Medical physics student here. I work for a hospital that pays $silly per annum to use a type of expensive treatment planning software for radiation oncology. Th

Medical physics student here. I work for a hospital that pays $silly per annum to use a type of expensive treatment planning software for radiation oncology. The software comes with a built-in automatic contouring based on "AI". One of our units covered contouring and the role of the medical physicist vis a vis contouring, which is generally to act as a double check layer behind the radiologist. We received about an hour of instruction on how to contour. After that, the instructor and the class unanimously agreed that every single student had learned to beat the software at recognizing the parotid gland. And not by a small margin. Why is it so bad? Security is a big reason. The software that can be installed on hospital computers is tightly controlled. Our research group is currently hamstrung by IT after they got mad at us for using PowerShell scripts to rename files. This was itself a workaround for the limitations of above-mentioned software. In turn, we tend to end up with a few exorbitantly priced omnibus programs rather than a lot of nice Unixy utilities that do one thing and do it well, because it lowers the IT approval overhead and the market has gone that way. Even though my personal situation is frustrating, I obviously recognize that you can't simply allow hospital faculty to install whatever executables they please in the age of ransomware. Commenters hoping for a quick fix are wrong. Almost all meme alternatives have downsides that won't be obvious at first. (But I still wish every day that Windows would go away.)