship, which will benefit both parties. Not only will majority of the patients have the interest and the means to gather and follow their biometric data (e.g. blood pressure, blood sugar, vitamin, stress hormones, etc). Many will have surgical implants which not only gather data but also administer local drug therapies.
The availability of data, fewer cases of patients seeking care for conditions which can easily be treated remotely i.e. small bacterial infections, will lead to a lot more flexibility for the physicians to focus on patient interaction, research and professional development. It's already happening. I'm currently hosting such an implant feeding me blood glucose data by the minute.
The physineer (or how I envisioned them in 2009)
t’s 2045 and most individuals dawn an implant. Most implants consist of nanotechnological biomimicing material and graphene is abundantly used. A lot of medical conditions are solvable through DNA matched drug targets and advances in regenerative medicine have made it possible to minimize the number of invasive procedures, however some conditions still require “hands on” approaches, such as brain injuries.
The implants that are not administered for clinical reasons, are there to support the patients to visualise their life style and biomarkers of health and well being. Since costs of manufacturing these is so small, and data so valuable, most individuals can and will afford them, and health care will subsidise the costs in most cases.
With the clinical application of implantable technology, comes a profound need for medical staff that is not only familiar with the works of it, but is tech savvy enough to operate and maintain such technology.
The old practices of having a representative or a product owner in the operating room will becoming unattainable as the number of patients receiving implants increase.
The structure of the medical educations will include engineering and programming and with it a new specialisation - the nursing engineers and the engineering surgeons, playfully called the physineers. At year 2066, a physineer is just as essential to the structure of a medical team as a cardiologist, a radiologist or any other specialisation (of which some will be extinct due to machine learning). In 2176, I imagine physineers will be obsolete, as all physicians will be physineers to some extent, and the need to call it a specialisation will disappear.