>I'll make a speech for those lurking who might operate on your First rule premise.

< speech >
Some day your employer may no longer be a part of your life. Make sure you have a repertoire of saleable skills, including business knowledge such as issues associated with medical data, appropriate for your area, or be willing to relocate!
< /speech >

Cindy;

I agree! I have been involved in many types of projects (including medical) and have a good understanding of business. After spending a number of years as an electronics engineer I find myself developing software. Whatever it takes to support a family, that is legal, I will consider. Who knows, in the future theere may not be a need for programming. When that happens I will fall back upon my first love - flamenco guitar. It is good to have more than one thing to do to earn a living.

Tom