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You need to have a very high mastery of zero defect practices.
It is of great interest to me how all the responses to my question were tentative and politely discouraging. I guess that it does not go without saying that
"zero defect practices" is something I live with and live by every day. The mantra of not making a mistake comes from my marrow.
Regarding medical devices, one reason that problems exist is that there is a disconnect between the R&D MDs that conceive of the devices, the engineers who draw up the plans and the computer scientists who design and hammer out the code. This is a longstanding issue in the industry.
I can't help but wonder what the hell happened to my profession to make it so untrusted. Not that it doesn't deserve it. Just for kicks, pretend that I treat every patient with a zero error premise and that it matters gravely to me. Not everyone doctor does (of course), but I do. Just accept that premise and put a one in the truth table.
Assuming this to be true, let me try and get this dialogue back on track in a productive fashion and ask the same question. Without returning to University (which is not a practical option), what suggestions would you offer? Please don't say, "quit".