> Towards the end of my tenure there, a PM said to me “the last thing these people want is to have to learn yet another workflow”.

I suspect that people entering medicine do so to address human needs, and have very little interest in dealing with technology (or handling traditional paperwork for that matter). Couple that with a perception that pretty much anything digital being obsolete before it reaches market, and even more so when it can take upwards of a decade for the product to reach them, and you are left with a group of people who have nothing but dread about being stuck on a never ending treadmill that is outside their scope of interest and expertise.

Take that opinion with a grain of salt though. My background is in that other quagmire: education. I have seen some amazing tools developed over the years that were abandoned, so everyone had to move on. Worse yet, no replacement was created for most of those tools so everyone is back where they were before the revolution happened. (I'm thinking specifically of software used by teachers and administrative staff, but something similar can be said for software used to deliver the curriculum.)

University of Toronto used to basically run on a homegrown curriculum management system called CCNet up until ~2006. Basically run by one professor on a CPU under their desk. Course notes, grades, that kinda thing.

I guess for future-proofing, the university moved to Blackboard. For a while, some courses were on Blackboard, others on CCNet.

We had a professor poll the class and ask which they preferred, and all 240 of us in unison said "CCNET!"

I still remember a quiz on Blackboard where the answer was something like "2" and it responded, sorry, the correct answer is 1.9999999999.