1. Career Investigation I.Health Care Statistics Health care occupations will grow almost two times the rate of non-health care occupations. 5 million new health care workers will be needed by 2020.

2. Career Investigation II. Fastest Growing Health Care Occupations Registered Nurses Nursing aides, orderlies and attendants Personal and home care aides Physicians and surgeons Medical assistants Physician assistants Medical records technicians Physical therapist aides Audiologists Speech-language pathologists Mental heal social workers Dental hygienists Pharmacists

3. Career Investigation: Becoming a Doctor I.Background A.Connections to Physiology Class Physiology  Basic Science: information about how processes work Medicine  Applied Science: uses information from basic science to ‘do’ work B.Definitions Diagnosis-the correct identification of the cause of a disease/condition Prognosis-prediction of the future course of the disease/condition Treatment-actions taken to change the outcome of the disease/condition

4. Career Investigation: Becoming a Doctor II.Brief History of the Physician Profession A. Pre 1900’s Doctors lacked the basic science to properly diagnose and treat illness. It was believed that illness was caused by the misdistribution of ‘humors’ in the body and the congestion of various organs. Treatment included any or all ways to remove excessive fluid…bleed, suck out lymph, induce vomiting, etc.

5. Career Investigation: Becoming a Doctor II.Brief History of the Physician Profession B. Early 1900’s Doctors recognized their skills in diagnosis and prognosis, but inability to provide effective treatment Subsequently, Therapeutic Nihilism’ -therapy by nothing- became prevalent. Doctors were expected to provide information and support. Current Hippocratic Oath: "I will apply for the benefit of the sick, all measures [that] are required, avoiding those twin traps of overtreatment and therapeutic nihilism."

6. Career Investigation: Becoming a Doctor II.Brief History of the Physician Profession C. 1937-1945 The discovery of antibiotics dramatically improved treatment options. Vaccinations become available from basic research in immunology. Advances in surgical treatment and infectious disease treatment Alexander Fleming discovered penicillin in 1928.

7. Career Investigation: Becoming a Doctor II.Brief History of the Physician Profession D. 1945-present Technology and drugs have improved diagnosis and treatment options. Alternative therapies are increasing in popularity. While effective, treatment options are complex and expensive. Insurance companies and the pharmaceutical industry have taken center stage, controlling much of the industry, and potentially interfering with the fundamentals of therapy.