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== '''INTRODUCTION''' ==
* Learn more about the [[Medical (Duty Post)|Medical Duty Post]].
* Review [[:Category:Medical Articles|Medical Articles]].


From Leonard H. "Bones" McCoy, to Beverly Crusher, Katherine Pulaski, Julian Bashir, Voyager's EMH "The Doctor," and Phlox, the Chief Medical Officer is a well-respected and well-represented member of the Star Trek starship crew. In McCoy's and Crusher's cases, to mention only the first two, the CMO has been not only the chief of medical operations on the ship, but also one of the Captain's closest, most important and most influential advisors. Of course, we can't all be CMOs, but even those of us just starting out in medical -- or those of us playing ACMOs -- would seem to have big shoes to fill.
[[Category:118Wiki disambiguations]]
 
Medical does not have a bridge station, and likely never will, and as such some creativity is required when trying to work with the rest of the ship and crew. Sickbay is, for medical reasons, usually on its own deck, and is usually isolated from the other departments on the ship. The CMO typically has an office in sickbay, and the turbolifts typically stop just outside sickbay (or else patients are transported directly to a biobed therein). This does not leave much room for interaction with other characters of the "on-my-way-to-the-office" variety. Not everyone bumps their head or gets a plasma burn, and so the medical officer may find her- or himself SIMming alone, at least while the officer is on duty.
 
 
== '''BEFORE THE MISSION''' ==
 
The potential for this isolation to lead to the boredom (and total isolation) of the medical officers, however, is easily turned into a strength -- especially just before a new mission, when the CMO and whatever other medical officers there might be must ready a rather large and relatively important section of the ship for launch. Some of these are general: Are the ship's medical stores fully stocked? You don't want to have to replicate everything while on the mission, after all, as time is of the essence in most medical emergencies. Have all new officers and crewmembers received their obligatory physical examinations? Has the Captain had a physical any time in the past year? Is the medical staff (doctors, nurses, and medics -- something like EMTs) knowledgeable of the technologies being used in your ship's sickbay? Have there been recent refits that would improve or extend sickbay's technological capabilities? These are the sorts of questions that the CMO, at least, will have to answer before the mission begins and the ship launches.
 
 
 
== '''DURING THE MISSION''' ==
 
 
 
 
 
== '''AFTER THE MISSION''' ==
 
Aside from filing reports, continuing medical treatments and therapies, and so on, the medical officer has a wide range of activities or duties she or he can pursue between missions, or in the down-time that comes with many missions. Is there a new article in the Journal of the Starfleet Medical Academy that demands reading? Have new discoveries been made, or new technologies developed, with which the medical officer would like to become familiar? Or, perhaps more interesting to those with OOC interests in science or medicine, is the medical officer engaged in any independent, scholarly or clinical research? Are there experiments to conduct in the medical or science labs? Articles to write for scholarly publications? Working through these kinds of things IC can be a bit tiresome if done poorly, leaving the rest of the crew with posts that read more like textbooks than Star Trek, but, if done well, I think it is important to give the medical officer a career that extends beyond the routine treatment of patients and emergency medical services. Often, these kinds of off-duty or off-mission activities can be incorporated nicely into the next mission.
 
 
== '''THE CMO''' ==
 
 
Additionally, as the ranking medical officer, the CMO is ultimately responsible for all treatments and therapies conducted in sickbay. As such, the CMO should observe and supervise in the treatments she or he assigns to lower-ranking doctors, and comment or criticize when appropriate. That said, a CMO who fails to give the other medical officers on the ship any leeway with which to explore possible new treatments or research strange new diseases is not much of a leader, and, in addition to being an administrator, the CMO is nothing if not a leader. One way of doing this, I have found, is to establish a medical specialization for your character, and to encourage your medical officers to do the same. With a variety of illnesses and injuries coming into sickbay, different medical officers are thus thrown into the spotlight at different times, taking some of the burden off of the CMO and giving the lower-ranking medical officers regular chances to direct the medical show. Keep in mind that all medical officers are competent generalists, and each is capable of treating any injury or illness well.
 
The gravest responsibility that falls to the CMO is to remove those officers from duty whose physical or mental health prevents them from fulfilling their duties aboard the ship. (In the latter case, this responsibility ought to fall at least partly to the ship's Counselor.) According to Starfleet Regulation 121, Section A (a restatement of the much older Starfleet Order 104, Section C), the CMO's power to remove officers from duty can extend, when warranted, to the First Officer and Commanding Officer. This responsibilty ought not be taken lightly by the player SIMming a CMO, as it is altogether too easy for this power to be misconstrued as mutiny. If an occasion for exercising this power ever occurs in a SIM, it is strongly advised that the CMO consult with other senior officers aboard the vessel -- the CO or FO, if possible -- before taking any official actions. In these cases, and particularly where the CO is concerned, it is necessary that the CMO compile detailed evidence supporting her or his decision. Such evidence ought to indicate that the CO is incapable of commanding the vessel, either due to physical incapacitation or mental disease. When the CO is removed from duty, command of the vessel falls immediately to the next officer in the chain of command until the CMO or another similarly qualified medical authority (never lower-ranking MOs on the vessel) deems the CO fit to resume command. No other officer aboard the vessel, other than the CO and the Counselor, has the authority to suspend an officer from duty. (Note: There is some debate as to whether the CMO can act alone in these matters or, as detailed in the UFOP's General Order 28, command officers can be removed only by the agreement of at least three senior officers. The position of canon, as detailed in TOS, "The Doomsday Machine," and VOY, "Year of Hell, Part 2," is that the CMO can act independently in these matters.)
 
 
The most interesting aspect of this role for the CMO, I think, is to be an advocate for non-violence. This can be a crucial element in any meeting at which the CMO is in attendance, but if such a meeting is not possible, then the CMO ought to visit the Captain or FO privately and give voice to her or his concerns. While security and tactical officers have to think in terms of conflict, medical officers are intimately familiar with the results of such conflict in human (or Vulcan, or Cardassian, or Romulan, or ...) terms. Try to be a strong voice for diplomacy, for caution, for peace whenever possible. Not only does it represent the medical department well, I think it provides a good forum IC for characters to debate the nature of the actions they wish to understake. More diplomatic Captains may find this quite welcome, and encourage it IC; more militaristic Captains may engage the CMO in open and heated debate. There is fun to be had in both, and that, I think, is what makes all of this so interesting.
 
 
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== '''RESOURCES''' ==
 
Below is a list of links to websites offering databases and descriptions of canon illnesses, drugs, and technologies of interest to the medical officer or CMO. Many more are available, but these are the four I have found most helpful.
* [http://www.geocities.com/Area51/Nebula/4156/infirmary/medicine/medicine.html Starfleet Medicine]
* [http://home.earthlink.net/~actdree/Medical_Database/Index.html StarFleet Medical Database]
* [http://www.youth.net/frpg/sciences/sickbay.htm Starfleet Medical]
* [http://www.geocities.com/Area51/Nebula/4156/infirmary/xeno/xeno.html Xenobiology Database]
 
''(Written by: Solok.)''

Latest revision as of 01:42, 21 August 2009

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