Richard Tidman: Merging HTM and Primary Care: The Rise of the HTM-MD?

Note: This post appeared in abbreviated form as the Final Word article in the March/April 2018 issue of BI&T.

There was a time, not long ago, when predictions were easier. A time when the pace of change was less dramatic and disruptive, and medical technology turnover was measured in years. Those days are gone. A coalescing of technology, information, and analytics is underway on a global scale; the momentum of this metamorphosis is inescapable, and the potential for better care is unlimited.

Picture this: You are a student enrolled in the HTM graduating class of 2022 and have just gone through a rigorous three- or four-year program. (HTM programs may lengthen.) Your program of study includes classes in programming, machine learning, simulation, augmented reality, artificial reality (AR), robotic surgery, nanotechnology, point-of-care analytical tools, wearables, gene-editing technologies, tele-everything—and all of this in addition to core courses in life sciences, electronics, and standards, which are taught in current HTM programs. The virtual reality global classroom is ubiquitous. Professors are using the latest information and communications technologies (ICTs) to reach their global learners and, coincidentally, a variation of these same ICTs are embedded in a wide variety of medical technologies.

Now picture this: You are a global learner enrolled in the HTM graduating class of 2032, who has just gone through a rigorous four-year program. Classes are fully immersive in AR and delivered using the latest technologies to match your individual learning competencies and style. You are given a project to mull over and decide to download the latest application in artificial intelligence (AI). Data streams into an AI app from a global repository consisting of both historical data and real-time data straight from point-of-care devices to your personal device. Data are mined for both clinical content and relationships to medical technology and health outcomes (among other things). The success of your project is determined by your capacity to understand contemporary medical technology, how to apply the appropriate AI, your access to a certain data set, and, of course, how you deal with security. The final report answers the project’s question(s) with unprecedented accuracy founded in impeccable sources.

With these scenarios in mind, let’s address and discuss the title of this article. If the predicted date for singularity is true, or even close, then it must also be reasonable to presume that the analytical capacity and diagnostic accuracy of AI will meet and/or exceed its human primary care counterpart. Given that you, the HTM professional, are healthcare’s interdisciplinary technology expert and technology implementer, it takes little imagination to visualize a new program of study (i.e., university curriculum) where both you and aspiring primary care physicians enter the same program only to choose between specializing in HTM or becoming an HTM–medical doctor (MD) later in the syllabus. Your interests in the provision of healthcare are fundamentally shared; however, the principal differences for the HTM-MD stream are additional life science courses and an emphasis on personal patient interaction.

Not long from now, primary care may be delivered by professionals whose interdisciplinary skills are more heavily weighted in all things technology rather than the life sciences. This is not to suggest that the primary care physician will disappear, but rather that the analytical skills and practice of medicine will be altered forever because of technology, coordinated global resources, and AI.

The attributes of the HTM-MD will likely include a dedication to lifelong learning, a mindset that embraces innovation and change, and integrated, global medical knowledge. Most importantly, the HTM-MD’s focus will remain the same as always: providing quality healthcare, one patient at a time.

Richard Tidman is a professor at Durham College in Oshawa, Ontario, Canada.



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One Comment on “Richard Tidman: Merging HTM and Primary Care: The Rise of the HTM-MD?”

  1. scot mackeil cbet Says:

    I am worried that just as our economy n fast approaching a national financial tipping point where the national debt will grow to point that our GDP will be less than the debt service, We are on course in the medical technology world, to see the amount of bandwidth demanded by technology and data systems, from caregivers, approaches Zero time to actually interact with the patient in the human realm. I think the goal of developing the next generations of healthcare technologies and data systems should be to increase the caregiver’s ratio of real person to person patient interaction time with less data systems interaction time. IMHO of course…


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