Star Fleet Command Manual - Volume X

STAR FLEET COMMAND
MANUAL
VOLUME X
STAR FLEET MEDICINE
Control Number
Terranglo Edition, Copyright © 2277 Star Fleet Command, Star Fleet Printing Office
All rights reserved under the laws of the United Federation of Planets
STAR FLEET COMMAND MANUAL
VOLUME X
STAR FLEET MEDICINE
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TABLE OF REVISIONS
Revision Section/Page
Stardate Description of Change
Number Number
0.0 0011.65 All Initial Publication
0.1 0034.09 All Modified all manual pages to incorporate the new Stardate standard.
0.2 0302.55 All pages Modified manual to include civilian medical professionals.
0.3 0445.82 Section 9.1 Revised entrance criteria into Star Fleet medical service.
0.4 0512.07 Section 3.5 Incorporated new Star Fleet medical uniforms.
0.5 0627.91 Section 3.6 Added Section 3.6 to account for medical duty pay.
0.5a 0628.32 Section 3.0 Updated information regarding the source of personnel.
Moved Section 1.5 to Section 1.7; inserted new Section 1.5 for
Sections 1.5, 1.6,
0.6 2106.34 Bureau of Pharmacology and new Section 1.6 for Bureau of Mental
and 1.7
Health.
0.7 4982.98 Section 7.1 Revised enlisted medical job classifications.
0.8a 6702.22 Appendices Added Appendix A.
0.8b 6705.29 Section 5.0 Added the medical professional oath
0.8c 6707.61 Section 3.7 Added new section of medical ethics.
0.8d 6713.21 Section 2.5 Added Section 2.5 regarding civilian medical personnel.
0.8e 6717.11 Section 1.8 Added new Section 1.8 regarding Star Fleet Medical Boards.
Updated requirements for entry into the Star Fleet Medical Service
0.8f 6809.93 Section 9.1
and the Star Fleet Academy College of Medicine and Surgery.
0.9 6891.38 Sections 8.4 Updated illustrations of Star Fleet Hospital ships.
0.9a 6894.35 Section 9.1 Revised section to incorporate changes to service entrance criteria.
1.0 7305.29 All Final Version
Sections 4.0 and Modified sections regarding medical operations and added latest
1.1 9722.31
4.1 medical directives..
Sections 8.0, 8.1, Updated information and data on Star Fleet medical facilities.
1.2 10321.55
8.2, 8.3 and 8.4
Sections 9.1 and Updated requirements for entry into the Star Fleet Medical Service;
1.3 15669.92
9.2 modified criteria for assignment to a medical unit.
1.4 20630.71 Appendix A Updated Medical Officer’s Handbook in Appendix A.
1.4b 21435.00 Appendix B Added Appendix B – the old Star Fleet Medical Reference Manual.
Sections 3.1, 3.2, Updated section to add examples of identification cards; updated
1.5 22985.50 3.3, 3.4, 3.5 and table of medical training schools; added examples of medical fitness
3.7 reports; revised section on medical ethics.
1.6 23001.97 Section 4.5 Added section on medical records.
1.6b 23255.50 Section 8.0 Updated illustrations of medical facility identification badges.
1.6 23502.93 Section 8.6 Updated with the latest medical equipment.
1.7 25170.63 Section 3.0 Updated Chart 10a30.1 on sources of medical personnel
1.8 25187.94 Section 3.6 Updated pay scales and special pay allowances.
1.9 25201.18 10a.v New forward by the current Chief of Star Fleet Medicine.
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FORWARD
The Star Fleet Command Manual was created to lay the foundation for the structure, authority and
functions of Star Fleet. It is divided into nineteen volumes, each of which relates to a specific function of
the Department and is written in the languages of the worlds that are signatories to the Articles of
Federation. Not only is the function of the Star Fleet Command Manual to lay the foundation for the
Star Fleet, but also to act as a reference guide to all members of the Service and is used at all Star
Fleet training facilities for the education and indoctrination of its members. Every command within the
Department shall have at least one copy of the complete manual in the languages representing the
United Federation of Planets.
Therefore, I invite all members of the Star Fleet Service, especially those in the Medical Service, to
read this manual and become familiar with all the information it has to offer.
Dr. Phillip J. Boyce, Vice Admiral, MED

Chief of Star Fleet Medicine
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STAR FLEET COMMAND MANUALS
VOLUME I STAR FLEET COMMAND

VOLUME II STAR FLEET OPERATIONS
VOLUME III STAR FLEET PERSONNEL
VOLUME IV STAR SHIP COMMAND
PART 1 STAR SHIP COMMAND DIVISION
PART 2 STAR FLEET SHIP OPERATIONS
VOLUME V STAR FLEET SHIPS

PART 1 STAR FLEET SHIP DESIGN
PART 2 STAR FLEET SHIP CONSTRUCTION
PART 3 STAR FLEET SHIP SYSTEMS
PART 4 STAR FLEET SHIP SYSTEMS OPERATION
PART 5 STAR FLEET SHIP MAINTENANCE
PART 6 STAR FLEET SERVICE CRAFT
PART 7 STAR FLEET AUXILLIARY UNITS
PART 8 STANDARD STAR FLEET EQUIPMENT
VOLUME VI STAR BASE COMMAND

PART 1 STAR BASE COMMAND DIVISION
PART 2 STAR FLEET BASE OPERATIONS
VOLUME VII STAR FLEET BASES

PART 1 STAR FLEET BASE DESIGN
PART 2 STAR FLEET BASE CONSTRUCTION
PART 3 STAR FLEET BASE SYSTEMS
PART 4 STAR FLEET BASE SYSTEMS OPERATION
PART 5 STAR FLEET BASE MAINTENANCE
VOLUME VIII STAR FLEET JUSTICE

VOLUME IX STAR FLEET REPRESENTATIVES
VOLUME X STAR FLEET MEDICINE
VOLUME XI STAR FLEET SECURITY
VOLUME XII STAR FLEET SCIENCE
VOLUME XIII STAR FLEET ENGINEERING
VOLUME XIV STAR FLEET EDUCATION
VOLUME XV STAR FLEET EXPLORATION
VOLUME XVI STAR FLEET MATERIEL
VOLUME XVII STAR FLEET MARINE CORPS
VOLUME XVIII STAR FLEET CONSTRUCTION
VOLUME XIX STAR FLEET CHAPLAINS
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VOLUME X TABLE OF CONTENTS
Introduction 10a.ix
1.0 Star Fleet Division of Medicine 10a10

1.1 Star Fleet Bureau of Medicine and Surgery 10a11
1.2 Star Fleet Bureau of Dentistry 10a12
1.3 Star Fleet Bureau of Nurses 10a13
1.4 Star Fleet Bureau of Medical Services 10a14
1.5 Star Fleet Bureau of Pharmacology 10a15
1.6 Star Fleet Bureau of Mental Health 10a16
1.7 Star Fleet Office of Fleet Medical Officers 10a17
1.8 Star Fleet Medical Boards 10a18
2.0 Star Fleet Medical Division Organization 10a20
2.1 Chief of Star Fleet Medicine 10a21
2.2 Star Fleet Medical Division Staff 10a22
2.3 Star Fleet Doctors, Surgeons and Medical Professionals 10a23
2.4 Star Fleet Medical Technicians 10a24
2.5 Civilian Medical Personnel 10a25
3.0 Star Fleet Medical Personnel 10a30
3.1 Star Fleet Medical Personnel Classification 10a31
3.2 Star Fleet Medical Personnel Requirements and Training 10a32
3.3 Star Fleet Medical Personnel Performance Reviews 10a33
3.4 Star Fleet Medical Corps Badges and Devices 10a34
3.5 Star Fleet Medical Uniforms, Insignias and Awards 10a35
3.6 Star Fleet Medical Duty Pay 10a36
3.7 Star Fleet Medical Ethics 10a37
4.0 Star Fleet Medical Operations 10a40

4.1 Administrative Operations 10a41
4.2 Medical Command Management 10a42
4.3 Conventional Medical Services 10a43
4.4 Emergency Medical Operations 10a44
4.5 Star Fleet Medical Records 10a45
5.0 Star Fleet Medical Officers 10a50
5.1 Star Fleet Base Medical Officers 10a51
5.2 Star Fleet Ship Medical Officers 10a52
5.3 Star Fleet Dental Officers 10a53
5.4 Star Fleet Psychologists and Psychiatrists 10a54
5.5 Star Fleet Pharmacists 10a55
5.6 Star Fleet Medical Specialists 10a56
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6.0 Star Fleet Nurses 10a60

6.1 Star Fleet Base Hospital Nurses 10a61
6.2 Star Fleet Ship Nurses 10a62
6.3 Star Fleet Civilian Nurses 10a63
7.0 Star Fleet Medical Technicians 10a70

7.1 Base Medical Technicians 10a71
7.2 Shipboard Medical Technicians 10a72
7.3 Star Fleet Emergency Medical Technicians 10a73
7.4 Star Fleet Corpsmen 10a74
8.0 Star Fleet Medical Facilities 10a80

8.1 Star Fleet Medical Centers 10a81
8.2 Star Fleet Base Hospitals 10a82
8.3 Star Fleet Station Medical Area 10a83
8.4 Star Fleet Hospital Ships 10a84
8.5 Star Fleet Ship Sickbays 10a85
8.6 Star Fleet Medical Equipment 10a86
9.0 Star Fleet Medical Duty 10a90

9.1 Entering Medical Service 10a91
9.2 Assignment to a Medical Unit 10a92
9.3 Fleet Medical Duty 10a93
9.4 Special Medical Details 10a94
9.5 Continual Training and Certification 10a95
9.6 General Quarters 10a96
Appendices
A Star Fleet Medical Officer's Handbook 10aA
B Star Fleet Medical Reference Manual 10aB
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INTRODUCTION
In the year 2203 the Federation Council and the Military Staff Committee was tasked, under
Executive Order 521, to develop the structure, authority and operation of the Department of the
Star Fleet. A special task force composed of the military experts from all the signatory members of the
Federation was created to establish the structure of Star Fleet. The resulting document, along with
the Star Fleet Charter, was the Star Fleet Command Manual. In 2206, the Director issued
Executive Order 6.2, which directed the newly created office of the Chief of Star Fleet Personnel to
assimilate the contingents from the member systems into the Star Fleet Service. The initial manning of
the fleet began in 2207 with forces from the five signatory worlds. The first group consisted entirely of
those persons who would form the initial Star Fleet Officer Corps. This group was largely made up of
active and retired officers from the old Space Service and from the signatory forces. These individuals
were sent to an interim "Academy" that was created at an old military base in Alameda, California on
Earth, and were trained in the military arts and the newly developed customs and regulations of Star
Fleet.
This specific volume, Volume X of the Star Fleet Command Manual, provides a detailed description of
the functions, standards and regulations regarding Star Fleet medical practice and medical personnel, as
well as the organizations responsible for all the individuals serving or employed by the Star Fleet
Division of Medicine. All aspects of personnel will be discussed including how individuals enter the
Medical Service, how they are classified, and the duties they must perform. Included also will be the
equipment developed and the facilities built in order to complete the mission of the Division of
Medicine.
Each volume of the Star Fleet Command Manual is written in the five languages of the original
signatories to the Articles of Federation. The Terranglo version of the manual is written for those
members of Star Fleet that originate from Earth and is written in the English language. Other versions
written in languages other than the standard five can be obtained from the Star Fleet Printing Office
upon request.
Throughout the manual the following typographic standards will be used:
1. Bolded items are important Star Fleet and Federation names, titles, designations and other key
words that Star Fleet personnel should become familiar with.
2. Titles, designations and other identifiers will be illustrated in a generic format. Where a specific value
must be entered to complete the title or phrase, angle brackets (“<>”) will be used to indicate the
point of insertion.
3. Where a choice is required in order to complete a title or phrase, a vertical bar (‘|’) is used to
indicate a selection. However, only one selection can be made from the choices offered. All choices
and ranges of choices are enclosed within braces (“{}”).
4. References to classified material will be exposed as to their classification level and printed in Bolded
RED.
5. Throughout this manual there are hyperlinks to sections and figures provided in this manual. Internal
links to figures, for example: “Figure 10a22.1”, will allow the reader to jump to that figure by clicking
the text “Figure 10a22.1.” To return back to the source page, click on the page number at the
bottom of the figure, such as “UFP521-10a22.15.” This also applies to any referenced section in the
manual. Thus, clicking “Section 2.0” in the manual will jump to that section or an appropriate page in
that section. However, there is no return link to the source page.
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6. In addition, there are various editorial comments made regarding information or references to texts,
concepts or items stated or presented within the TOS episodes. These are indicated with a
superscripted bracket, such as: TEXT[n]. Clicking on the superscript will jump the reader to the
explanation in the Star Fleet Guide section of this manual. To return to the source page, click
anywhere on the descriptive text.
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1.0 STAR FLEET DIVISION OF MEDICINE

In this chapter the structure of the Star Fleet Division of Medicine will be presented.
The basic organizational structure for the Star Fleet Division of Medicine is illustrated
in Figure 10a10.1. Medicine, as it will be defined in this volume, will be concerned with the
entire scope of medical practice within the Star Fleet. As such, this division was created
under ARTICLES 5 and 43 of the Star Fleet Charter, and is composed of several bureaus
which separate the various medical disciplines as well as the medical responsibilities of the
division. These bureaus represent the primary branches of medical practice and medical
professions within the Federation.
STAR FLEET MEDICAL DIVISION
The Star Fleet Division of Medicine (SFMED), also known as Star Fleet Medicine,
was created under Star Fleet Executive Order 10.0 by the Director: Star Fleet
Command as illustrated on the next page. As such, the Star Fleet Division of
Medicine is responsible for all the medical and healthcare activities, medical facilities and
medical equipment for the Department of the Star Fleet in accordance with ARTICLES
5 and 55 of the Star Fleet Charter and comprises the entire Star Fleet Medical Corps.
In addition, the Star Fleet Division of Medicine is also responsible for the health and
wellbeing of persons living in all Federation colonies and expeditions.
The Star Fleet Division of Medicine is made up of several medical bureaus, most of
which represent a specific medical Staff Corps as listed below:
 Star Fleet Bureau of Medicine and Surgery – Star Fleet Medical Corps
 Star Fleet Bureau of Dentistry – Star Fleet Dental Corps
 Star Fleet Bureau of Medical Services – Star Fleet Medical Services Corps
 Star Fleet Bureau of Pharmacology – Star Fleet Medical Corps
 Star Fleet Bureau of Mental Health – Star Fleet Medical Corps
 Star Fleet Bureau of Nurses – Star Fleet Nurse Corps
Each of these corps will be discussed in the appropriate subsections pertaining to the
individual bureaus within the Medical Division.
The officer in command of the Star Fleet Division of Medicine is the Chief of Star
Fleet Medicine (CMED). The CMED is the senior officer over all medical functions,
personnel and establishments of Star Fleet in accordance with ARTICLES 43 and 47 of
the Star Fleet Charter, and reports directly to the Director: Star Fleet Command
pertaining to divisional and medical matters. The CMED may be an officer of either the
Medical Corps or the Medical Services Corps, but rarely from the Dental or Nurse
Corps. The CMED will normally have the rank of Vice Admiral and is in charge of the
Office of the Chief of Star Fleet Medicine, which contains the Star Fleet Medicine
Chief of Staff, the heads of the various medical boards, and the Surgeon General - the
chief civilian medical consultant to the Department of the Star Fleet.
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DIRECTOR: STAR FLEET COMMAND

STAR FLEET COMMAND HEADQUARTERS
UNITED FEDERATION OF PLANETS
STAR FLEET EXECUTIVE ORDER 10.0: STAR FLEET MEDICINE
1. Pursuant to ARTICLE 55 of the Star Fleet Charter, and by the power vested in the Director: Star Fleet
Command under ARTICLES 10, 11, 16 and 17 of the Star Fleet Charter, a Division of Star Fleet Medicine
shall be created for the purpose of providing healthcare to the members of the Star Fleet Service, their
families and for those in need out in deep space as required under ARTICLES 5 and 43 of the Star Fleet
Charter. As such, the Star Fleet Division of Medicine shall be composed of qualified medical officers,
doctors, surgeons, nurses, and medical specialists, which shall also comprise the Star Fleet Medical
Corps as specified in ARTICLE 47 of the Charter.
2. Pursuant to ARTICLE 43 of the Star Fleet Charter, the administration of the Star Fleet Division of
Medicine shall be performed by the Office of the Chief of Star Fleet Medicine, which shall be comprised of
the Chief of Star Fleet Medicine, the Star Fleet Surgeon General, and any other person as may be
required to administer the division. The Chief of Star Fleet Medicine shall also be head of the Division of
Medicine as well as the Star Fleet Medical Corps, and shall have precedence over all Star Fleet medical
personnel.
3. Pursuant to Paragraph 2 of ARTICLE 11 and ARTICLE 12 of the Star Fleet Charter, the Chief of Star
Fleet Medicine is hereby directed to:
a. Establish standards, qualifications and procedures for the allocation, training and assignment of
qualified medical professionals and specialists;
b. Establish the standards and procedures for the practice of Star Fleet medicine;
c. Establish Star Fleet hospitals, dispensaries and other medical facilities throughout Federation space
where no Federation medical facility may be available;
d. Establish the Star Fleet Code of Medical Practice, and other such documents and manuals that will
provide professional medical practice and guidance, and professional conduct.
4. Pursuant to ARTICLE 17 of the Star Fleet Charter, the Chief of Star Fleet Medicine is hereby directed to
assess the current manpower needs in terms of qualified medical professionals and specialists for the
Star Fleet Division of Medicine and to:
a. Recruit such qualified doctors, surgeons, nurses, specialists and other medical personnel to fulfill
current and future requirements,
b. Train such personnel in the standards and procedures of medical practice and professional conduct,
and
c. Employ such qualified civilian medical personnel as necessary to aid Star Fleet medical personnel in
the performance of their duty, and to train such personnel in Star Fleet medical standards and
procedures.
5. In concert with Star Fleet Executive Order 6.2 and ARTICLE 74 of the Star Fleet Charter, the Chief of
Star Fleet Education shall establish the College of Medicine and Dentistry within the Star Fleet Academy
for the purpose of training officers and other personnel for duty as Star Fleet doctors, surgeons, dentists,
nurses, and medical specialists, psychologists, pharmacists, etc.
By order of
Director: Star Fleet Command

United Federation of Planets
Stardate 0045.4
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STAR FLEET MEDICINE
FUNCTIONS
As previously stated the primary function of the Star Fleet Division of Medicine, also
known as Star Fleet Medicine, is to manage all the aspects pertaining to medicine and
medical matters for the Department of the Star Fleet and the United Federation of
Planets in deep space. All the primary medical functions, standards and practices of Star
Fleet will be directed from this division, which basically are:
1. To practice medicine and to provide medical services to all members and employees of
the Star Fleet.
2. To provide medical aid to those in need out in deep space, and to provide medical
services to the various Federation colonies and expeditions operating in deep space.
3. To provide emergency medical services to planets and social systems during galactic
and planetary disasters.
4. To enforce Federation and Star Fleet regulations regarding healthcare, sanitation,
and medicine within the Federation territories.
5. To operate and manage all Star Fleet hospitals, hospital ship facilities, dispensaries,
Sickbays, and all other medical facilities of the Star Fleet.
6. To carry out basic research in the various fields of medicine, dentistry, pharmacology,
psychology, psychiatry, physical therapy, and nursing.
RESPONSIBILITIES
The Medicine Division has the primary responsibility to manage and direct all the
activities as regards to Star Fleet medicine and medical matters, as well as the personnel
and property associated with such matters. This division is responsible for organizing all
the hospitals and medical centers throughout deep space and on Star Fleet property; to
establish and enforce the standards of medicine and medical practice throughout deep
space and within the Department of the Star Fleet; to provide medical services to all
members of the Star Fleet, including all civilian employees of the department; to provide
humanitarian aid to those in distress in deep space; to provide disaster relief and medical
services to planets and social systems that have experienced a calamity; and to provide
basic medical services to the various Federation colonies and expeditions operating out in
deep space as required under ARTICLE 9 of the Star Fleet Charter.
Another major responsibility of this division is to keep the Director: Star Fleet
Command and the Federation Food and Drug Administration and the Federation
Health Administration informed on the latest advances in medicine and medical
technology. As such, this division is the primary source of medical advances for the
Federation as required under ARTICLE 5 of the Charter. In so doing, this division will
engage in all forms of medical research and in the development of medical technologies
and tools.

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STAR FLEET MEDICINE
AUTHORITY
The Medicine Division was specifically created under ARTICLE 43 of the Star Fleet
Charter, which gave the division the authority and responsibility over all medical practice,
personnel and facilities within the Department of the Star Fleet. As such, this division is
empowered with the authority to:
1. To determine the medical needs of the Department of the Star Fleet and those
applicable Federation needs, and to develop the functional plans to meet such needs
and in so doing, issue all operational orders and directives to all medical personnel and
facilities to fulfill such needs under ARTICLE 16 of the Star Fleet Charter.
2. To develop the standards of medical practice and of medical professionalism for the
Department of the Star Fleet as required under ARTICLE 12 of the Star Fleet
Charter.
3. To develop and organize all medical assets into such units as it deems appropriate and
necessary, and to develop the plans for the organization and use of such units.
4. To determine the requirements for an effective medical establishment and to procure
such assets as needed to ensure an effective medical force under ARTICLE 17 of the
Star Fleet Charter.
5. To assign medical personnel and assets to locations it deems necessary or proper.
6. To determine the placement of all hospitals, dispensaries and other medical facilities
anywhere within the Federation and to authorize the construction of such facilities.
7. To expand the knowledge base of medicine and medical practice for the Department
of the Star Fleet and the Federation through research and development per
ARTICLE 5 of the Star Fleet Charter.
DIVISION ORGANIZATION
Star Fleet Medicine is a primary division, which is divided into seven administrative
subdivisions representing the primary branches of medicine and medical practice to which
the division has responsibility. These offices are listed in the table below and will be
described in more detail within their respective sections of this chapter.
Table 10a10.1
STAR FLEET MEDICAL OFFICES
Office Office Chapter
Star Fleet Division or Bureau
Code Designator Section
4000 Star Fleet Division of Medicine SFMED 1.0
4010 Star Fleet Board of Medical Ethics SFMED 1.8
4020 Star Fleet Board of Medical Certification SFMED 1.8
4100 Star Fleet Bureau of Medicine and Surgery BUMED 1.1
4200 Star Fleet Bureau of Dentistry BUDENT 1.2
4300 Star Fleet Bureau of Nurses BUNURS 1.3
4400 Star Fleet Bureau of Medical Services BUMEDSERV 1.4
4500 Star Fleet Bureau of Pharmacology BUPHARM 1.5
4600 Star Fleet Bureau of Mental Health BUPSYCH 1.6
4700 Office of Star Fleet Medical Officers FLTMED 1.7

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STAR FLEET MEDICINE
STAR FLEET DIVISION OF MEDICINE SYMBOL[1]
The symbol for the Star Fleet Division of Medicine is a stylized version of the ancient
Earth symbol for medicine called the Caduceus placed over a blue globe which symbolizes
the Federation. The symbol will also be displayed on all Star Fleet Medicine documents
and is also a patch or badge worn on the uniforms of the members of this division.
Historically speaking, the Caduceus originated from the Greek word κηρύκειον or
"herald's staff." It is the staff carried by Hermes in Greek mythology. The same staff was
also borne by heralds in general, for example by Iris, the messenger of Hera. It is a short
staff entwined by two serpents, sometimes surmounted by wings. In Roman iconography it
was often depicted being carried in the left hand of Mercury, the messenger of the gods,
guide of the dead and protector of merchants, shepherds, gamblers, liars, and thieves.
Illustration 10a10.1
PRIMARY STAR FLEET MEDICINE SYMBOL
It should also be noted that, although the symbol shown above is the primary symbol for
the Star Fleet Division of Medicine, there are also variations of this symbol relating to
the other branches of medical practice within the Star Fleet. These other symbols will be
described in those sections pertaining to the specific bureau contained within the Division
of Medicine.

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STAR FLEET MEDICINE
ORGANIZATION CHARTS
The subsequent page presents the organizational chart for the Star Fleet Division of
Medicine. The title block for each office within the division contains the name of the
division, the division number and the Office Designator. The Office Designation is a
shorthand version of the division name.
Division Number Division or Office
4000 Star Fleet

Division of
SFMED Medicine
Office Designator

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STAR FLEET MEDICINE
Figure 10a10.1
STAR FLEET DIVISION OF MEDICINE
4000 Star Fleet

Division of
SFMED Medicine
4010 Star Fleet 4020 Star Fleet

Board of Board of
SFMED Medical Ethics SFMED Medical Certification
4100 Star Fleet 4200 Star Fleet 4300 Star Fleet 4400 Star Fleet
Bureau of Bureau of Bureau of Bureau of
BUMED Medicine and Surgery BUDENT Dentistry BUNURS Nurses BUMEDSERV Medical Services
4500 Star Fleet 4600 Star Fleet 4700 Office of

Bureau of Bureau of Star Fleet
BUPHARM Pharmacology BUPSYCH Mental Health FLTMED Medical Officers

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1.1 STAR FLEET BUREAU OF MEDICINE

AND SURGERY[2]
The Star Fleet Bureau of Medicine and Surgery (BUMED) is the primary organization
responsible for all Star Fleet medical facilities, doctors, surgeons, and all of the medical
equipment required to perform their functions. In addition, BUMED is also responsible for
developing and maintaining the processes and procedures used to implement military and
civilian medicine, primarily, the Star Fleet Manual of Medical Practice, which contains
the rules and procedures by which all medical personnel within the Department of the
Star Fleet must follow, including those doctors and medical persons from the members of
the United Federation of Planets that are adjoined or attached to Star Fleet.
The Star Fleet Bureau of Medicine and Surgery is the largest organizational unit
within the Star Fleet Division of Medicine and is the primary source for medical and
surgical professionals, basic medical services and procedures for Star Fleet. The majority
of the functions and responsibilities of the Medical Division are contained within this
bureau, except for the functions and responsibilities associated with dentistry. The
organizational chart for this bureau can be seen in Figure 10a11.1 and represents the
topmost offices within this bureau. As shown in the figure, the bureau contains seven
administrative offices that represent that primary medical functions performed by the Star
Fleet Bureau of Medicine and Surgery and the Division of Medicine.
The Deputy Chief: Bureau of Medicine and Surgery (CMEDSRG) is the senior officer
in charge of all medical doctors, surgeons and medical facilities within Star Fleet. The
CMEDSRG will always be an officer of the Medical Corps, and will typically have the
rank of Rear Admiral.
RESPONSIBILITIES
The Star Fleet Bureau of Medicine and Surgery has the primary responsibility to
manage and direct all the activities as regards to the Star Fleet medical process, its
assets and medical personnel. This division is responsible for organizing hospitals,
dispensaries and other medical facilities, and supplying them with Star Fleet and civilian
doctors and medical professionals. This office will also manage all medical procedures,
except for dental procedure, performed on Star Fleet Service personnel, civilian
employees, Federation colonies and expeditions, as well as persons who are in need in
deep space. The Star Fleet Bureau of Medicine and Surgery is also responsible for
managing all the medical records of Service and non-service employees of Star Fleet.
Another major responsibility of this bureau is to keep the Director: Star Fleet
Command and the various Federation agencies informed on the latest medical advances
and practices developed by Star Fleet or by any member system within the Federation.
Such information will be transmitted to all Star Fleet medical and scientific offices, as well
as to all Federation medical agencies, associations, universities and other medical
organizations in order to keep up with the latest medical advances and trends. As such,
this division is a major source of global medical knowledge for the Federation.

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STAR FLEET MEDICINE
STAR FLEET MEDICAL CORPS
The Medical Corps of the Department of the Star Fleet is a Staff Corps consisting of
doctors and medical technicians in a variety of specialties. The Medical Corps was
officially established in 2207 when the Department of the Star Fleet was created. Prior
to the formal establishment of the corps, ships’ surgeons in the old Space Service served
without commissions, unless given one by the commanding officer, and only for the
duration of a specific voyage. This was done to keep the overall staffing for the Space
Service to a minimum.
However, facing a possible shortage of trained physicians to serve the needs of the Star
Fleet Service, the first Director: Star Fleet Command decided that a permanent corps
of medical officers was required. As such, the Star Fleet Medical Corps was created and
initially manned by commissioning those ships’ surgeons that wished a permanent career
within the Star Fleet Service. As with the other officers during that period of time, these
individuals were sent to the interim "Academy" in Alameda, California and were trained in
the military arts and the newly developed customs and regulations of Star Fleet. These
persons eventually became the original officers in command of the Star Fleet Division of
Medicine and established the medical program at the new Star Fleet Academy.
Individuals who wish to enter medical service can do so in several ways:
1. As a cadet in the Academy whose grades and aptitude point to a direction of medical
service,
2. As a civilian medical school graduate who wishes to enter the Star Fleet Service as a
Medical Officer,
3. As a fully qualified and board-certified physician in civilian life who enters as a
Reserve officer.
Upon graduation, the new physicians advance to the rank of Lieutenant Junior Grade
(LTJG) and are called to active duty to serve as interns at a Star Fleet hospital. Upon
completion of an internship year, a Star Fleet physician is usually advanced to the rank of
full Lieutenant (LEUT) and deployed to the fleet as a General Medical Officer. In
addition, opportunities exist at this point in their career either to complete full residency
training in the field of their choice or undergo nine months of training to become either a
Fleet Surgeon or Starship Medical Officer.
The symbol for the Star Fleet Medical Corps is a stylized version of the ancient Earth
symbol for medicine called the Caduceus. The Caduceus originated from the Greek word
κηρύκειον or "herald's staff." It is the staff carried by Hermes in Greek mythology. The
same staff was also borne by heralds in general, for example by Iris, the messenger of
Hera. It is a short staff entwined by two serpents, sometimes surmounted by wings. In
Roman iconography it was often depicted being carried in the left hand of Mercury, the
messenger of the gods, guide of the dead and protector of merchants, shepherds,
gamblers, liars, and thieves.

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STAR FLEET MEDICINE
STAR FLEET BUREAU OF MEDICINE AND SURGERY

SYMBOL[3]
The symbol for the Star Fleet Bureau of Medicine and Surgery utilizes the Star Fleet
Medical Corps Caduceus placed over a blue globe, which symbolizes the Department
of the Star Fleet. All personnel working in the medical field will display this symbol on
their uniforms, which is a patch, pin or badge worn on the uniforms of the members of this
division. In addition, this symbol, or an approved variation of this symbol, shall be
prominently displayed on all Star Fleet medical buildings and structures, and on all
medical documents, manuals and official correspondences as shown below.
STAR FLEET BUREAU OF MEDICINE AND SURGERY SYMBOLS
Formal Symbol of the Division of Medicine Symbol used on Medical Facilities
Symbol used on all Medical Uniforms Symbol used on Medical Documents

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STAR FLEET MEDICINE
ORGANIZATION
The Star Fleet Bureau of Medicine and Surgery is divided into seven offices for the
delegation of its responsibilities, as illustrated in Figure 10a11.1. These offices are:
 Star Fleet Office of Medical Personnel

 Star Fleet Office of Hospitals and Medical Facilities
 Star Fleet Office of Medical Technology
 Star Fleet Office of Medical Procedure
 Star Fleet Office of Medical Research
 Star Fleet Office of Medical Supplies
 Star Fleet Office of Medical Records
Each of these offices will be described in the subsequent sections below.

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STAR FLEET MEDICINE
STAR FLEET OFFICE OF MEDICAL PERSONNEL
The chief function of the Star Fleet Office of Medical Personnel, with the designation
of MEDPERS within BUMED, is to evaluate the medical requirements of the Department
in terms of the numbers and types of doctors, surgeons, professional specialists, nurses
and enlisted medical technicians needed to support the medical responsibilities of the
Department of the Star Fleet, and will perform assessments on the requirements for
medical personnel for the Operating Forces, as well as those of all Star Fleet hospitals,
base medical facilities, and other medical facility of the Shore Establishment. In
addition, this office will also manage all civilian doctors, surgeons, nurses, and medical
technicians employed by the Department. However, this office will have no authority over
Star Fleet medical officers assigned to the fleet. This function is performed by the Office
of Star Fleet Medical Officers. Lastly, this office is also responsible for the training and
certification of its doctors, surgeons, nurses and enlisted medical technicians employed by
the Division of Medicine. The organizational structure for this office is illustrated in
Figure 10a11.2.
Within the Star Fleet Office of Medical Personnel, the Office of Medical Personnel
Recruitment will obtain the requirements and the requests for medical, dental and nurse
personnel, submitted by the other bureaus and medical Staff Corps within the Star Fleet
Division of Medicine, and directly recruit or allocate the personnel to fill the billets. As
such, this office will make requests to the Star Fleet Bureau of Personnel to fill
divisional billets based upon the criteria set forth by the requirements offices of the other
bureaus and once allocated, assigns such personnel to medical units and job billets within
the Department based upon need. In summary, this section handles both the requirements
for recruitment as well as the allocation of medical personnel for the entire division, except
for personnel in the field of dentistry.
The Star Fleet Office of Medical Personnel also contains the Office of Medical
Personnel Standards, the organization responsible for setting the standards of medical
professional ethics and practice. As such, this office will work with the Star Fleet Office
of Personnel Standards of the Star Fleet Bureau of Personnel regarding the
establishment of the standards of medical ethics and practice for the Department of the
Star Fleet. In addition, it is this office, the Office of Medical Personnel Standards
that will make a request to the Star Fleet Board of Medical Ethics to assemble and
convene a Board of Medical Ethics to investigate any accusation of a violation of
medical ethics or practice.
Within the Star Fleet Office of Medical Personnel, the function of the Office of
Military Medical Personnel is to assess the requirements for military medical personnel
and to establish the medical job billets for the Department and the Division of Medicine.
As such, this office will work with the Star Fleet Bureau of Service Personnel of the
Star Fleet Bureau of Personnel in establishing the billets and in allocating the military
medical personnel needed to fill these billets. In addition, this office will also establish the
standards and requirements for medical personnel performance evaluations and of the
standards for advancement within the division, in keeping with standards developed by the
Star Fleet Bureau of Personnel.

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STAR FLEET MEDICINE
The function of the Office of Civilian Medical Personnel is to manage all the civilian or
non-Service medical personnel employed or contracted by the Department of the Star
Fleet within Federation territory. As such, the function of this office is to evaluate and
recruit, or contract, qualified civilian medical personnel for the Division of Medicine. The
function of a civilian medical staff is to provide a mix of civilian and Star Fleet medical
personnel in order to minimize the Medical Corps staff and to manage the overall
medical staff at the appropriate levels. In addition, civilian medical personnel will primarily
be used to provide medical services to the civilian employees of the Department, as well as
to serve the dependents of Star Fleet Service personnel. Lastly, this office will conduct
evaluations regarding the fitness and professionalism of civilian medical personnel
employed by the division and therefore, will work with the Star Fleet Bureau of Civilian
Personnel in the management of the civilian medical staff.
The function of the Office of Medical Personnel Training is to establish the standards
and requirements for education and training of Star Fleet medical personnel. As such, this
office primarily develops and issues the minimum educational requirements required for
general practice and for the various medical specialties used by Star Fleet. The
requirements for professional medical practice will be sent to the College of Medicine
and Dentistry at the Star Fleet Academy for use in their academic program. Graduates
from the school must meet the minimum requirements of course study before they can be
accepted into medical service. The same requirements will be applied to civilian physicians
that wish to enter Star Fleet service. A separate set of minimum requirements are also
developed for the enlisted medical staff as well. These requirements will be sent to the
various technical and Fleet Schools that focus on medical technician training, and will be
used to certify Star Fleet Medical Technicians.
The function of the Office of Medical Personnel Certification is to establish the

standards of certification of medical personnel for the Star Fleet, and to officially certify
such persons for Star Fleet medical duty through testing and examination. All medical
personnel within the Star Fleet must have completed specific levels of training and
education before becoming certified to perform medical practice within the Star Fleet.
Once the prospective medical person’s education or training background has been
completed and verified, the individual must take a written test to prove that they can
perform the medical duties they seek to employ. Such tests are developed by this section
for all levels of medical duty, including those performed by enlisted Medical Technicians
as well. In addition, professional medical persons will go before the Star Fleet Board of
Medical Certification for a final oral examination before being licensed to practice
medicine within the Star Fleet.
In charge of this office is the Commander: Star Fleet Medical Personnel, who has the
designation of COMMEDPER. The COMMEDPER is the senior officer in charge of all
activities concerning the allocation and assignment of all doctors, surgeons, nurses, and
Medical Technicians to medical units. The COMMEDPER is usually an officer of the
Medical Corps (MED), but may also be a line officer from Star Fleet Command with
experience in personnel resources management, and will typically have the rank of
Commodore.

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STAR FLEET MEDICINE
STAR FLEET OFFICE OF HOSPITALS AND MEDICAL

FACILITIES
The primary function of the Star Fleet Office of Hospitals and Medical Facilities is to
oversee all Star Fleet hospitals and medical facilities. This includes hospital ship facilities
as well. However, BUMED does not command the crew or own the ships on which such
facilities are located. That belongs to Star Ship Command. In addition, this office has
the authority to select the location of Star Fleet hospitals and medical facilities, and will
work with the Office of Star Fleet Base Requirements, and the Star Fleet Corps of
Engineers in the design and construction of Star Fleet hospitals and medical facilities.
Lastly, this office is also responsible for organizing medical facilities and units into the
various medical disciplines and to develop and establish the “Chain of Command” of such
organizations. The organizational structure for this office is illustrated in Figure 10a11.3.
The function of the Office of Medical Facility Design Requirements is to establish the
basic design and operating requirements for Star Fleet shore and ship medical facilities.
Such requirements include, but not limited to, the general layout of medical areas, labs
and offices; the juxtaposition of these areas; the locations and proximity of differing
medical areas within the same structure or space; the placement of equipment within
medical areas; the environmental standards of medical areas; and the standards of
medical area esthetics. All of the aforementioned requirements will be assembled into a
single set of design specifications that will be given to the various engineering,
construction and administrative commands such as Star Ship Command, Star Base
Command, the Star Ship Systems Command, the Star Base Systems Command,
the Star Fleet Corps of Engineers, and the Star Fleet Construction Command.
The function of the Office of Base and Station Medical Facilities is to exclusively
manage the medical design specifications for Star Fleet shore facilities. As such, this
office will utilize the general specifications from the Office of Medical Facility Design
Requirements and will incorporate additional requirements specific to ground and space
station medical facilities, such as medical building architecture and design. Such design
items include internal color schemes, medical area furnishings, the orientation of shore
medical areas, and any special medical equipment that must be mounted in medical areas.
This office is also responsible for the maintenance and cleanliness of shore medical
facilities, the systems needed to operate the facility, and the environmental systems used
to maintain the atmospheric conditions within shore medical facilities. Therefore, this office
will work primarily with the Star Base Systems Command and the Star Fleet
Construction Command in the design and construction of shore-based medical facilities.
The function of the Office of Ship and Vessel Medical Facilities is to manage the
design specifications for Star Fleet spacecraft medical facilities. As such, this office will
utilize the specifications from the Office of Medical Facility Design Requirements and
will incorporate additional design requirements specific to space ships and space vessels,
such as those exclusively needed for Starship Sickbays and Star Fleet Hospital Ships.
Therefore, this office will work primarily with the Star Ship Systems Command and the
Star Fleet Construction Command in the design, construction and furnishing of ship-
based medical facilities, Sickbays and Hospital Ships. Some of the design aspects this
office will work on will include the general layout of Sickbays particularly, the number and
type of medical laboratories, offices, convalescence wards and examination rooms.

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STAR FLEET MEDICINE
The function of the Office of Medical Equipment Requirements is to establish the

supply and equipment requirements for the construction and operation of both ship-based
and shore-based medical facilities. Such medical facility requirements include: the numbers
and types of permanently-mounted medical equipment such as examination tables, beds,
fixed medical sensors, scanners and recorders, and viewers; built-in medical computers;
laboratory equipment such as permanently mounted analyzers, tables, and pressure
chambers[4]; and medical gas manifold stations. As such, this office will only be concerned
with the requirements for fixed or permanently-mounted medical equipment. Most of these
requirements will be established for newly designed or constructed medical facilities.
Therefore, these requirements will be submitted to the Office of Medical Facility
Design Requirements as part of the construction plan. However, and in addition, this
office will also develop the requirements for the preservation of the supply of such
equipment as well. These particular requirements will be submitted to the Star Fleet
Office of Medical Supplies with the types and models of the large medical equipment
that must be maintained at each medical facility. Lastly, this office will periodically issue
changes to the requirements as new and better equipment comes to market. As such, this
office will issue updates to the requirements containing new models to replace current
models, or advanced models that will completely replace outdated or obsolete equipment.
The function of the Office of Medical Facility Maintenance is to establish the

standards and requirements for maintenance and cleanliness of all medical facilities. Such
standards include the sanitation of operating and surgical areas, medical laboratories, and
medical bathrooms and washing areas. This office also establishes the requirements for
scanning and measuring medical area cleanliness and sterility, and will establish the
processes and procedures for medical area sterility. This office will also establish the
schedules for medical facility cleaning and sterilizing, and the equipment that shall be used
in performing such maintenance.
In charge of this office will be the Commander: Star Fleet Hospitals and Medical
Facilities or COMMEDFAC, and is the senior officer in charge of all Star Fleet medical
facilities for the Division of Medicine and the Department of the Star Fleet. The
COMMEDFAC will typically be an officer of the Medical Corps (MED), but who may also
be a line officer (SBC) as well, and will usually have the rank of Commodore.

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STAR FLEET MEDICINE
STAR FLEET OFFICE OF MEDICAL TECHNOLOGY
The function of the Star Fleet Office of Medical Technology is to analyze and evaluate
any new equipment and technology that can be used by Star Fleet medical personnel,
and to make recommendations on the use of the new technology. In addition, this office
will also develop new or special medical technologies such as prosthetics, surgical tools,
medical scanning and analysis equipment, and any other device or system that can be
used by Star Fleet or Federation medical specialists. As such, this office will work with
that various Star Fleet and Federation medical, scientific and engineering organizations,
universities and commercial manufacturers in the development of new or novel medical
technologies. The Star Fleet Office of Medical Technology is an assembly of research
and development organizations as illustrated in Figure 10a11.4.
The function of the Office of Medical Technology Research is to research existing and
developing medical technologies. As such, this office will examine the work currently being
undertaken at Federation universities and corporations relating to medical equipment,
and to assist, where possible, in the development of such equipment. In addition, this
office will analyze new medical equipment that is out in the market and determine its
potential use as Star Fleet equipment. This analysis will be performed by giving the new
equipment to select medical facilities for real-world use and evaluation. If the technology
or equipment is useful, it will be placed in the list of approved devices and technologies
managed by the Star Fleet Office of Medical Supplies and both the Star Fleet Office
of Purchasing and the Star Fleet Supply Command.
The function of the Office of Medical Equipment Development is to develop new or

novel medical technologies based upon the requirements given to the office by Star Fleet
medical personnel in the field, by Federation mandate, or by the need for new alien or
specialized medical equipment. As part of its function, this office will also design and test
the new medical equipment developed by this office, and will execute field examinations
by providing select medical facilities with the test equipment for real-world evaluations.
Medical equipment that is accepted by the Star Fleet medical community will be sent to
the Star Fleet Office of Manufacturing for mass production. In addition, and where
there will not be a security issue, medical technologies developed by this office will be sent
to the Star Fleet Academy College of Medicine and Dentistry for use as part of its
medical training, and distributed to the various Federation colleges and universities, as
well as other medical organizations that can use the medical technologies developed by
Star Fleet.
The Office of Surgical Equipment Development was specifically created to develop

new or unique equipment associated with the surgical process. Such equipment includes
special surgical instruments, surgical life support devices, sterilization field units, and other
equipment that can be used during or for surgery. And like the Office of Medical
Equipment Development, the Office of Surgical Equipment Development will also
send such surgical equipment to select Star Fleet and Federation medical facilities for
the purpose of testing and evaluating the surgical equipment in actual surgical situations.
Surgical equipment that is accepted by the Star Fleet medical community also will be sent
to the Star Fleet Office of Manufacturing for mass production, and sent to the Star
Fleet Academy College of Medicine and Dentistry for use as part of its surgical
training program, and will be distributed to the various Federation colleges and
universities, as well as other medical organizations that can use new surgical technologies.

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STAR FLEET MEDICINE
The function of the Office of Medical Prosthetics Development is to develop new

prosthetic devices and technologies. As such, this office will design and test new prosthetic
devices or prosthetic device materials. However, the prosthetic devices developed by this
organization are basically generic in design and use, and are not specific to any individual
person. The customization of prosthetic devices must be performed at a local Star Fleet
medical facility. Therefore, the purpose of this office is to develop prosthetic technology
and not specific devices. This office contains primarily bio-medical engineers and technical
engineers with education in bio-medical engineering, electronics and bio-mechanics, with
some having dual degrees in engineering and medicine. As such, this is a highly specialized
medical organization and does not have a very large staff.
The function of the Office of Medical Technology Testing and Certification is to test
and certify the new medical equipment developed by the offices contained within the Star
Fleet Office of Medical Technology. As such, this office primarily executes local testing
of the medical devices and technologies developed by the organizations within the Star
Fleet Office of Medical Technology and will certify the use of such technology before it
goes out for field testing. The majority of the tests performed by this office are generally
quality-related. That is, this office examines the materials used and executes performance,
structural and design tests of the equipment or device. Consequently, this office will work
with the Star Fleet Office of Quality Assurance to ensure that the medical devices and
equipment developed by this office meets the standards of quality as stipulated in the Star
Fleet Quality Assurance Program. As a general rule, all medical equipment, tools,
devices, etc., must be certified by this office before it can be used for general practice by
Star Fleet medical professionals.
In charge of the Star Fleet Office of Medical Technology is the Commander: Star
Fleet Medical Technology or COMMEDTEC, and is the senior officer in charge of all
activities concerning the research and development of medical instruments, equipment and
other medical technologies. The COMMEDTEC will typically be an officer of the Medical
Corps (MED), but who may also be a Staff Corps officer of the Science Corps (SCI) or
Engineering Corps (ENG) as well, and will typically have the rank of Captain.

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STAR FLEET MEDICINE
STAR FLEET OFFICE OF MEDICAL PROCEDURE
The primary function of the Star Fleet Office of Medical Procedure is to establish and
maintain the standards of medical practice throughout the Department. As such, this office
establishes and maintains all the standards and regulations regarding sanitation and health
within the Department, and will work with the Office of Medical and Health Standards
to make such regulations and procedures standard across the entire Department. Not only
will this office develop standards, but will also develop and maintain the procedures used
during medical examinations and surgery. This office will periodically review all medical
procedures to ensure that they are kept current with the latest methods and technology,
and will distribute these procedures throughout the fleet. This office is comprised entirely
of Star Fleet medical officers and civilian physicians. The organizational structure for this
office is illustrated in Figure 10a11.5.
The purpose of the Office of Medical Procedure Review is to review currently active
medical procedures, and to evaluate new, unique or ground-breaking medical procedures,
and based upon its evaluation, issue reports and recommendations regarding the use of
such procedures and practices. This is essentially a quality control organization designed
with the purpose of ensuring that any medical procedure, or potential medical procedure,
will be covered and that such procedures can be performed, efficiently, effectively and
ensures the safety of the patient. As such, this organization consists entirely by Star Fleet
and civilian medical experts.
The function of the Office of Medical Procedure Development is to develop new or

special medical procedures, and to revise old or current medical procedures. The majority
of the development work will be executed as a result of the analyses performed by the
Office of Medical Procedure Review, and the recommendations or requirements made
by that office. In the development of new medical procedures, or the analysis and
modification of old and current procedures, this office will utilize special medical simulators
and laboratories to test the effectiveness of procedures. In addition, in order to develop
and test procedures this office maintains a staff of certified and highly experienced Star
Fleet and civilian medical professionals from all branches of medicine.
The function of the Office of Medical Procedure Certification is to review the findings
of the tests performed on medical procedures and to certify their use by Star Fleet. In
addition, this office will also review and audit the procedures used in testing or evaluating
a medical procedure to ensure that the procedure will perform as expected and that the
evaluation methods were proper and in conformance with the standards of quality control
as specified in the Star Fleet Quality Assurance Program (SFQAP). As such, the
Office of Medical Procedure Certification is in effect a quality assurance organization
in that it will evaluate how the medical procedure was exercised and if the procedure
conforms to the standards set forth by the Office of Medical and Health Standards.
In charge of the Star Fleet Office of Medical Procedure is the Commander: Star
Fleet Medical Procedure or COMMEDPRC, and is the senior officer in charge of all
activities concerned with establishing appropriate medical and surgical procedure and
practice. The COMMEDPRC will always be an officer of the Medical Corps (MED), and
will usually have the rank of Captain.

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STAR FLEET MEDICINE
STAR FLEET OFFICE OF MEDICAL RESEARCH
The Star Fleet Office of Medical Research was instituted primarily to keep the Star
Fleet Medical Division up to date with the latest medical research and procedures. As
such, this office will examine the latest developments in medical procedure at Federation
universities and hospitals; the latest developments in drugs and medicines; and the latest
in alien medical practice. This office will also ensure that Star Fleet medical personnel are
kept up to date on the latest medical advances and practices. This office is comprised
entirely of Star Fleet medical officers, civilian physicians and scientists. The knowledge
gained by this office will also be communicated to universities, colleges, industry and all
other interested organizations throughout the Federation. The organizational structure
for this office is illustrated in Figure 10a11.6.
The primary function of the Office of Bio-Medical Research is to perform basic medical
research. In this context, biomedical research (or experimental medicine) encompasses a
wide array of research, extending from basic research, involving fundamental scientific
principles that may apply to a preclinical understanding, to clinical research, which involves
studies of people who may be subjects in clinical trials. Within this spectrum is applied
research, or translational research, conducted to expand Federation knowledge in the
field of medicine. The increased longevity of humans over the past century can be
significantly attributed to advances resulting from medical research. As such, this office is
composed primarily of Star Fleet biomedical scientists, biologists and research physicians.
The function of the Office of Alien Medical Research is similar to that of the Office of
Bio-Medical Research, but geared exclusively to alien and unknown life forms. As such,
this office will contain mostly scientists from non-member and alien worlds. Their primary
task is to perform clinical research on alien life and unknown forms and to transmit their
findings to all Federation medical institutions. In addition, such information may also be
used for intelligence purposes as well. Due to the potentially dangerous nature of alien
medical research, the facility dedicated to performing such research is now located on
Star Fleet Outpost 52, a small desolate planetoid with no atmosphere.
The function of the Office of Surgical Methods Research is to perform research into
new or novel surgical methods and processes. However, because of the unique nature of
the work performed by this office, it was placed under the Star Fleet Office of Medical
Research instead of the Star Fleet Office of Medical Procedure. Most of the research
performed by this group will directed towards developing new surgical methods, especially
on new or unknown life forms. As such, this office will work with the Star Fleet Office of
Medical Procedure in the development of new or unique surgical procedures. Along with
surgical methods, this office is also responsible for researching and developing anesthetics
and other pain suppressing or anesthesiological processes and methods.
The function of the Office of Alternative Medicine Research is to examine and

research esoteric or other forms of medical techniques that may be useful in medical
practice. Most of these esoteric practices are alien in nature and therefore, the scientists
that evaluate them are often those from alien cultures. As such, this office will only contain
a small staff of scientists and research physicians. Their function is to seek out, examine,
test and evaluate such alternative medical processes. Due to the nature of this research,
this office has only one facility located on Starbase Two.

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STAR FLEET MEDICINE
The function of the Office of Medical Research Laboratories is to manage the medical
laboratories used in the research and development of medicines, drugs, anesthetics, bio-
medical compounds, and medical procedures. As such, this office manages all of the large
medical laboratory complexes located at most of the major Star Fleet Headquarters,
Starbases, Star Fleet Stations, and others that are spread throughout Federation
space, including those medical laboratories built into Star Fleet ships. In addition to
managing the labs, this office also develops and maintains the standards of laboratory
practice and procedure used at these labs, and in standardizing the equipment and tools
used at these labs.
In charge of the Star Fleet Office of Medical Research is the Commander: Star
Fleet Medical Research or COMMEDRES, and is the senior officer in charge of all
activities concerning the research into medical issues and methods. The COMMEDRES will
typically be an officer of the Medical Corps (MED), but who may also be a Staff Corps
officer of the Science Corps (SCI) as well, and will typically have the rank of Captain.

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STAR FLEET MEDICINE
STAR FLEET OFFICE OF MEDICAL SUPPLIES
The function of the Star Fleet Office of Medical Supplies is to furnish all Star Fleet
hospitals, dispensaries and medical facilities with the necessary medical equipment, tools,
and consumable goods. In addition, this office will also be responsible for keeping all Star
Fleet medical personnel supplied with the latest medical equipment needed to do their
jobs. The majority of the persons working in this office are Staff Corps officers and
personnel from the Star Fleet Supply Corps. As such, these officers will work mainly
with the Star Fleet Supply Command and the Star Fleet Bureau of Finance and
Accounting in the performance of their supply duties. The organizational structure for
this office is illustrated in Figure 10a11.7.
The function of the Office of Medical Supply Requirements is to establish the medical
supply requirements for both ship-based and shore-based medical facilities. Such medical
supply requirements include: all permanently-mounted medical equipment; all portable
medical equipment; all hand-held medical devices and tools; all special medical clothing all
medical bedding and patient items; the inventory of required drugs, gasses, and
medicines; special nutritional foodstuffs; and medical consumable items such as bandages,
gauzes, wipes, gas filters, masks, and toiletries. In addition, this office will receive inputs
from the Star Fleet Ship Supply Planning Section and the Star Fleet Base Supply
Planning Section regarding the planned size of the medical facility to be constructed and
the possible material requirements of the impending facility. The requirements this office
creates will be published in a report and sent to the various supply organizations such as
the Star Fleet Base Supply Requirements Section and the Star Fleet Ship Supply
Requirements Section regarding the required inventory of command medical supplies.
The function of the Office of Medical Supply Quality is to ensure the quality and safety
of medical supplies, including all drugs, medicines, as well as surgical tools and equipment.
In addition, this office is responsible for the developing and managing the Star Fleet
Medical Quality Control Program for the division, which must follow the standards set
forth in the Star Fleet Quality Assurance Program (SFQAP). As such, this office will
inspect all medical supplies and medicines that are received by Star Fleet to ensure the
quality of the medical products produced and manufactured by outside vendors. This is
accomplished through inspections, reviews and audits of manufacturing processes and
records. This office also employs chemists to ensure the quality of purchased drugs,
medicines, gasses, and other medical compounds. Regarding medical equipment, this
office also employs Star Fleet engineers from the Star Fleet Office of Engineering
Quality Control that review and evaluate medical equipment design and manufacturing.
The function of the Office of Medical Supply Acquisition is to acquire medical supplies
for the Department; either by direct purchasing from an outside vendor, or through the
Star Fleet Supply Command. When directly purchasing from an outside vendor, this
office will work with the Star Fleet Office of Purchasing regarding such purchases. As
such, this office consists almost entirely of Staff Corps officers and personnel from the
Star Fleet Supply Corps. In addition, this office will also be the primary organization
that manages the budget for medical equipment for the Star Fleet and therefore, reports
to the Star Fleet Bureau of Finance and Accounting regarding the monies required
and spent by the division for medical supplies and equipment.

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The function of the Office of Perishable Medical Supplies is to manage the supply of
perishable medical supplies, drugs and medicines. Aside from certain drugs and medicines,
perishable supplies also include certain biological material and living body parts that are
saved for surgical implantation. As such, this office will manage and be responsible for the
special storage facilities, vaults and supporting equipment used in the maintenance and
storage of perishable medical supplies, the requirements of which are established by the
Office of Medical Supply Storage Requirements.
The function of the Office of Medical Supply Security is to guard and protect sensitive
and highly valuable and rare drugs and medicines. As such, this office sets the standards
of security for medical storage areas, in accordance with the security requirements
established by the Star Fleet Division of Security. In addition, and where necessary,
this office will also make requests to the Star Fleet Security Forces Command for
security guards to protect the storage areas based upon the requirements for medical
storage security. The Star Fleet Security Forces Command will assign security guards
only to those large facilities located at Starbases and Star Fleet Headquarters. The
smaller medical storage facilities, such as those located on Star Fleet stations, will be
guarded by the local security force.
The function of the Office of Medical Supply Storage Requirements is to establish

and maintain the requirements for storage of medical supplies, equipment, medicines,
drugs, and medical compounds consistent with the standards established by the Office of
Medical and Health Standards. In addition, this office will also send personnel to the
field to inspect storage facilities and audit storage records to ensure compliance with
medical supply storage and handling standards. As such, this office will work with the Star
Fleet Inspector General and the Star Fleet Office of Examinations and Audits in
the auditing and inspection of medical storage facilities.
In charge of this office is the Commander: Star Fleet Medical Supplies or

COMMEDSUP and is the senior officer in charge of all activities concerning the allocation,
storage, and distribution of all medical supplies and equipment. The COMMEDSUP will
typically be an officer of the Medical Corps (MED), but who may also be a Staff Corps
officer of the Supply Corps (SUP), or a line officer (SFC) with knowledge and experience
in the allocation and distribution of supplies and fleet logistics, and will typically have the
rank of Captain.

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STAR FLEET MEDICINE
STAR FLEET OFFICE OF MEDICAL RECORDS
The primary function of the Star Fleet Office of Medical Records (MEDREC) is to
manage all personal and division-generated medical records, procedures, manuals,
documents and official correspondences produced by the Division of Medicine, and to
develop and maintain the standards and procedures for the storage and maintenance of
such records. The majority of these records will pertain to the documents produced or
accumulated during all medical examinations and procedures. Such records include all
personal medical and dental information, medical and dental scans, medical trials, surgical
procedures, medical experiments, reports, as well as all official medical documents and
correspondences. The organizational structure for this office can be seen in Figure
10a11.8.
Within this office the Medical Records Requirements Section establishes the
standards, processes and procedures pertaining to the management of medical records
and documents produced by the division in accordance with the record-keeping standards
set forth by the Star Fleet Bureau of Records. In addition, this office will work with all
the other bureaus within the Star Fleet Division of Medicine regarding the collection,
classification and management of medical information produced or used by Star Fleet
medical personnel.
The function of the Medical Records Maintenance Section is to classify and control
the records and documents produced by all the bureaus, organizations and personnel
within the Star Fleet Division of Medicine, and to establish the requirements for
maintaining such medical records. That is, to establish the standards for retention of such
records and to establish the standards and procedures for release, disposal or destruction
of medical records. This office will coordinate with Star Fleet Central Records for the
storage and maintenance of all Star Fleet medical records and documents, as well as the
personal medical records of service members and civilian employees. That is this section
will have access to the medical section of an individual’s Personnel Record (310-20).
However, medical personnel having access to a person’s Personnel Record will only have
access to the medical section and will not have any access to any other part of the record.
In charge of this office is the Commander: Star Fleet Medical Records or

COMMEDREC and is the senior officer in charge of all activities concerning the storage,
maintenance, classification and retrieval of all medical documents generated by the Star
Fleet Division of Medicine. The COMMEDREC will typically be an officer of the
Medical Corps (MED), but who may also be a line officer (SFC) with knowledge and
experience in the storage and control of Star Fleet documents and will typically have the
rank of Commander.

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STAR FLEET MEDICINE
ORGANIZATION CHARTS
4100 Star Fleet

Bureau of
BUMED Medicine and Surgery
Office Designator

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STAR FLEET MEDICINE
Figure 10a11.1
4100 Star Fleet

Bureau of
BUMED Medicine and Surgery
Office of Office of Hospitals and Office of Office of
MEDPERS Medical Personnel MEDFAC Medical Facilities MEDTEC Medical Technology MEDPRC Medical Procedure
4150 Star Fleet 4160 Star Fleet 4170 Star Fleet

Office of Office of Office of
MEDRSH Medical Research MEDSUP Medical Supplies MEDREC Medical Records

Supply Central
SUPCOM Command BUMANPUB Records

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STAR FLEET MEDICINE
Figure 10a11.2
STAR FLEET OFFICE OF MEDICAL PERSONNEL

Bureau of Office of
BUPERS Personnel MEDPERS Medical Personnel
4111 Office of 4112 Office of 4113 Office of 4114 Office of

Medical Personnel Medical Personnel Military Medical Civilian Medical
MEDPERS Recruitment MEDPERS Standards MEDPERS Personnel MEDPERS Personnel
4115 Office of 4116 Office of

Medical Personnel Medical Personnel
MEDPERS Training MEDPERS Certification

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STAR FLEET MEDICINE
Figure 10a11.3
STAR FLEET OFFICE OF HOSPITALS AND MEDICAL FACILITIES

Office of Office of Hospitals and
CONST Construction MEDFAC Medical Facilities

Medical Facility Base and Station Ship and Vessel Medical Equipment
MEDFAC Design Requirements MEDFAC Medical Facilities MEDFAC Medical Facilities MEDFAC Requirements
3420 Star Fleet 4125 Office of 4160 Star Fleet

Office of Medical Facility Office of
STARBASES Base Architecture MEDFAC Maintenance MEDSUP Medical Supplies

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STAR FLEET MEDICINE
Figure 10a11.4
STAR FLEET OFFICE OF MEDICAL TECHNOLOGY
5200 Star Fleet Office of 4130 Star Fleet

Science and Office of
SCITEK Technology MEDTEC Medical Technology

Medical Technology Medical Equipment Surgical Equipment Medical Prosthetics
MEDTEC Research MEDTEC Development MEDTEC Development MEDTEC Development
4135 Office of
Medical Technology
MEDTEC Testing & Certification

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STAR FLEET MEDICINE
Figure 10a11.5
STAR FLEET OFFICE OF MEDICAL PROCEDURE

Office of Office of
SFCQA Quality Processes MEDPRC Medical Procedure
4141 Office of 4142 Office of 4143 Office of

Medical Procedure Medical Procedure Medical Procedure
MEDPRC Review MEDPRC Development MEDPRC Certification

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Figure 10a11.6
STAR FLEET OFFICE OF MEDICAL RESEARCH

Office of Office of
LIFSCI Life Science MEDRSH Medical Research

Bio-Medical Alien Medical Surgical Methods Alternative Medicine
BIOMED Research ALNMED Research SURGMET Research ALTMED Research
4155 Office of
Medical Research
MEDLABS Laboratories

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STAR FLEET MEDICINE
Figure 10a11.7
STAR FLEET OFFICE OF MEDICAL SUPPLIES

Supply Office of
SUPCOM Command MEDSUP Medical Supplies

Medical Supply Medical Supply Medical Supply Perishable Medical
MEDREQ Requirements MEDQC Quality MEDSUP Acquisition MEDSUP Supplies

Medical Supply Medical Supply
MEDSEC Security MEDSTO Storage Requirements

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STAR FLEET MEDICINE
Figure 10a11.8
STAR FLEET OFFICE OF MEDICAL RECORDS
4170 Star Fleet

Office of
MEDREC Medical Records
4171 Medical Records 4172 Medical Records

Requirements Maintenance
MEDRECA Section MEDRECB Section
0323 Star Fleet

Central
BUMANPUB Records

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STAR FLEET MEDICINE
1.2 STAR FLEET BUREAU OF DENTISTRY

The Star Fleet Bureau of Dentistry (BUDENT) is the organization responsible for all
activities and personnel related to dentistry within the Department of the Star Fleet. As
such, the Bureau of Dentistry is responsible for all Star Fleet dental facilities, dental
equipment, dentists, dental surgeons, oral hygienists and other dental technicians. In
addition, the Bureau of Dentistry is also responsible for developing and maintaining all
the processes and procedures used to practice military and civilian dentistry within the
department. As such, the Star Fleet Manual of Dental Practice was created to
establish the rules and procedures by which all dental personnel within the Department
of the Star Fleet will follow. This includes all dentists, dental hygienists and other dental
medical persons from the members of the United Federation of Planets that are
employed, adjoined or otherwise attached to Star Fleet.
The Star Fleet Bureau of Dentistry is the primary source for dental, oral and maxillary
professionals, as well as basic dental services and procedures for Star Fleet. The majority
of the functions and responsibilities of the Division of Dentistry are contained within this
bureau. The organizational chart for this bureau can be seen in Figure 10a12.1 and
represents the topmost offices within this bureau. As shown in the figure, the bureau
contains six administrative offices that represent that primary medical functions performed
by the Star Fleet Bureau of Dentistry and the Division of Medicine.
The Deputy Chief: Bureau of Dentistry (CDENTL) is the senior officer in command of
the Star Fleet Bureau of Dentistry and of all dental personnel and dental facilities
within Star Fleet and as such, is the senior officer of the Star Fleet Dental Corps. The
CDENTL is an officer of the Dental Corps, and will typically have the rank of Rear
Admiral.
RESPONSIBILITIES
The Star Fleet Bureau of Dentistry has the primary responsibility to manage and direct
all the activities as regards to the Star Fleet dental processes, its assets and personnel.
As such, this bureau is responsible for organizing all dental facilities, and supplying them
with Star Fleet and civilian dentists and other dental professionals. This office will also
manage all dental procedures performed on Star Fleet Service personnel, civilian
employees, Federation colonies and expeditions when they are available to such
enterprises. The Star Fleet Bureau of Dentistry is also responsible for managing all the
dental records of Service and non-service employees of Star Fleet.
Another major responsibility of this bureau is to keep the Director: Star Fleet
Command and the various Federation agencies informed on the latest advances and
practices in dentistry developed by Star Fleet or by any member system within the
Federation. Such information will be transmitted to all Star Fleet dental offices, as well
as to all other Federation medical agencies, associations, universities and other medical
and dental organizations in order to keep up with the latest trends in technology and
practice.

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STAR FLEET MEDICINE
STAR FLEET DENTAL CORPS
The Star Fleet Dental Corps consists of Star Fleet officers who have a Doctorate in
either Dental Surgery or Dental Medicine and who practice dentistry within the fleet or at a
shore facility. In addition, they will also treat dependent family members and colony
members out in deep space as well. Dental Officers are usually appointed to the rank of
Lieutenant (LEUT), but may be appointed to higher ranks with significant practice
experience or advanced specialty training.
Historically, dentists in the old Space Service were grouped together with physicians into
independent medical commands. These commands would comprise a group of surgeons,
physicians, dentists, dental assistants, and hygienists. However, aboard ships of the old
Space Service there was no room for a special dentist. As such, the ship’s surgeon had to
perform the work of a dentist as well. With the establishment of the Star Fleet Medical
Corps in 2207 by Star Fleet Executive Order 10, it was determined that a separate
professional organization dedicated to the Dental Officer was needed. As such, the Star
Fleet Dental Corps was created.
Most Dental Officers come from the College of Medicine and Dentistry at the Star
Fleet Academy, and as with their physician counterparts, graduate from the Academy
with the rank of Lieutenant Junior Grade (LTJG). After spending a year of internship at
a Star Fleet hospital or dental facility, they will be deployed to the fleet as a Dental
Officer and will be promoted to the rank of full Lieutenant. However, there are some
who enter the corps as certified dentists from civilian life as well. In these cases, the
candidate will need to attend the Star Fleet Officer School for orientation and training
as a Star Fleet officer with the rank of Lieutenant.
In general, the pay of a Star Fleet Dental Officer is less than what is comparable in
private practice. However, the workload of the Dental Officer in terms of the number of
patients seen may be less than that of private practice, but the stress and demand that
operational billets place on the officer, as well as on his or her family, far surpasses that of
the private sector. As such, candidates considering becoming a Star Fleet Dental Officer
must consider the burden of family separation, his or her level of professional skill and
responsibility in life threatening and often arduous situations when compared to his civilian
counterpart.
There is also the possibility that a shore-based Dental Officer may spend two of every
five years assigned to a vessel that travels out into deep space. This allows the ship-based
Dental Officer to experience shore duty. In addition, a Dental Officer might also be
deployed along with a Fleet Marine Force to set up field dental units in conflict areas or
war zones.
The symbol for the Dental Corps utilizes the Star Fleet Medical Corps Caduceus with
a large “D” placed in the center. All personnel working in the dental field will display this
symbol on their uniforms. Enlisted Technicians and Specialists in the field will also wear
a version of this symbol as well.

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STAR FLEET MEDICINE
STAR FLEET BUREAU OF DENTISTRY SYMBOL
The symbol for the Dental Corps utilizes the Star Fleet Medical Corps Caduceus with
a large “D” placed in the center. All personnel working in the dental field will display this
symbol on their uniforms. Enlisted Technicians and Specialists in the field will also wear
a version of this symbol as well. This symbol is a patch or badge worn on the uniforms of
the members of this division.
STAR FLEET BUREAU OF DENTISTRY SYMBOLS
Formal Symbol of the Division of Dentistry Symbol used on all Dental Uniforms
Symbol used for Dental Technicians Symbol used on Dental Facilities

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STAR FLEET MEDICINE
ORGANIZATION
The Star Fleet Bureau of Dentistry is divided into six offices for the delegation of its
responsibilities, as illustrated in Figure 10a12.1. These offices are:
 Star Fleet Office of Dental Personnel

 Star Fleet Office of Dental Facilities
 Star Fleet Office of Dental Technology
 Star Fleet Office of Dental Procedure
 Star Fleet Office of Dental Research
 Star Fleet Officer of Dental Supplies
Each of these offices will be described in the subsequent sections below. It should be
noted that unlike the Star Fleet Bureau of Medicine and Surgery, the Star Fleet
Bureau of Dentistry does not have a separate office dedicated to dental records. This is
because all dental records are attached to the medical records managed by the Star Fleet
Office of Medical Records.

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STAR FLEET OFFICE OF DENTAL PERSONNEL
The function of the Star Fleet Office of Dental Personnel is to evaluate the needs of
the Department in terms of the numbers and types of dentists, oral surgeons and other
specialists needed to support the division, which includes all the civilian dentists and oral
surgeons employed by the Department. This office will also perform assessments on the
dental personnel needs of the Operating Forces, as well as the requirements of all Star
Fleet hospitals and dental facilities. In addition, to support the Operating Forces, this
office will provide dental training to Fleet Medical Officers where a dentist may not be
assigned. The organizational structure for this office is illustrated in Figure 10a12.2.
Within the Star Fleet Office of Dental Personnel the Office of Dental Personnel
Allocation will develop the requirements for entry into the Dental Corps and to make
requests for dental personnel to the Star Fleet Office of Medical Personnel of the Star
Fleet Bureau of Medicine and Surgery. As such, this office primarily evaluates the
need for dental personnel and submits the requirements to the Star Fleet Office of
Medical Personnel for implementation. This office does not normally directly recruit or
hire dental personnel, but leaves it up to the Star Fleet Bureau of Medicine and
Surgery to fulfill the requests. In summary, this section handles only the requirements for
recruitment of dental personnel.
The Star Fleet Office of Dental Personnel also contains the Office of Dental
Personnel Standards, the organization responsible for setting the standards of dental
professional ethics and practice. As such, this office will work with the Star Fleet Office
of Personnel Standards of the Star Fleet Bureau of Personnel regarding the
establishment of the standards of dental ethics and practice for the Department of the
Star Fleet. In addition, it is this office, the Office of Dental Personnel Standards that
will make a request to the Star Fleet Board of Medical Ethics to assemble and convene
a Board of Medical Ethics to investigate any accusation of a violation of dental ethics or
practice.
The function of the Office of Civilian Dental Personnel is to manage all the civilian or
non-Service dental personnel employed or contracted by the Department of the Star
Fleet within Federation territory. As such, the function of this office is to evaluate and
recruit, or contract, qualified civilian dental personnel for the Dental Division. The
function of a civilian dental staff is to provide a mix of civilian and Star Fleet personnel in
order to minimize the Dental Corps staff and to manage the overall dental staff at the
appropriate levels. In addition, civilian dental personnel will primarily be used to provide
dental services to the civilian employees of the Department and to the dependents of Star
Fleet Service personnel. Lastly, this office will conduct evaluations regarding the fitness
and professionalism of civilian dental personnel employed by the division and therefore,
will work with the Star Fleet Bureau of Civilian Personnel in the management of the
civilian staff.

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The function of the Office of Dental Personnel Training and Certification is to

establish the standards and requirements for educating, training and certifying Star Fleet
dental personnel. As such, this office primarily develops and issues the minimum
educational requirements required for general dental practice and for the various dental
specialties used by Star Fleet. The requirements for professional practice will be sent to
the College of Medicine and Dentistry at the Star Fleet Academy for use in their
academic program. Graduates from the school must meet the minimum requirements of
course study before they can be accepted into the Dental Corps. The same requirements
will be applied to civilian dentists that wish to enter Star Fleet service. A separate set of
minimum requirements are also developed for the enlisted dental staff as well. These
requirements will be sent to the various technical and Fleet Schools that focus on dental
technician training, and will be used to certify Star Fleet Dental Technicians.
In addition, this office also establishes the standards of certification of dental personnel for
the Star Fleet, and to officially certify such persons for Star Fleet dental duty through
testing and examination. All dental personnel within the Star Fleet must have completed
specific levels of training and education before becoming certified to perform dental
practice within the Star Fleet. Once the prospective dental person’s education or training
background has been completed and verified, the individual must take a written and
practical test to prove that they can perform the dental duties they seek to employ. In
addition, professional dental personnel will go before the Star Fleet Board of Medical
Certification for a final oral examination before being licensed to practice dentistry within
the Star Fleet.
Within the Star Fleet Office of Dental Personnel the Office of Dental Specialists
was created to manage the need for certain specialists in the field of dentistry. Such dental
specialties include, but not limited to: Endodontics, Oral and Maxillofacial Pathology,
Oral and Maxillofacial Radiology, Orthodontics and Dentofacial Orthopedics,
Periodontics, and Prosthodontics. As such, this office is responsible for determining
the number and types of dental specialists, at what locations such specialists are needed,
and the development of professional requirements associated with such specialties. This
office will develop the dental specialty manpower plan and submit this plan to the Office
of Dental Personnel Allocation for allocation.
In charge of this office is the Commander: Star Fleet Dental Personnel, who has the
designation of COMDENTPER. The COMDENTPER is the senior officer in charge of all
activities concerning the allocation and assignment of all dentists, oral surgeons, oral
hygienists, and Dental Technicians to dental units. The COMDENTPER is usually an
officer of the Dental Corps (DNT), but may also be an officer from the Star Fleet
Medical Corps (MED), or a line officer from Star Fleet Command with experience in
personnel resources management, and will typically have the rank of Commodore.

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STAR FLEET MEDICINE
STAR FLEET OFFICE OF DENTAL FACILITIES
The primary function of the Star Fleet Office of Dental Facilities is to manage all the
dental sites located at Star Fleet medical facilities. The management of dental facilities,
however, does not include Star Fleet ships, which are the responsibility of the ship’s
Chief Medical Officer. This office primarily keeps track of ground and station dental
facilities and will work with the Star Fleet Office of Hospitals and Medical Facilities
in the design and layout of dental areas at Star Fleet hospitals and medical facilities. The
organizational structure for this office is illustrated in Figure 10a12.3.
The function of the Office of Dental Facility Design is to establish the basic design and
operating requirements for Star Fleet shore and ship dental facilities. Such requirements
include, but not limited to, the general layout of dental areas, labs and offices; the
juxtaposition of these areas; the locations and proximity of differing dental areas within
the same structure or space; the placement of dental equipment within dental or medical
areas; the environmental standards of dental areas; and the standards of dental area
esthetics. All of the aforementioned requirements will be assembled into a single set of
design specifications that will be given to the various engineering, construction and
administrative commands such as Star Ship Command, Star Base Command, the Star
Ship Systems Command, the Star Base Systems Command, the Star Fleet Corps
of Engineers, and the Star Fleet Construction Command.
The function of the Office of Base and Station Dental Facilities is to exclusively
manage the dental design specifications for Star Fleet shore facilities. As such, this office
will utilize the general specifications from the Office of Dental Facility Design and will
incorporate additional requirements specific to ground and space station dental facilities.
Such design items include internal color schemes, dental area furnishings, the orientation
of shore dental areas, and any special dental equipment that must be mounted in dental
areas. This office is also responsible for the maintenance and cleanliness of shore dental
facilities, the systems needed to operate the facility, and the environmental systems used
to maintain the atmospheric conditions within shore dental facilities. Therefore, this office
will work with the Star Base Systems Command and the Star Fleet Construction
Command in the design and construction of shore-based dental facilities.
The function of the Office of Ship and Vessel Dental Facilities is to manage the
design specifications for dental facilities aboard Star Fleet spacecraft. As such, this office
will utilize the specifications from the Office of Dental Facility Design and will
incorporate additional design requirements specific to space ships and space vessels, such
as those exclusively needed for Starship Sickbays and Star Fleet Hospital Ships.
based dental facilities within Sickbays and hospitals. Some of the design aspects this
office will work on will include the general layout of dental facilities within vessel Sickbays
particularly, the type of dental offices and examination rooms.

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The function of the Office of Dental Facility Maintenance is to establish the standards
and requirements for maintenance and cleanliness of all dental facilities. Such standards
include the sanitation of operating and oral surgical areas, dental laboratories, and dental
fabrication areas. This office also establishes the requirements for scanning and measuring
dental area cleanliness and sterility, and will establish the processes and procedures for
oral surgical sterility. This office will also establish the schedules for dental facility cleaning
and sterilizing, and the equipment that shall be used in performing such maintenance.
In charge of this office will be the Commander: Star Fleet Dental Facilities, having
the designation of COMDENTFAC, and is the senior officer in charge of all Star Fleet
dental facilities for the Bureau of Dentistry and the Department of the Star Fleet.
The COMDENTFAC will typically be an officer of the Dental Corps (DNT), but may also
be an officer from the Star Fleet Medical Corps (MED), or a line officer from Star Fleet
Command with experience in facility management, and will typically have the rank of
Commodore.

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STAR FLEET OFFICE OF DENTAL TECHNOLOGY
The function of the Star Fleet Office of Dental Technology is to analyze and evaluate
any new equipment and technology that can be used by Star Fleet dental personnel, and
to make recommendations on the use of such new technology. In addition, this office will
also develop new or special dental technologies such as maxillary prosthetics, dentures,
oral surgical tools, oral scanning and analysis equipment, and any other device or system
that can be used by Star Fleet or Federation dental specialists. As such, this office will
work with that various Star Fleet and Federation dental, scientific and engineering
organizations, universities and commercial manufacturers in the development of new or
novel dental technologies. The Star Fleet Office of Dental Technology is an assembly
of research and development organizations as illustrated in Figure 10a12.4.
The function of the Office of Dental Technology Research is to research existing and
developing dental technologies. As such, this office will examine the work currently being
undertaken at Federation universities and corporations relating to dental equipment, and
to assist, where possible, in the development of such equipment. In addition, this office
will analyze new dental equipment that is out in the market and determine its potential use
as Star Fleet equipment. This analysis will be performed by giving the new equipment to
select dental facilities for real-world use and evaluation. If the technology or equipment is
useful, it will be placed in the list of approved devices and technologies managed by the
Star Fleet Office of Dental Supplies and both the Star Fleet Office of Purchasing
and the Star Fleet Supply Command.
The function of the Office of Dental Equipment Development is to develop new or

novel dental technologies based upon the requirements given to the office by Star Fleet
dental personnel in the field, by Federation mandate, or by the need for new alien or
specialized dental equipment. As part of its function, this office will also design and test
the new dental equipment developed by this office, and will execute field examinations by
providing select dental facilities with the test equipment for real-world evaluations. Dental
equipment that is accepted by the Star Fleet dental community will be sent to the Star
Fleet Office of Manufacturing for mass production. In addition, and where there will
not be a security issue, dental technologies developed by this office will be sent to the
Star Fleet Academy College of Medicine and Dentistry for use as part of its dental
training, and distributed to the various Federation colleges and universities, as well as
other dental organizations that can use the dental technologies developed by Star Fleet.
The function of the Office of Dental Implant Development is to develop new oral
prosthetic devices and technologies. As such, this office will design and test new prosthetic
devices or artificial teeth materials. However, the prosthetic devices developed by this
organization are basically generic in design and use, and are not specific to any individual
person. The customization of maxillary prosthetic devices must be performed at a local
Star Fleet dental facility. Therefore, the purpose of this office is to develop prosthetic
technology and not specific devices. This office contains primarily scientists, engineers and
dental technicians with education in dental engineering and bio-mechanics, with some
having dual degrees in engineering and dentistry. As such, this is a highly specialized
dental organization and does not have a very large staff.

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STAR FLEET MEDICINE
The function of the Office of Dental Technology Testing and Certification is to test
and certify the new dental equipment developed by the offices contained within the Star
Fleet Office of Dental Technology. As such, this office primarily executes local testing
of the dental devices and technologies developed by the organizations within the Star
Fleet Office of Dental Technology and will certify the use of such technology before it
goes out for field testing. The majority of the tests performed by this office are generally
quality-related. That is, this office examines the materials used and executes performance,
structural and design tests of the equipment or maxillary device. Consequently, this office
will work with the Star Fleet Office of Quality Assurance to ensure that the dental
devices and equipment developed by this office meets the standards of high quality as
stipulated in the Star Fleet Quality Assurance Program. As a general rule, all dental
equipment, tools, devices, etc., must be certified by this office before it can be used for
general practice by Star Fleet dental professionals.
In charge of the Star Fleet Office of Dental Technology is the Commander: Star
Fleet Dental Technology or COMDENTTEC, and is the senior officer in charge of all
activities concerning the research and development of dental instruments, equipment and
other dental technologies. The COMDENTTEC will typically be an officer of the Dental
Corps (DNT), but who may also be a Staff Corps officer of the Science Corps (SCI) or
Engineering Corps (ENG) as well, and will typically have the rank of Captain.

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STAR FLEET MEDICINE
STAR FLEET OFFICE OF DENTAL PROCEDURE
The primary function of the Star Fleet Office of Dental Procedure is to establish and
maintain the standards of dental practice throughout the Department. As such, this office
will establish and maintain all the standards and regulations regarding dental health and
oral procedure within the Department, and will work with the Office of Medical and
Health Standards, an office within the Star Fleet Bureau of Standards, to make such
regulations and procedures standard across the entire Department. Not only will this office
develop such standards, but will also develop and maintain the procedures used during
dental examinations and oral surgery. In addition, this office will periodically review all
dental procedures to ensure that they are kept current with the latest techniques, methods
and technology, and will distribute these procedures throughout the fleet. This office is
comprised entirely of Star Fleet dental officers and civilian dentists. The organizational
structure for this office is illustrated in Figure 10a12.5.
The purpose of the Office of Dental Procedure Review is to review currently active
dental procedures, and to evaluate new, unique or ground-breaking dental procedures,
and based upon its evaluation, issue reports and recommendations regarding the use of
such procedures and practices. This is essentially a quality control organization designed
with the purpose of ensuring that any dental procedure, or potential dental procedure, will
be covered and that such procedures can be performed, efficiently, effectively and ensures
the safety of the patient. As such, this organization consists entirely by Star Fleet and
civilian dental experts.
The function of the Office of Dental Procedure Development is to develop new or

special dental procedures, and to revise old or current dental procedures. The majority of
the development work will be executed as a result of the analyses performed by the
Office of Dental Procedure Review, and the recommendations or requirements made
by that office. In the development of new dental procedures, or the analysis and
modification of old and current procedures, this office will utilize special dental simulators
and laboratories to test the effectiveness of procedures. In addition, in order to develop
and test procedures this office maintains a staff of certified and highly experienced Star
Fleet and civilian dental professionals from all branches of dentistry.
The function of the Office of Dental Procedure Certification is to review the findings
of the tests performed on dental procedures and to certify their use by Star Fleet. In
addition, this office will also review and audit the procedures used in testing or evaluating
a dental procedure to ensure that the procedure will perform as expected and that the
evaluation methods were proper and in conformance with the standards of quality control
as specified in the Star Fleet Quality Assurance Program (SFQAP). As such, the
Office of Dental Procedure Certification is in effect a quality assurance organization in
that it will evaluate how the dental procedure was exercised and if the procedure conforms
to the standards set forth by the Office of Medical and Health Standards.
In charge of the Star Fleet Office of Dental Procedure is the Commander: Star
Fleet Dental Procedure or COMDENTPRC, and is the senior officer in charge of all
activities concerned with establishing appropriate dental and oral surgical procedure and
practice. The COMDENTPRC will always be an officer of the Dental Corps (DNT), and
will usually have the rank of Captain.

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STAR FLEET OFFICE OF DENTAL RESEARCH
The Star Fleet Office of Dental Research was created to keep the Star Fleet Dental
Division up to date in the latest ongoing dental research and procedures. As such, this
office will examine the latest developments in dental practice currently being employed at
Federation universities and hospitals. This office will also ensure that Star Fleet dental
personnel are kept up to date on the latest dental advances and practices. The
organizational structure for this office is illustrated in Figure 10a12.6.
The primary function of the Office of Dental and Oral Disease Research is to perform
basic dental, periodontal, and oral disease research. In this context, oral disease
encompasses a wide array of research, extending from basic biological research, involving
fundamental scientific principles that may apply to a preclinical understanding, to clinical
research, which involves studies of people who may be subjects in clinical trials. Within this
spectrum is applied research, or translational research, conducted to expand Federation
knowledge in the field of dentistry. The differing diets and oral hygiene techniques of
humanoids over the past century can be significantly attributed to advances resulting from
dental research. As such, this office is composed primarily of Star Fleet dental scientists,
biologists and research dentists.
The function of the Office of Alien Dental Research is similar to that of the Office of
Dental and Oral Disease Research, but geared exclusively to alien and unknown life
forms. As such, this office will contain mostly scientists from non-member and alien
worlds. Their primary task is to perform clinical research on alien life and unknown forms
and to transmit their findings to all Federation dental institutions. However, not all alien
life forms have an oral-maxillary structure and therefore, only studies in food ingestion will
be performed.
The function of the Office of Oral Surgical Methods Research is to perform research
into new or novel methods and processes pertaining to oral surgery. However, because of
the unique nature of the work performed by this office, it was placed under the Star Fleet
Office of Dental Research instead of the Star Fleet Office of Dental Procedure.
Most of the research performed by this group will directed towards developing new oral
surgical methods, especially on new or unknown life forms. As such, this office will work
with the Star Fleet Office of Dental Procedure in the development of new or unique
oral surgical procedures. Along with surgical methods, this office is also responsible for
researching and developing the oral surgical methods of implanting artificial teeth and the
development of oral anesthesiological processes and methods.

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The function of the Office of Dental Research Laboratories is to manage the various
laboratories used in the research and development of dental prosthetics, artificial teeth,
tests to study tooth decay, gum disease and inflammation, oral medicines, drugs,
anesthetics, dental compounds, and dental procedures. As such, this office manages all of
the large dental laboratories located at most of the major Star Fleet Headquarters and
Starbases spread throughout Federation space, including those dental laboratories that
may be built into Star Fleet ships. In addition to managing the labs, this office also
develops and maintains the standards of dental laboratory practice and procedure used at
these labs, and in standardizing the equipment and tools used at these labs.
In charge of the Star Fleet Office of Dental Research is the Commander: Star Fleet
Dental Research or COMDENTRES, and is the senior officer in charge of all activities
concerning the research into dental issues and methods. The COMDENTRES will typically
be an officer of the Dental Corps (DNT), but who may also be a Staff Corps officer of
the Science Corps (SCI) as well, and will typically have the rank of Captain.

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STAR FLEET OFFICE OF DENTAL SUPPLIES
The function of the Star Fleet Office of Dental Supplies is to provide all Star Fleet
dental facilities with the necessary equipment, and oral supplies and medicines. In
addition, this office is also responsible for keeping all Star Fleet dentists, oral surgeons
and Dental Technicians supplied with the latest equipment needed to perform their
jobs. The majority of the persons working in this office are Staff Corps officers and
personnel from the Star Fleet Supply Corps. As such, these officers will work mainly
with the Star Fleet Supply Command and the Office of Medical Supply Acquisition
within the Star Fleet Office of Medical Supplies in the performance of their supply
duties. The organizational structure for this office is illustrated in Figure 10a12.7.
The function of the Office of Dental Supply Requirements is to establish the supply
requirements for both ship-based and shore-based dental facilities. Such dental supply
requirements include: all permanently-mounted dental and oral surgical equipment; all
portable dental equipment; all hand-held dental and oral hygienic devices and tools; all
special clothing worn by dental personnel; the inventory of required oral drugs, medicines,
and anesthetics; and dental consumable items such as bandages, gauzes, wipes, gas
filters, masks, and disposable items. In addition, this office will receive inputs from the
Star Fleet Ship Supply Planning Section and the Star Fleet Base Supply Planning
Section regarding the planned size of the dental facility to be constructed and the
possible material requirements of the impending facility. The requirements this office
creates will be published in a report and sent to the various supply organizations such as
the Star Fleet Base Supply Requirements Section, the Star Fleet Ship Supply
Requirements Section, and the Star Fleet Office of Medical Supplies regarding the
required inventory of dental supplies.
The function of the Office of Dental Supply Acquisition is to acquire dental supplies for
the Department. Typically, this office will submit its supply requests directly to the Office
of Medical Supply Acquisition within the Star Fleet Office of Medical Supplies
organization. However, this office may also perform direct purchasing from an outside
vendor, or through the Star Fleet Supply Command. When directly purchasing from an
outside vendor, this office will work with the Star Fleet Office of Purchasing regarding
such purchases. As such, this office consists almost entirely of Staff Corps officers and
personnel from the Star Fleet Supply Corps. In addition, this office will also be the
primary organization that manages the budget for dental equipment for the Star Fleet
and therefore, reports to the Star Fleet Bureau of Finance and Accounting regarding
the monies required and spent by the division for dental supplies and equipment.

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The function of the Office of Dental Equipment Purchasing is to manage the

allocation of specialized dental and oral surgical equipment. Unlike the Office of Dental
Supply Acquisition, which allocates dental supplies through the Office of Medical
Supply Acquisition within the Star Fleet Office of Medical Supplies organization, this
office performs purchases of the special dental equipment directly from outside vendors
and dental equipment manufacturers, either directly or through the Star Fleet Office of
Purchasing. As such, all dental equipment that is permanently mounted in a dental
facility will be obtained through this office, including all spare parts associated with this
equipment.
The function of the Office of Dental Supply Receiving and Storage is to receive,
inspect, store and maintain all the dental supplies, materials, equipment, medicines, drugs,
and dental compounds consistent with the standards established by the Office of
Medical and Health Standards and in accordance with the Star Fleet Quality
Assurance Program (SFQAP). In addition, this office will also send personnel to the
field to inspect storage facilities and audit storage records to ensure compliance with
dental supply storage and handling standards. As such, this office will work with the Star
Fleet Inspector General and the Star Fleet Office of Examinations and Audits in
the auditing and inspection of dental storage facilities.
In charge of this office is the Commander: Star Fleet Dental Supplies or

COMDENTSUP and is the senior officer in charge of all activities concerning the
allocation, inspection, storage, and distribution of all dental supplies and equipment. The
COMDENTSUP will typically be an officer of the Dental Corps (DNT), but who may also
be a Staff Corps officer of the Supply Corps (SUP), or a line officer (SFC) with
knowledge and experience in the allocation and distribution of supplies and fleet logistics,
and will typically have the rank of Captain.

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ORGANIZATION CHARTS
4200 Star Fleet

Bureau of
BUDENT Dentistry
Office Designator

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Figure 10a12.1
STAR FLEET BUREAU OF DENTISTRY
4200 Star Fleet

Bureau of
BUDENT Dentistry
Office of Office of Office of Office of
DENTPER Dental Personnel DENTFAC Dental Facilities DENTTEK Dental Technology DENTPRC Dental Procedure

Office of Office of
DENTRSH Dental Research DENTSUP Dental Supplies
7100 Star Fleet

Supply
SUPCOM Command

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Figure 10a12.2
STAR FLEET OFFICE OF DENTAL PERSONNEL

Bureau of Office of
BUPERS Personnel DENTPER Dental Personnel

Dental Personnel Dental Personnel Civilian Dental Dental Personnel
DENTPER Allocation DENTPER Standards DENTPER Personnel DENTPER Training & Certification
4215
Office of
Dental Specialists
DENTPER

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Figure 10a12.3
STAR FLEET OFFICE OF DENTAL FACILITIES

Office of Office of
CONST Construction DENTFAC Dental Facilities

Dental Facility Base and Station Ship and Vessel Dental Facility
DENTFAC Design DENTFAC Dental Facilities DENTFAC Dental Facilities DENTFAC Maintenance
3420 Star Fleet

Office of
STARBASES Base Architecture

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Figure 10a12.4
STAR FLEET OFFICE OF DENTAL TECHNOLOGY
5200 Star Fleet Office of 4230 Star Fleet

Science and Office of
SCITEK Technology DENTTEK Dental Technology

Dental Technology Dental Equipment Dental Implant Dental Technology
DENTTEK Research DENTTEK Development DENTTEK Development DENTTEK Testing & Certification

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Figure 10a12.5
STAR FLEET OFFICE OF DENTAL PROCEDURE

Office of Office of
SFCQA Quality Processes DENTPRC Dental Procedure

Dental Procedure Dental Procedure Dental Procedure
DENTPRC Review DENTPRC Development DENTPRC Certification

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Figure 10a12.6
STAR FLEET OFFICE OF DENTAL RESEARCH

Office of Office of
LIFSCI Life Science DENTRSH Dental Research

Dental & Oral Disease Alien Dental Oral Surgical Methods Dental Research
BIODENT Research ALNDENT Research SURGMET Research DENTLABS Laboratories

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Figure 10a12.7
STAR FLEET OFFICE OF DENTAL SUPPLIES

Supply Office of
SUPCOM Command DENTSUP Dental Supplies

Dental Supply Dental Supply Dental Equipment Dental Supply
DENTREQ Requirements DENTSUP Acquisition DENTSUP Purchasing DENTSUP Receiving & Storage
4163 Office of
Medical Supply
MEDSUP Acquisition

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1.3 STAR FLEET BUREAU OF NURSES

The primary function of the Star Fleet Bureau of Nurses (BUNURS) is to manage all
Star Fleet nurses and nurses’ aides within the Department of the Star Fleet. As such,
this bureau sets the standards for nurse professionalism as well as the standards and
procedures used by nursing personnel for the care of patients. Figure 10a13.1 presents the
topmost offices within the bureau, each of which will be described below.
The Star Fleet Bureau of Nurses is the smallest organizational unit within the Star
Fleet Division of Medicine and is the sole source for nurses, and nursing services and
procedures for Star Fleet. The organizational chart for this bureau can be seen in Figure
10a13.1 and represents the topmost offices within this bureau. As shown in the figure, the
bureau contains four administrative offices for the purpose of managing nursing practice
and personnel for the Department of the Star Fleet.
The Deputy Chief: Bureau of Nurses (CNRS) is the senior officer in command of the
Star Fleet Bureau of Nurses (BUNURS) and of all nurses and nurses’ aides within the
Department of the Star Fleet, and as such, is the senior officer of the Star Fleet
Nurse Corps. The CNRS is typically an officer of the Nurse Corps, but may also be any
senior officer from the Medical Corps as well, and will typically have a rank of Rear
Admiral.
RESPONSIBILITIES
The Star Fleet Bureau of Nurses has the primary responsibility to manage and direct all
the activities as regards to nursing and the care of the sick and injured, either within the
Department of the Star Fleet or as needed elsewhere. As such, this division is
responsible for organizing and deploying qualified nursing personnel to such forces and
medical establishments as required to meet the nursing needs of the fleet. In addition, this
office will also manage all nursing procedures and practices performed on Star Fleet
Service personnel, civilian employees, Federation colonies and expeditions, as well as
persons who are in need in deep space.
Another major responsibility of this bureau is to keep the Chief of Star Fleet Medicine
informed on the latest advances in nursing techniques and practices developed by Star
Fleet or by any other nursing establishment within the Federation. Such information will
be transmitted to all Star Fleet medical offices, as well as to all Federation medical
agencies, associations, universities and other medical organizations in order to keep up
with the latest medical advances and trends.

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STAR FLEET NURSE CORPS
The Star Fleet Nurse Corps continues as a prominent part of the Star Fleet medical
establishment. Currently, it consists of officers of the rank of Ensign and higher. Nurse
Officers are normally commissioned through the College of Medicine and Dentistry at
the Star Fleet Academy, or by direct commission. Direct commissioned Nurse Officers
are nurses with demonstrated experience in nursing in civilian life.
Star Fleet nurses can specialize in any of more than a dozen sought-after practice areas,
as listed in the following table. In general, approximately 75% of Star Fleet nurses had
previous experience in civilian life before entering the Service. Only about 20% of the
commissioned nurses come from the Academy. The remaining 5% are those enlisted
Medical Technicians that went into the Commissioned Nurse Program.
Table 10a13.1
TABLE OF NURSE CORPS SPECIALTIES
Discipline Description of Duties
Nurses in this field provide care and support to patients that are of an
Alien Nursing
alien or unknown physiology.
Medical care delivered on an outpatient basis such as making blood
Ambulatory Care
tests, medical scanning and biopsy procedures of superficial organs.
The field of nursing with a focus on the care of the critically ill or unstable
Critical Care
patients, and may specialize in a specific field or care.
A nursing specialty in which Nurses care for patients in the emergency or
Emergency Room/Trauma critical phase of their illness or injury. An emergency nurse is skilled at
Medicine dealing with people in the phase when a diagnosis has not yet been
made and the cause of the problem is not known.
Nurses in this field provide care and support to patients before, during,
General Surgery
and after surgery.
The Surgical Nurse specializing in the treatment of disorders of the brain,
Neurosurgery
spinal cord, and peripheral nerves.
A Registered Nurse who has completed specific advanced nursing
Nurse Practitioner education (generally a master's degree) and training in the diagnosis and
management of common as well as a few complex medical conditions.
Nurses in this field provide care, support, and education for female
Obstetrics/Gynecology reproductive health. This field of nursing is often further specialized into
Prenatal Nursing and Labor & Delivery Nursing
Nurses in this field provide care and support for patients diagnosed with
Oncology cancer. These nurses are responsible for administering treatments and
managing symptoms related to cancer illnesses.
Nurses in this field provide care and support for patients with
Orthopedics musculoskeletal diseases, educating the patients and the families about
self-care and available support systems.
These nurses specialize in the care and treatment of young patients
Pediatrics ranging in age from infancy to early adulthood. They may specialize in
areas such as immunology or oncology.
Nurses in this field aid and support the mental health of patients with
Nursing Psychiatry
acute or chronic psychiatric needs.
Nurses in this field provide support and care for patients awakening from
anesthesia after surgery. These nurses must prepare patients for
Recovery/Post-Anesthesia
surgery, monitor them while under anesthesia, and assist them in their
transition to responsiveness.
Specialty Surgery Nurses in this field provide are involved in the surgery of alien patients.

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STAR FLEET BUREAU OF NURSES SYMBOL[5]
The symbol for the Nurse Corps is the Red Cross, which is an old Earth symbol used by
military medical units, and which also indicates mercy and neutrality. This symbol will also
be displayed on all Star Fleet Bureau of Nurses documents and will be embroidered on
the patch or badge worn on the working uniforms of the members of the Nurse Corps.
STAR FLEET BUREAU OF NURSES SYMBOLS
Formal Symbol of the Bureau of Nurses Symbol used on all Nurse Documents
Fleet Nurse Uniform Symbol Nurse-Practitioner Uniform Symbol

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ORGANIZATION
The Star Fleet Bureau of Nurses is divided into four offices for the delegation of its
responsibilities, as illustrated in Figure 10a13.1. These offices are:
 Star Fleet Office of Nurses

 Star Fleet Office of Nursing Standards
 Star Fleet Office of Nurse Training
 Star Fleet Office of Nurse Certification

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STAR FLEET OFFICE OF NURSES
The function of the Star Fleet Office of Nurses is to manage all nurses and nurses’
aides within Star Fleet. This includes recruiting nursing personnel into the Service, hiring
civilian nurses to Star Fleet hospitals and assigning Service nurses to the fleet. However,
Star Fleet does not recruit or hire personnel to become nurses that do not already have a
nursing degree or that are not certified by an authorized Federation agency. All persons
that wish to enter the Nurse Corps or wish to be hired as nurses must have already been
certified and working in the field. Persons entering as Nurses’ Aides are not required to
be certified and cannot enter the Nurse Corps since they are, in most cases, enlisted
personnel. The Star Fleet Office of Nurses also analyzes the nursing needs of the fleet
and will determine the numbers and types of qualified nurses and nursing professionals
needed to meet fleet requirements. As such, this office works with the Star Fleet Office
of Medical Personnel in establishing the nursing force requirements. The organizational
structure for this office is illustrated in Figure 10a13.2.
Within the Star Fleet Office of Nurses the Office of Nurse Personnel Recruitment
will obtain the requirements and the requests for practical nurses, nurse-practitioners and
nurse’s aides through the Star Fleet Office of Medical Personnel. Therefore, this office
does not directly recruit or allocate the nurse personnel, but simply makes the requisitions
to MEDPERS in order to fill open nursing billets. However, this office will be responsible
for analyzing the need for nurses and will provide the recruitment goals and nursing force
requirements to the Star Fleet Office of Medical Personnel for implementation.
The Star Fleet Office of Nurses also contains the Office of Nurse Personnel
Requirements, the organization responsible for setting the requirements for entry into
the Nurse Corps and for the admission of enlisted personnel into the Star Fleet nursing
program. As such, this office develops the minimum education requirements for admission
into the program. In general, the majority of the nurse officers that enter the Nurse
Corps will be graduates of the Star Fleet Academy College of Medicine and
Dentistry. Enlisted nurses’ aides will usually be Star Fleet Medical Technicians that
volunteered for nurse duty and therefore, they must have completed their medical or
nurse training with a proficiency rating of 75% or higher. Civilian nurses that enter the
Service to become Star Fleet nurses must have been certified by a Federation board in
civilian life. These applicants will usually be Registered Nurses in civilian life and will be
admitted to the Star Fleet Academy College of Medicine and Dentistry to become
Star Fleet nurse officers. Civilian nurses employed by Star Fleet to be non-service
nurses must have been certified as a Registered Nurse in civilian life in order to be
accepted for employment.
The function of the Office of Military Nursing Personnel is to assess the requirements
for military nurses and nursing personnel and to establish the nursing billets for the
Department and the Division of Medicine. As such, this office will work with the Office
of Military Medical Personnel of the Star Fleet Office of Medical Personnel in
establishing the billets and in allocating the military nursing personnel and needed to fill
these billets. In addition, this office will also establish the standards and requirements for
nursing personnel performance evaluations and of the standards for advancement within
the bureau, in keeping with standards developed and maintained by the Star Fleet
Bureau of Personnel.

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The function of the Office of Civilian Nursing Personnel is to manage all the civilian or
non-Service nurses and nursing personnel employed or contracted by the Department of
the Star Fleet within Federation territory. As such, this office will work with the Office
of Civilian Medical Personnel within the Star Fleet Office of Medical Personnel
pertaining to the recruitment or employment of civilian nurses for the Star Fleet Division
of Medicine.
In charge of the Star Fleet Office of Nurses is the Commander: Star Fleet Nurses or
COMNURSE, and is the senior officer in command of all nurses and the activities
associated with the management of nurses and nurse-practitioners within the Star Fleet.
As such, the COMNURSE will be responsible for the conduct and discipline of all nurses,
military or civilian. The COMNURSE will usually be an officer of the Nurse Corps (NRS),
and will typically have the rank of Commodore.

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STAR FLEET OFFICE OF NURSING STANDARDS
The Star Fleet Office of Nursing Standards is primarily responsible for establishing
and maintaining the standards of nursing and nursing practice that will be used throughout
the Department of the Star Fleet. These standards are generally the same as those
established for nursing throughout the Federation, but with additional requirements
regarding the treatment and care of patients aboard ships, bases, and stations, and with
additional requirements relating to the care of unknown or alien patients. Therefore, the
standards for nursing developed by this organization will have the force of law and as
such, violators of nursing standards and practice will be subject to the Star Fleet Board
of Medical Ethics. The Star Fleet Office of Nursing Standards contains only two
small sub-organizations: the Office of Nursing Standards Administration and the
Office of Nursing Practice, both of which will be described in the following paragraphs.
The organizational structure for this office is illustrated in Figure 10a13.3. These are
relatively small offices that contain only a handful of senior nursing personnel.
The function of the Office of Nursing Standards Administration is to generate,

maintain, regulate and enforce the standards of nursing and nursing practice for the
Department of the Star Fleet. As such, this office will work with the Office of Medical
and Health Standards of the Star Fleet Bureau of Standards in the establishment of
nursing standards that conform to the standards of medical practice managed by the
bureau. In addition, it is this office that will make a request to the Star Fleet Board of
Medical Ethics to assemble and convene a Board of Medical Ethics to investigate any
accusation of a violation of nursing standards or practice, or of general medical ethics.
The function of the Office of Nursing Practice is to create and maintain the various
methods, procedures and practices that must be employed by nursing personnel within the
Bureau of Nurses. In addition, this office will also continuously review nursing
procedures and practices, and where required, eliminate or modify current, outdated, or
unnecessary nursing procedures. As such, this office will monitor developments within the
Federation health care community and evaluate any new or novel nursing practice or
procedure. Nursing procedures that are deemed acceptable will be sent to the Office of
Nursing Standards Administration for adoption and implementation. Therefore, this
office does not implement or enforce nursing procedures.
In charge of the Star Fleet Office of Nursing Standards is the Commander: Star
Fleet Nursing Standards or COMNURSTAND, and is the senior officer in charge of all
activities associated with nursing standards and practice within the Star Fleet. The
COMNURSTAND will usually be an officer of the Nurse Corps (NRS), and will typically
have the rank of Captain.

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STAR FLEET OFFICE OF NURSE TRAINING
The primary function of the Star Fleet Office of Nurse Training is to educate and train
qualified nurses and nursing personnel. However, this office is primarily concerned with
advanced training of nurse personnel, especially as it relates to the specialized techniques
used out in the fleet, and which includes the specialized training in the treatment of alien
entities, and on the processes and procedures established to care for unknown life-forms.
As such, nurse officers, enlisted nurse’s aides and employed civilian nurses can attend the
refresher and advanced training courses offered to such personnel. This office will also
develop specialized training programs geared towards the duties of enlisted Nurses’
Aides as well. The organizational structure for this office is illustrated in Figure 10a13.4.
Within the Star Fleet Office of Nurse Training the Office of Nurse Training
Programs establishes and publishes the various courses of study in advanced nurse
practice and procedure. Most of these programs will be taught at a Star Fleet Training
Center, but may also be taught at any Star Fleet Medical Center, Hospital, Sickbay
or other medical facility. The curriculum taught at these facilities will depend upon the
need for training in a particular nurse specialty. As such, instructors will be recruited from
the fleet and selected for their knowledge in a particular field, and trained in the
curriculum related to their area of specialty. The training course they attend will typically
be only a week long and will concentrate on the subtleties of the material the instructor is
to teach, in addition to basic teaching methods.
The function of the Office of Nursing Instructors manages the pool of nurse instructors
and other such training personnel. As such, this office primarily has the responsibility of
training and certifying Star Fleet nurses as instructors to teach the various nurse training
courses available. Most instructors are full-time and are permanently assigned to the Star
Fleet Office of Nurse Training as instructors. However, there are temporary instructors
as well. These are individuals that have been selected from the fleet to act as instructors
for the more specialized nursing fields. This will be a special assignment – one that will
usually not last for more than two years. After the temporary instructor has completed this
tour of duty, the individual may be sent back to the fleet or to another duty assignment.
The primary function of the Office of Nurse Training Facilities is to manage all the
nurse training centers and facilities for the division. Most of the advanced nurse training
facilities are located at a Star Fleet Training Center, but may also be located within the
Star Fleet Medical Center as well. Therefore, this office must work with the Star Fleet
Training Command or the medical center regarding the allocation of space for advanced
nurse training. However, for smaller commands, such as aboard a Starship, this office has
no jurisdiction over the facility that may be used for refresher or advanced nurse training.
Where the nurse training course may be taught will completely be up to the facility’s Chief
Medical Officer and/or the facility’s Commanding Officer.
In charge of the Star Fleet Office of Nurse Training is the Commander: Star Fleet
Nurse Training or COMNURSTRAIN, and is the senior officer in charge of all activities
concerning the training of Star Fleet nurses. The COMNURSTRAIN will usually be an
officer of the Nurse Corps (NRS), and will typically have the rank of Captain.

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STAR FLEET OFFICE OF NURSE CERTIFICATION
The function of the Star Fleet Office of Nurse Certification is to test and certify Star
Fleet nursing personnel on the generalized and specialized nursing functions performed by
Star Fleet nurses, nurse-practitioners, and nurses’ aides. This is a small organization with
no other subsections, and contains only a handful of testing specialists and clerks that
tabulate, record the results, and issue the necessary certifications. Therefore, there is no
organization chart associated with this office.
In charge of the Star Fleet Office of Nurse Certification is the Commander: Star
Fleet Nurse Certification or COMNURSCERT, and is the senior officer in charge of all
activities concerning the certification of Star Fleet nurses. The COMNURSCERT will
usually be an officer of the Nurse Corps (NRS), and will typically have the rank of
Commander.

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ORGANIZATION CHARTS
4300 Star Fleet

Bureau of
BUNURS Nurses
Office Designator

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Figure 10a13.1
STAR FLEET BUREAU OF NURSES
4300 Star Fleet

Bureau of
BUNURS Nurses
NURSPER Nurses NURSTD Nursing Standards NURSTRN Nurse Training NURSCERT Nurse Certification

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Figure 10a13.2
STAR FLEET OFFICE OF NURSES

Office of Office of
MEDPERS Medical Personnel NURSPER Nurses

Nurse Personnel Nurse Personnel Military Nursing Civilian Nursing
NURSPER Recruitment NURSPER Requirements NURSPER Personnel NURSPER Personnel

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Figure 10a13.3
STAR FLEET OFFICE OF NURSING STANDARDS
0334 Office of 4320 Star Fleet

Medical and Health Office of
BUSTAND Standards NURSTD Nursing Standards
4321 Office of 4322

Office of
Nursing Standards
Nursing Practice
NURSTD Administration NURSTD

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Figure 10a13.4
STAR FLEET OFFICE OF NURSE TRAINING

Training Office of
TRAINCOM Command NURSTRN Nurse Training

Nurse Training Nursing Nurse Training
NURSTRN Programs NURSTRN Instructors NURSTRN Facilities

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1.4 STAR FLEET BUREAU OF MEDICAL

SERVICES
The Star Fleet Bureau of Medical Services, having the designation of BUMEDSERV,
is the organization responsible for special medical services procedures and for all the
services required to support the doctors and surgeons within the Department of the
Star Fleet. As such, this bureau also comprises the bulk of the Star Fleet Medical
Services Corps. The Star Fleet Bureau of Medical Services is the primary source for
those medical professionals specializing in medical scanning and radiology, diseases of the
eye and corrective optics, hearing issues, muscular-skeletal diseases and issues, nasal and
throat issues, artificial limbs and other movement aids, physical therapy, as well as other
specialties and methods that may be employed to support medical health. This bureau is
also responsible for all regular and emergency medical technicians of the Star Fleet as
well. The organizational chart for this bureau can be seen in Figure 10a14.1 and
represents the topmost offices within this bureau. As shown in the figure, the bureau
contains five administrative offices that represent that primary medical functions
performed by the Star Fleet Bureau of Medical Services.
The Deputy Chief: Bureau of Medical Services (CMEDSRV) is the senior officer in
command of all medical services functions and medical service personnel within Star
Fleet. As such, the Deputy Chief: Bureau of Medical Services is the senior officer of
the Star Fleet Medical Services Corps, and will typically have the rank of Rear
Admiral.
RESPONSIBILITIES
The Star Fleet Bureau of Medical Services has the primary responsibility to manage
and direct all the activities as regards to providing ancillary or special medical services, and
to support the regular Star Fleet medical process, its assets and medical personnel. In
addition, this division is responsible for any and all specialized medical equipment needed
to support its mission and to supply such equipment and tools to Star Fleet medical
facilities. This office will also manage all the special and supporting medical procedures
performed on Star Fleet Service personnel, civilian employees, Federation colonies and
expeditions, as well as persons who are in need in deep space.
and the various Federation agencies informed on the latest advances in the specialized
medical procedures, equipment and technologies developed by Star Fleet or by any
member system within the Federation. Such information will be transmitted to all Star
Fleet medical and scientific offices, as well as to all Federation medical agencies,
associations, universities and other medical organizations in order to keep up with the
latest medical advances and trends. As such, this division is a major source of global
medical knowledge for the Federation.

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THE STAR FLEET MEDICAL SERVICES CORPS
The Star Fleet Medical Services Corps is the most highly varied Staff Corps within
Star Fleet Health Care and is composed of a multidisciplinary team of Star Fleet
Medical Officers in any of fifteen specialties grouped into three broad focus areas: 1)
Health Care Administration, 2) Health Care Sciences, and 3) Clinical Care Providers. The
specific disciplines within these areas are provided in the table below.
Table 10a14.2
TABLE OF MEDICAL SERVICE CORPS SPECIALTIES
Corps Discipline Description of Duties
Health Care Administration
Duties relating to the leadership, management, and administration
Hospital Administration
of Star Fleet hospitals, and medical facilities.
Activities and programs intended to assure or improve the quality
Health Care Quality Assurance
of care in either a defined medical setting or a program.
Health Care Science
The study of chemical processes in living organisms, including, but
Biochemistry
not limited to, living matter.
Activities relating to all aspects of the natural and built environment
Environmental Health
that may affect health.
Activities dedicated to the anticipation, recognition, evaluation,
communication and control of environmental stress factors in, or
Industrial Hygiene arising from, the workplace that may result in injury, illness,
impairment, or affect the well being of workers within Star Fleet
facilities.
Purchase and evaluation of products used to diagnose, monitor or
Medical Technology
treat diseases or medical conditions.
Microbiology Research and study of microorganisms and parasites.
Radiation Health Duties concerned with measuring and limiting radiation exposure.
Medical Research Perform research in the various branches of medical science.
Clinical Care Providers
Duties relating to the study of hearing, balance, and related
Audiology
disorders. Its practitioners are called audiologists.
Activities that focus on proper food and nutrition in order to
Dietetics/Food Management
promote good health.
Activities concerned with the methods and technologies related to
Medical Scanning/Radiology internal diagnostics and internal organ sensing, function, and
imaging.
Activities concerned with eyes and related structures, as well as
Optometry/Ophthalmology
vision, visual systems.
Activities concerned with the treatment of bone and muscular-
skeletal diseases; activities concerned with the design,
Orthopedics, Medical Prosthetics,
development and production of artificial limbs and skeletal parts;
and Podiatry
activities relating to the study, diagnosis, and treatment of
disorders of appendages.
Duties concerned with identifying and maximizing quality of life and
Physical Therapy movement potential within the spheres of promotion, prevention,
treatment/intervention, habilitation and rehabilitation.

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STAR FLEET BUREAU OF MEDICAL SERVICES SYMBOL
The symbol for the Star Fleet Medical Services Corps is the Rod of Asclepius, which
is a single serpent winding around a wingless pole. All personnel working in this field will
display this symbol on their uniforms. Enlisted Technicians and Specialists in the field
will also wear a version of this symbol as well. In addition, this symbol, or an approved
variation of this symbol, shall be prominently displayed on all Star Fleet medical areas
where such services are provided by this bureau, and on all bureau documents, manuals
and official correspondences as shown below.
STAR FLEET BUREAU OF MEDICAL SERVICES SYMBOLS
Formal Symbol of the Medical Services Division Symbol used on Medical Services Documents
Symbol used on all Medical Services Uniforms Symbol for Emergency Medical Service

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STAR FLEET MEDICINE
ORGANIZATION
The Star Fleet Bureau of Medical Services is divided into seven offices for the
 Star Fleet Office of Medical Services Personnel

 Star Fleet Office of Medical Support Services
 Star Fleet Office of Medical Specialties
 Star Fleet Office of Medical Services Equipment
 Star Fleet Office of Medical Laboratories

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STAR FLEET MEDICINE
STAR FLEET OFFICE OF MEDICAL SERVICES PERSONNEL
The Star Fleet Office of Medical Services Personnel is responsible for managing all
Star Fleet medical services personnel, which includes all medical professional specialists,
enlisted technicians and specialists and other medical services personnel. In addition, this
office will ensure that all such personnel are properly trained, certified and kept up to date
on the latest advances and practices in the medical services, diagnostics and analysis
areas. The organizational structure for this office can be found in Figure 10a14.2.
The Star Fleet Office of Medical Services Personnel Requirements is that group
within the Bureau of Medical Services responsible for establishing and maintaining the
requirements and standards for entry into the Star Fleet Medical Services Corps and
the Star Fleet Bureau of Medical Services. This includes civilian medical services
personnel as well as both medical services officers and enlisted Technicians.
The Star Fleet Office of Medical Services Personnel Training and Certification is
that group within the Bureau of Medical Services responsible for ensuring establishing
and maintaining the requirements and standards for entry into the Star Fleet Medical
Services Corps and the Star Fleet Bureau of Medical Services. This includes civilian
medical services personnel as well as both medical services officers and enlisted
Technicians.
The Star Fleet Office of Medical Specialists is the foremost organization within the
bureau. It is responsible for managing all Star Fleet medical technicians and enlisted
specialists and will ensure that all such medical services personnel are properly trained,
certified and kept up to date on the latest advances and practices in the medical services,
diagnostics and analysis fields, as well as in life-saving procedures, and is responsible for
equipping Star Fleet medical services personnel with the latest and finest equipment.
Medical Technicians are enlisted medical specialists, which include fleet first responders,
Fleet Corpsmen, which are specialized medical technicians assigned to Fleet Marine
units, and Emergency Medical Technicians, Laboratory Technicians, Radiological
Technicians and other general medical technical specialists.
The Star Fleet Office of Medical Technicians is the foremost organization within the
bureau. It is responsible for managing all Star Fleet medical technicians and enlisted
specialists and will ensure that all such medical services personnel are properly trained,
certified and kept up to date on the latest advances and practices in the medical services,
diagnostics and analysis fields, as well as in life-saving procedures, and is responsible for
equipping Star Fleet medical services personnel with the latest and finest equipment.
Medical Technicians are enlisted medical specialists, which include fleet first responders,
Fleet Corpsmen, which are specialized medical technicians assigned to Fleet Marine
units, and Emergency Medical Technicians, Laboratory Technicians, Radiological
Technicians and other general medical technical specialists.
In charge of this office is the Commander: Star Fleet Medical Services Personnel,
who has the designation of COMMEDSRVPER. The COMMEDSRVPER is the senior
officer in charge of all activities concerning the allocation and assignment of all doctors,
surgeons, nurses, and Medical Technicians to medical units. The COMMEDSRVPER is
usually an officer of the Medical Services Corps (MDS), but may also be a line officer
from Star Fleet Command with experience in personnel resources management, and will
typically have the rank of Commodore.

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STAR FLEET MEDICINE

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STAR FLEET MEDICINE
STAR FLEET OFFICE OF MEDICAL SUPPORT SERVICES
The Star Fleet Office of Medical Support Services is responsible for determining the
type of medical support services that will be accepted and employed by Star Fleet
medical staff. The function of medical support services is to support the physicians and
medical facilities in the care of the sick and injured. Such services include diagnostic
methods and practices, dietary services, therapy services, hygienic and sanitation services,
as well as any other service used to support Star Fleet physicians and surgeons; and to
ensure that all support services personnel are properly trained, certified and kept up to
date on the latest advances and practices in the medical services, diagnostics and analysis
fields. The organizational structure for this office can be found in Figure 10a14.3.
The Office of Medical Diagnostics is principally responsible for all forms of internal
diagnostic technologies and of all the medical personnel and specialists involved in the field
of internal diagnostics that utilize such technologies. As such, this office is responsible for
evaluating new internal sensing and diagnostic technologies, procuring all radiological and
internal sensing equipment, and training radiological and diagnostic specialists in the use
of the technology and in the diagnostic procedures. This office will also set the standards
for the diagnostic equipment that will be used throughout the fleet. It should be noted that
the term “radiology” goes back to the old days, before medical scanners, when high-
energy gamma ray and Magnetic Resonance devices were used to examine the internal
structure of patients and therefore, the term is a carry-over from those earlier days.
The Office of Specialized Treatments is principally responsible for executing those

special medical treatments and procedures such as radiation therapy, chemo-therapy and
other therapeutic methods used to combat special diseases and conditions such as cancer.
As such, this office has the responsibility to develop and maintain the specialized treatment
procedures, and to obtain, maintain and operate the special equipment and mechanisms
that may be used for such treatments. Therefore, this office will work with the Star Fleet
Office of Medical Supplies in the requirements for and the allocation or purchase of
specialized treatment devices. This office consists primarily of Star Fleet doctors and
specialists, along with senior enlisted Medical Technicians and Specialists.
The Office of Patient Mobility[6] is principally responsible for providing equipment or

mechanisms that allow certain patients who cannot move (i.e. paraplegics, etc.) in order
that they can have freedom of motion and mobility. In general, mobility devices will
normally be custom-made for the patient in question. Therefore, this office has the
function of performing the measurements for such devices; selecting the type of device;
mounting the patient onto or into such a device; designing the methods of control of the
device; designing, allocating, purchasing or manufacturing and testing special mobility
devices. As such, this office will work closely with the Star Fleet Office of Medical
Technology, the Star Fleet Office of Medical Research and the Star Fleet Office of
Medical Supplies for the design, allocation and testing of special mobility devices. Thus,
this office consists principally of Bio-medical Engineers, design engineers, physicians,
enlisted Medical Technicians, and Mechanical and Electrical Technicians.

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STAR FLEET MEDICINE
The Office of Prosthetics is primarily responsible for setting the standards for prosthetic
devices for Star Fleet. This is the central office for Prosthetic medicine and as such, this
office primarily issues standards and guidelines relating to the measurement, manufacture,
quality, fitting and function of prosthetic devices. These standards and guidelines will be
issued and sent to all local medical facilities. Thus, it will be the local Medical Centers
that will have the responsibility of determining the type and size of any prosthetic device
that will be place on a patient. And it will be the responsibility of the local medical facility
to repair and maintain prosthetic devices.
The Office of Radiation Health is principally responsible for monitoring and analyzing
the effects of ionizing radiation exposure on Star Fleet personnel. As such, this office sets
the requirements and limits on radiation exposure to personnel based upon their race and
biological makeup. As part of this function, local Radiation Health personnel and Health
Physicists will issue radiation detection devices for the measurement of ionizing radiation
exposure. These devices are in the form of cards that are carried around the neck under
the uniform at chest level. Once a month these cards are submitted to the local Radiation
Health office or the command’s Chief Medical Officer for analysis. The results of the
measurements of radiation exposure will be entered into the medical record of all Star
Fleet military and civilian personnel.
The function of the Office of Physical Therapy is to rehabilitate and assist injured Star
Fleet personnel regain full functionality. The rehabilitation services provided by this office
are typically performed at regional Star Fleet Therapy and Rehabilitation Centers,
the centers of which are managed and maintained by this office. In addition, this office is
also responsible for training and certifying therapy specialists for those centers. It should
also be noted that the services provided by this office will also apply to Star Fleet
reservists and veterans, as well as to active duty personnel.
The Office of Hygienic Services is principally responsible for providing those services
related to the cleanliness and sanitation of medical facilities and the cleanliness and
hygiene of patients. As such, the jobs performed by this office include: cleaning patients,
cleaning bedding, cleaning clothing, cleaning and sanitizing toilet areas, cleaning patient
wards and recovery areas, cleaning and sanitizing all surgery and examination areas, and
supplying toiletries and other consumable items. For the more difficult cleaning jobs
robotic devices will be used for the cleaning and sanitization of medical and patient areas.
This office also has the responsibility of providing medical equipment and bedding to
private residences for home recovery and medical care. This office almost exclusively
consists of non-rated enlisted personnel and rated mechanical technicians.
The Office of Patient Transportation is chiefly responsible for providing transportation

services to patients who are unable to travel to a medical facility. As such, this office is in
charge of providing ground vehicles and other methods of transporting patients to medical
centers. Therefore, this office will maintain a fleet of ground vehicles, Air Trams and other
vehicles needed to transport indigent and immobilized patients to hospitals and medical
centers. This office will also be in charge of the Medical Transporter Units that may be
available at medical facilities.
In charge of this office will be the Commander: Star Fleet Medical Support Services
or COMMEDSUPSRV, and is the senior officer in charge of all the medical service
provided by the Bureau of Medical Services to medical personnel and patients within
the Department of the Star Fleet. The COMMEDSUPSRV will typically be an officer of
the Medical Services Corps (MDS), and will usually have the rank of Captain.

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STAR FLEET MEDICINE
STAR FLEET OFFICE OF MEDICAL SPECIALTIES
The primary function of the Star Fleet Office of Medical Specialties is to manage the
specialized professional medical services and practices that may be necessary or offered
for the health and welfare of both sick and healthy individuals. There are many medical
specialties and therefore, too many top-level billets that would need to be created,
especially as new medical specialties may become apparent or necessary. Thus, medical
specialties were grouped into specific categories as they would relate to the function of an
organism, such as internal organ function, external and skeletal, cognitive or sensory, and
chemical, fluid or other bio-medical function. These basic categories formed the basis for
the offices contained within this organization. The organizational structure for this office
can be found in Figure 10a14.4.
Within the Star Fleet Office of Medical Specialties the Office of Medical Specialty
Evaluation is principally responsible for analyzing and evaluating the effectiveness and
appropriateness of the medical specialties currently in practice within Star Fleet medicine.
As such, this office will evaluate any new or existing specialty and determine whether to
incorporate it into the Star Fleet program. In addition, this office will be responsible for
the certification and professionalism of the specialists in these fields. That is, this office will
develop the criteria and specifications for professional certification of any new or existing
medical specialty under the bureau’s jurisdiction and will submit such specifications to the
Star Fleet Office of Medical Services Personnel Requirements for incorporation into
their requirements for entry into the Star Fleet Medical Services Corps.
The Office of Medical Specialty Specification is principally responsible for developing

the specifications for the type of medical specialties that must be maintained or that must
be obtained. That is, this office will analyze the need for a new or novel medical specialty
in order to meet some specific or general medical need. As such, this office will work with
internal Star Fleet and external medical resources, such as universities, to determine
what is needed, if a needed specialty is already available, where to obtain an existing
specialty, what equipment is required, what procedures must be developed and what
branch of medical profession will be needed. Therefore, this office will work with the Star
Fleet Office of Medical Procedure in the development of the practices of any new
medical specialty, and will work with the Star Fleet Office of Medical Technology in
the analysis and evaluation of any new equipment or technology that can be used to
support the new medical specialty.
The Office of Internal Medical Specialties is chiefly responsible for those specialized
medical areas associated with the internal organs and biological systems that function
within the body cavity. Such specialties include, but are not limited to: Cardio-Vascular,
Pulmonary, Gastro-Intestinal, Urological, Nephrology, and any other alien system or organ
necessary for the existence of the alien patient. As such, the medical specialists that will
be involved in performed these specialties will be internists that have had additional
training in one or more of these specialties. Therefore, this office will establish the criteria
of practice for those medical persons specializing in one or more of these fields and to
submit the requirements for such medical specialists to the Star Fleet Office of Medical
Services Personnel for incorporation into their requirements for the recruitment of such.

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STAR FLEET MEDICINE
The Office of External Medical Specialties is primarily responsible for those specialized
medical areas associated with the external body and structure of the patient. Such
specialties include, but are not limited to: Muscular-Skeletal or Orthopedics, Dermatology,
Podiatry, Bones, Otolaryngology, Exoskeletons, and any other alien structural, epidermal,
hypodermal or subcutaneous barrier. Most of the specialties within this area are well
known. Therefore, this office will concentrate its efforts in enhancing the practices within
this field and will work on enhancing the tools and equipment used by this field. Also, this
office will develop procedures and treatments for the diseases and ailments regarding the
external structure of new and alien species as well.
The Office of Cognitive Medical Specialties is chiefly responsible for those specialized
medical areas associated with those systems and organs required for the cognitive function
of the patient. Such specialties include, but are not limited to: Neurology, Brain, Audiology,
Optometry, Ophthalmology, and any other sensory or nervous system that sends signals to
the brain or some analytical or stimulus-response organ. Some of these specialties can be
very complex as the life forms that exist in the universe vary significantly from species to
species. For example, there are entities that exist on emotion or emotional energy[7], such
as empaths[8]. As such, this office will study the brain and nervous system functions of
known and new or alien life forms.
The Office of Bio-Medical Specialties is chiefly responsible for those specialized

medical areas associated with those specialized systems such as: the Endocrine system,
the Lymphatic system, Blood and Hematology, the Pancreas, Microbiology, and any alien
bio-chemical system required to regulate the life of an alien patient. Most of the specialists
in this field are bio-chemists and biologists. Most of the physicians practicing in this area
will study the organs and the bio-chemical systems that regulate bodily functions. Thus,
the specialists in this area will map out biological systems and processes of known and
alien life forms, and will develop treatments and cures based upon such studies, which van
affect the entire living organism.
In charge of this office will be the Commander: Star Fleet Medical Specialties or
COMMEDSPEC, and is the senior officer in charge of all Star Fleet medical facilities for
the Division of Medicine and the Department of the Star Fleet. The COMMEDSPEC
will typically be an officer of the Medical Services Corps (MDS), but who may also be a
line officer (SBC) as well, and will usually have the rank of Captain.

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STAR FLEET MEDICINE
STAR FLEET OFFICE OF MEDICAL SERVICES EQUIPMENT
The function of the Star Fleet Office of Medical Services Equipment is to manage
and maintain the specialized equipment and technologies used to support the various
specialties and medical services provided by the Bureau of Medical Services. Medical
services equipment includes, but not limited to: diagnostic and scanning equipment,
hygienic and sanitizing equipment, laboratory equipment, prosthetic devices and artificial
body parts, rehabilitation and therapeutic equipment, breathing equipment, and other
equipment necessary for the functions and services provided by the Bureau of Medical
Services. Therefore, this office will work with the Star Fleet Office of Medical
Supplies to allocate the specialized support equipment and supplies used by this bureau.
The organizational structure for this office can be found in Figure 10a14.5.
Within the Star Fleet Office of Medical Services Equipment the Office of Medical
Services Equipment Acquisition and Storage is principally responsible for allocating
the required medical equipment that is already available. As such, this office will work with
the Star Fleet Office of Medical Supplies in the allocation, purchase or acquisition of
specialized medical equipment and supplies used by the Star Fleet Bureau of Medical
Services. As an integral part of its function, the Office of Medical Services Equipment
Acquisition and Storage is also responsible for the proper storage and care of the
equipment it allocates. Therefore, this office also manages large storage facilities that are
located on the five Star Fleet Headquarters. Their function is to supply the hospitals,
facilities and the medical services community for the region in which the Star Fleet
Headquarters is located. All requests by medical services divisions within the Star Fleet
medical services community will receive its supplies and equipment from one of these
facilities.
The Office of Medical Services Equipment Maintenance is principally responsible for

the repair, maintenance and refurbishment of medical instruments and equipment. Such
instruments include small medical scanners, Anabolic Protoplasers[9], laser scalpels,
medical Tricorders, and other such equipment to the large body scanners. As such, this
office operates numerous shops and repair facilities located at or near major Star Fleet
Medical Centers. In addition, this office manages a large repair facility adjacent to the
central storage facilities located on the five Star Fleet Headquarters. Major equipment
that is damaged or that needs refurbishing will be sent to one of these repair facilities. The
smaller instruments and equipment may be repaired by a local repair facility.
Where new or novel medical equipment may be needed, the Office of Medical Services
Equipment Design and Manufacture will design and manufacture the new or novel
medical instruments and equipment requested by the medical specialists. As such, this
office will work with the Office of Medical Equipment Development in the research
and development of new or novel medical technologies to be used by the specialists in this
bureau. As part of its function, this office will also develop prototypes used for testing new
or novel tools, instruments and specialized medical equipment. As part of this function, this
office will perform field evaluations of the new equipment using the Office of Medical
Services Equipment Testing and Certification, and will provide such equipment to
select medical facilities in order to determine its real-world usefulness. Specialized medical
equipment that is accepted by the Star Fleet medical community will be sent to the Star
Fleet Office of Manufacturing for mass production.

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STAR FLEET MEDICINE
The Office of Medical Services Equipment Testing and Certification is principally

responsible for testing and certifying the use of newly developed medical services tools
and equipment developed and produced by the Office of Medical Services Equipment
Design and Manufacture. As such, the function of this office is to test and certify the
medical equipment developed by the Office of Medical Services Equipment Design
and Manufacture. As such, this office primarily executes local testing of the medical
devices and technologies developed by the Office of Medical Services Equipment
Design and Manufacture and will certify the use of such technology before it goes out
for field testing. The majority of the tests performed by this office are generally quality-
related. That is, this office examines the materials used and executes performance,
structural and design tests of the equipment or device. Consequently, this office will work
with the Star Fleet Office of Quality Assurance to ensure that the medical devices and
equipment developed by this office meets the standards of quality as stipulated in the Star
Fleet Quality Assurance Program. As a general rule, all medical equipment, tools,
instruments, devices, etc., must be certified by this office before it can be used for general
practice by Star Fleet medical services professionals.
In charge of this office is the Commander: Star Fleet Medical Services Equipment or
COMMEDSRVEQP and is the senior officer in charge of all activities concerning the
allocation, storage, and distribution of all supplies and equipment for the Star Fleet
Bureau of Medical Services. The COMMEDSRVEQP will typically be an officer of the
Medical Services Corps (MDS), but may also be a Staff Corps officer of the Supply
Corps (SUP), or the Engineering Corps (ENG), or a line officer (SFC) with knowledge
and experience in the allocation and distribution of supplies, and will typically have the
rank of Captain.

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STAR FLEET MEDICINE
STAR FLEET OFFICE OF MEDICAL LABORATORIES
The Star Fleet Office of Medical Laboratories manages all Star Fleet ground medical
laboratories located on Star Fleet bases or within base hospitals. This office does not,
however, manage medical laboratories located onboard Star Fleet ships or self-contained
space stations. This function will customarily be the responsibility of the Chief Medical
Officer of that command. In addition, as part of its management function, this office is
responsible for evaluating, selecting, purchasing and standardizing all medical laboratory
equipment and supplies that will be used throughout the Service, and is responsible for
managing all Star Fleet medical laboratory technicians and specialists. Thus, this office is
the central command for the administration of all medical laboratories within the Star
Fleet Division of Medicine, with the exception of the special research laboratories that
are under the jurisdiction of the Star Fleet Office of Medical Research. The command
organizational structure for this office can be found in Figure 10a14.6.
The Office of Medical Laboratory Personnel is principally responsible for developing

the requirements and certification of the personnel that will man and operate Star Fleet
medical laboratories. The requirements developed by this office will be submitted to the
Star Fleet Office of Medical Services Personnel Requirements for incorporation into
that office’s standards for entry into the Medical Services Corps, and to the Star Fleet
Office of Medical Services Personnel Training and Certification regarding the
training and certification of personnel that will enter the corps. In addition, this office will
develop the requirements regarding the number of medical laboratory personnel that will
be needed to man and operate Star Fleet laboratories, and will make the requests to the
Star Fleet Office of Medical Services Personnel for the allocation of such personnel.
The Office of Medical Laboratory Procedure is principally responsible for developing

the processes and procedures pertaining to the operation and control of Star Fleet
medical laboratories. Such procedures include, but not limited to: basic laboratory safety
and precautions, test and analysis isolation procedures, procedures on the application and
operation of laboratory equipment, and other such procedures. In addition, this office will
continuously review current procedure, make any corrections or additions, and evaluate
any new or novel procedure that can be used within a medical laboratory environment.
This is essentially a quality control organization designed with the purpose of ensuring that
any laboratory procedure, or potential laboratory procedure, will be covered and that such
procedures can be performed, efficiently, effectively and safely by laboratory technicians.
The function of the Office of Medical Laboratory Facilities is to exclusively manage

the medical design specifications for Star Fleet medical laboratories and to submit such
specifications to the Office of Medical Facility Design Requirements for incorporation
into the design of any medical facility destined to be constructed. This includes both shore
facilities as well as Star Fleet ship facilities. As such, this office will work with the Office
of Base and Station Medical Facilities and the Office of Ship and Vessel Medical
Facilities in the basic design requirements for medical laboratories and the equipment
that must be installed at these facilities. As part of this function, this office will submit the
requirements regarding the systems needed to operate medical laboratories as well. As
such, this office will work with the Star Base Systems Command and the Star Fleet
Construction Command in the design and construction of shore-based and ship medical
laboratories. In addition, this office is also responsible for managing all shore-based
medical laboratories such as those installed at Star Fleet Medical Centers and station
medical facilities. However, this office does not manage the medical laboratories contained
on Star Fleet ships, which is the responsibility of the ship’s Chief Medical Officer.

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STAR FLEET MEDICINE
The function of the Office of Medical Laboratory Equipment is to allocate, purchase,

and maintain an inventory of the specialized equipment used by Star Fleet medical
laboratories. As such, this office will work with the Star Fleet Office of Medical
Supplies to purchase or allocate laboratory equipment and supplies. The equipment and
supplies allocated by this office will usually be stored at the facilities managed by the
Office of Medical Services Equipment Acquisition and Storage. This office is also
responsible for developing the minimum equipment and supply requirements for medical
laboratories. That is, all medical laboratories throughout the Star Fleet shall maintain the
minimum amount of the equipment and supplies needed to properly operate and maintain
such laboratories, including those aboard Star Fleet ships. However, all Star Fleet
medical laboratories will submit their equipment requests to the Star Fleet Office of
Medical Services Equipment for fulfillment.
In charge of the Star Fleet Office of Medical Laboratories is the Commander: Star
Fleet Medical Laboratories or COMMEDLABS, and is the senior officer in charge of all
activities concerning the research into medical issues and methods. The COMMEDLABS
will typically be an officer of the Medical Services Corps (MDS), but who may also be a
Staff Corps officer of the Science Corps (SCI) as well, and will typically have the rank
of Captain.

VOLUME X
STAR FLEET MEDICINE
ORGANIZATION CHARTS
4400 Star Fleet

Bureau of
BUMEDSERV Medical Services
Office Designator

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Figure 10a14.1
STAR FLEET BUREAU OF MEDICAL SERVICES
4400 Star Fleet

Bureau of
BUMEDSERV Medical Services
Office of Medical Office of Medical Office of Office of Medical
MEDSRVPER Services Personnel MEDSUPSRV Support Services MEDSPEC Medical Specialties MEDSRVEQP Services Equipment
4450 Star Fleet

Office of
MEDLABS Medical Laboratories

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STAR FLEET MEDICINE
Figure 10a14.2
STAR FLEET OFFICE OF MEDICAL SERVICES PERSONNEL
4410 Star Fleet

Office of Medical
MEDSRVPER Services Personnel
4411 Office of Medical 4412 Office of Medical 4413 Star Fleet 4414 Star Fleet
Services Personnel Services Personnel Office of Office of
MEDSRVREQ Requirements MEDSVRTRN Training & Certification MEDSPECS Medical Specialists MEDTECHS Medical Technicians

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STAR FLEET MEDICINE
Figure 10a14.3
STAR FLEET OFFICE OF MEDICAL SUPPORT SERVICES
4420 Star Fleet

Office of Medical
MEDSUPSRV Support Services
4421 4422 4423 4424

MEDSUPSRV
Medical Diagnostics MEDSUPSRV
Specialized Treatments MEDSUPSRV
Patient Mobility MEDSUPSRV
Prosthetics
4425 Office of
4426 Office of
4427 Office of
4484 Office of
MEDSUPSRV
Radiation Health MEDSUPSRV
Physical Therapy MEDSUPSRV
Hygienic Services MEDSUPSRV
Patient Transportation

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STAR FLEET MEDICINE
Figure 10a14.4
STAR FLEET OFFICE OF MEDICAL SPECIALTIES
4430 Star Fleet

Office of
MEDSPEC Medical Specialties

Medical Specialty Medical Specialty Internal Medical External Medical
MEDSPEC Evaluation MEDSPEC Specification MEDSPEC Specialties MEDSPEC Specialties

Cognitive Medical Bio-Medical
MEDSEC Specialties MEDSPEC Specialties

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STAR FLEET MEDICINE
Figure 10a14.5
STAR FLEET OFFICE OF MEDICAL SERVICES EQUIPMENT
4440 Star Fleet

Office of Medical
MEDSRVEQP Services Equipment
4441 Office of Medical 4442 Office of Medical 4443 Office of Medical 4444 Office of Medical
Services Equipment Services Equipment Services Equipment Services Equipment
MEDSRVEQP Acquisition & Storage MEDSRVEQP Maintenance MEDSRVEQP Design & Manufacture MEDSRVEQP Testing & Certification
4160 Star Fleet

Office of
MEDSUP Medical Supplies
7100 Star Fleet

Supply
SUPCOM Command

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STAR FLEET MEDICINE
Figure 10a14.6
STAR FLEET OFFICE OF MEDICAL LABORATORIES
4450 Star Fleet

Office of
MEDLABS Medical Laboratories
4451 4452 4453 4454

Office of Medical Office of Medical Office of Medical Office of Medical
MEDLABS
Laboratory Personnel MEDLABS
Laboratory Procedure MEDLABS
Laboratory Facilities MEDLABS
Laboratory Equipment

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STAR FLEET MEDICINE
1.5 STAR FLEET BUREAU OF

PHARMACOLOGY
The Star Fleet Bureau of Pharmacology (BUPHARM) is the central organization in
charge of purchasing, supplying and dispensing prescription drugs, pharmaceuticals and
other medications within the Department of the Star Fleet. In addition, BUPHARM is
also responsible for developing and maintaining the processes and procedures used in the
formulation and dispensing of drugs and medicines, and will develop the procedures
required to administer drugs and medicines to patients. BUPHARM is only one of a very
few divisions that can directly purchase supplies without having to go through the Supply
Division. Figure 10a15.1 shows the topmost organizational chart for this bureau.
Unlike other medical divisions within the Division of Medicine, the Star Fleet Bureau
of Pharmacology is not a specific medical corps, but is a special branch of the Star
Fleet Medical Corps specifically for pharmaceutical professionals. Therefore, all Star
Fleet Pharmacists, Apothecaries and other pharmaceutical professionals will belong to
the Star Fleet Medical Corps as with doctors and physicians.
The Commander: Bureau of Pharmacology (COMMEDPHM) is the senior officer in

command of the Star Fleet Bureau of Pharmacology (BUPHARM) and of all Star
Fleet pharmacists and dispensaries within Star Fleet. The COMMEDPHM is an officer of
the Medical Corps, and will typically have the rank of Commodore.
RESPONSIBILITIES
The Star Fleet Bureau of Pharmacology has the primary responsibility to manage and
direct all the activities as it relates to formulation, creation, dispensing, storage, security
and disposal of drugs and medicines for the Department of the Star Fleet. In addition,
the Bureau of Pharmacology also has the responsibility for the training, qualification
and certification of its personnel; for the allocation of qualified and certified pharmacists,
apothecaries and Pharmaceutical Technicians; and for all the pharmaceutical facilities
of the Department of the Star Fleet. This office will also develop and control all the
procedures, formulations, manuals and processes relating to the formulation, creation,
dispensing, storage, security and disposal of drugs and medicines for the Department of
the Star Fleet.
Another major responsibility of this bureau is to keep the Chief of Star Fleet Medicine,
the heads of all the bureaus within the Star Fleet Division of Medicine, and all
pharmacists and pharmaceutical personnel within the bureau informed of the latest drugs,
medicines, compounds and formulations available to them. In addition, the Bureau of
Pharmacology shall also keep the various Federation medical agencies, associations,
universities and other medical organizations informed on the latest advances and practices
developed by Star Fleet pharmaceutical personnel. Such information will be transmitted
to all Star Fleet medical and scientific offices, as well as to all Federation medical
agencies, associations, universities and other medical organizations in order to keep up
with the latest advances and trends in pharmacology.

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STAR FLEET BUREAU OF PHARMACOLOGY SYMBOL
The symbol for the Star Fleet Bureau of Pharmacology is the Star Fleet Medical
Corps Caduceus with the universal symbol for pharmacology of Rx embedded in the
center as illustrated in Table 10.15.1 below. All professional persons working in the field of
pharmacology field will display this symbol on their uniforms, which is a patch, pin or
badge. Enlisted Pharmaceutical Technicians and other technicians that work in the
field of pharmacology, or that work at Star Fleet pharmacies and dispensaries will wear a
version similar to the symbol of the Star Fleet Medical Services Corps, the Rod of
Asclepius, which is a single serpent winding around a wingless pole and the symbol Rx
embedded in the center. In addition, certain semi-professional enlisted personnel, called
Apothecaries, will wear the same symbol as their Pharmaceutical Technician
counterparts, but will display a mortar and pestle in the center instead of Rx. However, all
pharmaceutical documents, manuals, dispensaries, pharmacies and spaces will display the
full Star Fleet Bureau of Pharmacology symbol.
STAR FLEET BUREAU OF PHARMACOLOGY SYMBOLS
Symbol used on all pharmaceutical Symbol used by Star Fleet Symbol used by Star Fleet
documents and on the uniform of Pharmaceutical Technicians Apothecaries
Star Fleet Pharmacists
ORGANIZATION
The Star Fleet Bureau of Medicine and Surgery is divided into four offices for the
• Star Fleet Office of Pharmaceutical Personnel

• Star Fleet Office of Dispensaries
• Star Fleet Office of Pharmaceutical Supply
• Star Fleet Office of Pharmaceutical Regulation

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STAR FLEET OFFICE OF PHARMACEUTICAL PERSONNEL
The function of the Star Fleet Office of Pharmaceutical Personnel is to manage all
Star Fleet pharmacists and dispensary technicians. As with nurses, Star Fleet does not
recruit or hire pharmacists that have not already been trained and certified as pharmacists
by an authorized Federation agency and therefore, all personnel that wish to enter the
Service as a pharmacist must have already been certified as one. In general, there is no
particular training program within the Star Fleet for pharmacists. This office is primarily
responsible for assigning pharmacists and pharmacy technicians to the Operating Forces
and Shore Establishments within Star Fleet based upon the apothecary needs of the
fleet. The organizational structure for this office can be found in Figure 10a15.2.
The Office of Pharmaceutical Personnel Standards is the organization responsible for

setting the standards of pharmaceutical ethics and professional practice. As such, this
office will work with the Star Fleet Office of Personnel Standards of the Star Fleet
Bureau of Personnel regarding the establishment of the standards of pharmaceutical
ethics and practice for the Department of the Star Fleet. In addition, it is this office,
the Office of Pharmaceutical Personnel Standards that will make a request to the
Star Fleet Board of Medical Ethics to assemble and convene a Board of Medical
Ethics to investigate any accusation of a violation of pharmaceutical ethics or practice.
The function of the Office of Pharmaceutical Personnel Training and Certification

is to establish the standards and requirements for education and training of Star Fleet
pharmaceutical personnel. As such, this office primarily develops and issues the minimum
educational requirements required for general practice and for the various medical
specialties used by Star Fleet.
The function of the Office of Pharmacists and Apothecaries is to manage the

professional and semi-professional pharmaceutical personnel of the bureau. This office also
sets the standards for certification and entrance as a pharmaceutical professional within
the bureau. In addition, this office also defines the classification of professional and semi-
professional pharmaceutical personnel. The following defines such professional personnel -
Pharmacist: A person who is professionally qualified and certified to prepare and
dispense medicinal drugs.
Apothecary: One who prepares and dispenses drugs or compounds for medicinal
purposes, usually under supervision of a pharmacist. A semi-professional
enlisted pharmaceutical technician.
The function of the Office of Pharmaceutical Technicians is to manage the enlisted
and civilian pharmaceutical workforce. Basically, these are highly trained non-professional
technicians that either have had pharmaceutical experience in civilian life before entrance
into the Star Fleet, or that have been sent to a Fleet School for initial and advanced
training as a Pharmaceutical Technician.
In charge of this office is the Commander: Star Fleet Pharmaceutical Personnel,

who has the designation of COMPHARMPER. The COMPHARMPER is the senior officer
in charge of all activities concerning the allocation and assignment of all pharmacists,
apothecaries and Pharmaceutical Technicians to Dispensaries and pharmaceutical
units. The COMPHARMPER is usually an officer of the Medical Corps (MED), but may
also be a line officer from Star Fleet Command with experience in personnel resources
management, and will typically have the rank of Commander.

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STAR FLEET OFFICE OF DISPENSARIES
The function of the Star Fleet Office of Dispensaries is to manage the various facilities
such as pharmacies and dispensaries located within Star Fleet medical facilities or at Star
Fleet bases. As part of this function, this office will establish the general design and lay-
out of Star Fleet dispensaries and to ensure that all its dispensaries are fully equipped to
perform their function. In addition, this office will also maintain special pharmacies that
can be used by the dependents of Star Fleet service personnel to meet the requirements
of ARTICLE 55 of the Charter. The organizational structure for this office can be found in
Figure 10a15.3.
The function of the Office of Dispensary Design Requirements is to establish the

basic design and operating requirements for Star Fleet shore and ship pharmaceutical
facilities. As such, this office will establish the minimum requirements regarding the basic
size of the facility, what equipment is to be installed, how the facility is to be furnished,
and the size of the staff needed to operate the facility. Such requirements will be published
and sent to the Star Fleet Office of Base Architecture for incorporation into the overall
design of the pharmaceutical facility.
The function of the Office of Base and Station Dispensaries is to exclusively manage
the design specifications for Star Fleet shore pharmaceutical facilities. As such, this office
will utilize the general specifications from the Office of Medical Facility Design
Requirements and will incorporate additional requirements specific to ground and space
station pharmaceutical facilities, including the requirements established by the Office of
Dispensary Design Requirements.
The function of the Office of Ship and Vessel Dispensaries is to manage the design
specifications for Dispensaries aboard Star Fleet spacecraft, specifically, within the
vessel’s Sickbay area. As such, this office will utilize the specifications from the Office of
Medical Facility Design Requirements and will incorporate additional design
requirements relating to dispensaries specific to space ships and space vessels, such as
those exclusively needed for Starship Sickbays and Star Fleet Hospital Ships.
based pharmaceutical facilities and Sickbay Dispensaries. Some of the design aspects
this office will work on will include the general layout of Dispensaries particularly, the
number and form of pharmaceutical equipment that must be installed.
The function of the Office of Dispensary Operation and Maintenance is to establish

the standards and requirements for the operation, maintenance and cleanliness of all Star
Fleet pharmaceutical facilities. Such standards include how the facility will be operated,
the procedures required to fulfill prescriptions and orders, how drugs and medicines will be
stored, what records are to be kept, what restrictions will be used in the dispensing of
drugs and medicines, and the standards and requirements for facility cleanliness and
hygiene.
In charge of this office will be the Commander: Star Fleet Dispensaries or

COMDSPNSRY, and is the senior officer in charge of all Star Fleet Dispensaries and
pharmaceutical facilities for the Division of Medicine and the Department of the Star
Fleet. The COMDSPNSRY will typically be an officer of the Medical Corps (MED), but
who may also be a line officer (SBC) as well, and will usually have the rank of Captain.

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STAR FLEET OFFICE OF PHARMACEUTICAL SUPPLY
The primary responsibility of the Star Fleet Office of Pharmaceutical Supply is to

select, procure, inspect, control and store all the drugs, medicines, pharmaceuticals and
other medications used within Star Fleet. This office will maintain an inventory of all the
drugs and medications procured by this office and will keep this inventory up to date
whenever medications have been dispensed or shipped to any command. This office is also
authorized to evaluate and select suppliers of pharmaceuticals and will work with the Star
Fleet Office of Purchasing regarding the contractual arrangements with such suppliers.
As previously stated, this office is one of only a few offices within the Department of the
Star Fleet that is authorized to directly purchase drugs and pharmaceuticals without the
approval from the Star Fleet Supply Command. The organizational structure for this
office can be found in Figure 10a15.4.
The function of the Office of Pharmaceutical Supply Requirements is to establish the

pharmaceutical supply requirements for both ship-based and shore-based pharmaceutical
facilities. Such requirements include the quantity of specific drugs, medicines, medicinal
compounds and components, pharmaceutical containers, as well as drug and compound
storage requirements.
The function of the Office of Pharmaceutical Supply Quality is to establish the policies
and requirements regarding the quality and safety of drugs, medicines and of compounds
based upon the standards set forth in the Star Fleet Quality Assurance Program and
the Star Fleet Medical Quality Control Program. As such, this office will work with the
Office of Medical Supply Quality in assuring the quality of the drugs and compounds
purchased or allocated. As part of its function, this office will provide the methods of
testing and ensuring drug and compound quality, and in the selection of approved vendors
that produce or manufacture such drugs and compounds.
The basic function of the Office of Pharmaceutical Supply Purchasing is to acquire

drugs, medicines and compounds outside the normal acquisition process. In cases of
health emergencies, Star Fleet and the Bureau of Pharmacology must be able to
immediately acquire medicines and compounds to combat the medical emergency. Thus,
this office is given the authority to bypass the normal acquisition process and to obtain
medicines and compounds directly from any source it deems necessary. In doing this, the
Star Fleet Bureau of Finance and Accounting is obligated to support this office by
immediately supplying the funds or to make payments directly to the source producer.
In charge of this office is the Commander: Star Fleet Pharmaceutical Supply or

COMPHARMSUP and is the senior officer in charge of all activities concerning the
allocation, storage, and distribution of all pharmaceutical supplies, drugs, medicines, and
pharmaceutical equipment. The COMPHARMSUP will typically be an officer of the
Medical Corps (MED), but who may also be a Staff Corps officer of the Supply Corps
(SUP), or a line officer (SFC) with knowledge and experience in the allocation and
distribution of supplies and logistics, and will typically have the rank of Commander.

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STAR FLEET OFFICE OF PHARMACEUTICAL REGULATION
The Star Fleet Office of Pharmaceutical Regulation is primarily responsible for

establishing the regulations regarding the control, dispensing and storage inventory of all
drugs, medicines and compounds. As such, this office will institute regulations concerning
the dispensing of drugs and medications, the control of the storage of drugs, medicines
and compounds, and the standards regarding the type and volume of medications that
should be stored or made available at all Star Fleet medical facilities and unit commands.
As part of its responsibility, this office will periodically inspect all Star Fleet dispensaries
and pharmacies concerning the control, dispensing and inventory of drugs as well as the
general condition and cleanliness of such facilities. The organizational structure for this
office can be found in Figure 10a15.5.
The function of the Office of Regulation Formulation is to establish the regulations

regarding the control of drugs, medicines and compounds. Such regulations include, but
not limited to: how drugs and medicines are dispensed to patients and healthcare
providers; how dispensed drugs are recorded and accounted for; how drug compounds are
controlled, including the storage, location, inventory, and accounting of such compounds;
the cleanliness of drug preparation areas; the cleanliness and environment of drug storage
areas; how sensitive drugs are handled; the security of drug and compound storage areas;
how drugs are received, recorded and stored; and how prescriptions are handled, recorded
and verified. Therefore, this office is responsible for ensuring the safe and secure handling
of all drugs and compounds for the Department of the Star Fleet. The regulations
produced by the office will be sent to the Office of Regulation Enforcement for
enforcement.
The function of the Office of Regulation Enforcement is to ensure that all the policies
and regulations regarding the control, dispensing, storage, and accounting of all drugs and
pharmaceutical compounds and equipment are being followed. In support of this function,
this office will execute inspections and audits of pharmaceutical facilities to ensure that all
drugs are being dispensed properly, that all drugs and compounds are accounted for and
properly recorded, that all drugs and compounds are properly stored and secured, and that
all pharmaceutical facilities are clean and well maintained. As part of this function, this
office will work with the Star Fleet Office of Examinations and Audits and the Office
of the Inspector General in the maintenance and verification that the regulations are
being followed, and to submit any deviations or violations of such regulations to the Office
of the Inspector General for disposition.
In charge of this office is the Commander: Star Fleet Pharmaceutical Regulation or

COMPHARMREG and is the senior officer in charge of all activities concerning the
establishment and enforcement of pharmaceutical regulations. The COMPHARMREG will
typically be an officer of the Medical Corps (MED), but who may also be a line officer
(SFC) from the Office of the Star Fleet Inspector General as well, and will typically
have the rank of Commander.

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ORGANIZATION CHARTS
4500 Star Fleet

Bureau of
BUPHARM Pharmacology
Office Designator

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Figure 10a15.1
STAR FLEET BUREAU OF PHARMACOLOGY
4500 Star Fleet

Bureau of
BUPHARM Pharmacology
4510 Star Fleet Office of 4520 Star Fleet 4530 Star Fleet Office of 4540 Star Fleet Office of
Pharmaceutical Office of Pharmaceutical Pharmaceutical
PHARMPER Personnel PHARMACY Dispensaries PHARMSUP Supply PHARMREG Regulation

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Figure 10a15.2
STAR FLEET OFFICE OF PHARMACEUTICAL PERSONNEL
4510 Star Fleet Office of

Pharmaceutical
PHARMPER Personnel

Pharmaceutical Pharmaceutical Pharmacists and Pharmaceutical
PHARMPER Personnel Standards MEDSVRTRN Training & Certification MEDSPECS Apothecaries MEDTECHS Technicians

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Figure 10a15.3
STAR FLEET OFFICE OF DISPENSARIES
4520 Star Fleet

Office of
PHARMACY Dispensaries

Dispensary Base and Station Ship and Vessel Dispensary Operation
PHARMACY Design Requirements PHARMACY Dispensaries PHARMACY Dispensaries PHARMACY and Maintenance
3420 Star Fleet

Office of

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Figure 10a15.4
STAR FLEET OFFICE OF PHARMACEUTICAL SUPPLY

Pharmaceutical
PHARMSUP Supply

Pharmaceutical Supply Pharmaceutical Supply Pharmaceutical Supply
MEDREQ Requirements MEDQC Quality MEDSUP Purchasing

Office of Office of
MEDSUP Medical Supplies FINPUR Purchasing

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Figure 10a15.5
STAR FLEET OFFICE OF PHARMACEUTICAL REGULATION

Pharmaceutical
PHARMREG Regulation

Regulation Regulation
PHARMREG Formulation PHARMREG Enforcement

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1.6 STAR FLEET BUREAU OF MENTAL

HEALTH
The Star Fleet Bureau of Mental Health (BUPSYCH) is the primary organization
responsible for safeguarding the mental health of Star Fleet personnel. In addition, this
bureau will also be responsible for all Star Fleet mental health facilities and the
equipment used to treat mental illness, or psychoses, at these facilities. As part of its
function, the Bureau of Mental Health will develop and maintain standards, processes
and procedures relating to the diagnosis and treatment of mental illness; develop special
environmental standards relating to life in deep space and in confined spaces; develop
tests and processes relating to the general mental health of Star Fleet personnel; perform
studies on the mental processes and psychology of Federation and alien life forms; study
and observe Starship crews under stressful conditions in order to develop processes and
standards that will mitigate or relieve stress among ship crews; and to provide guidance
and aid to members of the Star Fleet Service and their dependents relating to mental
health, to name just a few.
In general, the Star Fleet Bureau of Mental Health is a special branch of the Star
Fleet Medical Corps that contains professionals that specialize in the psychological
sciences and in psychiatric medicine. As such, there is no special medical corps associated
with the psychological sciences. The organizational chart for this bureau can be seen in
Figure 10a16.1 and represents the topmost offices within this bureau. As shown in the
figure, the bureau contains four administrative offices that represent that primary functions
performed by the Star Fleet Bureau of Mental Health.
The Commander: Bureau of Mental Health (COMMEDPSY) is the senior officer in

command of the Star Fleet Bureau of Mental Health (BUPSYCH) and of all Star
Fleet psychologists, psychiatrists, mental health technicians and facilities within Star
Fleet. The COMMEDPSY will be an officer of the Medical Corps and will typically have
the rank of Commodore.
RESPONSIBILITIES
The Star Fleet Bureau of Mental Health has the primary responsibility to manage and
direct all the activities as regards to the mental health and wellbeing of all members of the
Department of the Star Fleet, including, where allowed, civilian employees of the
department. As such, this division will be responsible for: constructing and maintaining
mental health facilities; developing methods and techniques to diagnose and cure mental
illnesses; provide mental health services to members of the Star Fleet Service; and to
initiate and maintain studies relating to the mental health condition of members of the
Star Fleet Service.
informed on the latest techniques in the diagnosis and treatment of mental illness, of the
state of mental facilities, and to provide pertinent data and statistics relating to the general
psychological health of members of the Star Fleet. Such information will be transmitted to
all Star Fleet medical and scientific offices, as well as to all Federation medical agencies,
associations, universities and other appropriate organizations in order to keep up with the
latest advances and trends in psychology and psychiatry.

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STAR FLEET BUREAU OF MENTAL HEALTH SYMBOL
The symbol for the Star Fleet Bureau of Mental Health is the Star Fleet Medical
Corps Caduceus with the Greek symbol Psi (“”) for psychology embedded in the center
as illustrated in Table 10.16.1 below. All professional persons working in the field of mental
health will display this symbol on their uniforms, which is a patch, pin or badge. Enlisted
Mental Health Technicians and other technicians that work in the field of mental
health, or that work at Star Fleet mental health facilities will wear the symbol of the Star
Fleet Medical Services Corps, the Rod of Asclepius, which is a single serpent winding
around a wingless pole with the symbol Psi embedded in the center as illustrated below.
STAR FLEET BUREAU OF MENTAL HEALTH SYMBOLS
ORGANIZATION
The Star Fleet Bureau of Mental Health is divided into four offices for the delegation
of its responsibilities, as illustrated in Figure 10a16.1. These offices are:
• Star Fleet Office of General Psychology

• Star Fleet Office of Psychiatry
• Star Fleet Office of Psychological Standards
• Star Fleet Office of Mental Health Facilities
Each of these offices will be described in the subsequent sections below. It should be
noticed that this bureau does not have its own supply organization. As such, all requests
for medical supplies pertaining to psychological and psychiatric practice will be handled by
the Star Fleet Office of Medical Supplies. Each individual office described below may
make requests and submit requisitions to the Star Fleet Office of Medical Supplies for
its needed supplies and equipment, and all such materials will be stored and maintained by
that office.

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STAR FLEET OFFICE OF GENERAL PSYCHOLOGY
The Star Fleet Office of General Psychology is mainly responsible for developing
psychological profile tests and procedures. However, this office will also be involved in
analyzing and studying conditions on board ships and on stations that may be the cause of
mental illness. For example, psychologists may be deployed to Star Fleet vessels and
outposts in order to study and evaluate the psychological effects of long-term confinement
and extended space travel. In addition, this office will also be responsible for developing
the psychological profile tests for the Star Fleet Division of Personnel used during the
recruitment process, and will also provide psychological profiles of unknown suspects to
criminal investigation teams or for the Star Fleet Bureau of Investigation. The
organizational structure for this office can be found in Figure 10a16.2.
The primary function of the Office of Psychological Personnel is to certify and assign
psychologists and other psychological personnel to the fleet. As such, this office will
analyze and determine the need for psychologists within the fleet. Thus, where a specific
need for such mental health services is required, this office will do its best to meet that
need. In addition, this office may send psychologists out to the fleet to observe and study
crew behavior, and to report the results of such studies, or to study the psychology of new
alien life-forms, or to perform general psychological studies on a specific population or
planetary situation.
The basic function of the Office of Psychological Practice is to establish and maintain
the standards of psychology and psychological practice throughout the Bureau of Mental
Health. As such, this office establishes and maintains all the standards and regulations
pertaining to psychological practice and as such, will work with the Star Fleet Office of
Medical Procedure regarding such procedures and practices. This office will periodically
review all psychological practices and procedures to ensure that they are kept current with
the latest methods and technology, and will distribute these procedures throughout the
fleet. This office is comprised entirely of Star Fleet and civilian psychologists.
The Office of Alien Psychology is responsible for studying and analyzing the psyche and
mental behavior of alien life forms. As such, this office will contain mostly psychologists
and scientists from non-member and alien worlds. Their primary task is to perform clinical
research into alien psychology, mental behavior, intelligence and other mental or
psychological processes operating within the minds of alien and unknown life forms, and to
transmit their findings to all Federation medical and psychological institutions. In
addition, such information may also be used for intelligence purposes as well. Due to the
potentially dangerous nature of alien psychological research, the facility dedicated to
performing such research is now located on Star Fleet Outpost 52, a small desolate
planetoid with no atmosphere.

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The Office of Psychological Research was instituted primarily to keep the Star Fleet
Bureau of Mental Health, as well as the Star Fleet Medical Division, up to date with
the latest research and practices in psychology and psychiatry specifically, research in alien
psychology. As such, this office will examine the latest developments in general and
abnormal psychology, alien psychology, and the latest practices and methods in psychiatry
being developed throughout the Federation, which includes the latest developments in
psychotropic drugs, and the latest technologies that pertain to the treatment of mental
disorders. This office will also ensure that Star Fleet mental health and other medical
personnel are kept up to date on the latest psychological and psychiatric advances and
practices. This office is comprised entirely of Star Fleet medical officers, civilian
psychologists and psychiatrists. The knowledge gained by this office will also be
communicated to the universities, colleges, industry and all other interested organizations
throughout the Federation.
The Office of Psychological Testing and Evaluation is responsible developing and

administering all forms of psychological and intelligence tests for the bureau and for all the
other divisions within the Department of the Star Fleet. As such, this office develops
tests such as those used during the entrance examination phase of enlistment, such as the
Occupational Suitability Test; tests to determine whether an individual can function
out in deep space in a confined space for extended periods of time; tests of applicants to
determine if there are any underlying mental or social abnormalities; special psychological
tests during criminal investigations and for court-martials; tests designed to examine how
an individual will cope with command and the decisions they may have to make regarding
life and death such as the Kobiashi Maru scenario; and such intelligence tests as needed.
As such, this office will be manned almost exclusively by psychologists, and educational
and sociological experts.
In charge of the Star Fleet Office of General Psychology is the Commander:

General Psychology or COMPSYCHOL, and is the senior officer in charge of all
activities concerned with general psychology and psychological practice within the
Department. The COMPSYCHOL will always be a psychologist and an officer of the
Medical Corps (MED), and will usually have the rank of Captain.

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STAR FLEET OFFICE OF PSYCHIATRY
The primary responsibility of the Star Fleet Office of Psychiatry is the treatment of
Star Fleet personnel for mental illness. This office has many Star Fleet and civilian
psychiatrists employed to analyze, diagnose and treat all forms of mental illness. In
general, a psychiatrist is a medical doctor who diagnose patients' mental health issues and
treats them through medication and various forms of therapy. They differ from
psychologists in that psychiatrists go to medical school and become medical doctors, while
psychologists are not required to. Typically, these professionals will be assigned to mental
health facilities, but there may be occasions where a psychiatrist may be assigned to
diagnose specific cases out in the fleet as well. The organizational structure for this office
can be found in Figure 10a16.3.
The Office of Psychiatrists and Psychiatric Personnel is responsible for recruiting

and certifying Star Fleet psychiatrists. As such, this office will analyze and determine the
need for psychiatrists and psychiatric technicians within the fleet. Thus, where a specific
need for psychiatric services are needed, this office will do its best to meet that need. This
office will also be responsible for recruiting and certifying enlisted Mental Health
Technicians that specialize in handling and treating psychiatric patients as well. In
general, most Star Fleet psychiatrists and Mental Health Technicians will be assigned
duty at shore facilities. As such, psychiatrists and Mental Health Technicians are usually
not assigned to Star Fleet ships. When such personnel are assigned to a ship, it will be a
temporary assignment for a limited period of time.
The Office of Clinical Psychiatry and Psychiatric Method is responsible for

establishing the methods, procedures, techniques and technologies that will be used to
treat psychiatric patients, based upon the standards, regulations and guidelines set forth
by the Star Fleet Office of Psychological Standards. In general, Clinical Psychiatry
is an integration of science, theory, medicine and clinical knowledge for the purpose of
understanding, preventing, and relieving psychologically-based distress or dysfunction and
to promote subjective well-being and personal development. As such, Clinical Psychiatrists
evaluate, diagnose and treat patients with mental disorders. Clinical psychiatrists may
prescribe medication or suggest therapy according to their patents' needs. An example of
such therapy may be electro-magnetic beam therapy of the patient’s cerebral cortex.
The function of the Office of Psychiatric Technology is to analyze and evaluate any
new equipment and technology that can be used by Star Fleet mental health personnel
for the treatment of mental disorders, and to make recommendations on the use of the
new technology. Such mental health equipment may include special beam therapy devices
as Neural Neutralizers[10], etcetera, that are currently under development. In addition,
this office may also develop and test its own mental treatment equipment as well. As such,
this office will work with that various Star Fleet and Federation mental health, scientific
and engineering organizations, universities and commercial enterprises in the development
of new or novel psycho-therapeutic devices or technologies.

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The Office of Psychiatric Intelligence is responsible for developing methods and

techniques for gathering intelligence through psychological means. Such methods are
called “Passive Intelligence Methods.” In general, a Passive Method of intelligence
gathering is one in which there is no active participation in a mission or operation designed
to gather intelligence information. Most of the passive methods involve listening, either to
social chatter or through special listening devices, but others may involve asking innocuous
questions, observing certain actions, or by directly access information from a subject. This
is the function of the Office of Psychiatric Intelligence. A more detailed description of
Passive Methods of intelligence gathering may be found in Section 9.2 of Volume II of
the Star Fleet Command Manual. As part of its function, this office may directly take
part in the interrogation of intelligence subjects using the psychiatric tools available, such
as the use of beam therapy devices, or through the use of psychotropic drugs. However,
this office primarily creates and publishes the techniques and guidelines used by Star
Fleet Intelligence personnel in the gathering of information by psychiatric techniques.
Some of these techniques were developed and implemented, or were reviewed and
approved by this office and are listed in Table 2a92.1 of Volume II of the Star Fleet
Command Manual.
In charge of the Star Fleet Office of Psychiatry is the Commander: Star Fleet
Psychiatry or COMPSYCHY, and is the senior officer in charge of all activities concerned
with psychiatry and psychiatric practice within the Department. The COMPSYCHY will
always be a licensed psychiatrist and an officer of the Medical Corps (MED), and will
usually have the rank of Captain.

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STAR FLEET OFFICE OF PSYCHOLOGICAL STANDARDS
The function of the Star Fleet Office of Psychological Standards is to establish and
maintain the standards of conduct and qualification of Star Fleet psychologists and of the
mental health professionals employed by Star Fleet. In addition, this office is responsible
for establishing the standards and procedures regarding the condition and operation of
Star Fleet mental health facilities as well. The organizational structure for this office can
be found in Figure 10a16.4.
The Office of Psychological Standards Formulation is responsible for formulating or

developing the standards, regulations, guidelines and policies pertaining to psychological
and psychiatric practice. Such standards and practices include: the standards and policies
regarding the treatment of mental patients; the approved drugs and medicines that can be
used to treat mental illnesses; the therapeutic equipment that is approved or that is
allowed to be for use in the treatment of mental disorders; and the approved methods of
investigating and diagnosing mental disorders. The standards, methods, regulations and
policies developed by this office will be submitted to the Office of Psychological
Standards Application below for implementation and enforcement.
The Office of Psychological Standards Regulation is responsible for implementing

and enforcing the psychological standards, regulations, guidelines and policies developed
by the Office of Psychological Standards Formulation. As part of its function, this
office will publish and distribute the psychological and psychiatric standards, guidelines,
and policies to be used throughout the fleet. And, in order to ensure compliance with the
published standards and regulations, this office will deploy inspectors to Star Fleet mental
health facilities and offices to audit their practices. Such inspections will either be
scheduled, or unscheduled and unannounced visits to the facilities. The results of such
visits will be a report issued by the inspection team and submitted to the Commander:
Bureau of Mental Health for review and disposition.
In charge of the Star Fleet Office of Psychological Standards is the Commander:

Psychological and Psychiatric Standards or COMPSYSTD, and is the senior officer in
charge of all activities concerned with psychological and psychiatric standards for the
Department. The COMPSYSTD can either be a Star Fleet psychologist or psychiatrist
and shall be an officer of the Star Fleet Medical Corps (MED), and will usually have the
rank of Commander.

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STAR FLEET OFFICE OF MENTAL HEALTH FACILITIES
The function of the Star Fleet Office of Mental Health Facilities is to manage all the
mental health facilities within the Department. Such facilities may be special hospitals set
up for the mentally ill, or those mental health facilities located in or attached to Star Fleet
hospitals, or special penal colonies for the criminally insane. However, the administration
and management of such penal colonies and institutions for the criminally insane will be
under the command of the Star Fleet Bureau of Corrections. This office will primarily
be concerned with the equipment and procedures used at such facilities, and to provide
any mental health specialists to these facilities as needed. The organizational structure for
this office can be found in Figure 10a16.5.
The function of the Office of Mental Health Facility Design is to establish the basic
design and operating requirements for Star Fleet mental health facilities. Such design
requirements include, but not limited to, the general layout of mental health facilities,
areas, wards and offices; the juxtaposition of these areas; the locations and proximity of
mental health facilities to other medical areas within the same structure; the type and
placement of equipment within mental health facilities; and the environmental standards of
mental health areas. All of the aforementioned requirements will be assembled into a
single set of design specifications that will be given to the various engineering,
construction and administrative commands such as Star Base Command, the Star Base
Systems Command, the Star Fleet Corps of Engineers, and the Star Fleet
Construction Command.
The Office of Mental Health Facility Standards is responsible for developing the
standards pertaining to mental health facility esthetics, facility furnishings and lighting, and
general facility ergonomics. The primary function of this office is to develop the standards
for making the mental health facilities feel comfortable for patients and to provide mental
patients with a feeling of easy, comfort and home. Such standards include the color of
rooms and corridors; the shape and feel of furniture; the presence of indoor and outdoor
plants and gardens; the shape and furnishing of wards and rooms; the presence of
pleasing smells such as flowers and fragrances; the color and design of staff uniforms; and
the design of staff quarters and spaces in terms of comfort and esthetics. As such, this
office will be staffed by social and architectural psychologists, and interior and clothing
designers.
The Office of Mental Health Facility Operation is responsible for developing the
operating and administrative procedures and guidelines for the management of Star Fleet
mental health facilities. As part of its function, this office will develop the facility’s
managerial and organizational structure; the general schedule of activities; the type of
activities; the types and numbers of the various staff members needed to man a facility;
the management of inpatient and outpatient treatment; the management of child patients;
the management of alien patients; the schedule and management of facility cleaning
services; guidelines regarding the separation of the various groups of patients by condition
type; to name a few. The procedures and guidelines developed by this office will be
published and issued to all Star Fleet mental health facilities as an operations manual for
the facility. In addition, such operating manuals will also be customized based upon the
particular facility in operation. Therefore, this office will primarily be staffed with personnel
with experience and expertise in the management of mental health facilities.

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The Office of Mental Health Facility Security is essentially responsible for all aspects
regarding the security of Star Fleet mental health facilities. In general, all Star Fleet
mental health facilities are required to have a security organization present and available
for the protection of the staff assigned to the facility, of the patients located at these
facilities, for the guests visiting the facility, and for the security of the property itself. The
staff of the security section of a mental health facility will be a mixture of Mental Health
Technicians and personnel assigned to the facility from the Star Fleet Division of
Security. The security personnel assigned to Star Fleet mental health facilities will come
from the Star Fleet Security Forces Command and will be specially trained in how to
handle mental patients, if it becomes necessary for them to act. However, in most cases, it
will be the security-trained Mental Health Technicians that will manage the patients,
while the security force will manage all the other aspects of facility security.
In charge of this office will be the Commander: Star Fleet Mental Health Facilities or
COMPSYFAC, and is the senior officer in charge of all Star Fleet mental health facilities
for the Division of Medicine and the Department of the Star Fleet. The
COMPSYFAC will typically be an officer of the Medical Corps (MED), but who may also
be a line officer (SBC) as well, and will usually have the rank of Captain.

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ORGANIZATION CHARTS
4600 Star Fleet

Bureau of
BUPSYCH Mental Health
Office Designator

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Figure 10a16.1
STAR FLEET BUREAU OF MENTAL HEALTH
4600 Star Fleet

Bureau of
BUPSYCH Mental Health
4610 Star Fleet 4620 Star Fleet 4630 Star Fleet Office of 4640 Star Fleet Office of
Office of Office of Psychological Mental Health
PSYCHOL General Psychology PSYCHTRY Psychiatry PSYCHSTD Standards PSYCHFAC Facilities

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Figure 10a16.2
STAR FLEET OFFICE OF GENERAL PSYCHOLOGY
4610 Star Fleet

Office of
PSYCHOL General Psychology

Psychological Psychological Alien Psychological
PSYPER Personnel PSYPRAC Practice PSYALIEN Psychology PSYRSH Research
4615 Office of
Psychological
PSYEVAL Testing & Evaluation

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Figure 10a16.3
STAR FLEET OFFICE OF PSYCHIATRY
4620 Star Fleet

Office of
PSYCHTRY Psychiatry

Psychiatrists and Clinical Psychiatry and Psychiatric Psychiatric
PSYCHPER Psychiatric Personnel PSYCHMET Psychiatric Method PSYCHTEC Technology PSYCHINT Intelligence

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Figure 10a16.4
STAR FLEET OFFICE OF PSYCHOLOGICAL STANDARDS

Psychological
PSYCHSTD Standards

Psychological Psychological
PSYSTDEV Standards Formulation PSYSTDEX Standards Regulation

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Figure 10a16.5
STAR FLEET OFFICE OF MENTAL HEALTH FACILITIES
3920 Star Fleet 4640 Star Fleet Office of

Office of Mental Health
CONST Construction PSYCHFAC Facilities

Mental Health Facility Mental Health Facility Mental Health Facility Mental Health Facility
PSFACDSN Design PSFACSTD Standards PSFACOPS Operation PSFACSEC Security
3420 Star Fleet

Office of

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1.7 OFFICE OF STAR FLEET MEDICAL

OFFICERS
The Office of Star Fleet Medical Officers, designated FLTMED, has the administrative
responsibility of acquiring, training and assigning qualified Fleet Medical Officers[11] to
the Operating Forces and Shore Establishments. As such, this office will work closely
with the Star Fleet Office of Medical Personnel in supplying the requirements for
Fleet Medical Officers and in the assignment of such officers. The organizational chart
for this office is shown in Figure 10a17.1.
In order to be assigned to fleet medical duty, the perspective individual, aside from being
a qualified doctor, surgeon or general practitioner, must also have received additional
training in at least two other medical specialties, including alien medicine and deep space
psychology. However, this office does not perform this special training for Fleet Medical
Officers, nor does it manage any medical training facility. All such specialized training will
be performed at the Star Fleet Academy’s College of Medicine and Dentistry and
will be managed by Office of Medical Personnel Training within the Star Fleet
Bureau of Medicine and Surgery. Basically, the Star Fleet Academy has specific
programs designed to train qualified Star Fleet doctors and surgeons for fleet medical
duty, and candidates destined for fleet medical duty must successfully complete this
course of instruction.
The Commander: Star Fleet Medical Officers (COMMEDO) is the senior officer in
charge of administering all Star Fleet Medical Officers within the Operating Forces
and Shore Establishments. The COMMEDO is an officer of the Medical Corps and a
qualified Fleet Medical Officer, and will typically have the rank of Captain.
RESPONSIBILITIES
The Office of Star Fleet Medical Officers has the primary responsibility to manage and
direct all the activities regarding the qualifications, training, certification and assignment of
Fleet Medical Officers to fleet duty. As such, this office has the responsibility of:
• Recruiting qualified medical professionals for deep space duty

• Ensuring medical officer candidates have completed their training for Fleet Medical
Officer
• Determining the number of Fleet Medical Officer billets necessary to meet fleet
medical needs
• Assigning qualified Fleet Medical Officers to ship and shore duty stations
• To manage the disciplinary process and to administer the discipline of Fleet Medical
Officers

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ORGANIZATION
The Office of Star Fleet Medical Officers is divided into four small offices or sections
for the delegation of its responsibilities, as illustrated in Figure 10a17.1. These offices are:
• Medical Officer Planning Section

• Medical Officer Requirements Section
• Medical Officer Recruitment Section
• Medical Officer Assignment Section

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MEDICAL OFFICER PLANNING SECTION
The function of the Medical Officer Planning Section is to evaluate and determine the
requirement for Fleet Medical Officers within the Operating Forces and Shore
Establishments. This office will assess the medical needs of the fleet, perform a gap
analysis and make recommendations regarding the number and types of the Fleet
Medical Officers required. This information will also be furnished to the Star Fleet
Office of Force Planning in order to determine total ship allowances and fleet personnel
requirements.
In charge of the Medical Officer Planning Section is the Commander: Star Fleet
Medical Officer Planning or COMMDPLN, and is the senior officer in charge of all
activities concerning the need for Fleet Medical Officer billets throughout the fleet. The
COMMDPLN will typically be an officer of the Medical Corps (MED), and will typically

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MEDICAL OFFICER REQUIREMENTS SECTION
The prime function of the Medical Officer Requirements Section is to establish the
requirements for Fleet Medical Officers and fleet medical duty within the Department
of the Star Fleet. This office is responsible for determining the criteria for entry into the
Fleet Medical Officer Program and to set the qualifications of all Fleet Medical
Officers. As such, this office will design the Fleet Medical Officer Program and will
administer the program and the requirements for completion and certification. The
program course outlines, the syllabus, and the graduation requirements will be submitted
to the Star Fleet Academy’s College of Medicine and Dentistry for implementation.
It will be the College of Medicine and Dentistry that will have the responsibility of
teaching and providing qualified Fleet Medical Officers. In addition, and as part of its
mandate to ensure the professionalism of all Star Fleet Medical Officers, this office will
also be responsible for developing the standards of ethics and the procedures for discipline
of all Fleet Medical Officers within the Star Fleet.
In charge of the Medical Officer Requirements Section is the Commander: Star

Fleet Medical Officer Requirements or COMMDREQ, and is the senior officer in
charge of all activities concerning the development of the requirements and qualifications
for Fleet Medical Officer duty. The COMMDREQ will typically be an officer of the
Medical Corps (MED), and will typically have the rank of Commander.

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MEDICAL OFFICER RECRUITMENT SECTION
The primary function of the Medical Officer Recruitment Section is to recruit and
induct qualified doctors and general practitioners into the Fleet Medical Officer
Program. Most of the medical officers that enter the program come from the Star Fleet
Academy, but others may be active duty medical officers practicing in Star Fleet
hospitals and medical facilities that wish to enter fleet medical service. Also, Star Fleet
will also recruit doctors, surgeons and other medical professionals from the civilian
population into the Fleet Medical Officer Program as well. This includes experienced
doctors, surgeons and general practitioners as well as, recent graduates from Federation
medical schools. However, such inductees must go through Star Fleet basic and officer
training before being commissioned as Star Fleet Medical Corps officers. The basic rule
is that all Fleet Medical Officers must be commissioned Star Fleet Medical Corps
officers before they can enter the Fleet Medical Officer Program.
In charge of the Medical Officer Recruitment Section is the Commander: Star Fleet
Medical Officer Recruitment or COMMDRCT, and is the senior officer in charge of all
activities concerning the research and development of medical instruments, equipment and
other medical technologies. The COMMDRCT will typically be an officer of the Medical
Corps (MED), and will typically have the rank of Commander.

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MEDICAL OFFICER ASSIGNMENT SECTION
The Medical Officer Assignment Section is the main organization for the management
of Fleet Medical Officers. This office principally assigns Fleet Medical Officers to the
Operating Forces and to Shore Establishments and as such, will work with the Star
Fleet Bureau of Personnel (BUPERS) in assigning such officers, but will not specifically
issue the orders to the individual. This is the responsibility of BUPERS. This office will
obtain the requirements for Fleet Medical Officers from the Medical Officer Planning
Section and will submit the requirements to BUPERS for execution.
In charge of the Medical Officer Assignment Section is the Commander: Star Fleet
Medical Officer Assignment or COMMDASN, and is the senior officer in charge of all
activities concerning the assignment of Fleet Medical Officers to fleet and shore duty.
The COMMDASN will typically be an officer of the Medical Corps (MED), but who may
also be a line officer (SFC) from the Division of Personnel as well, and will typically

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ORGANIZATION CHARTS
4700 Office of
Star Fleet
FLTMED Medical Officers
Office Designator

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Figure 10a17.1
OFFICE OF STAR FLEET MEDICAL OFFICERS
4700 Office of
Star Fleet
FLTMED Medical Officers
4710 Medical Officer 4720 Medical Officer 4730 Medical Officer 4740 Medical Officer
Planning Requirements Recruitment Assignment
FLTMEDPLN Section FLTMEDREQ Section FLTMEDRCT Section FLTMEDASN Section
4110 Star Fleet 4110 Star Fleet 8300 6100 Star Fleet
Office of Office of Star Fleet Academy Bureau of
MEDPERS Medical Personnel MEDPERS Medical Personnel ACADEMY BUPERS Personnel

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1.8 STAR FLEET MEDICAL BOARDS

The Star Fleet Division of Medicine has two boards used to oversee the quality of
healthcare and healthcare providers within the Department of the Star Fleet: the Star
Fleet Board of Medical Ethics and the Star Fleet Board of Medical Certification.
Both of these boards are not permanent offices, but are part-time assemblages comprised
of senior officers of the Medical Corps with the rank of Captain or higher as specified in
Star Fleet Regulation 5860. The number and composition of the members of these
boards will be determined by the Chief of Star Fleet Medicine, who will also select the
officers that will serve on these boards for a term no less than one-year or until removed
by the Chief of Star Fleet Medicine for any reason.
PERMANENT STAR FLEET MEDICAL BOARDS
The Star Fleet Division of Medicine has only two permanent boards used to oversee
the quality of healthcare within the Department of the Star Fleet:
• The Star Fleet Board of Medical Ethics, and

• The Star Fleet Board of Medical Certification.
Although these two boards are permanent placeholders, they are basically semi-permanent
assemblages of senior Medical Corps officers that perform a specific function for the
Star Fleet Division of Medicine, and as such, are part of the organizational structure of
the division as see in Figure 10a10.1. That is, these boards are composed of senior officers
of the Medical Corps with the rank of Captain and above that are selected by the Chief
of Star Fleet Medicine to serve a term of one or more years.
SELECTION OF BOARD MEMBERS
The process of selecting the members of medical boards and the selection of the members
themselves is entirely up to the Chief of Star Fleet Medicine (CMED) and can vary
from one CMED to another. In general, however, the CMED will select the heads of such
boards first before any of the other members are selected. Once the president or chairman
of the board has been selected the other members may either be selected by the CMED
or the CMED will direct the head of such boards to select his or her own members. The
only criterion for selection is that the members of such boards must be Medical Corps
officers, except where a legal issue may be involved in which case an officer from the
Office of the Judge Advocate General may also be included. And as stated earlier,
once selected the members of the board will serve a term of one year.

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STAR FLEET BOARD OF MEDICAL ETHICS
The function of the Star Fleet Board of Medical Ethics is to review any complaints of
misconduct or malpractice by medical personnel within the Department, or to assess the
performance of any officer within the Medical Corps. This board does not convene on a
regular basis, but only when the need arises such as when an ethics complaint has been
lodged against a Star Fleet medical professional, or when a change in the standards of
medical ethics has occurred.
AUTHORITY
The Star Fleet Board of Medical Ethics has only that authority which the Chief of Star
Fleet Medicine allows it to have, within the confines of Star Fleet Regulations and
Federation law. The Board's primary task is to investigate professional misconduct of any
person within the Star Fleet Division of Medicine, and if such investigation reveals
actual misconduct, to refer the matter to the Chief of Star Fleet Medicine for action by
a Board of Medical Discipline. However, should such investigation reveal criminal
misconduct, the Board shall refer the matter to the Star Fleet Judge Advocate General
for disposition under the articles of the Star Fleet Manual for Courts-Martial. As such,
this board does not have the authority to impeach or punish medical persons that commit
professional misconduct, but can only refer or recommend such action.
COMPLAINT PROCESS
In general, the investigation of medical ethics violations and malpractice begins with a
complaint submitted by a patient, a medical professional, or by any one witnessing a
violation of professional conduct. The accused can either be a Star Fleet medical person
or any civilian medical person employed by Star Fleet. The complaint can be made to the
local Chief Medical Officer, to the Star Fleet Inspector General, to the Star Fleet
Ombudsman, or directly to the Star Fleet Judge Advocate General. The complaint
can be directed either against a Star Fleet military doctor, surgeon, dentist, nurse, any
Medical Technician, or against any civilian medical professional in medical service for
the Star Fleet. The complaint is then submitted to the Chief of Star Fleet Medicine
and a Star Fleet Board of Medical Ethics will be assembled for investigation, which
normally assembles any time a complaint is made.
The Board investigates the complaint, which may require the services of the doctors or
other medical professionals that are independent of the Board. The Board will examine all
aspects of the complaint, which will include the procedures employed, the tests made, the
sanitary and cleanliness conditions, the drugs and medicines used, the fitness of the
person or persons involved, etc. If warranted, the Board will file ethics charges against the
accused medical professional and a Board of Medical Discipline will be convened by the
President: Board of Medical Ethics. The Board will hear the formal charges brought
against the person, or persons, and the Board will decide whether or not to impose
discipline. Discipline may involve removal from all medical duties, and may include referral
to a court-martial, in the case of a Star Fleet military person, or dismissal from the
Department of the Star Fleet in the case of a civilian medical professional. In addition,
civilian medical personnel that are dismissed from Star Fleet for ethics violations may also
be referred for criminal prosecution in a Federation civilian court or revocation of their
medical license by the Federation Department of Justice or by the Federation
Health Administration.

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STAR FLEET BOARD OF MEDICAL CERTIFICATION
The Star Fleet Board of Medical Certification was setup to examine and certify Star
Fleet doctors, surgeons and dentists. This certification is above that which is given to such
professionals in civilian life, and applies to both Star Fleet medical professionals as well as
to civilian medical professionals employed by Star Fleet. Basically, this board reviews
qualifications and makes recommendations or approvals to license and certify Star Fleet
medical personnel to the Office of Medical Personnel Certification. This board,
however, does not certify Star Fleet nurses, which is the responsibility of the Bureau of
Nurses.
AUTHORITY
The Star Fleet Board of Medical Certification has only that authority which the Chief
of Star Fleet Medicine allows it to have. The Board's task is to review the qualifications
of medical professionals and to recommend certification of them as Star Fleet medical
professionals prior to medical duty. In addition, this Board will also review the certifications
of every medical professional within the Star Fleet every three years. In such reviews the
medical professional will either be re-certified or their certification revoked by the Office
of Medical Personnel Certification.
ALL STAR FLEET MEDICAL PERSONNEL MUST BE LICENSED AND CERTIFIED

BY THE BOARD IN ORDER TO PRACTICE MEDICINE WITHIN STAR FLEET
PROCEDURE
The procedure basically involves the Board reviewing all the documents and qualifications
of the medical professional as a candidate to become a Star Fleet medical professional.
This applies primarily to civilian medical professionals that enter the Star Fleet either as a
civilian physician employed by the Department, or one who enters to become a military
medical professional. Those who wish to become a military medical professional must have
successfully completed Star Fleet Officer School.
Individuals that have completed medical training and that graduated from the Star Fleet
Academy’s College of Medicine and Dentistry will receive a provisional certification to
practice medicine. Upon such certification, the individual must serve a period of internship
at a Star Fleet hospital or medical facility for at least two years, and had passed the Star
Fleet medical examinations before they can earn a full license.
Enlisted Star Fleet Medical Technicians, on the other hand, are not required to obtain
this type of professional certification. This is because Medical Technicians are not
medical professionals and have not been certified to practice medicine, but are qualified to
perform certain medical procedures as will be described in Section 2.4 of this manual.
However, they will receive a certificate of specialization for each medical specialty or
procedure they have had training on and have passed the required examinations.

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AD-HOC MEDICAL BOARDS
Ad-hoc medical boards are temporary assemblages of Star Fleet doctors, nurses and
other medical professionals that will examine and render a judgment regarding a medical
and/or legal matter as it may pertain to medicine. Most of these boards will be three-
person panels assembled to oversee a medical issue. An example of such a panel is the
Board of Medical Discipline, which is assembled to decide what course of action or
discipline a medical professional should face. Another such ad-hoc board may be convened
to review a specific medical procedure that was employed. Lastly, an ad-hoc board may be
convened to determine the fitness of a person in command. Such a board is known as an
Extraordinary Competency Hearing, which will be described below.
EXTRAORDINARY COMPETENCY HEARING
An Extraordinary Competency Hearing[12] is a special ad-hoc investigating committee

of senior officers of an operational command that is designed to determine the fitness of
the Commanding Officer of that command to continue as the commander of that unit.
Should this board determine that the individual is unfit to command physically or mentally,
then the individual will be relieved of his or her command in accordance with Star Fleet
Regulation 4210, and under the provisions of Star Fleet Regulation 4211, the
relieving officer, typically the command’s Executive Officer, must report to the Chief of
Star Fleet Personnel and the Chief of Star Fleet Operations the reason and
circumstances for removal. If such an event occurs the reason for removal will most likely
be supported by a document from the command’s Chief Medical Officer certifying that
the Commanding Officer is unfit to continue command[13]. In all cases, and in
accordance with Star Fleet Regulations, any Extraordinary Competency Hearing
shall be presided over by the command’s Executive Officer and shall be comprised of the
senior Department Heads of the command.

OFFICIAL USE ONLY
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2.0 STAR FLEET MEDICAL DIVISION

ORGANIZATION
In this section the organizational structure of the Star Fleet Division of Medicine, also
known as Star Fleet Medicine, will be briefly discussed. The remaining sections of this
chapter will discuss the various commanders of the bureaus and offices that make up the
Division of Medicine in more detail. The high-level command structure of Star Fleet
Medicine is illustrated in Figure 10a20.1. This figure shows all the primary division heads
by their title, designation and rank. At the top level is the Chief of Star Fleet Medicine
(CMED), the senior administrative and medical officer of the Medicine Division and the
Department of the Star Fleet, which was created under ARTICLE 43 of the Star Fleet
Charter. A complete description of the CMED may be found in Section 2.1 of this manual.
The Division of Medicine is divided into six bureaus and one office that distribute the
primary functions to which the division has jurisdiction such as: medical and dental
practice, nursing and patient care, administration of all medical facilities, support to all
medical professionals and other medical services. Each bureau will be under the command
of a Division Head with the title of Deputy Chief as stipulated in Star Fleet
Regulation 3100, with the exception of the smaller bureaus and offices which will be
under the command of a Commander. As such, the organization and function of each
Division Head within the Division of Medicine will be described in detail within the
subsequent sections of this chapter. Note that throughout the sections of this chapter the
term “his” or “him” may be used. This is not to indicate gender, but merely a convenient
way to show possession.
OFFICE OF THE CHIEF OF STAR FLEET MEDICINE
The Office of the Chief of Star Fleet Medicine was established in accordance with
ARTICLE 43 of the Star Fleet Charter, and is the top most level within the Medicine
Division of the Department of the Star Fleet. The Office of the CMED is comprised
of the Chief of Star Fleet Medicine, the Medicine Chief of Staff as specified in
accordance with Paragraph 2 of Star Fleet Regulation 3810, and several administrative
assistants and board officers.
STAR FLEET MEDICINE CHIEF OF STAFF
The Star Fleet Medicine Chief of Staff (MEDCS) is a position created within the Office
of the Chief of Star Fleet Medicine under Star Fleet Regulation 3810 for the
purpose of supervising and coordinating the work of the staff assigned to the CMED. The
MEDCS is an officer junior to the CMED, and will typically have a rank of Rear Admiral.
This rank was established following the guidelines set forth in Paragraph 2 of Star Fleet
Regulation 3810 regarding an officer detailed as "Chief Staff Officer."
Although essentially managing the staff for the CMED, the position of MEDCS has no
command authority in and of itself. The MEDCS basically coordinates the work assigned to
the staff by the CMED to the members of his or her staff, and to the bureau chiefs within
the division. A complete detailed description of the duties of the MEDCS will be made in
Section 2.2 of this manual.

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BUREAU CHIEFS
The Division of Medicine is organized into six bureaus and one office designed to handle
the major functions of the division. In general, and as defined in Section 8.0 of Volume I of
the Star Fleet Command Manual, a division is a large organization with a somewhat
wide scope, whereas a bureau is more focused on a specific function, and an office is an
organization generally focused on a specific function. As such, the Division of Medicine
does not contain any commands, but only bureaus and offices. The heads of the primary
Star Fleet divisions are defined in Paragraph 2 of Star Fleet Regulation 2600.
All of the bureaus and offices within the Division of Medicine are Medical Corps
organizations and as such, the director of a Medical Division bureau or office will be a
Limited Duty Officer or LDO, and therefore, will be restricted to only those duties
outlined for a Medical Corps officer, as specified in Paragraph 2b of Star Fleet
Regulation 5100 and as specified in Star Fleet Regulation 5830.
Bureau directors within the Division of Medicine will generally have the title of Deputy
Chief, while commanders of the sections and offices below such bureaus will have a title
of Commander. However, in general, division directors are titled according to the size
and scope of the division, bureau or section they command in accordance with Paragraph
3 of Star Fleet Regulation 3100 and in Star Fleet Regulations 5770 and 5780.
MEDICAL BOARD OFFICERS
The Star Fleet Division of Medicine contains two standard boards for the maintenance
of Star Fleet medical quality and to ensure that proper medical care was administered;
that medical personnel are qualified to perform their duties in a knowledgeable and
professional manner; and that special medical procedures conform to known and accepted
medical practice. These boards, along with the Medical Corps officer in charge of them,
are shown in the following table:
Table 10a20.1
STAR FLEET STANDARD MEDICAL BOARDS
Medical Board Medical Board Head
The Star Fleet Board of Medical Certification President: Board of Medical Certification
The Star Fleet Board of Medical Ethics Chairman: Board of Medical Ethics
In all cases a medical board will usually be comprised of at least three senior officers of
the Medical Corps, normally with the rank of Captain or above.

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CIVILIAN DOCTORS AND MEDICAL TECHNICIANS
The Division of Medicine also contains civilian physicians, surgeons, dentists, nurses,
and medical specialists that are necessary to support the functions and practices of the
division. However, although civilian doctors and medical technicians are normally employed
at Star Fleet ground hospitals and medical facilities, they will not function independently.
All employed civilian doctors, surgeons, dentists, nurses, medical specialists and medical
technicians will always be under the supervision of a Star Fleet medical officer. In
addition, and in particular, the division retains the Star Fleet Surgeon General
(SFCSG), who acts as the civilian representative of the Star Fleet. The SFCLG is the
chief advisor to the Chief of Star Fleet Medicine regarding medical matters, such as
new Federation medical regulations and practices, the medical practices of non-
Federation worlds, and the latest innovations in medical practice, equipment and medical
study as it may apply to the Department of the Star Fleet.

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ORGANIZATIONAL CHARTS
Throughout this chapter organization charts will be presented for the various subdivisions
and bureaus within the Star Fleet Division of Medicine. These charts generally
represent the “Chain of Command” within the division, and will be referred to throughout
the remaining sections of this chapter. The title blocks of each office contains the office or
command title, the Command Designation and the specified rank of the officer holding that
position. The Command Designation is a shorthand version of the office title.
Command Designation Command Title
CMED
Chief of Star Fleet
Medicine
VADM
Command Rank

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Figure 10a20.1
STAR FLEET MEDICAL DIVISION ORGANIZATION
Office of the Chief of CMED

Chief of Star Fleet
Star Fleet Medicine Medicine
VADM
SFCSG MEDADM
Surgeon Administrative
General Assistant
CIVILIAN T6
MEDCS
Star Fleet Medicine
Chief of Staff
RADM
MEDCRT President: MEDETH Chairman:

Board of Board of
CAPT Medical Certification CAPT Medical Ethics
CMEDSRG Deputy Chief: CDENTL Deputy Chief: CNURSE Deputy Chief: CMEDSRV Deputy Chief:
Bureau of Medicine Bureau of Bureau of Bureau of
RADM and Surgery RADM Dentistry RADM Nurses RADM Medical Services
CPHARM Commander: CPSYCHL Commander: COMMEDO Commander:

COMO Pharmacology COMO Mental Health CAPT Medical Officers

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2.1 CHIEF OF STAR FLEET MEDICINE[1]

The Chief of Star Fleet Medicine (CMED) is the senior officer in command of all
medical, dental, and related activities, facilities and personnel within Star Fleet. In
addition, the CMED is the senior officer of the Star Fleet Medical Corps (MED) and as
such, has precedence over all doctors, surgeons and medical personnel within the Medical
Corps. The Chief of Star Fleet Medicine is responsible to the Director: Star Fleet
Command for:
• Establishing and maintaining the standards of medical practice and procedure for the
Department of the Star Fleet
• Establishing and maintaining the standards of sanitation and health within the
• Procuring the materials and equipment required to equip and supply Star Fleet
medical personnel and medical facilities
• Training and certifying all Star Fleet doctors, surgeons, nurses, and all other medical
personnel within the Department of the Star Fleet
• Operating and managing all Star Fleet hospitals, hospital ship facilities, dispensaries,
Sickbays, and all other medical facilities within Star Fleet
• Providing general medical training of Star Fleet personnel regarding injury, safety,
health, and emergency medical procedures
• Conducting medical research for the Department of the Star Fleet and for the
Federation
The CMED is an officer of the Medical Corps (MED) junior to the Director and Vice
Director, and will have the rank of Vice Admiral. Within the office of the Chief of Star
Fleet Medicine are the Medical Chief of Staff (MEDCS) and the Surgeon General
(SFCSG). The function of the Medical Chief of Staff is to coordinate the work assigned
to the various bureau commanders by the CMED. The Surgeon General is a civilian
doctor who is the chief advisor to the CMED on all matters relating to medicine within the
Federation.
The organizational structure for the CMED is illustrated in Figure 10a21.1. The persons
that come under direct authority of the CMED are the various division chiefs, which are:
Deputy Chief: Bureau of Medicine and Surgery,

Deputy Chief: Bureau of Dentistry,
Deputy Chief: Bureau of Nurses,
Deputy Chief: Bureau of Medical Services,
Commander: Bureau of Pharmacology,
Commander: Bureau of Mental Health, and
Commander: Star Fleet Medical Officers.
Each of these bureau chiefs will be discussed in Section 2.2 of this manual.

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AUTHORITY AND RESPONSIBILITY OF THE CMED
The authority of the Chief of Star Fleet Medicine (CMED) comes directly from ARTICLE
5 of the Star Fleet Charter, Star Fleet Executive Order 10.0 and from those other
authorities and directives as the Director: Star Fleet Command has conferred upon the
CMED, or that are permissible under Federation law, and in keeping with the provisions
as required in Paragraph b of ARTICLE 55 of the Star Fleet Charter. As such, the Chief
of Star Fleet Medicine has the authority to:
1. Act, in behalf of the Federation, as the chief military surgeon for the Star Fleet and
the Federation during war, galactic emergencies, or other planetary disaster when no
local medical facility is available;
2. Act as counsel to the United Federation of Planets regarding the state of medical
practice throughout the Federation;
3. To provide medical services to all citizens living outside the boundaries of the
Federation when no Federation or local medical facility is present or available;
4. To perform medical examinations and to monitor the health and fitness of Federation
citizens living in colonies inside and outside Federation space;
5. Establish standards, qualifications and procedures for the allocation, training and
assignment of qualified medical personnel, to develop the standards of professional
conduct within the Star Fleet Medical Corps, and to establish standards and
procedures for the application of medicine and medical practice to all situations that
may affect the health and safety of Federation citizens in deep space;
6. Recruit qualified doctors, surgeons, nurses, medical specialists and any other medical
persons to fulfill current and future requirements; and
7. Establish Star Fleet hospitals, Sickbays, dispensaries and other such medical
facilities throughout Federation space where no Federation medical facility may be
available.
In general, the Chief of Star Fleet Medicine commands the entire Medical Corps of
Star Fleet, and is directly responsible to the Director for the utilization of Star Fleet
resources in accomplishing the medical and health responsibilities to which Star Fleet is
assigned.
The CMED is also responsible for the budgets of all the commands within the division, and
is responsible to budget for all operational activities and programs as assigned, except as
may be otherwise instructed by the Director. In so doing, the CMED is responsible for
determining the requirements for the use of Star Fleet medical assets and of any other
asset that may be required to fulfill its medical mission. As such, the CMED shall work with
the Chief of Star Fleet Operations as regards to any mission that may involve or that
may require Star Fleet medical personnel, medical supplies or medical functions, or any
other such mission that may require the use of the Operating Forces of Star Fleet.
In summary, the Chief of Star Fleet Medicine is directly responsible to the Director:
Star Fleet Command for the management of all activities relating to the health and
wellbeing of Star Fleet service members and the general public. The authority of this
office is given to the CMED by the Director: Star Fleet Command, and any of the
provisions contained within Star Fleet Regulations 3210 and 5770 that are applicable.

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STAR FLEET MEDICINE
ARTICLE 43 of the Star Fleet Charter established the Office of the Chief of Star Fleet
Medicine as the central command for all Star Fleet medical activity and personnel, and
is organized under the provisions of Star Fleet Regulation 3810 in order to manage
Star Fleet medical activities.
The Office of the Chief of Star Fleet Medicine also contains the Star Fleet Medicine
Chief of Staff, whose responsibility it is to supervise and coordinate the work of the staff
assigned to the CMED. A more detailed description of the duties and responsibilities of the
Star Fleet Medicine Chief of Staff can be found in Section 2.2 of this volume.
Physically, the Office of the Chief of Star Fleet Medicine is located at Star Base
Central, with the office very close to the Director. Figure 10a21.1 illustrates the
command organization of the Office of the Chief of Star Fleet Medicine.
The Star Fleet Medicine Chief of Staff (MEDCS) is an appointment created within the
Office of the Chief of Star Fleet Medicine in accordance with Star Fleet Regulation
3810 for the purpose of supervising and coordinating the work of the staff assigned to the
CMED. The MEDCS is an officer of the Medical Corps, junior to the CMED, and will
typically have a rank of Rear Admiral. This rank was established following the guidelines
set forth in Paragraph 2 of Star Fleet Regulation 3810 regarding an officer detailed as
"Chief Staff Officer." The Star Fleet Medicine Chief of Staff is appointed by the
Chief of Star Fleet Medicine. It is the privilege of the CMED to select his or her own
Star Fleet Medicine Chief of Staff under Star Fleet Regulation 3810. The only
requirement to become the Star Fleet Medicine Chief of Staff is that the officer
selected must be a senior Star Fleet Medical Corps officer of flag grade and eligible to
command. Should the position of Star Fleet Medicine Chief of Staff become vacant,
the CMED can choose any eligible flag officer of the Medical Corps to fill the position.
Although essentially managing the staff of the CMED, the position of MEDCS has no
command authority in and of itself. The MEDCS basically coordinates the work assigned to
the staff by the CMED. Figure 10a21.1 illustrates where the MEDCS resides within the
command organization of the Office of the Chief of Star Fleet Medicine.

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STAR FLEET MEDICINE
CIVILIAN ASSISTANTS
The Office of the Chief of Star Fleet Medicine (CMED) contains one civilian assistant
to help the CMED interact with civilian medical authorities and government officials
regarding the state of medicine within the Star Fleet and throughout the Federation. In
addition, the CMED will also employ or appoint civilian medical experts to support the
mission of the office and to appoint personnel to work as assistants to staff members of
the Division of Medicine as well. The permanent civilian assistant that is assigned to the
CMED is the Star Fleet Surgeon General, the duties of which are described as follows:
The Star Fleet Surgeon General (SFCSG) is the chief advisor to the Director and the
Chief of Star Fleet Medicine regarding medical matters for Star Fleet. The SFCSG is
in constant communications with the various Federation agencies relating to health and
safety, and will interact with the various universities, medical colleges and medical centers
to keep Star Fleet informed on the latest medical research and procedures.

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STAR FLEET MEDICINE
UNIFORM OF THE CHIEF OF STAR FLEET MEDICINE
The uniform of the Chief of Star Fleet Medicine is the same as for all other officers and
enlisted Technicians within the Star Fleet Service. The uniform for the Chief of Star
Fleet Medicine conforms to the Star Fleet Uniform Standard (BUPERSMAN-332),
and consists of the Formal Dress Blue (SFMO1N) and the Ceremonial Dress White
(SFMO1W) uniforms as illustrated in Figure 10a21.2 for official and formal occasions, and
the Service Dress (SDMO1M), in medical blue as shown in Figure 10a21.3, for semi-
formal and military functions. However, the Chief of Star Fleet Medicine will generally
wear the standard working uniform (SWMO1A) while on duty since he is a command and
administrative officer. The uniform basically consists of a pair of black trousers (Item 3421)
and the Type II tunic (Item 3413 or 3414 for females) in goldenrod. Only the command
officers within the Division of Medicine will wear the goldenrod tunic. All other medical
personnel within the division will wear the standard medical uniform (SWxMnM) that
requires the medical blue tunic. The sleeve braid of the Chief of Star Fleet Medicine
consists of one thick solid gold band and two thin solid gold bands as illustrated in Figures
10a21.2 and 10a21.3. On the Formal Dress Blue and the Ceremonial Dress White
uniform the CMED will display the emblem of the Star Fleet Division of Medicine, and
on the Standard Working uniform the 12-point Starburst on the left chest of the tunic.

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STAR FLEET MEDICINE
CHIEF OF STAR FLEET MEDICINE FLAG
The personal flag of the CMED is a rectangle with the dimensions 168 cm long by 94 cm
wide. The symbol of the Division of Medicine is placed in the center of a light-blue field
with a gold border, and the title of the division superimposed over the symbol in silver
lettering. The flag has three silver stars on the left side of the field indicating that the
CMED has the rank of Vice Admiral.
CHIEF OF STAR FLEET MEDICINE BADGE
The Office of the Chief of Star Fleet Medicine is indicated by the special badge worn
only by the Chief of Star Fleet Medicine. The following is the badge for the CMED,
which may be worn on all uniforms.

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STAR FLEET MEDICINE
SELECTION OF THE CMED
The Chief of Star Fleet Medicine is an appointed position, the selection of which is
solely the prerogative of the Director: Star Fleet Command. Generally, the CMED will
come from the senior flag ranks of the Division of Medicine and will normally be an
officer of one of the Star Fleet Medical Corps. The CMED will normally be selected
based upon the candidate’s position within the lineal list of Medical Corps flag officers,
along with any other criteria both the Director and the Federation Surgeon General
deems important or necessary.
As stated above, the Director: Star Fleet Command will normally select the candidate
to head the Star Fleet Division of Medicine. The selected candidate will then be
submitted to the Federation Council for review and approval. Once approved by the
council, the selected candidate will be submitted to the Division of Personnel for
assignment. The Chief of Star Fleet Personnel will then draw-up and sign orders for
the selected candidate. The Director will then make his final signature and the orders will
be issued to the candidate.
The duration of the appointment of CMED is completely up to the Director: Star Fleet
Command, and there is no time limit associated with this appointment. However, the
Director will evaluate the performance of the CMED on a yearly basis, which will decide if
a replacement is necessary or desired.
SUCCESSION
In accordance with Star Fleet Regulation 5930 the Star Fleet Medicine Chief of
Staff, and then the heads of the following medical bureaus within the Division of
Medicine, in the order of their seniority, will be selected, unless otherwise directed by the
Director: Star Fleet Command, to temporarily perform the duties of the CMED during
his absence, or disability, or in the event of a temporary vacancy in that office until the
Director: Star Fleet Command appoints a permanent replacement: the Star Fleet
Bureau of Medicine and Surgery, the Star Fleet Bureau of Dentistry, or the Star
Fleet Bureau of Medical Services. However, should the Chief of Star Fleet Medicine
or any other of the selected bureau chiefs within the Division of Medicine become
unable to fulfill the duties of the CMED, the Director: Star Fleet Command will select a
senior flag officer from the bureaus mentioned above to fill the position.

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STAR FLEET MEDICINE
CMED
Chief of Star Fleet
Medicine
VADM
Command Rank

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STAR FLEET MEDICINE
Figure 10a21.1
Office of the
Chief of Star Fleet CMED
Chief of Star Fleet
Medicine VADM
Medicine
SFCSG MEDADM
General Assistant
CIVILIAN T5
MEDCS
Star Fleet Medicine
Chief of Staff
RADM
CSFMD Deputy Chief: CSFDC Deputy Chief: CSFNC Deputy Chief: CSFMS Deputy Chief:
CSFPM Commander: CSFPS Commander: CSFMO Commander:

COMO Pharmacology COMO Mental Health COMO Medical Officers

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STAR FLEET MEDICINE

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STAR FLEET MEDICINE
Figure 10a21.2
UNIFORM OF THE CHIEF OF STAR FLEET MEDICINE
Formal Dress Blue Ceremonial Dress White
Star Fleet
Star Fleet Uniform
Uniform

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STAR FLEET MEDICINE
Figure 10a21.3
UNIFORM OF THE CHIEF OF STAR FLEET MEDICINE - CONTINUED
Service Dress Uniform Standard Working Uniform
Star Fleet
Uniform
C
o
m
m
a
n
d
D
e
s
i
g
n
a
t
i
o
n

VOLUME X
STAR FLEET MEDICINE
2.2 STAR FLEET MEDICAL DIVISION STAFF

The staff of the Division of Medicine consists of the commanders of the offices related
to Star Fleet medicine. The Division of Medicine contains seven major subdivisions to
distribute the functions of the division, each of which will be managed by a commander
with the title of “Chief” as specified in Star Fleet Regulation 3100 and in Star Fleet
Regulation 5770. Most of the offices within the Division of Medicine are special-
purpose commands and as such, will be commanded only by a Staff Corps officer of the
Medical Corps, the Dental Corps, the Medical Services Corps, or the Nurse Corps.
The function of each division head will be described in detail within the subsequent
sections of this chapter. Note that throughout the sections of this chapter the term “his” or
“him” may be used. This is not to indicate gender, but merely a convenient way to show
possession.
The Star Fleet Medicine Chief of Staff (MEDCS) is a management position created
within the Office of the Chief of Star Fleet Medicine in accordance with Star Fleet
Regulation 3810 for the purpose of supervising and coordinating the work of the staff
assigned to the CMED. The MEDCS is an officer junior to the CMED and will typically
have a rank of Rear Admiral. The MEDCS essentially manages the staff directors, but
does not have command authority over them. As such, the MEDCS only coordinates the
work assigned to the staff by the CMED, which can be illustrated in Figure 10a22.1.
The position of Star Fleet Medicine Chief of Staff is an appointment made by the
Chief of Star Fleet Medicine. It is the privilege of the CMED to select his or her own
Chief of Staff under Star Fleet Regulation 3810. The only requirement to become the
Chief of Staff is that the officer selected must be a senior officer of flag grade and
eligible to command. The individual selected for the position of MEDCS must be an officer
within the Medical Division, and may be from any one of the four medical Staff Corps.
Should the current position of Chief of Staff become vacant for some reason, the CMED
can choose any eligible senior flag officer to fill the position. The CMED will evaluate the
performance of the Chief of Staff on an annual basis, and can remove or replace the
individual holding that office at any time.
CIVILIAN ASSISTANTS
The Office of the Chief of Star Fleet Medicine may employ several civilian assistants
to aid the Chief of Star Fleet Medicine in interacting with civilian Federation
authorities and other government or civilian agencies relating to medical matters. They are
essentially the liaison between the division and the outside world and will come under the
direct authority of the Star Fleet Medicine Chief of Staff. The primary civilian assistant
assigned to the Chief of Star Fleet Medicine is the Surgeon General (SFCSG), the
chief advisor to the CMED on all matters relating to medicine within the Federation. The
SFCSG is in constant communications with the various Federation agencies relating to
health and safety, and will interact with the various universities, medical colleges and
medical centers to keep the CMED informed on the current state of medical research and
procedures.

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STAR FLEET MEDICINE
MEDICAL DIVISION COMMANDERS
The Division of Medicine is organized into six bureaus, one command office and two
semi-permanent boards to handle the major functions of the division. In general, a Bureau
is a large organization with a somewhat wide scope, whereas an Office is more focused on
a specific area. The commanders of the major bureaus within the Division of Medicine
will be flag officers and will have the title of Deputy Chief, while the commanders of the
minor bureaus will be command officers and have the title of Commander, as specified in
Star Fleet Regulation 5770, and will be titled in accordance with Star Fleet
Regulation 3100. In order of their precedence, the titles of the Medical Division
commanders and staff officers are as follows:
 The Deputy Chief: Bureau of Medicine and Surgery

 The Deputy Chief: Bureau of Dentistry
 The Deputy Chief: Bureau of Medical Services
 The Deputy Chief: Bureau of Nurses
 The Commander: Bureau of Pharmacology
 The Commander: Bureau of Mental Health
 The Commander: Star Fleet Medical Officers
As stated above, the Division of Medicine also contains two semi-permanent boards to
maintain medical quality and ethics. The heads of these boards are shown below and are
titled in accordance with Star Fleet Regulation 5860:
 President: Board of Medical Certification

 Chairman: Board of Medical Ethics
SELECTION OF MEDICAL DIVISION COMMANDERS
Medical division commanders will generally come from the senior ranks of the Division of
Medicine and will generally be selected by the Chief of Star Fleet Medicine, with the
approval of the Director: Star Fleet Command and the Chief of Star Fleet
Personnel. Because the medical bureaus are relatively large organizations, each will be
commanded by a Flag Officer however, the smaller bureaus can be managed by a
Command Officer. Generally, these officers will be selected from a lineal list of flag and
command officers from one of the four medical corps: the Star Fleet Medical Corps, the
Star Fleet Dental Corps, the Star Fleet Nurse Corps and the Star Fleet Medical
Services Corps, based upon their position within their specific list. However, in the case
of the Commander: Star Fleet Medical Officers the officer selected need not be a
medical officer, but can be a line officer from Star Fleet Command.
In general, the Chief of Star Fleet Medicine will select the candidate to command a
subdivision and will submit the name to the Chief of Star Fleet Personnel (CPER). The
CPER will then task the Flag Officer Review Board to review the candidate’s record and
to make their recommendation as to the suitability of the officer for the position, or they
may submit their own candidate to the CMED for review. The CMED will then inform the
Division of Personnel, through the Personnel Chief of Staff, of his approved
selection. The Chief of Star Fleet Personnel will draw-up and sign orders for the
selected candidate. The Director: Star Fleet Command will then make his final approval
and the orders will be issued to the candidate.

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STAR FLEET MEDICINE
DEPUTY CHIEF: BUREAU OF MEDICINE AND SURGERY[2]
The Deputy Chief: Bureau of Medicine and Surgery (CMEDSRG) is the senior officer
in charge of all medical doctors, surgeons and medical facilities within Star Fleet and is
second in command only to the CMED. The Deputy Chief: Bureau of Medicine and
Surgery is responsible to the Chief of Star Fleet Medicine for:
 Establishing and maintaining the standards of medical practice throughout Star Fleet
 Ensuring Star Fleet medical doctors and surgeons are kept up to date on the latest
medical advances and practices
 The command and maintenance of all Star Fleet hospitals and medical facilities
 Analyzing, developing and establishing medical and surgical procedures
 Equipping Star Fleet doctors and surgeons with the best and latest medical
equipment
 Recruitment of qualified medical personnel
 The training and certification of all Star Fleet doctors and surgeons
The CMEDSRG is an officer of the Medical Corps junior to the CMED, and will typically
have the rank of Rear Admiral. Under the CMEDSRG are the commanders of the various
medical offices needed to carry out the duties and responsibilities of the Star Fleet
Bureau of Medicine and Surgery (BUMED), which are listed in the table below and in
Figure 10a22.2:
Office Title Rank Duties and Responsibilities

 Evaluate the medical personnel needs of the
Commander: Star Fleet Medical Commodore  Manage all military and civilian doctors and
Personnel (COMO) surgeons within the Department
 Recruit, train and certify all Star Fleet doctors
and surgeons
 Command and maintain all Star Fleet hospitals
and medical facilities
Commander: Star Fleet Hospitals and Commodore  Manage the medical facilities onboard Star
Medical Facilities (COMO) Fleet hospital ships
 Work with Star Fleet Engineering in the design
and construction of Star Fleet medical facilities
 Analyze and evaluate new medical equipment
Commander: Star Fleet Medical Captain and technology
Technology (CAPT)  Make recommendations regarding the use of
new medical technology
 Analyze and develop medical and surgical
procedures
Commander: Star Fleet Medical Captain
Procedure (CAPT)  Establish and maintain the standards and
regulations regarding sanitation and health for
the Department
 Keep the Medical Division up to date with the
latest medical research and procedures
Commander: Star Fleet Medical Captain
 Ensure that Star Fleet medical personnel are
Research (CAPT)
kept up to date on the latest medical advances
and practices
 Equip Star Fleet doctors and surgeons with the
Commander: Star Fleet Medical Captain best and latest medical equipment
Supplies (CAPT)  Work with the Star Fleet Supply Command in
the procurement of medical equipment
Commander: Star Fleet Medical Commander  Maintain all medical and dental records.
Records (CMDR)  Establish medical record security and privacy

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STAR FLEET MEDICINE
DEPUTY CHIEF: BUREAU OF DENTISTRY
The Deputy Chief: Bureau of Dentistry (CDENTL) is the senior officer in command of
the Star Fleet Bureau of Dentistry (BUDENT) and of all dentists and dental facilities
within Star Fleet and as such, is the senior officer of the Star Fleet Dental Corps. The
Deputy Chief: Bureau of Dentistry is responsible to the Chief of Star Fleet Medicine
for:
 Developing the standards of dental practice

 Establishing proper dental procedures
 Ensuring that Star Fleet Dentists are fully supplied with the latest dental equipment
and supplies
 The training and certification of all Star Fleet dentists and dental technicians
The CDENTL is an officer of the Dental Corps (DNT) junior to the CMED, and will
typically have the rank of Rear Admiral. Under the CDENTL are the commanders of the
offices needed to carry out the duties and responsibilities of the Star Fleet Bureau of
Dentistry (BUDENT), which are listed in the table below and in Figure 10a22.3:

 Evaluate the dental personnel needs of the
Commander: Star Fleet Dental Commodore Department
Personnel (COMO)  Manage all Service and civilian dentists
 Recruit, train and certify all Star Fleet dentists
 Command and maintain all Star Fleet dental
facilities
Commander: Star Fleet Dental Captain  Manage the dental facilities onboard Star Fleet
Facilities (CAPT) hospital ships
and construction of Star Fleet dental facilities
 Analyze and evaluate new dental equipment
Commander: Star Fleet Dental Captain and technology
Technology (CAPT)  Make recommendations regarding the use of
new dental technology
 Analyze and develop dental procedures
Commander: Star Fleet Dental Captain  Establish and maintain the standards and
Practice (CAPT) regulations regarding sanitation and health at
Star Fleet dental facilities
 Keep the Bureau of Dentistry up to date with
the latest dental research and procedures
Commander: Star Fleet Dental Captain
 Ensure that Star Fleet dental personnel are
Research (CAPT)
kept up to date on the latest dental advances
and practices
 Equip Star Fleet doctors and surgeons with the
Commander: Star Fleet Dental Captain best and latest dental equipment
Supplies (CAPT)  Work with the Star Fleet Supply Command in
the procurement of medical equipment

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STAR FLEET MEDICINE
DEPUTY CHIEF: BUREAU OF NURSES
The Deputy Chief: Bureau of Nurses (CNURSE) is the senior officer in command of
the Star Fleet Bureau of Nurses (BUNURS) and of all nurses and nurses’ aids within
Star Fleet and as such, is the senior officer of the Star Fleet Nurse Corps (NRS). The
Deputy Chief: Star Fleet Nurses is responsible to the Chief of Star Fleet Medicine
for:
 The recruitment of qualified nursing personnel

 Establishing nursing standards and procedures
 The training and certification of all Star Fleet nurses
The CNURSE is an officer of the Nurse Corps (NRS) junior to the CMED, and will
typically have the rank of Rear Admiral. Under the CNURSE are the commanders of the
sections needed to carry out the duties and responsibilities of the Star Fleet Bureau of
Nurses (BUNURS). These are listed in the table below and in Figure 10a22.4:

 Analyze the nursing needs of the Department
Commodore  Manage all Service and civilian nurses and
Commander: Star Fleet Nurses
(COMO) nurse-practitioners
 Recruit qualified nurses
 Establish and maintain Star Fleet standards of
nursing
Commander: Star Fleet Nursing Captain
Standards (CAPT)  Develop requirements regarding the treatment
and care of personnel onboard ships and on
stations
 Educate qualified nursing personnel on the
specialized techniques used on board Star
Captain Fleet ships and stations
Commander: Star Fleet Nurse Training
(CAPT)  Training in the care of alien personnel
 Training in the processes and procedures
established to care for unknown life-forms
Commander: Star Fleet Nurse Commander  Test and certify Star Fleet nursing personnel
Certification (CMDR)  Review certifications of active nurses

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STAR FLEET MEDICINE
DEPUTY CHIEF: BUREAU OF MEDICAL SERVICES
The Deputy Chief: Bureau of Medical Services (CMEDSRV) is the senior officer in
command of all medical services and technicians within Star Fleet. As such, the Deputy
Chief: Bureau of Medical Services is the senior officer of the Star Fleet Medical
Services Corps (MDS). The Deputy Chief: Bureau of Medical Services is responsible
to the Chief of Star Fleet Medicine for:
 Ensuring Star Fleet medical services personnel are trained and kept up to date on the
latest advances and practices in medical services, diagnostics, analysis and life-saving
procedures
 Equipping Star Fleet medical services personnel with the best and latest equipment
 The training of command first responders
 The training and certification of all Star Fleet medical services personnel
 Managing all medical laboratories and diagnostic facilities
The CMEDSRV is an officer of the Medical Services Corps junior to the CMED, and will
typically have a rank of Rear Admiral. Under the CMEDSRV are the commanders of the
Medical Services (BUMEDSERV). These are listed in the table below and in Figure
10a22.5:

 Manage all Star Fleet medical laboratories
 Assign laboratory technicians and specialists
Commander: Star Fleet Medical Commodore
Laboratories (COMO)  Evaluating, selecting, establishing and
purchasing standard medical laboratory
equipment
 Evaluating new internal sensing and diagnostic
technologies
Captain
Commander: Medical Scanning Unit  Allocating radiological and internal sensing
(CAPT)
equipment
 Training radiological personnel
 Evaluating methods to diagnose and treat eye
diseases and disorders
Captain  Develop standards regarding the treatment of
Commander: Star Fleet Ophthalmology
(CAPT) eye diseases and disorders
 Analyze and evaluate equipment relating to the
diagnosis and treatment of eye diseases
 Establish the methods and standards regarding
the diagnosis and treatment of bone and
Captain
Commander: Star Fleet Orthopedics muscular-skeletal diseases
(CAPT)
 Evaluate treatment technologies and
medications
Captain  Develop prosthetic devices
Commander: Medical Prosthetics Unit
(CAPT)  Analyze current prosthetic technologies
Captain  Managing Star Fleet Therapy Centers
Commander: Physical Therapy Unit
(CAPT)  Training therapy specialists
 Managing and training Fleet Emergency
Commander: Star Fleet Medical Captain Medical Technicians (EMT)
Technicians (CAPT)  Training of first responders
 Assignment of Corpsmen to Marine Corps duty

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STAR FLEET MEDICINE
COMMANDER: BUREAU OF PHARMACOLOGY
The Commander: Bureau of Pharmacology (CPHARM) is the senior officer in charge

of the Star Fleet Bureau of Pharmacology (BUPHARM), and of all Star Fleet
dispensaries, pharmacists and pharmaceutical technicians within Star Fleet. The
Commander: Bureau of Pharmacology is responsible to the Chief of Star Fleet
Medicine for:
 The assignment of pharmacists and pharmaceutical technicians to the Operating

Forces and Shore Establishments within Star Fleet
 The command and maintenance of all Star Fleet pharmacies and dispensaries
 The selection, procurement, inspection, control and dispensing of all drugs, medicines
and pharmaceuticals within Star Fleet
 Establishing the quality standards of all drugs, medicines and pharmaceuticals within
Star Fleet
The CPHARM is an officer of the Medical Corps (MED) junior to the CMED, and will
typically have the rank of Commodore. Under the CPHARM are the various commanders
of the sections needed to carry out the duties and responsibilities of the Star Fleet
Bureau of Pharmacology (BUPHARM). These are listed in the table below and in
Figure 10a22.6:

 Manage the various pharmacies and
dispensaries located within Star Fleet medical
Captain facilities and on bases
Commander: Star Fleet Dispensaries
(CAPT)  Manage special civilian pharmacies
and construction of Star Fleet dispensaries
 Manage all Star Fleet pharmacists and
Commander: Star Fleet Commander dispensary technicians
Pharmaceutical Personnel (CMDR)  Assign pharmacists and pharmacy technicians
to Star Fleet facilities
 Select, procure, inspect, control and dispense
all the drugs, medicines, pharmaceuticals and
other medications.
Commander: Star Fleet Commander
 Maintain an inventory of all the drugs and
Pharmaceutical Supply (CMDR)
medications procured
 Evaluate and select suppliers of drugs and
pharmaceuticals
 Establish the quality standards of all drugs,
medicines and pharmaceuticals for Star Fleet
 Institute regulations regarding the dispensing of
Commander: Star Fleet Commander
drugs and medications
Pharmaceutical Regulation (CMDR)
 Develop standards regarding the type and
volume of medications that should be stored or
made available at all Star Fleet commands

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STAR FLEET MEDICINE
COMMANDER: BUREAU OF MENTAL HEALTH
The Commander: Bureau of Mental Health (CPSYCHL) is the senior officer in

command of the Star Fleet Bureau of Mental Health (BUPSYCH) and of all Star
Fleet psychologists, psychiatrists, mental health technicians and mental health facilities
within Star Fleet. The Commander: Bureau of Mental Health is responsible to the
Chief of Star Fleet Medicine for:
• The management of all Star Fleet mental health facilities within Star Fleet
• The recruitment of qualified psychologists, psychiatrists and mental health technicians
for Star Fleet
• The treatment of Star Fleet personnel for mental illness
• Performing such evaluations concerning the psychological effects of long-term space
travel
• Establishing the standards of psychiatric treatment, practice, conduct and mental
health facilities
• Developing psychological profile tests for the Star Fleet Division of Personnel
The CPSYCHL is an officer of the Medical Corps (MED) junior to the CMED, and will
typically have the rank of Commodore. Under the CPSYCHL are the various heads of the
Mental Health (BUPSYCH). These are listed in the table below and in Figure 10a22.7:

• Manage all Star Fleet mental health facilities
Commander: Star Fleet Mental Health Captain and psychiatric hospitals
Facilities (CAPT) • Manage the acquisition and distribution of
special psychiatric equipment
• Manage all Star Fleet psychiatrists
• Develop appropriate psychiatric procedures
Captain
Commander: Star Fleet Psychiatry and practices
(CAPT)
• Assign psychiatrists to Star Fleet mental health
facilities
• Determine the needs of the fleet with regard to
the employment of psychologists
• Develop psychological profile tests and
Captain procedures
Commander: General Psychology
(CAPT) • Analyze and study the cause of mental illness
• Study and evaluate of the psychological effects
of long-term confinement and extended space
travel
• Establish and maintain the standards of
conduct and qualification of Star Fleet
Commander: Psychological and Commander psychologists and mental health professionals
Psychiatric Standards (CMDR) • Establish standards and procedures regarding
the condition and operation of Star Fleet mental
health facilities

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STAR FLEET MEDICINE
COMMANDER: STAR FLEET MEDICAL OFFICERS
The Commander: Star Fleet Medical Officers (COMMEDO) is the senior officer in
command of all Star Fleet medical officers within Star Fleet. The Commander: Star
Fleet Medical Officers is responsible to the Chief of Star Fleet Medicine for:
• The assignment of medical officers, nurses and dentists to the Operating Forces and
Shore Establishments within Star Fleet
• The ethics and discipline of all medical officers within Star Fleet
• The recruitment of qualified doctors and general practitioners for fleet service
• To determine the requirements for fleet medical personnel
The COMMEDO is an officer of the Medical Corps (MED) junior to the CMED, and will
typically have the rank of Captain. Under the COMMEDO are the various commanders of
the sections needed to carry out the duties and responsibilities of the Office of Star Fleet
Medical Officers (FLTMED). These are listed in the table below and in Figure 10a22.8:

Commander: Star Fleet Medical Officer Commander • Manage all Star Fleet Medical Officers
Assignment (CMDR) • Assign Medical Officers to duty
• Establish the requirements for Medical Officers
and fleet medical duty
Commander: Star Fleet Medical Officer Commander
• Develop the criteria for entry into the Fleet
Requirements (CMDR)
Medical Officer Program
• Design and administer entrance tests
• Recruit qualified doctors and general
practitioners into the Star Fleet Service
• Recruit and induct doctors, surgeons and other
Recruitment (CMDR)
medical professionals from the civilian
population
• Assess and determine the requirement for
Medical Officers in the fleet
• Perform gap analysis and make
Planning (CMDR)
recommendations regarding the number and
types of Fleet Medical Officers needed

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PRESIDENT: BOARD OF MEDICAL CERTIFICATION
The President: Board of Medical Certification (MEDCRT) is the senior officer that
heads the Star Fleet Board of Medical Certification, and who is responsible to the
Chief of Star Fleet Medicine for:
 Managing the medical certification process and managing the board members
 Reviewing the certifications of active-duty Star Fleet doctors, surgeons, dentists,
nurses, psychologists, psychiatrists, pharmacists, and other medical professionals
 Reviewing the qualifications of civilian medical professionals before certifying them to
become active-duty Star Fleet medical professionals
 Reviewing and re-certifying reserve-duty medical professionals
The MEDCRT will be an officer of the Medical Corps (MED), usually a currently active
Star Fleet physician or surgeon, junior to the CMED and the MEDCS, and will be an
officer of command grade, usually having the rank of Captain. The individual assigned to
the position of President: Board of Medical Certification will serve as head of the
Star Fleet Board of Medical Certification for a period of one year. After the period is
over, the Chief of Star Fleet Medicine may request the officer to continue in that role or
select another to fill the position.

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STAR FLEET MEDICINE
CHAIRMAN: BOARD OF MEDICAL ETHICS
The Chairman: Board of Medical Ethics (MEDETH) is the senior officer that heads the
Star Fleet Board of Medical Ethics, and who is responsible to the Chief of Star Fleet
Medicine for:
 Investigating charges of professional misconduct by Star Fleet physicians, surgeons,

dentists, nurses, or any other medical professional
 Enforce the standards of professional conduct by all Star Fleet medical personnel
 Managing the disciplinary process, which involves the formation and conduct of the
Star Fleet Court of Medical Discipline
 Making recommendations to the Star Fleet Judge Advocate General regarding the
disposition of Star Fleet medical professionals if convicted in the Court of Medical
Discipline
 Refer charges of professional misconduct by civilian medical personnel of the Star
Fleet to the Federation Department of Justice
The MEDETH will be an officer of the Medical Corps (MED), usually a senior Star Fleet
doctor or surgeon from the Star Fleet Bureau of Medicine and Surgery, junior to the
CMED and the MEDCS, and will usually be an officer of command grade, usually having
the rank of Captain. The individual assigned to the position of Chairman: Board of
Medical Ethics will serve as head of the Star Fleet Board of Medical Ethics for a
period of two years. After the period is over, the Chief of Star Fleet Medicine may
request the officer to continue in that role or select another to fill the position.

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STAR FLEET MEDICINE
THE STAR FLEET SURGEON GENERAL
The Star Fleet Surgeon General (SFCSG) is the chief advisor to the Director and the
Chief of Star Fleet Medicine regarding medical matters for Star Fleet. The SFCSG is
in constant communications with the various Federation agencies relating to health and
safety, and will interact with the various universities, medical colleges and medical centers
to keep Star Fleet informed on the latest medical research and procedures.

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STAR FLEET MEDICINE
CMEDSRG Deputy Chief:

Bureau of Medicine
RADM and Surgery
Command Rank

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STAR FLEET MEDICINE
Figure 10a22.1
OFFICE OF THE STAR FLEET MEDICINE CHIEF OF STAFF
Office of the
Star Fleet Medicine MEDCS
Star Fleet Medicine
Chief of Staff RADM
Chief of Staff
SFCSG MEDADM
General Assistant
CIVILIAN T5
MEDCRT President: MEDETH Chairman:

Board of Board of
CAPT Medical Certification CAPT Medical Ethics
CMEDSRG Deputy Chief: CDENTL Deputy Chief: CNURSE Deputy Chief: CMEDSRV Deputy Chief:
CPHARM Commander: CPSYCHL Commander: COMMEDO Commander:

COMO Pharmacology COMO Mental Health CAPT Medical Officers

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STAR FLEET MEDICINE
Figure 10a22.2
DEPUTY CHIEF: BUREAU OF MEDICINE AND SURGERY
CMEDSRG Deputy Chief:

Bureau of Medicine
RADM and Surgery
COMMEDPER Commander: COMMEDFAC Commander: COMMEDTEK Commander: COMMEDPRC Commander:

Star Fleet Star Fleet Hospitals Star Fleet Star Fleet
COMO Medical Personnel COMO and Medical Facilities CAPT Medical Technology CAPT Medical Procedure
COMMEDRSH Commander: COMMEDSUP Commander: COMMEDREC Commander:

Star Fleet Star Fleet Star Fleet
CAPT Medical Research CAPT Medical Supplies CMDR Medical Records

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STAR FLEET MEDICINE
Figure 10a22.3
DEPUTY CHIEF: BUREAU OF DENTISTRY
CDENTL
Deputy Chief:
Bureau of Dentistry
RADM
COMDNTPER Commander: COMDNTFAC Commander: COMDNTEK Commander: COMDNTPRC Commander:

Star Fleet Star Fleet Star Fleet Star Fleet
COMO Dental Personnel CAPT Dental Facilities CAPT Dental Technology CAPT Dental Practice
COMDNTRSH Commander: COMDNTSUP Commander:

Star Fleet Star Fleet
CAPT Dental Research CAPT Dental Supplies

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STAR FLEET MEDICINE
Figure 10a22.4
DEPUTY CHIEF: BUREAU OF NURSES
CNURSE
Deputy Chief:
Bureau of Nurses
RADM
COMNURSES COMNRSTND Commander: COMNRSTRN Commander: COMNRSCRT Commander:

Commander:
Star Fleet Star Fleet Star Fleet
Star Fleet Nurses
COMO CAPT Nursing Standards CAPT Nurse Training CMDR Nurse Certification

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STAR FLEET MEDICINE
Figure 10a22.5
DEPUTY CHIEF: BUREAU OF MEDICAL SERVICES
CMEDSRV Deputy Chief:

Bureau of
RADM Medical Services
CMEDLABS Commander: CMEDTECHN Commander: COMOPTHAL Commander: COMORTHO Commander:

Star Fleet Star Fleet Star Fleet Star Fleet
COMO Medical Laboratories CAPT Medical Technicians CAPT Ophthalmology CAPT Orthopedics
CMEDPRSTH Commander: COMPTHRP Commander: COMEDSCAN Commander:

Medical Prosthetics Physical Therapy Medical Scanning
CAPT Unit CAPT Unit CAPT Unit

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STAR FLEET MEDICINE
Figure 10a22.6
COMMANDER: BUREAU OF PHARMACOLOGY
CPHARM Commander:
Bureau of
COMO Pharmacology
COMPHMFAC Commander: COMPHMPER Commander: Star Fleet COMPHMSUP Commander: COMPHMREG Commander: Star Fleet
Star Fleet Pharmaceutical Star Fleet Pharmaceutical
CAPT Dispensaries CMDR Personnel CMDR Pharmaceutical Supply CMDR Regulation

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STAR FLEET MEDICINE
Figure 10a22.7
COMMANDER: BUREAU OF MENTAL HEALTH
CPSYCHL Commander:
Bureau of
COMO Mental Health
COMPSYFAC Commander: COMPSYCHY Commander: COMPSYCHL COMPSYSTD Commander:

Commander:
Star Fleet Star Fleet Psychological and
General Psychology
CAPT Mental Health Facilities CMDR Psychiatry CMDR CMDR Psychiatric Standards

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STAR FLEET MEDICINE
Figure 10a22.8
COMMANDER: STAR FLEET MEDICAL OFFICERS
COMMEDO Commander:
Star Fleet
CAPT Medical Officers
COMMDASN Commander: COMMDREQ Commander: COMMDACQ Commander: COMMDPLN Commander:

Star Fleet Medical Star Fleet Medical Star Fleet Medical Star Fleet Medical
CMDR Officer Assignment CMDR Officer Requirements CMDR Officer Recruitment CMDR Officer Planning

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STAR FLEET MEDICINE
2.3 STAR FLEET DOCTORS, SURGEONS

AND MEDICAL PROFESSIONALS
In order to provide exceptional healthcare and medical services to its service members and
employees Star Fleet needs highly educated and certified physicians, surgeons, dentists,
nurses and other medical professionals. As such, Star Fleet created the Medical Corps
to recruit and train officers in the role as doctors, surgeons, dentists, nurses and other
medical professionals for the Department of the Star Fleet. In general, the duties of
Star Fleet medical professionals is limited to those functions as defined in ARTICLE 47 of
the Star Fleet Charter and by Star Fleet Regulation 5830, which states: "Members of
the Medical, Dental, Chaplain, Medical Service, Nurse, or Science Corps shall be detailed or
permitted to perform only such duties, in peace or war, as are related to medical, dental,
religious service or scientific study, and the administration of medical, dental, science, or
religious units and establishments." Such duties and services include major medical and
healthcare services, dental and oral hygienic services, ambulatory or outpatient care,
psychological and psychiatric services, and specialized medical care to Service members,
their families, and to civilian employees. In addition, Star Fleet medical professionals will
also be made available to all persons in distress, to aid in system disasters, and to give aid
and comfort to persons in distress in deep space as required under Star Fleet
Regulation 6630. Lastly, Star Fleet medical professionals also have the power and
authority to cause a Commanding Officer, or any service member, to be relieved from
duty under Star Fleet Regulations 4210 and 8710.
STAR FLEET DOCTORS AND PHYSICIANS
In general, Star Fleet doctors, dentists and other medical specialists are classified as
medical professionals. As such, they are commissioned military officers of the Medical,
Dental, or Medical Services Corps with the express purpose of serving the Star Fleet,
and therefore the Federation, in all aspects of medicine and medical practice throughout
the galaxy. As such, all Star Fleet medical professionals must provide medical services to
all Star Fleet service members and their families; monitor the health of and provide
medical services to all Federation colonies and expeditions operating in deep space, as
required by Star Fleet Regulation 6621; to provide medical aid and assistance to all
Federation worlds that have experienced a planetary catastrophe as may be required
under Star Fleet Regulation 6620; to provide medical aid and assistance to aliens,
prisoners of war or conflict, civilian casualties of war or conflict, and to any enemy or
belligerent as may be required under Star Fleet Regulation 8890; and to provide
medical aid and comfort to any person found in distress in deep space as required under
Star Fleet Regulation 6630. Therefore, in view of all the above requirements, all Star
Fleet medical professionals will be trained and certified to perform medical practice on all
the forms of sentient life known to the Federation or that may be found in deep space.
There are two ways to become a Star Fleet medical professional: as a cadet in the Star
Fleet Academy or by entering the Star Fleet Service as a licensed medical practitioner
in civilian life and commissioned as a Star Fleet officer as described in Section 4.1 of
Volume III of the Star Fleet Command Manual. In either case, the applicant must have
completed four years of course study in medicine at the Star Fleet Academy's College
of Medicine and Dentistry, complete a period of residency at a Star Fleet medical
facility for not less than two years, and pass the Star Fleet medical examinations.

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STAR FLEET MEDICINE
STAR FLEET SURGEONS
A Star Fleet Surgeon[1] is a special class of medical professional as they are trained and
certified to perform surgery on any sentient being known to Federation medicine. That is,
unlike a regular Star Fleet physician who is certified to perform surgery on one specific
species, a Star Fleet Surgeon can perform surgery on all or most known species. As
such, Star Fleet Surgeons are typically the oldest and most experienced of those
practicing in the medical profession. This also places an enormous burden on them as they
must be on call at all times aside from their regular medical duties. Therefore, the rank of
a certified Star Fleet Surgeon will normally be no less than Commander.
STAR FLEET DENTISTS
A Star Fleet Dentist is another special class of medical professional, but one that is
limited specifically to oral health. As part of their practice, Star Fleet Dentists are also
trained and certified to perform surgery on the oral cavity, teeth, gums and surrounding
tissue, whichever applies, on any species known to Federation medicine. In addition,
Star Fleet dentistry is also divided into specific branches of dental specialization as well.
Aside from general dentistry, which is defined as training in the various forms of
preventive, restorative and cosmetic dental procedure, there is Endodontics, Oral and
Maxillofacial specialties, Orthodontics, Dentofacial Orthopedics, Periodontics and
Prosthodontics. As such, Star Fleet had created a special Dental Corps devoted
specifically to manage this area of medicine. And based upon the training required, the
minimum rank for a certified Star Fleet Dentist, practicing general dentistry, will usually
be Lieutenant. Lastly, Star Fleet Dentists are also bound to the same ethics standards
as other Star Fleet medical professionals and therefore, are subject to the Star Fleet
Board of Medical Ethics as well.
STAR FLEET PSYCHOLOGISTS AND PSYCHIATRISTS
In general, a Star Fleet Psychologist studies normal and abnormal mental states,
perceptual, cognitive, emotional, and social processes and behavior by experimenting with,
and observing, interpreting, and recording how individuals relate to one another and to
their environments. Star Fleet Psychologists are generally graduates of the Star Fleet
Academy Department of Humanities and Social Science and are issued a certificate
to practice psychology. Typically, psychologists need a doctoral degree in psychology,
although a master's degree is sufficient in some situations. Psychologists generally do not
prescribe medication, although psychologists with post-doctoral training in clinical
psychopharmacology have been granted prescriptive authority for mental health disorders.
A Star Fleet Psychiatrist, on the other hand, is a physician who specializes in psychiatry,
the branch of medicine devoted to the diagnosis, prevention, study, and treatment of
mental disorders. Psychiatrists are medical doctors, unlike psychologists, and are usually
graduates of the Star Fleet Academy College of Medicine and Dentistry. In general,
they evaluate patients to determine whether their symptoms are the result of a physical
illness, a combination of physical and mental ailments, or strictly psychiatric. A Star Fleet
Psychiatrist usually works as the clinical leader of the multi-disciplinary team, which may
comprise psychologists, social workers, occupational therapists and nursing staff. Lastly,
both Star Fleet Psychologists and Psychiatrists are bound to Star Fleet medical
ethics standards and therefore, are subject to the Star Fleet Board of Medical Ethics
as well.

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STAR FLEET NURSES AND NURSE-PRACTITIONERS
A Star Fleet Nurse is a military medical professional focused on the care of service
members, their families, and Federation communities in order to attain, maintain, or
recover optimal health and quality of life. A Star Fleet Nurse may be differentiated from
other health care providers by their approach to patient care, training, and scope of
practice. In general, most Star Fleet Nurses provide care within the ordering scope of a
Star Fleet physician, and this traditional role has shaped the public image of nurses as
care providers. Star Fleet Nurses also develop a plan of care, working collaboratively
with physicians, therapists, the patient, and other team members, that focus on treating
illness to improve quality of life. The Star Fleet Division of Medicine also contains
advanced practice nurses, such as Clinical Nurse Specialists and Nurse Practitioners,
who diagnose health problems and prescribe medications and other therapies, and who
are permitted to practice independently in a variety of settings. Star Fleet Nurses are
normally graduates of the Star Fleet Academy College of Medicine and Dentistry
and usually graduate with the rank of Ensign.
STAR FLEET PHARMACISTS
The Division of Medicine also contains a special branch of the Star Fleet Medical
Corps specifically for pharmaceutical professionals, which is administered by the Star
Fleet Bureau of Pharmacology. In general, a Star Fleet Pharmacist is a person who
is professionally qualified to prepare and dispense medicinal drugs. Most Star Fleet
Pharmacists undergo training or graduate-level education at the Star Fleet Academy
College of Medicine and Dentistry. They are educated in the biochemical mechanisms
and actions of drugs, drug uses, therapeutic roles, side effects, potential drug interactions,
and monitoring parameters for almost all of the sentient beings within the Federation. As
such, a Star Fleet Pharmacist will graduate from the Star Fleet Academy College of
Medicine and Dentistry with the rank of Lieutenant Junior Grade. And as with the
other medical professionals within the Division of Medicine, Star Fleet Pharmacists
will also be bound to the same ethical standards as other members of the Star Fleet
Medical Corps and as such, will also be a subject of the Star Fleet Board of Medical
Ethics. A more detailed description of the work and duties of such specialists may be
found in Section 5.5 of this manual.
STAR FLEET MEDICAL SPECIALISTS
Medical Specialists are distinctive medical professionals that specialize in a particular

medical procedure or part of an anatomy. In general, such specialists are general practice
medical professional who have continued their education into a specific or special area of
medicine. Such areas include, but not limited to: Anesthesiology, Cardiology,
Dermatology, Endocrinology, Gastroenterology, Immunology, Medical Scanning
and Radiology, Neurology, Obstetrics and Gynecology, Prosthetics, Oncology
and Hematology, Nephrology, Ophthalmology, Orthopedics, Otolaryngology,
Rheumatology, Urology, just to name a few. As such, the majority of such specialists
will be assigned to and work within the Star Fleet Bureau of Medical Services, and
most will have the rank of Lieutenant Commander. This is because, in most cases, the
professional had continued their education at the Star Fleet Academy to specialize in a
particular field of medicine. A more detailed description of the work and duties of such
specialists may be found in Section 5.6 of this manual.

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STAR FLEET MEDICINE
CIVILIAN STAR FLEET MEDICAL PROFESSIONALS
The Star Fleet Division of Medicine also contains civilian doctors, surgeons, nurses,
specialists and medical assistants necessary to support the division’s mission as well. As
such, civilian doctors, surgeons, nurses, medical specialists and assistants hired by Star
Fleet to perform medical duties are called Star Fleet Doctors and Star Fleet Medical
Assistants, and will only perform their medical duties on shore establishments. Therefore,
these civilians will never be assigned duty to a line Star Fleet ship, except perhaps, on a
hospital ship or a science vessel. In general, such individuals are not commissioned military
officers, but must be licensed by a Federation governmental organization or medical
association in order to be hired, and they must attend three months of military training in
order to practice their profession within the Star Fleet. In addition, Star Fleet civilian
doctors are also bound to the same ethics standards as Star Fleet medical professionals
and can be subject to the Star Fleet Board of Medical Ethics.
CIVILIAN CONTRACT PHYSICIANS
In addition to Star Fleet doctors, civilian physicians may also be contracted to perform
medical services for the Division of Medicine, if needed as well. These are temporary
positions and may be terminated at any time. On the other hand, permanent civilian
medical employees of the Star Fleet are considered as an integral part of the Star Fleet
medical staff and thus, will be treated the same as any other Star Fleet medical officer or
technician and as such, will be covered in Section 2.5 of this manual.

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STAR FLEET MEDICINE
2.4 STAR FLEET MEDICAL TECHNICIANS

Star Fleet Medical Technicians[3] are enlisted service members, or non-professional
civilians with a specialty in a branch of medicine. In general, Medical Technicians are
persons qualified by education, training or work experience who assist a Star Fleet
doctor, surgeon, dentist or other professional medical specialist in performing specifically
delegated substantive medical work for which a military doctor is responsible. Their work
includes document preparation, including drafting medical reports, representing the
medical staff during administrative and legal hearings, providing medical information to a
general audience, and explaining medical procedure. These kinds of medical services do
not revolve around practicing medicine outright and the degree of formal education
required to become a Star Fleet medical officer is really more expensive and takes up
more time than it is worth to provide these more basic services. As such, Medical
Technicians are not doctors and have not been certified to practice medicine, but are
qualified to perform certain cursory medical procedures. As such, Medical Technicians
will engage primarily in:
• Assisting Star Fleet medical officers and military physicians by performing a variety
of diagnostic and therapeutic procedures; performing medical tests under direction of
a Star Fleet medical officer.
• Assisting Star Fleet medical officers in medical research; gathering medical data for
analysis; and assisting in writing research reports and papers.
• Operating and maintaining sophisticated medical equipment.
• Interacting with patients on a regular basis; educating patients on ways to improve
and maintain good health; and preparing patient and crew Diet Cards.
• Drafting and analyzing medical documents and reports; drafting correspondences for
a medical officer that is informative in nature, but that does not include a medical
opinion, prescription, analysis or advice.
• Preparing for and assisting during surgery.
• Providing medical care in an operational or combat environment.
• Performing medical laboratory procedures and experiments.
• Summarizing medical documents; attending medical proceedings, administrative and
court hearings and trials; performing the duty of medical expert in cases of trials and
other legal or medical proceedings.
Medical Technicians also perform clerical and administrative duties as needed, especially
in smaller medical offices. These persons will normally be enlisted Yeomen trained and
certified to perform clerical duties in a medical environment. And as with Star Fleet
medical professionals, Medical Technicians are restricted only to those duties relating to
their medical functions as defined in ARTICLE 47 of the Star Fleet Charter and by Star
Fleet Regulation 5850.

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STAR FLEET MEDICINE
ENLISTED MEDICAL TECHNICIAN RATING GROUP
Star Fleet Enlisted Medical Technicians are rated Technicians that belong to the
Medical group, as described in Section 5.2 of Volume III of the Star Fleet Command
Manual, which contains the four basic enlisted ratings associated with Star Fleet
medicine and healthcare activities, and represent the four basic branches of Star Fleet
medicine. As such, they will display a specific Rating Symbol of their job billet, as shown
in the table below, on the sleeve of their dress uniforms as specified in Appendix C of the
Star Fleet Uniform Standard (BUPERSMAN-332).
Table 10a24.1
ENLISTED MEDICAL RATING GROUPS
Subgroup
Rating Group Rating Subgroup Billets
Symbol
 Medical Technician
 Surgical Assistant
General  Medical Laboratory Technician
Medical  Pharmaceutical Technician
 Mental Health Specialist
 Medical Yeoman
 Dental Technician
 Dental Surgery Assistant
Dental  Oral Hygienist
Medical
 Medical Services Technician
 Radiological Specialist
Medical Services  Therapy Specialist
 Emergency Medical Technician
 Optometric Technician
 Nursing Specialist
 Nurses Aid
Nursing
Enlisted Medical Technicians and Medical Specialists must complete at least 160
hours of training in their medical specialty at a Fleet School in order to be qualified as a
Star Fleet Medical Technician. Those with a technical rating of Medical Specialist will
require more training time; usually around 240 hours.
CIVILIAN MEDICAL TECHNICIANS
Non-professional civilian employees of Star Fleet Medicine will also be classified as Star
Fleet Medical Technicians as well, but without wearing the uniform. As such, their
specific situation will be covered in Section 2.5 of this manual.

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STAR FLEET MEDICINE
SPECIALIZED MEDICAL TECHNICIANS
The enlisted medical force also contains highly trained and specialized medical technicians
as well. These are highly trained enlisted medical personnel that have completed 240
hours or more of training in their specialty. As such, these particular medical technicians
will have an enlisted grade of S1, T6 or higher. In addition, these specialized medical
technicians will display on their uniform a special symbol indicating their specialty as
described in the section entitled SPECIALIZED MEDICAL TECHNICIAN SYMBOLS. The
following subsections will list the more common and well-known groups of specialized
Medical Technicians.
SURGICAL TECHNICIANS AND ASSISTANTS
Surgical Technicians are enlisted medical persons that assist Star Fleet medical officers
in surgical procedures, or that perform supporting functions during surgery. Such
supporting functions include operating and monitoring anesthetic equipment, operating
surgical monitoring equipment and scanners, and performing maintenance and repair of
surgical equipment. Surgical Assistants, on the other hand, are directly involved with
surgery and in most cases, will be Surgical Nurses[4]. They directly assist the surgeon by
supplying surgical tools and instruments, applying respirators,
DENTAL TECHNICIANS AND ORAL HYGIENISTS
Specialized enlisted medical technicians also are contained in the area of dentistry as well.
These individuals are specifically classified as Dental Technicians, and belong to the
Star Fleet Bureau of Dentistry. In general, there are two basic types of enlisted
Dental Technicians: Primary Dental and Dental Service. A Primary Dental
technician is one who directly assists a qualified Star Fleet Dentist. These individuals
perform oral hygiene, assist in oral surgeries and other dental medical procedures. Dental
Service technicians basically support Star Fleet dentistry, such as fabricating artificial
teeth, fitting maxillary prosthetics, and repairing and maintaining specialized dental
equipment.
MENTAL HEALTH SPECIALISTS
The enlisted ranks for Mental Health Specialists is somewhat small as most of them will
be general Medical Technicians or Nursing Assistants such as those that assist Star
Fleet Psychologists in research. However, most of those classified as Mental Health
Technicians will primarily be those that are involved in mental patient care, handling, and
treatment. Some will be operators[5] of psycho-therapeutic equipment such Neural
Neutralizers and other such beam neutralizing equipment[6], while others will be persons
called Close Watch Assistants – those that monitor highly psychotic individuals in case
they become violent or out of control.

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STAR FLEET MEDICINE
PHARMACEUTICAL TECHNICIANS AND APOTHECARIES
Star Fleet Pharmaceutical Technicians come in two primary categories: Technicians

and Apothecaries. A Pharmaceutical Technician is one who assists a Star Fleet
Pharmacist. Pharmaceutical Technicians will normally dispense drugs and medicines
that have already been prepared by a Pharmacist or an Apothecary. An Apothecary,
on the other hand, is a highly trained technician who is qualified to prepare and dispense
drugs or compounds for medicinal purposes, normally under the supervision of a Star
Fleet Pharmacist, who is the medical professional qualified to prepare and dispense
medicinal drugs as described in Section 2.3 of this manual. As such, an Apothecary will
have substantially more education and training in the field than a regular Pharmaceutical
Technician. The two types are distinguished by the symbol worn on the badge of their
uniform, as seen in Table 10a24.2.
OTHER ENLISTED MEDICAL SPECIALISTS
Lastly, there are other miscellaneous medical specialties that will be performed by enlisted
Medical Technicians as well. Such specialties include, but not limited to Orthopedics,
Ophthalmology, Optometry, Medical Scanning, Radiology, Dietary, Biomedical
Engineering, Physical Therapy, and medical laboratory work. Each one specifically
trained and certified in their particular field.
EMERGENCY MEDICAL TECHNICIANS
An Emergency Medical Technician (EMT) is an enlisted person within the Star Fleet
medical service who is specially trained and certified to give emergency medical care to
patients before they reach a healthcare facility, but who is not a professional doctor or
nurse. However, an EMT is trained and certified to appraise and initiate the administration
of emergency care for victims of trauma or acute illness before or during transportation of
the victims to a health care facility. Some of the services an EMT may provide include
spinal immobilization, administration of oxygen or artificial ventilation, control of bleeding,
cardiopulmonary resuscitation, and the administration of certain medications. As such,
EMTs are highly trained individuals and must have a certificate for this specialty given to
them by the Star Fleet Board of Medical Certification. Lastly, such specialization is
identified by the “Star of Life” symbol as shown in Table 10a24.2.

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STAR FLEET MEDICINE
SPECIALIZED MEDICAL TECHNICIAN SYMBOLS
Enlisted Medical Technicians and Specialists in specific and specialized fields can be
identified by the symbol embroidered on their badge. The base symbol of their specialty
will depend upon the basic Enlisted Medical Rating Group they belong, as illustrated in
Table 10a24.1 above, but with the addition of the symbol representing the specialty
embroidered in the center of it. As such, the following table on the next page lists the
various medical technical specialties worn by enlisted Medical Technicians.

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STAR FLEET MEDICINE
Table 10a24.2
SPECIALIZED ENLISTED MEDICAL TECHNICIAN SYMBOLS
Symbol Medical Specialties Symbol Medical Specialties
General Medicine Medical Services
 Physician’s Assistant  Medical Services Technician
 Surgical Assistant  Anesthesiological Technician
 Medical Specialist’s Assistant  Hygienic Services Technician
 Medical Research Assistant
 Medical Supply Yeoman
Dentistry 1 Dentistry 2
 Dental Assistant  Dental Technician
 Oral Hygienist  Prosthodontic Technician
 Oral Surgical Assistant  Dentural Fabricator
 Dentological Research
Assistant
Psychology 1 Psychology 2
 Psychiatric Assistant  Psychiatric Therapy Technician
 Psychiatric Nurse-Practitioner  Close Watch Assistant
 Psychiatric Research Assistant  Psychiatric Patient Care
Assistant
Pharmacy 1 Pharmacy 2
 Apothecary  Pharmaceutical Technician
 Pharmacists Assistant  Pharmaceutical Supply Tech
 Pharmaceutical Research  Pharmaceutical Yeoman
Assistant
Laboratory 1 Laboratory 2
 Laboratory Technician  Pathologist’s Assistant
 Microbiology Lab Technician  Biopsy Laboratory Technician
 Pathology Lab Technician  Hematologist’s Assistant
 Spectroscopic Technician  Epidemiological Specialist
 Forensic Lab Technician
Orthopedics Biomedical Engineering
 Orthopedist’s Assistant  Biomedical Technician
 Orthopedic Equipment Tech  Biomedical Mechanic
 Orthopedic Surgical Assistant  Bio-robotic Specialist
 Prosthetic Fitter
Medical Scanning Ophthalmology/Optometry

 Medical Scanner Technician  Ophthalmologist’s Assistant
 Radiological Technician  Optometrical Technician
 Medical Imaging Specialist  Retineyes Technician
 Retinal Imaging Technician
Dietary Physical Therapy

 Dietician’s Assistant  Physical Therapist
 Hospital Food Preparer  Physical Trainer
 Dietetic Yeoman  Therapeutic Equipment
Technician
 Therapy Scheduler
Nursing Emergency Medical
 Nurse’s Aid  Emergency Medical Technician
 Nursing Assistant  Hospital Corpsman
 Patient Care Assistant

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STAR FLEET MEDICINE
2.5 CIVILIAN MEDICAL PERSONNEL

The Star Fleet Division of Medicine may also employ or contract certified civilian
doctors and medical technicians as well. Such employment may be of either a permanent
or temporary basis. The primary function of civilian medical personnel is to augment the
Star Fleet medical workforce in order to maintain the proper level of medical care
throughout the department. In general, the civilian medical workforce will primarily be
used to provide medical care to the civilian employees, as well as the civilian members of
the families of Star Fleet service members. However, although civilian doctors and
medical technicians will supplement the division’s medical workforce, they cannot fully
function independently. That is, all employed civilian doctors and medical technicians will
always be under the management of a Star Fleet medical officer, but unlike other
divisions, civilian medical doctors and technicians are permitted to fully utilize their skills
and are permitted to fully exercise their medical prerogatives in a professional manner.
That is, civilian Star Fleet doctors are permitted to prescribe medications, provide medical
orders to Star Fleet nurses, make diagnoses and treatment recommendations, utilize
Star Fleet medical equipment, and to delegate proper medical functions to Star Fleet, as
well as civilian, medical technicians.
In order to be accepted into the Department of the Star Fleet as a doctor, technician
or other medical professional, the civilian applicant must meet the minimum requirements
for medical employment. These requirements are established by the Star Fleet Office of
Medical Personnel within the Bureau of Medicine and Surgery. All applicants into
medical service must have completed the same or equivalent requirements as any Star
Fleet medical officer, as described in Section 3.2 of this manual. That is, all prospective
civilian medical professionals must have graduated from a Federation-accredited
medical school, have passed the required Federation medical exams and have completed
their residency at an approved medical facility. Thus, based upon these qualifications, the
applicant will be certified by the Office of Medical Personnel Certification to practice
medicine or dentistry for the Department of the Star Fleet.
In general, civilian medical personnel will managed by the Office of Civilian Medical
Personnel within the Bureau of Medicine and Surgery as stated in Section 1.1 of this
manual. All civilian or non-Service medical personnel that is employed or contracted by
Star Fleet will be handled by the Office of Civilian Medical Personnel. This office will
also conduct evaluations regarding the fitness and professionalism of civilian medical
personnel employed by the division and therefore, will work with the Star Fleet Bureau
of Civilian Personnel in the management of the civilian medical staff. Civilian medical
personnel will normally be classified with a job code "P" and paid in accordance with the
pay schedule specified in Section 7.1 of Volume III of the Star Fleet Command Manual.
In addition, and in particular, the division retains the Star Fleet Surgeon General, a
certified civilian doctor that is the chief advisor to the Director: Star Fleet Command
and the Chief of Star Fleet Medicine regarding medical matters for the Department of
the Star Fleet. The SFCSG is in constant communications with the various Federation
agencies relating to health and safety, and will interact with the various universities,
medical colleges and medical centers to keep Star Fleet informed on the latest medical
research and procedures. See Section 4.6 of Volume I of the Star Fleet Command
Manual for more information regarding the Star Fleet Surgeon General.

VOLUME X
STAR FLEET MEDICINE
NON-FEDERATION MEDICAL PERSONNEL
Civilian medical professionals that are not Federation citizens or belong to alien races
recognized by the United Federation of Planets may be employed as Star Fleet
medical professionals. However, it is a rare occurrence that a non-Federation medical
professional will be employed by Star Fleet. In most cases the employment of a non-
Federation or alien medical professional will be based upon need and skill level. For
example, at the far reaches of Federation space a local medical professional may be used
to treat the injured of a planetary calamity where Star Fleet may be there to help. As
such, the alien medical professional will temporarily augment the local Star Fleet medical
staff.
Lastly, as with any other civilian medical professional employed by Star Fleet, the non-
Federation or alien medical professional must meet the same or equivalent medical
qualification requirements for employment as stated above.

OFFICIAL USE ONLY
VOLUME X
STAR FLEET MEDICINE
3.0 STAR FLEET MEDICAL PERSONNEL

The function of this chapter is to present the major elements pertaining to a career as a
service member in the medical branch of the Star Fleet service. This chapter is divided
into seven sections that pertain to a specific aspect regarding a career in the Star Fleet
Division of Medicine.
Section 3.1 discusses the basic classification of personnel and will discuss the designation
of the personnel within the Division of Medicine. In addition, this section also describes
the basic duties of the officers, enlisted and civilian personnel within the Division of
Medicine. This section will also describe how the personnel within the Division of
Medicine are identified and will provide examples of the various types of Personnel
Identification Cards provided to personnel within this branch.
Section 3.2 deals with the requirements for entry and duty within the Division of
Medicine, and with the training required to be fully certified medical professionals. In
addition, this section will describe the requirements for certification and licensing in order
to be assigned medical duty. Lastly, this section will describe the requirements for
certification in order to become Star Fleet medical physician, surgeon, dentists, nurse, or
and Medical Technician.
Section 3.3 deals with how Star Fleet medical professionals and enlisted medical
personnel are reviewed and graded on their performance. As such, this section will present
the standards by which Star Fleet medical personnel are evaluated.
Section 3.4 presents information regarding the badges and devices that identify a Star
Fleet medical professional. This is a separate section from the general uniform section due
to the many variations of the Star Fleet medical symbol and the many medical
professions that have their own symbol.
Section 3.5 presents information regarding the uniforms worn by members of the Star
Fleet Division of Medicine. In addition, this section will also describe the various awards
conferred upon members of the Division of Medicine.
Section 3.6 deals completely with the special pay that may be available to members of the
Division of Medicine. This will be that pay given to MED personnel that is beyond their
Basic Pay.
Section 3.7 deals exclusively with medical ethics, and the rules by which Star Fleet
medical personnel must work under. This section will also present the special status given
to Star Fleet medical personnel and the associated privileges.

VOLUME X
STAR FLEET MEDICINE
SOURCES OF STAR FLEET MEDICAL PERSONNEL
In order for anyone to enter service or perform the duties of a Star Fleet physician,
surgeon, or enlisted medical specialist, that individual must first be licensed or certified to
perform medical functions. As such, the perspective medical person must already have
completed certain specialized training or education as a physician, surgeon or medical
technician. An individual can become a Star Fleet medical professional and enter the
Medical Corps in one of three ways:
1. Graduate from the Star Fleet Academy College of Medicine and Dentistry,
2. Enter Star Fleet employment as a licensed medical professional, or
3. An enlisted Medical Technician that satisfactorily completed training at a Fleet
School.
Chart 10a30.1
SOURCES OF STAR FLEET
MEDICAL PERSONNEL
Civilian
Physicians
11%
Fleet School Academy

Medical Technician Medical School
Graduates Graduates
(Enlisted) (Officers)
57% 32%
As seen from the chart the majority of the officers that come into the Star Fleet Medical
Corps are graduates of the Star Fleet Academy. However, the number of medical billets
is limited and as such, the number of Star Fleet doctors, surgeons, dentists, nurses, and
Academy medical students will be restricted. Therefore, the total number of students that
are allowed to enter the Star Fleet Academy College of Medicine and Dentistry will
be limited to the number of potential medical billet openings that exist in the fleet. The
same limitation will apply to those entering the Star Fleet that have been physicians in
civilian life, with the added restriction that those entering the Star Fleet Academy
College of Medicine and Dentistry have priority over the civilian physicians.
Regarding enlisted medical specialists, all such specialists must be qualified and certified
by the Star Fleet Division of Medicine before they can perform their duties. Many of
the enlisted Medical Technicians were medical technicians in civilian life before entering
Star Fleet service. As such, within the Division of Medicine, there are no enlisted
persons with the rank of T3 or below. All must have attended a fleet school relating to a
medical function and therefore, must be rated. There is no "striking" to become an enlisted
Medical Technician or Medical Specialist within the division.

VOLUME X
STAR FLEET MEDICINE

CLASSIFICATION
This section will provide a comparatively detailed description regarding the classification of
personnel within the Star Fleet Division of Medicine. In general, persons within the
Medicine Division are classified as either being a Star Fleet Medical Officer, Doctor,
Medical Specialist, Nurse, Dentist, or enlisted Medical Technician. The basic
description of these classifications may be found in Chapters 4 and 5 of Volume III of the
Star Fleet Command Manual. However, regardless of the classification, all persons
within the Star Fleet Division of Medicine will have either a MED, MDS, DNT, or NRS
designation attached to their title. All officers within the division will be members of one of
the Star Fleet Medical Corps.
STAR FLEET MEDICAL DIVISION SERVICE DESIGNATION
As stated above, all persons within the Star Fleet Medical Division will have a MED,
MDS, DNT, or NRS designation attached to their title. Therefore, and in accordance with
Star Fleet Regulation 5320, and as specified in Section 7.6 of Volume I of the Star
Fleet Command Manual, the manner in which persons within the Star Fleet Medical
Division will be addressed in written, taped or other electronic communications, shall be
as follows:
[Dr.] Leonard H. McCoy, Lt. Commander, MED

Geoffrey Compton, Medical Specialist 3rd [Class]
Christine Chapel, Lieutenant, NRS
The Service Number for medical personnel in the Star Fleet will have the format as
illustrated below:
M E SS - NNNN D1 D2 C
Service Branch Code Serial Number Assignment Code
All persons originally assigned to the Star Fleet Medical Division have a Service Branch
code of "M" prefixed to their Service Number, except for nurses who will have a Service
Branch Code of “N”. However, all medical personnel will have an Assignment Code (D1) of
"M" for “medical” duty. In most cases Star Fleet doctors, surgeons, nurses, medical
specialists and Medical Technicians will either have a D2 Assignment Code of "H" for
“hospital” duty on shore or “F” for “fleet” duty aboard a Star Fleet ship. In general,
persons that initially entered the service as medical personnel will usually remain in that
field. Rarely will any medical person switch to a different branch or specialty, or other
Staff Corps within the Star Fleet Service. Lastly, doctors that are Commanding
Officers of Star Fleet medical facilities will have a D2 Assignment Code of “A” and a
“C” appended to their Service Number.
Leonard H. McCoy, LCDR, MED Serial Number M 398-1214 MF[1]

VOLUME X
STAR FLEET MEDICINE
STAR FLEET MEDICAL OFFICERS
Star Fleet medical officers will work in one of four types of medical billets: 1) as Star
Fleet doctor, surgeon or medical specialist, 2) as a Star Fleet dentist, 3) as a Star Fleet
nurse or practitioner, or 4) as a Star Fleet medical services professional. These types
relate to the four Staff Corps relating to the medical service as mentioned at the
beginning of this section. Those officers within the Star Fleet Division of Medicine that
are assigned to duty aboard Star Fleet vessels will have the designation of “Fleet
Medical Officer”, while medical officers assigned to shore facilities will have the as
“Doctor.”
Star Fleet medical officers will normally be addressed by their profession instead of their
rank. For example, an officer of the Medical, Dental, Nurse, and Medical Services
Corps having doctoral degrees will be addressed as "Doctor." Officers in the Nurse
Corps, not having a doctoral degree, will be addressed as "Nurse". In general, medical
officers of any of the above Staff Corps are classified as Limited Duty Officers and as
such, are limited only to those duties relating to medical and healthcare matters.
Star Fleet medical officers also have special privileges not given to other line or Staff
Corps officers. These special privileges include the authority to relieve a Commanding
Officer from duty under Star Fleet Regulation 4210 if it has been determined, by a
medical examination, that the commander is unfit for duty. In addition, medical officers
also have absolute authority of the medical areas they are responsible for as specified in
Star Fleet Regulation 5461. No line or Staff Corps officer that may hold a rank higher
than the medical officer in charge of his or her medical area can make demands of that
officer while he or she is working or on duty within this space. As such, medical officers
have the same privileges regarding their medical area as a Commanding Officer has for
his command.
Also, medical officers and their staff are not under the authority of the command to which
they are assigned and therefore, cannot be assigned duties other than those pertaining to
their medical specialty as codified in Star Fleet Regulation 5830. Therefore, such
medical personnel cannot stand watches or duties other than those proscribed by the
Chief Medical Officer of the command, nor can they perform any form of military duty
or execute any order or function that may cause the death of any living person or entity.
Lastly, most officers within the Star Fleet Division of Medicine will generally have an
“N” security classification, which means that they can handle information vital to the
defense of the Federation, though they will not normally have access to such
information. The only highly classified information they may possess or may access are the
sensitive medical records of Federation government and Star Fleet Command officials.
Enlisted medical personnel, on the other hand, will have a “F” security rating, which means
they can only handle CONFIDENTIAL material, primarily medical records.

VOLUME X
STAR FLEET MEDICINE
STAR FLEET ENLISTED MEDICAL PERSONNEL
The Star Fleet Division of Medicine contains many enlisted persons specializing in
medical practice and technology. The majority of the enlisted personnel will be rated
Medical Technicians, with some Specialists identified within the Medical group of
enlisted specialties. As such, most will have a grade classification of “T” for Technician;
while others will have a grade classification is designated as “S” for Specialist. The
following table illustrates the job billets and rating symbol for the specialists within the
Medical group.
Table 10a31.1
ENLISTED RATING GROUP: MEDICAL
Subgroup
Symbol
• Medical Technician
• Medical Laboratory Technician
General • Pharmaceutical Technician
Medical • Mental Health Specialist
• Optometric Technician
• Medical Yeoman
• Dental Technician
• Dental Surgery Assistant
Dental • Oral Hygienist
Medical
• Medical Services Technician
• Radiological Specialist
• Therapy Specialist
Medical Services
• Emergency Medical Technician
• Fleet Corpsman
• Dietary Specialist
• Nursing Specialist
• Nurses Aid
Nursing
The bulk of the enlisted personnel within the Star Fleet Division of Medicine will be
assigned duty to either a Star Fleet medical facility located on either a Starbase or Star
Fleet space station or aboard a Star Fleet ship. However, some will be assigned to
administrative duty within the Star Fleet Division of Medicine or at a Star Fleet shore
facility.
STAR FLEET CORPSMEN
A Star Fleet Corpsman is a special type of Emergency Medical Technician that is

assigned to Star Fleet Marine Corps units. These individuals are highly trained and
skilled in treating injuries in the field and under combat conditions. As such, Corpsmen
will follow the troops into battle and will provide immediate medical care in the battle field.
A more detailed description of Corpsmen can be found in Section 7.4 of this manual.

VOLUME X
STAR FLEET MEDICINE
PERSONAL IDENTIFICATION CARD
As described in Section 3.1 of Volume III of the Star Fleet Command Manual a
Personal Identification Card (PIC) is issued to every person within the Department
of the Star Fleet, including the dependents of service members. The PIC is a color-
coded plate that identifies the individual as belonging to the Star Fleet or as an employee
of Star Fleet, which includes Reserve and Retired members of the Service as well.
Persons assigned to duty within the Star Fleet Division of Medicine will have the same
card as with all other members of Star Fleet Service, with the exception that the card
will have the title of the Division of Medicine printed on its face.
The standard identification card is 54mm by 86mm in size as illustrated in Figures 10a31.1
and 10a31.2. The card has a picture of the individual and has a memory chip embedded
which contains pay records, or the transfer orders of the individual as well as other official
information. When reporting aboard a new command the individual will swipe his or her
card which will transfer the order information into the command’s computer indicating the
reporting time and duty information. The computer will then compare the information
contained within the electronic orders with the written orders previously transmitted via
subspace radio. New cards are automatically issued whenever there is a change in status
of the individual such as rank, pay, or duty. The following pages illustrate the various PIC
cards issued by Star Fleet.

VOLUME X
STAR FLEET MEDICINE
Figure 10a31.1
STAR FLEET MEDICAL IDENTIFICATION CARD EXAMPLES
Chief of Star Fleet Medicine Medical Officer
DEPARTMENT OF THE STAR FLEET DEPARTMENT OF THE STAR FLEET

UNITED FEDERATION OF PLANETS UNITED FEDERATION OF PLANETS
STAR FLEET COMMAND STAR FLEET COMMAND
DIVISION OF MEDICINE DIVISION OF MEDICINE
BOYCE, PHILLIP J. NOEL, HELEN M. PhD.

VICE ADMIRAL, MED LIEUTENANT, MED
CHIEF OF STAR FLEET MEDICINE 4000-1000-O9 FLEET PSYCHOLOGIST 4633-1701-4421-O3
SERIAL: M 083-1401 CAC U.S.S. ENTERPRISE
STARDATE: 21041.93 R SERIAL: M 873-4947 MF N
STARDATE: 20973.72
12454 34622
O1 2 O1
IF FOUND, PLEASE RETURN TO: IF FOUND, PLEASE RETURN TO:
DIVISION OF PERSONNEL DIVISION OF PERSONNEL
STAR FLEET HEADQUARTERS STAR FLEET HEADQUARTERS
STARBASE CENTRAL STARBASE CENTRAL

VOLUME X
STAR FLEET MEDICINE
Figure 10a31.2
STAR FLEET MEDICAL IDENTIFICATION CARD EXAMPLES (CONTINUED)
Nurse Enlisted Medical Specialist
DEPARTMENT OF THE STAR FLEET DEPARTMENT OF THE STAR FLEET

UNITED FEDERATION OF PLANETS UNITED FEDERATION OF PLANETS
STAR FLEET COMMAND STAR FLEET COMMAND
DIVISION OF MEDICINE DIVISION OF MEDICINE
CHAPEL, CHRISTINE M. LAWTON, TINA P.

LIEUTENANT, NRS MEDICAL SPEC 2ND
HEAD NURSE 4310-1701-4900-O3 RADIOLOGICAL TECHNICIAN 4452-1701-4704-S2
U.S.S. ENTERPRISE
U.S.S. ENTERPRISE
SERIAL: N 576-9722 MF H SERIAL: M 785-1984 MF
STARDATE: 21233.93
F
STARDATE: 21247.73
43112 65821
O1 O1 2
IF FOUND, PLEASE RETURN TO: IF FOUND, PLEASE RETURN TO:

DIVISION OF PERSONNEL DIVISION OF PERSONNEL
STAR FLEET HEADQUARTERS HEADQUARTERS: THIRD FLEET
STARBASE CENTRAL STARBASE ELEVEN

VOLUME X
STAR FLEET MEDICINE

REQUIREMENTS AND TRAINING
This section will provide a fairly detailed description regarding the requirements for entry
and professional duty within the Star Fleet Division of Medicine. In general, Star
Fleet has specific requirements for entry into the Service. These requirements, established
by the Star Fleet Office of Personnel Standards, are explained in the Star Fleet
Service Manual (BUPERSMAN-392), and further described in Section 6.2 of Volume I
and in Sections 8.1, 9.1 and 9.2 of Volume III of the Star Fleet Command Manual. The
following subsections will detail the various requirements for entry, training and education;
the certification of medical professionals; and for qualified enlisted medical specialists.
BASIC MEDICAL OFFICER REQUIREMENTS
This section will describe the process by which individuals are commissioned as medical
officers in the Star Fleet Medical, Dental, Nurse or Medical Services Corps. In
general, the process for commissioning medical officers is the same as outlined in Section
4.1 of Volume III of the Star Fleet Command Manual. The basic requirement for entry
into any of the four medical corps is that all prospective medical professionals must have
completed a period of residency of not less than two years, and be fully licensed medical
practitioners.
As stated in the Section 3.0, the majority of officers that enter the Medical Corps will be
graduates of the Star Fleet Academy College of Medicine and Dentistry. However,
and as stated above, before entry and service into any medical corps the new medical
school graduate must take and pass Star Fleet medical certification exams and receive
their license to practice medicine, and to have completed a residency period of about two
years at a Star Fleet medical facility. Once the medical professional has completed these
requirements he or she will be promoted to Lieutenant and assigned to a medical billet
by the Office of Star Fleet Medical Officers.
Civilian licensed physicians that wish to enter Star Fleet medical service account for about
a third of the total entrants into the Medical Corps. Most of the successful entrants had
practiced medicine in civilian life. However, such entrants must obtain military training by
attending and successfully completing Star Fleet Officer School. Once completed, the
candidate will be commissioned as a Lieutenant in the Medical Corps.
As previously stated, the number of billets for Star Fleet doctors, surgeons, dentists,
medical specialists and nurses are limited to the number of medical facilities available
within the Star Fleet Division of Medicine. Therefore, the number of students that will
be allowed to enter the Academy College of Medicine and Dentistry will be severely
limited, and the number of civilian doctors that can enter the Star Fleet will also be
restricted. In general, however, since the number of open medical billets is few, the Star
Fleet Bureau of Medicine and Surgery, specifically the Star Fleet Office of Medical
Personnel, will tend to bias the entry of Star Fleet doctors towards those that have had
previous medical experience in civilian life. This is much more economical as the applicant
will not be required to obtain a medical degree or retake the medical exams as must the
Academy graduate, but will only have to successfully pass Star Fleet Officer School.

VOLUME X
STAR FLEET MEDICINE
BASIC ENLISTED REQUIREMENTS
Enlisted persons that wish to enter Star Fleet medical service have similar requirements
for entry as do the officers. That is, the enlistees selected for medical service have had
experience in the medical field before their enlistment. About 55 percent of the enlistees
were certified Paramedics and medical technicians in civilian life before they enlisted. The
remaining 45 percent are those persons that enter the Star Fleet Service with the aim of
becoming a Star Fleet medical specialist. In either case, the applicant must pass a
Technical Proficiency examination during induction into the Service as specified in
Section 9.2 of Volume III of the Star Fleet Command Manual.
In general, all Star Fleet enlisted medical technicians and specialists must be qualified
and certified by the Star Fleet Division of Medicine before they can perform their
duties. Many of the enlisted Medical Technicians were Paramedics or performed non-
professional medical work in civilian life before entering Star Fleet service. As such, within
the Division of Medicine, there are no enlisted persons with the rank of T3 or below. All
must have attended a fleet school relating to a medical specialty and therefore, must be
rated. There is no "striking" to become an enlisted Medical Technician or Medical
Specialist within the division.
Persons entering the service that have had previous medical experience must have had at
least three years of higher education in a medical or dental specialty, and had completed
such training with a proficiency rating of 75% or higher. In addition, these individuals must
satisfactorily pass the Medical Proficiency Examination, which is performed during the
orientation phase in Basic Training and based upon the results of this test, it will be
determined at what medical school the applicant will attend in order to complete his or her
training and certification as a Star Fleet Medical Technician or Medical Specialist.
Upon completion of the additional training the individual will be promoted to a grade of T4
(Medical Technician 3RD Class), or S1 (Medical Specialist 3RD Class) and placed on
medical duty.
Persons entering the service without previous medical experience and with the aim of
becoming a Star Fleet medical technician must have passed the General Classification
Test with a score of 75% or higher and indicate a propensity for medical work based upon
the results of the Occupational Suitability Test. These individuals will then enter basic
medical training at one of the nearest Star Fleet Training Centers. Upon successful
completion of this training the individual will be promoted to a grade of T4 - Medical
Technician 3RD Class in one of the Star Fleet medical technical ratings upon completion
of advanced training. The enlisted job codes, or EJCs, associated with the Medical
Division are listed in the Star Fleet Enlisted Classifications manual (BUPERSMAN-
351). The manual sorts the medical and medical EJCs by the alpha-numeric code from
MA-0200 to MT-9800.
As with officers, the number of enlisted persons that wish to enter Star Fleet medical
service will be limited to the number of enlisted billets within the Division of Medicine.
Therefore, the number of applicants that will be allowed to enter a Star Fleet Medical
Training School will be severely limited, and the number of civilian persons enlisting with
no medical experience will be highly restricted. In general, however, when the number of
open Medical Technician or Medical Specialist billets is few, Star Fleet will tend to
bias the entry of enlisted personnel towards those that have previous medical experience
in civilian life.

VOLUME X
STAR FLEET MEDICINE
LOCAL FORCE TRANSFEREES
Military doctors and medical professionals from other Federation military forces may
transfer to Star Fleet medical service should a billet become available. However, transfers
from a Local Force are highly restrictive in order that Local Forces may retain a medical
service of their own. Star Fleet will only allow a transfer to take place over an Academy
or civilian enlistee when, in the opinion of the Star Fleet Office of Medical Personnel,
the transferee has some special experience a Star Fleet medical professional may not
possess. In addition, only those individuals who are medical professionals within the Local
Force will be allowed to enter Star Fleet medical service. Military persons with ranks or
positions equivalent to Star Fleet enlisted persons will not be allowed entry into Star
Fleet medical service.
BASIC CIVILIAN EMPLOYEE REQUIREMENTS
As previously mentioned in other sections of this manual the Division of Medicine also
contains civilian doctors, dentists, nurses, medical specialists and medical technicians
necessary to support the medical mission of the division. These medical professionals and
medical assistants will generally perform the more commonplace medical tasks for the
Department of the Star Fleet and its personnel. In general, civilian medical
professionals hired by the department will normally be used to provide medical services to
the dependants or Star Fleet service members and to the civilian work force hired by the
department. The organization at the Star Fleet Command level that manages the
employment and contracting of civilian medical personnel is the Office of Civilian
Medical Personnel. In addition, this office also establishes the requirements for the
employment of civilian doctors and medical personnel as well.
Regarding the conditions for employment of civilian medical personnel to the Division of
Medicine, all prospective medical professionals must be certified by the Office of
Medical Personnel Certification to practice medicine or dentistry within the boundaries
of the United Federation of Planets. As such, civilian doctors, dentists, nurses and
other medical professionals must have graduated from a Federation-accredited medical
school and have passed the required Federation medical exams and have completed their
residency. In addition, special attention will be given to those civilian medical professionals
that have experience in treating alien diseases or have performed medical practice on alien
entities.

VOLUME X
STAR FLEET MEDICINE
CONTINUING CERTIFICATION REQUIREMENTS
The United Federation of Planets, being a large assemblage of many races, requires
that persons practicing medicine for the Department of the Star Fleet or that are
performing medical functions within Star Fleet continuously update their knowledge of
medicine and medical practice. New and alien species are constantly being discovered and
the need to understand their biology and to treat both the illnesses of these beings and
the possible biological effects of organisms originating from such beings and affecting
Federation citizens requires continuous training and certification. Both enlisted and
officers must continuously update their certifications. Officers and medical professionals
must attend refresher classes and retake the medical exams every two (2) years. These
classes are given at the various Star Fleet Academy Medical College Annexes located
throughout the Federation.
Enlisted Medical Technicians and Medical Specialists must refresh their certifications
by attending refresher or advanced classes and taking the Proficiency Examinations of
their specific rating within the division. The courses and exams must be taken no more
than every three (3) years. The courses and exams are taken at specific Fleet Schools
specializing in Star Fleet medical functions as listed in the subsection entitled STAR FLEET
MEDICAL TRAINING CENTERS.
PREREQUISITE CERTIFICATIONS
Before any Officer, Technician or Specialist can be assigned to a Star Fleet medical
billet, he or she must be certified in their respective field of expertise. In the case of
officers, their certification comes from their particular medical degree, either from the Star
Fleet Academy or from an Federation accredited college or university. Enlisted Medical
Technicians, on the other hand, must have successfully completed initial and advanced
training in their area of specialization before they can be considered for medical duty. This
is normally accomplished at one or more of the various Fleet Schools located throughout
the Federation. To be qualified and selected for medical duty the enlisted person must
complete advanced training in their area of specialization with a score of 80 percent or
higher. This is especially true for those in very specialized medical fields.
EXAMINATIONS AND CERTIFICATIONS
In accordance with Star Fleet Regulation 8311, a record of all training, schooling and
certifications completed by members of the Star Fleet Service must be placed in their
Service Record. This is to ensure that individuals assigned to commands are qualified to
perform their jobs and a record of such exists to provide evidence of such certifications.
In order to ensure that local training is proper and complete, a formal certification program
must be established. The Qualification Manual, which is an electronic clipboard the
trainee maintains, is then submitted to the Training Officer to be downloaded into the
command’s Training Database and the individual’s Service Record.

VOLUME X
STAR FLEET MEDICINE
STAR FLEET ACADEMY
Individuals entering the Star Fleet wishing to become medical professionals must first
complete the five years of initial education at the Star Fleet Academy and graduate with
an average grade of 80 percent or higher in order to be accepted into the Star Fleet
College of Medicine and Dentistry. The program at the medical school is a three-year
program of intensive medical education. At the successful conclusion of this program,
based on an average academic grade of 80 percent or higher, the graduate would receive
an MD degree and will be promoted to the rank of Lieutenant Junior Grade. During the
third year the medical student will start his or her residency at the Academy hospital.
After graduating from the College of Medicine and Dentistry the graduate must spend
the next two years in residency at a major Star Fleet medical center. After a successful
residency the medical officer will be promoted to the rank of Lieutenant and assigned to
a medical billet somewhere within the fleet, or continue his or her medical education into
more specialized medical practice or become a fleet surgeon. This may require another
two (2) years of study, but results in another promotion to the rank of Lieutenant
Commander.

VOLUME X
STAR FLEET MEDICINE
STAR FLEET MEDICAL TRAINING CENTERS
Star Fleet has many training facilities located throughout the Federation. Some of these
facilities are Fleet Schools used to keep medical personnel up to date or to train them on
a new or specific medical procedure associated with their billet. Most of the Fleet Schools
are located at various Star Fleet Headquarters and District Bases. Usually, an entire
section of the base is reserved and dedicated to training. Some of the facilities may also
house an annex or extension of the Star Fleet Academy. Table 10a32.1 below lists the
various Fleet Schools available to Star Fleet medical personnel.
Table 10a32.1
LOCATION OF MAJOR STAR FLEET TRAINING CENTERS
THAT FOCUS ON MEDICINE AND MEDICAL PRACTICE
Location
Center Medical Curricula
Base SCS
• Fleet medical training
• Fleet Nurse School
Star Fleet Training Command - • Class A, B and C schools for enlisted
SFHQ - Earth 274-MARK-018
Earth Medical Technicians and medical
technician specialties
• Advance surgical training
• Star Fleet Academy Medical College
Star Fleet Training Center - SFHQ -
Annex 295-MARK-353
Alpha Centauri • Advanced alien medicine
Alpha Centauri
Star Fleet Medical Center - Annex
• Graduate Residency and Internship
SFHQ - Andor 053-MARK-328
Andor
• Fleet Medical Officer certification
Star Fleet Medical Center - Annex
• Graduate Residency and Internship
SFHQ - Tellar 041-MARK-076
Tellar
• Medical Supply Officer training
Star Fleet Medical Center -
Annex SFHQ - Rigel 152-MARK-328
Rigel • Graduate Residency and Internship
Star Fleet School of Advanced • Star Fleet medical training
Medicine, • Advanced medical training
• Starbase 2 137-MARK-044
Star Fleet Training Center – Recruit medical training for Octant 2
Sector 2 • Medical equipment repair school

Star Fleet Training Center – Annex
Starbase 6 162-MARK-327
Sector 6 • Star Fleet Academy qualification
testing center
• Emergency medical training
Star Fleet Training Center –
• Advanced site emergency medical Starbase 7 197-MARK-355
Sector 7 training
• Romulan biology
The Romulan School • Romulan medicine & surgery Starbase 10 117-MARK-071
• Romulan psychology
• Klingon biology
The Klingon School • Klingon medicine & surgery Gamma II Station 084-MARK-032
• Klingon psychology
• Fleet Marine Corpsman training
Xi Bootis Garrison • Basic emergency medical training Xi Bootis Garrison 294-MARK-034
• Fleet Marine & Corpsman joint training
Training at any one of these facilities will generally be granted by request. However, it
must be stated that submitting a request for training is no guarantee that the person will
receive such training in the timeframe the individual requested. But the individual will
receive due consideration for the training requested.

VOLUME X
STAR FLEET MEDICINE

PERFORMANCE REVIEWS
In general, all Star Fleet medical officers, enlisted Medical Technicians and civilian
physicians and medical personnel will undergo the same performance review process as
that performed on other Star Fleet officers, Technicians and civilian employees as
outlined in Section 9.5, Volume III of the Star Fleet Command Manual. However, due
to the sensitive nature of medical practice Star Fleet medical personnel must undergo
additional scrutiny with stricter evaluations. This is because the health and wellbeing of
entities is involved. For a detailed study into the Star Fleet performance review process,
please consult Volume III of the Star Fleet Command Manual.
REVIEW OF MEDICAL OFFICERS
Star Fleet medical officers are evaluated in the same manner as described in Section 4.3
Volume III of the Star Fleet Command Manual. That is, the medical officer’s senior will
fill out and submit a Fitness Report on the officer. However, unlike with other line or
staff corps officers, there is additional information that is added to the Fitness Report for
medical officers which is in the form of a special medical addendum to the report. This
addendum is form BUPERS 395-6M-A – MEDICAL OFFICER ADDENDUM, an example
of which is located on Page 10a33.3 of this section of the chapter. This addendum will
apply and will be used on all medical professionals, including civilian medical doctors, of
the Medical, Dental and Medical Services Corps such as Star Fleet Service doctors,
surgeons, dentists and medical specialists.
The primary function for the addendum is to access and record the competency and
fitness of medical professionals to perform their specific medical duties, and to record any
actual or potential malpractice by such professionals, and to ensure the medical
professional maintains his or her certification. As such, the addendum contains several
check boxes to indicate any complaints against the physician, and any disciplinary action
against the professional. The addendum also records the medical professional’s
qualifications and certifications as well as any citations or awards given for his or her
medical service.
REVIEW OF NURSES
Star Fleet nurse officers will be evaluated in a similar manner as with Star Fleet medical
officers, but which is specific to nurses and nurses’ aides. The review of nurse officers will
follow the same review process as outlined above and in Section 4.3 Volume III of the
Star Fleet Command Manual. However, the review of nurses focuses more on their
relations with their patients and doctors, as illustrated in the NURSING ADDENDUM to
the Fitness Report, an example of which is provided on Page 10a33.4 of this section of
the chapter. The addendum will be added to the reviews of Star Fleet nurses and is only
applicable to nursing personnel within the Nurse Corps.

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STAR FLEET MEDICINE
REVIEW OF MEDICAL TECHNICIANS
Star Fleet enlisted Medical Technicians are generally evaluated in the same manner as
described in Section 5.4 Volume III of the Star Fleet Command Manual. That is,
Medical Technicians within the grades of T4 to T6, and Specialists in the grades of S1
to S3 will be reviewed semi-annually, and will be reviewed and graded by both their
Section Chief and their Division Officer. Chief Medical Technicians and Specialists,
like officers, will have their performance evaluations once a year. They will be reviewed by
the senior officer of the division to which they are assigned. Enlisted medical technicians
will primarily be evaluated on their technical skill and medical knowledge, and how they
get along with their peers and their supervising medical professionals. As such, all doctors,
surgeons, dentists and medical specialists may provide input into the review of the medical
technician regarding their competency, knowledge and job performance.
As with medical professionals and nurses, the review of Star Fleet medical technicians
and specialists will also involve the use of a special addendum. This addendum is form
BUPERS 395-6M-C – MEDICAL TECHNICIAN ADDENDUM, an example of which is
located on Page 10a33.5 of this section of the chapter.
REVIEW OF CIVILIAN MEDICAL PERSONNEL
Civilian medical personnel will always be evaluated by a Star Fleet medical officer and are
generally evaluated by the same criteria as Star Fleet medical officers. On the other
hand, civilian medical technicians and medical aides will be evaluated by either their Star
Fleet medical supervisor or by their civilian medical supervisor, depending upon their
particular situation. However, all contract civilian medical personnel will be evaluated by a
Star Fleet medical officer at all times, and will never perform evaluations of other medical
personnel within Star Fleet.

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STAR FLEET MEDICINE
PERSONNEL FITNESS REPORT

BUPERS 395-6M-A – MEDICAL OFFICER ADDENDUM
STAR FLEET BUREAU OF PERSONNEL
Name (Last, First Middle Initial) Medical Corps: Service/Emp. Number

McCoy, Leonard H. X MED DNT MDS EMP M 357-0977 MF
Medical Qualifications and Certifications (Continued on Form 395-6G if needed)
1. B.S. University of Mississippi, Jackson, Mississippi, United States, Earth
2. M.S. University of Georgia, Athens, Georgia, United States, Earth
3. M.D. Johns Hopkins University, Baltimore, Maryland, United States, Earth
4. Fleet Medical Officer School – Star Fleet Academy, SFHQ Earth
5. Space Psychology – Star Fleet Academy College of Medicine and Dentistry, SFHQ
Earth
6. Interstellar Medical Institute, Centauri VII Alpha Centauri B
7. Exobiology – Advanced Alien Medicine School, SFHQ Alpha Centauri
Medical Awards and Citations (Continued on Form 395-6G if needed)

❖ Legion of Honor
❖ Awards of Valor decorated by Star Fleet Surgeons
Certifications Up To Additional Qualifications Required? Remedial Training

Date? Required?
YES X NO X No Yes Specialty: YES X NO
Medical-Related Open Medical Complaints? Complaints Disciplinary Action
Disciplinary Action? Explain on Form 395-6G
Addressed? Required?
YES X NO X No Yes Number Outstanding: 0 YES NO YES NO
0568426
Star Fleet Bureau of Personnel Form 395-6M
Star Fleet Division of Personnel File: 310-8.18M

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STAR FLEET MEDICINE

BUPERS 395-6M-B – NURSING ADDENDUM
Name (Last, First Middle Initial) Nurse Classification: Service/Emp. Number

Chapel, Christine M. X FLT PRC SRG AID N 576-9722 MF
Medical Qualifications and Certifications (Continued on Form 395-6G if needed)
1. Initial nurse education: Star Fleet Academy College of Medicine and Dentistry -
SFHQ Earth
2. Fleet Nurse training: Star Fleet Academy College of Medicine and Dentistry - SFHQ
Earth
3. Certified Surgical Nurse

❖ Fleet Nursing Duty Certificate
Certifications Up To Additional Qualifications Required? Remedial Training

Date? Required?
YES X NO No X Yes Specialty: Vulcan Medicine & Nursing YES X NO
Provides Proper Provides Proper Assistance Knowledgeable Congenial with
Care to Patients? to Medical Officers? in Duties? Other Nurses?
X YES NO X YES NO X YES NO X YES NO
Nursing-Related Open Nursing Complaints? Complaints Disciplinary Action
Disciplinary Action? Explain on Form 395-6G Addressed? Required?
YES X NO X No Yes Number Outstanding: 0 YES NO YES NO
0871644
Star Fleet Division of Personnel File: 310-8.18N

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STAR FLEET MEDICINE

BUPERS 395-6M-C – MEDICAL TECHNICIAN ADDENDUM
Name (Last, First Middle Initial) Grade: Rate: EJC: Service/Emp. No.
Harrison, John B. T7 Chief Med Lab Tech ML-6601 M 731-7562 MF
Medical Training, Qualifications and Certifications (Continue on Form 395-6G if needed)
1. Basic Medical Technician training: Star Fleet Medical Training Facility – SFHQ
Earth
2. Advanced Medical Technician training: Star Fleet Training Center – Sector 2,
Starbase 2
3. Medical Laboratory Management: Star Fleet Training Command – SFHQ Earth
4. Refresher medical training: Star Fleet Training Center – SFHQ Alpha Centauri
Medical Training Up Additional Qualifications Required? Remedial Training

To Date? Required?
X YES NO X No Yes Specialty: YES X NO
Correctly Performs Provides Proper Assistance Knowledgeable Gets Along with
Medical Functions? to Medical Professionals? in Duties? Others?
X YES NO X YES NO X YES NO X YES NO
0743321
Star Fleet Division of Personnel File: 310-8.18MT

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STAR FLEET MEDICINE

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STAR FLEET MEDICINE
3.4 STAR FLEET MEDICAL CORPS BADGES

AND DEVICES
The Star Fleet Medical Corps is unique among the other line and Staff Corps in that it
has many different symbols and badges associated with the various medical specialties
contained within the Medical Corps. Therefore, this section will provide a comparatively
detailed description of the various symbols and badges displayed by personnel within the
Star Fleet Division of Medicine. In general, this section will present the various
symbols that are displayed by the specific corps the wearer is assigned (e.g. Medical
Corps, Dental Corps, Nurse Corps, and Medical Services Corps.)
BASIC MEDICAL SYMBOLS
As presented in Section 1.0 of this manual the basic symbol for the Star Fleet Medical
Corps is the Caduceus which consists of a winged staff and two serpents winding around
the staff in opposite directions. As such, all doctors, surgeons, dentists, and professional
medical specialists will display this symbol along with the symbol for their specific medical
specialty. In addition, certain nurses will also display the full Caduceus within their red
cross as well.
As presented in Section 1.4 of this manual the basic symbol for the Star Fleet Medical
Services Corps is the Rod of Asclepius, which is a single serpent winding a wingless
pole. As such, all medical service specialties will have this symbol as the base medical
symbol. In addition, most Star Fleet Medical Technicians will also display this symbol
as well.
Lastly, the other basic medical symbol is that of a red cross, which is the symbol for the
Star Fleet Nurse Corps, as presented in Section 1.3 of this manual.

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STAR FLEET MEDICINE
MEDICAL SPECIALTY SYMBOLS
The Star Fleet Medical Corps has many specialties aside from regular physicians and
internists. These include, but not limited to: Surgeons, Psychologists, Psychiatrists,
Neurologists, Oncologists, Orthopedicians, Cardiologists, Pulmonary Specialists,
and Pharmacists, each of which will have a specific identifying symbol placed over the
Star Fleet Caduceus. The following lists the various medical specialty symbols.
STAR FLEET MEDICAL CORPS SPECIALTY SYMBOLS
Psychologist /
Physician / Internist Surgeon
Psychiatrist
Neurologist Oncologist Orthopedician
Cardiologist Pulmonary Specialist Pharmacist

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STAR FLEET MEDICINE
DENTAL BADGE SYMBOLS
Members of the Star Fleet Dental Corps will display the Star Fleet Caduceus with a
“D” embedded in the middle to signify dentistry. That is, all dental professionals or officers
will display the full Caduceus with the “D”, while enlisted Dental Technicians and
Dental Hygienists will display the Medical Services Corps symbol, known as the Rod
of Asclepius, with the “D” embedded in the center of the symbol. However, highly
specialized dental professionals, such as Oral Surgeons, Orthodontics, as well as
Periodontal and Prosthodontic specialists will display and additional “” within the “D”
of their badge. The following will illustrate the three symbols that will be displayed by
dental personnel.
STAR FLEET DENTAL CORPS SYMBOLS
Oral Surgeon /
Dentist Dental Technician
Dental Specialist

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STAR FLEET MEDICINE
NURSE BADGE SYMBOLS
Members of the Star Fleet Nurse Corps will display the Star Fleet Red Cross, which
symbolizes nursing and patient care. As such, all nurses, nurse-officers, and enlisted
nurse’s aides will display this symbol in their badge. However, there are certain nurse
specialties that have a modified version of the red cross. For example, Fleet Nurses are
highly trained nurses that are assigned to fleet duty such as on a Star Fleet ship or to a
deep space station. Such nurses are trained to perform standard nursing and specialized
nursing on both Federation and alien patients. Their symbol is indicated by the red cross
embossed over a circular line as shown below. A more specialized version is that of the
Nurse Practitioner, which is an advanced practice registered nurse that can perform
some of the duties normally reserved for physicians. Their symbol is that of a Fleet Nurse
with the full Caduceus embedded within the center of the cross. The following will
illustrate the three symbols that will be displayed by nurse personnel.
STAR FLEET NURSE CORPS SYMBOLS
Nurse / Nurse’s Aid Fleet Nurse Nurse Practitioner

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STAR FLEET MEDICINE
MEDICAL SERVICES BADGE SYMBOLS
The Star Fleet Medical Services Corps is primarily comprised of medical professionals
that support the doctors and surgeons of the Star Fleet Medical Corps. And as with the
Medical Corps the Medical Services Corps also has many specialties such as, but not
limited to: Radiologists, Pathologists, Ophthalmologists and Optometrists,
Dieticians, Physical Therapists, Anesthesists or Anethesiologists, Bio-medical
Engineers, hygienic services, and Medical Laboratory Technicians as shown below.
STAR FLEET MEDICAL SERVICES CORPS SPECIALTY SYMBOLS
Anesthesist / Radiologist / Medical
Pathologist
Anethesiologist Scanning Technician
Ophthalmologist/
Optometrist
Dietician Physical Therapist
Medical Laboratory Hygienic Services

Bio-Medical Engineer
Technician Technician

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STAR FLEET MEDICINE
MEDICAL TECHNICIAN BADGE SYMBOLS
In general, enlisted Medical Technicians will normally display the symbol of the Star
Fleet Medical Services Corps, the Rod of Asclepius, which is a single serpent winding
a wingless pole. Any symbol depicting a technical specialty will be placed over the symbol.
However, Emergency Medical Technicians, which are highly trained and specialized
medical technicians, will display the blue “Star of Life” symbol. Star Fleet Medical
Technicians that are assigned as Fleet Corpsmen to the Star Fleet Marine Corps will
display a symbol similar to the one displayed by Nurse Practitioners as shown below.
STAR FLEET MEDICAL TECHNICIAN SYMBOLS
General Medical Emergency Medical Marine Corps Fleet
Technician Technician Corpsman

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STAR FLEET MEDICINE
MEDICAL OFFICER DEVICES
Medical Staff Corps officers will be identified by a “sleeve device” indicating that the
officer belongs to a particular medical corps. The sleeve device will be worn on each sleeve
above the sleeve bands of the officer’s rank on the Formal Dress Blue uniform. For the
Ceremonial Dress White uniform, a gold metal pin version of the medical Staff Corps
symbol shall be displayed on the collar of the jacket. The following table lists all the
medical Staff Corps symbols.
Table 10a34.1
MEDICAL OFFICER SLEEVE AND COLLAR DEVICES
Corps Sleeve
Medical Corps Designation
Billets
Markings
 Physicians and Surgeons
 Medical Specialists
 Pharmacists and Pharmaceutical Specialists
Medical Corps MED
 Psychologists, Psychiatrists, and Mental Health
Specialists
 Dentists and Oral Surgeons

 Orthodontists
 Prosthodontic Specialists
Dental Corps DNT
 Dental Specialists
 Surgical Support Specialists

 Bio-Medical Engineers
Medical Services  Medical Laboratory Specialists
MDS
Corps  Dieticians
 Therapists
 Hygienic Services
Nurse Corps NRS

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STAR FLEET MEDICINE
ENLISTED MEDICAL TECHNICIAN DEVICES
As with medical Staff Corps officers, enlisted Medical Technicians will also be identified
by special sleeve markings. The sleeve device will be worn on each sleeve above the
enlisted rank stripes on the Formal Dress Blue uniform. The sleeve device will be the
symbol of the person’s rating subgroup as specified in Section 4.0 of Appendix E of the
Star Fleet Uniform Standard (BUPERSMAN-332) which illustrates the symbols of the
Medical Rating Group. The Medical Rating Group contains all the enlisted ratings
associated with the general medical, dental and health functions within Star Fleet as
illustrated in Table 10a34.2 below. As shown, the sleeve devices are sewn onto the
uniform in medical blue thread.
Table 10a34.2
ENLISTED MEDICAL TECHNICIAN SLEEVE AND COLLAR DEVICES
Subgroup
Symbol
 Medical Technician
 Medical Laboratory Technician
General  Pharmaceutical Technician
Medical  Mental Health Specialist
 Optometric Technician
 Medical Yeoman
 Dental Technician
 Dental Surgery Assistant
Dental  Oral Hygienist
Medical
 Medical Services Technician
 Radiological Specialist
Medical Services  Therapy Specialist
 Emergency Medical Technician
 Nursing Specialist
 Nurses Aid
Nursing

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STAR FLEET MEDICINE
3.5 STAR FLEET MEDICAL UNIFORMS,

INSIGNIAS AND AWARDS
In this section the Standard Working Uniform worn by personnel within the Star Fleet
Division of Medicine will be discussed. Regarding dress uniforms, all Service personnel
assigned to the Division of Medicine shall wear the standard Formal Dress Blue and
the Ceremonial Dress White uniforms as specified in the Star Fleet Uniform
Standard (BUPERSMAN-332 Revision 8.12) when the occasion requires it as per Star
Fleet Regulations or as proscribed by higher authority.
STANDARD STAR FLEET MEDICINE WORKING UNIFORM
The uniform worn by all Star Fleet medical personnel during normal working hours shall
be the Standard Working Uniform, designated SWMG0S for males and SWFG0S for
females, as described in BUPERSMAN-332. The uniform principally consists of a pair of
black trousers (Item 3421) and the Type II tunic (Item 3413 or 3414 for females) in the
color of science blue[2] as specified in BUPERSMAN-332 and in Star Fleet Division of
Medicine Order 10.6. Note that the Standard Working Uniform utilizing the Type I
tunic (3411) is no longer authorized to be worn. An illustration of the authorized version of
the Standard Working Uniform is shown in Figures 10a35.1 and 10a35.7. Civilian
physicians working for Star Fleet shall also wear the Standard Working Uniform, but
shall exhibit no sleeve braid on the uniform.
The Standard Working Uniform for Star Fleet medical professionals also includes a
Medical Duty Uniform, designated SWGMOM, as illustrated in Figures 10a35.2 and
10a35.8. This uniform is comprised of a special tunic (Item 3415) worn only by medical
officers. Thus, enlisted medical technicians and nurse aides shall not wear this tunic. The
tunic, itself, is short-sleeved with a wide collar in medical blue[3]. This tunic will be worn
over the black trousers for the male version and for the female “long” version of the
uniform. However, there is a short dress (Item 3416) version of the Medical Duty
Uniform, designated SWFMOM, specifically for women who will wear the “short” version
of the uniform.
Female nurses, whether officer or enlisted, will wear a special Nurse Duty Uniform,
designated SWFMxM which is comprised of the Medical Working Dress (Item 3434).
This is a special medical blue dress with a wide collar of the same medical blue color as
shown in Figures 10a35.3 and 10a35.9. This dress is always worn in the “short” version.
Male nurses and enlisted medical technicians, on the other hand, will wear the Standard
Working Uniform tunic (Item 3413), but in the color of medical blue as illustrated in
Figure 10a35.9.

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STAR FLEET MEDICINE
When Star Fleet officials and dignitaries are expected, Star Fleet medical personnel may
be required to wear the Service Dress Uniform, designated SDMO3M for male officers
and SDFO3M for female officers. The Service Dress Uniform is essentially composed of
a special tunic worn over the pants of the Standard Working Uniform. The tunic is a
Neru jacket (Items 337x for males and 338x for females) in an iridescent form of medical
blue as shown in Figures 10a35.6 and 10a35.10. The opening of the jacket will have thick
gold braid for command-level officers running down the edge of the jacket opening, while
regular officers will have thin gold piping running down the front. A similar jacket is
available for enlisted personnel, but without any piping. Civilian personnel shall not wear
any Star Fleet dress uniform, but may be provided with appropriate attire for formal
gatherings and official ceremonies. Usually, civilian employees of Star Fleet will wear their
own formal dress attire as appropriate for special Star Fleet occasions.
Besides the standard uniforms listed above, medical personnel may also be required to
wear the all-purpose SWGG0M working coverall. The coverall is a one-piece jumpsuit in
medical blue with wide, short sleeves, and short legs to accommodate the size of most
wearers. They have a wide front opening so that the wearer can easily slip the coverall on
and the opening contains a snap in front to allow the opening to be closed. Around the
waist of the coverall is elastic, which allows a tighter fit around the midsection. A cloth belt
is also available to tighten the midsection further, or a black Naugahyde utility belt can
also be worn. The coverall can also be worn with or without the standard black crew neck
undershirt, as illustrated in Figures 10a35.4, 10a35.5 and 10a35.11. As shown, the
standard coverall is gender and rank-neutral and can be worn by males and females alike,
and by officers and enlisted technicians. The coverall must be worn by all medical
professionals during major medical events such as surgeries, and by all enlisted medical
technicians while on duty.
MISCELLANEOUS MEDICAL WEAR
Patients recuperating in Star Fleet medical areas will wear special medical clothing while
convalescing. For male patients medical wear consists of a short legged, non-sleeved
jumper in science blue as shown in Figure 10a35.12. The jumper contains the old Space
Service symbol for medicine as shown in Illustration 10a35.1. The female version consists
of a sleeveless nightgown that is tied together at the shoulders and is also science blue
and displays the old Space Service medical symbol as shown in Figure 10a35.12. Both
have matching slippers worn on the feet.
CIVILIAN CLOTHING
Members of the Star Fleet Division of Medicine are permitted to have and wear civilian
clothing whenever they are not on duty, but they shall never wear civilian clothing during
normal working hours while on duty. However, when embarked as passengers aboard a
Star Fleet ship travelling on official business, all medical personnel are required to wear
the uniform of the day as specified by the vessel's Commanding Officer. When travelling
commercially, personnel from the Division of Medicine may wear civilian clothes
underway regardless whether they are travelling on official business or for any other
reason.

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STAR FLEET MEDICINE
STAR FLEET MEDICAL PERSONNEL IDENTIFICATION
As part of the working uniform, all personnel working within the Star Fleet Division of
Medicine will wear the badge of the division as shown in Column A. of Illustration
10a35.1 below. This patch, or metal pin, is worn primarily on the Formal Dress Blue and
Ceremonial Dress White uniforms of all those working within the Star Fleet Division
of Medicine. Civilian employees shall only wear their version of the badge on their Star
Fleet working uniform.
STAR FLEET DIVISION OF MEDICINE BADGES AND SYMBOLS
Formal Dress Duty Uniforms Patient Wear
In accordance with Star Fleet Division of Medicine Order 10.6, all Star Fleet medical
personnel on duty in their profession or specialty will display the Star Fleet Caduceus
(Column B), either as a stand-alone badge on a medical smock or within the badge of the
command (e.g. Star Ship Command) as illustrated below[4].
DUTY UNIFORM MEDICAL BADGES
Star Fleet Command Star Ship Command Star Base Command
The Patient Wear symbol (Column C) is a carry-over from the old Space Service days.
It consists of the Star Fleet arrowhead encircled by stylized versions of the caduceus
snakes surrounded by a ring of laurel leaves. The name of the command where the
medical facility is located is displayed below. Regardless of which patch will be worn, the
badge or the pin must be placed on the left side of the working uniform tunic 9.2 cm from
the center of the chest and 6.4 cm down from the center of the tunic neck opening as
seen in Figure 10a35.7 to 10a35.9 and 10a35.12.

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STAR FLEET MEDICINE
STAR FLEET MEDICINE INSIGNIAS AND BRAID
The sleeve braid worn on the Standard Working Uniform of personnel within the Star
Fleet Division of Medicine is unique to other Star Fleet departments as it displays both
the rank and position of the wearer, and must be displayed by officers at all times. Enlisted
persons and civilian employees do not display any sleeve braid on their working uniform.
The following table illustrates the standard relating to sleeve braid within the Star Fleet
Division of Medicine.
Table 10a35.1
STAR FLEET MEDICAL OFFICER WORKING UNIFORM SLEEVE BRAID
Role Role
Uniform Braid Uniform Braid
(Typical Rank) (Typical Rank)
Commander:
Facility Medical
Star Fleet
Department
Hospital
Section Leader
or
or
Base Medical Officer
Star Fleet Clinic
(CMDR)
(ENSN or LTJG)
Facility Medical
Department
Commander:
Division Head
Medical Facility
or
(CAPT)
Brig Infirmary
(LEUT)
Ship Medical Commander:

Department Head Regional Medical
(LCDR) Center
(COMO)
Star Fleet
Station Medical
Division of Medicine
Department Head
Bureau Chief
(LCDR/CMDR)
(RADM)
Facility Chief of Star Fleet

Chief Medical Officer Medicine
(CMDR) (VADM)

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STAR FLEET MEDICINE
MEDALS SPECIFIC TO STAR FLEET MEDICINE
With many of the more significant awards there is an accompanying medal. Most medals in
the Star Fleet are hung over the neck of the wearer. The medal is usually a flat disk
attached to a ribbon that is 1 meter in length. Medals are generally the highest awards
given to a member of the Star Fleet Service.
EXAMPLE OF STAR FLEET MEDALS
Star Fleet Surgical Excellence Humanitarian Service Medal
The Star Fleet Surgical Excellence medal is awarded to Star Fleet surgeons that have
exhibited surgical excellence. As a minimum requirement, the recipient must have
performed at least 25 surgeries and must have been in the Star Fleet medical service for
at least five years. As with most medals, the Star Fleet Surgical Excellence medal will
only be worn on the Formal and Ceremonial Dress uniforms.
The Humanitarian Service medal is given to anyone who was engaged in any
humanitarian relief effort. For example, providing medical aid, or other support during a
planetary crisis or disaster. This medal also comes with a ribbon as shown in Table
10a35.2 below. The ribbon will be displayed on the Service Dress Uniform, while the
medal is worn on the Formal and Ceremonial Dress uniforms.

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STAR FLEET MEDICINE
RIBBON AWARDS SPECIFIC TO STAR FLEET MEDICINE
Ribbons are triangular patches that are bonded onto the Service Dress Uniform. They
represent the various citations awarded to an individual. The design of the ribbon is an
equilateral triangle having sides of 25 mm each and may contain a design or pattern
embroidered into the patch. The base pattern and colors for the ribbons are displayed in
Table 10a35.2 below. These patches represent a specific award that may be bestowed
upon an individual within the Star Fleet Medical Service.
Table 10a35.2
EXAMPLE OF STAR FLEET MEDICAL SERVICE RIBBONS
Service Ribbon
Service Ribbon Service Ribbon Award
Name
Awarded to individuals who have saved the
life of another being in the field. Generally
awarded to non-medical personnel, but may
Life Saving
be issued to Corpsman attached to ground
Badge
troops. This award is not issued to medical
personnel who had saved a life while in the
performance of their medical duty within a
controlled medical environment.
Awarded to individuals engaged in
humanitarian relief efforts such as during a
planetary disaster.
Humanitarian
Duty
Awarded to Star Fleet medical personnel who

are assigned to Star Fleet ships operating out
in deep space. Individual must be out on
Fleet Medical assignment in deep space for six months or
Duty longer.
Awarded to Star Fleet Medical Technicians

that are assigned duty as Emergency Medical
Technicians.
Emergency
Medical Duty
Awarded to Star Fleet Medical Technicians

that are assigned duty as Fleet Corpsmen for
the Fleet Marine Corps.
Fleet Marine
Corpsman

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STAR FLEET MEDICINE
Figure 10a35.1
STANDARD STAR FLEET MEDICINE WORKING UNIFORM: REGULAR WORKING UNIFORM

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STAR FLEET MEDICINE
Figure 10a35.2
STANDARD STAR FLEET MEDICINE WORKING UNIFORM: MEDICAL DUTY UNIFORM - MALE PHYSICIAN

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STAR FLEET MEDICINE
Figure 10a35.3
STANDARD STAR FLEET MEDICINE WORKING UNIFORM: FEMALE NURSE

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Figure 10a35.4
STANDARD STAR FLEET MEDICINE WORKING UNIFORM: MALE NURSE IN MEDICAL JUMPER

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STAR FLEET MEDICINE
Figure 10a35.5
STANDARD STAR FLEET MEDICINE WORKING UNIFORM: MEDICAL JUMPER

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STAR FLEET MEDICINE
Figure 10a35.6
STANDARD STAR FLEET SERVICE DRESS UNIFORM: MEDICAL OFFICER

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STAR FLEET MEDICINE
Figure 10a35.7
STANDARD STAR FLEET MEDICINE WORKING UNIFORM: MEDICAL OFFICERS
SWMOxS: SWFOxS:
Male Medical Officer Female Medical Officer - Short
(Command Medical Department Head) (Command Medical Division Head)

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STAR FLEET MEDICINE
Figure 10a35.8
STANDARD STAR FLEET MEDICAL DUTY UNIFORM
SWGMxM: SWFMxM Short:
Male Medical Duty Officer Female Medical Duty Officer
(Fleet Surgeon) (Fleet Medical Officer)

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Figure 10a35.9
STANDARD STAR FLEET MEDICINE WORKING UNIFORM: NURSES
SWMMxM: SWFMxM Short:
Male Nurse Officer Female Nurse Officer
(Base Hospital Nurse) (Fleet Nurse)

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Figure 10a35.10
STANDARD STAR FLEET SERVICE DRESS UNIFORM: MEDICAL OFFICERS
SDMO3M: SDFO3M Long:
Male Medical Officer Female Medical Officer
Star Fleet
Uniform

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STAR FLEET MEDICINE
Figure 10a35.11
STANDARD STAR FLEET MEDICAL COVERALL
SWGG0M: SWGG0M:
(Male version with Item 3005 Undershirt) (Item 3641 Female Coverall)
SWGG0M:
(Female version)

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STAR FLEET MEDICINE
Figure 10a35.12
STAR FLEET SPECIAL MEDICAL PATIENT WEAR
SMMG0M:
SDMOxM: SMFG0M:
(Item 3641
MaleMale Convalescent
Medical OfficerJumper) (Item 3631 Female Convalescent Nightgown)
Item 3661 Slipper

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3.6 STAR FLEET MEDICAL DUTY PAY

In general, Star Fleet persons assigned to medical duty do not normally receive any
special pay above their normal Basic Pay as a result of medical duty. However, there are
circumstances where additional pay is given as a result of being assigned medical duty that
may occur in deep space for extended periods of time [5]. The following are the forms of
additional pay given to persons performing medical duties away from home:
A. Travel Pay: The pay given to an individual that is assigned temporary medical duty at
a base or station away from the individual's home port. This is to compensate them for
being away from their families and their homes for extended durations. Travel Pay is
essentially the cost of commercial travel plus per diem. The amount of Travel Pay
depends upon the location of the temporary duty, its distance from home, and the
basic cost of living at the duty location. Just for taking on such temporary duty earns
the person an extra f400 Credits per month while the individual is away from home.
B. Space Pay: The pay given to an individual that is assigned permanent duty in the
Sickbay aboard a Star Fleet ship. This is to compensate them for being away from
their families and their homes for extended durations. The amount of Space Pay
depends upon the duty. Starship medical officers will receive an extra f400 Credits
per month; Starship enlisted Medical Technicians will receive an extra f200 Credits
per month; Star Fleet medical officers stationed aboard a Star Fleet support ship
will receive f300 Credits extra per month; and enlisted Medical Technicians serving
aboard a Star Fleet support vessel will receive an extra f150 Credits per month while
they are traveling out in space. The difference in pay between the vessel types is
because Starships are generally out of contact for extended periods, while support
and transport vessels are in-port more often.
C. Hazardous Duty Pay: The pay given to medical personnel that must perform duties
in extremely dangerous situations where there is a likely possibility of injury or death.
Such duty may include performing medical services to persons injured in a collapsed
mine, or executing emergency medical services on the residents of a planet that is
experiencing a major disaster. As such, Hazardous Duty Pay may range from f100-
500 Credits depending upon the nature of the duty.
D. Combat Pay: The pay given to medical personnel participating in war or conflict.
During wartime conditions all persons within the Operating Forces will receive
Combat Pay, which amounts to an extra f400 Credits per month. In addition, the
crews of individual ships involved in skirmishes or lethal combat during peacetime will
also receive Combat Pay as well. In such instances, the amount of Combat Pay will
be dependent on the duration of the conflict and is usually prorated in terms of hours
of conflict.

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MEDICAL COMMAND PAY
Command Pay is that monthly amount, in Credits, above Basic Pay or any other given
pay, awarded to Fleet Medical Officers that are in command of a medical facility. This is
to compensate medical facility Commanding Officers for their duty and responsibility, as
well as the fact that such medical command officers do not draw Travel Pay. The amount
of Command Pay generally ranges from f150-450 Credits per month in addition to the
individual's normal pay as seen in Table 10a36.1 below. It is only given to Fleet Medical
Officers in command with the rank of Commodore or below. Flag officers of the
Medical Corps with the rank of Rear Admiral and above do not receive any special or
additional pay. In addition, Chief Medical Officers in charge of the Sickbay aboard a
Star Fleet vessel will also draw a variant of Command Pay as well. The amount of this
pay will normally be fixed at f150 Credits per month above their usual pay.
Table 10a36.1
TABLE OF MEDICAL COMMAND PAY BY
MEDICAL FACILITY
Command
Medical Command Rank
Pay
Regional Star Fleet Medical Center COMO f 450
Star Fleet Medical Center CAPT f 400
Star Fleet Hospital CAPT f 300
Star Fleet Dispensary/Infirmary CMDR f 200
Star Fleet Sickbay LCDR f 150
SPECIAL CORPSMAN PAY
Star Fleet Corpsmen are specially trained and qualified enlisted Medical Technicians
that are assigned to units of the Star Fleet Marine Corps. Corpsmen serve as combat
medics to the Marine Corps troops during war or other combat situations. As such, they
will receive special Hazardous Duty Pay of up to f400 Credits. Hazardous Duty Pay is
given instead of Combat Pay since medical personnel are not allowed to engage in lethal
combat by law. Therefore, Corpsmen will follow Marine Corps troops into combat only
for the sole purpose of performing medical services to injured troops.
OTHER SPECIAL PAY
Other special, incentive or supplementary pay, bonuses or stipends may still be allotted to
members of the Star Fleet Division of Medicine as specified in Section 3.3 of Volume
III of the Star Fleet Command Manual.

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3.7 STAR FLEET MEDICAL ETHICS

This section deals exclusively with medical ethics within the Star Fleet Medical Service.
Therefore, Star Fleet places a huge premium on medical ethics. As such, all persons
within the medical profession, regardless whether they are officers or enlisted medical
technicians, and all those assigned to medical duty, shall comply with the rules and
regulations set down in the Star Fleet Manual of Medical Ethics (BUMED-002).
In general, Medical Ethics is a system of moral principles that apply values to the
practice of clinical medicine and in scientific research. Medical ethics is based on a set of
values that professionals can refer to in the case of any confusion or conflict. These values
include the respect for autonomy, non-maleficence, beneficence, and justice. Such tenets
may allow doctors, care providers, and families to create a treatment plan and work
towards the same common goal. It is important to note that these four values are not
ranked in order of importance or relevance and that they all encompass values pertaining
to medical ethics. However, a conflict may arise leading to the need for hierarchy in an
ethical system, such that some moral elements overrule others with the purpose of
applying the best moral judgment to a difficult medical situation.
There are several codes of conduct. First, there is Earth’s Hippocratic Oath which
discusses basic principles for medical professionals and dates back to the fifth century BCE
on Earth. More recently, new techniques for gene editing aiming at treating, preventing
and curing diseases utilizing gene editing, are raising important moral questions about
their applications in medicine and treatments as well as societal impacts on future
generations. As this field continues to develop and change throughout history, the focus
remains on fair, balanced, and moral thinking across all cultural and religious backgrounds
around the galaxy. Medical ethics encompasses a practical application in clinical settings as
well as scholarly work on its history, philosophy, and sociology. Medical ethics
encompasses beneficence, autonomy, and justice as they relate to conflicts such as
euthanasia, patient confidentiality, informed consent, and conflicts of interest in
healthcare. In addition, medical ethics and culture are interconnected as different cultures
implement ethical values differently, and downplaying the importance of autonomy. This
leads to an increasing need for culturally sensitive physicians and ethical committees in
hospitals and other healthcare settings.
In summary, Medical Ethics is a code of practice by which Star Fleet doctors govern
their professional behavior to Federation, as well as to alien patients. Medical Ethics is
concerned with the many moral questions and dilemmas that have arisen in consequence
as a result of medical advances — questions such as the rightness of prolonging life by
extraordinary means, choices in allocating limited resources, decisions about organ
transplantation, the propriety of psychosurgery, how far research on fetuses is justified,
how trials of new drugs should be conducted, whether the diagnosis of genetic defects in
embryos is always justified and how far genetic engineering may ethically proceed.

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BASIC PRINCIPLES OF MEDICAL ETHICS
There are four basic principles of medical ethics. Each addresses a value that arises in
interactions between providers and patients. The principles address the issue of fairness,
honesty, and respect for fellow sentient beings.
Autonomy: People have the right to control what happens to their bodies. This
principle simply means that an informed, competent adult patient
can refuse or accept treatments, drugs, and surgeries according to
their wishes. People have the right to control what happens to their
bodies because they are free and rational. And these decisions must
be respected by everyone, even if those decisions aren’t in the best
interest of the patient.
Beneficence: All healthcare providers must strive to improve their patient’s
health, to do the most good for the patient in every situation. But
what is good for one patient may not be good for another, so each
situation should be considered individually. And other values that
might conflict with beneficence may need to be considered.
Nonmaleficence: “First, do no harm” is the bedrock of medical ethics. In every
situation, healthcare providers should avoid causing harm to their
patients. All Star Fleet medical personnel should also be aware of
the doctrine of double effect, where a treatment intended for good
unintentionally causes harm. This doctrine helps medical personnel
make difficult decisions about whether actions with double effects
can be undertaken.
Justice: The fourth principle demands that medical personnel try to be as
fair as possible when offering treatments to patients and allocating
scarce medical resources. All medical personnel should be able to
justify their actions in every situation.

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COMMON CONTROVERSIES IN MEDICINE
Ethical principles are fine in theory, but putting them into practice is more difficult. Every
situation is different, and ethical issues in medicine should be approached on a case-by-
case basis. The following lists a few of the more common controversies, and how
principles of medical ethics are applied to help solve them.
Abortion: Autonomy and nonmaleficence come into conflict in this issue.

How much right do female entities have over her body, and how
does that right balance with the rights of the unborn? Are there
some cases when a therapeutic abortion is ethically mandated?
Physician-assisted If physicians respect autonomy, can they deny a patient’s request
Suicide: to die? Should doctors, traditionally committed to prolonging life,
be involved in assisted suicide? How can providers honor the
conflicting requirements of nonmaleficence, beneficence, and
autonomy at the same time with this issue? This issue may also
depend upon the specific culture involved. For example, it is of
high honor that a Klingon dies as a result of battle, but it would
be dishonorable to simply die in suicide.
Conflicts of For informed consent and patient autonomy to mean something,
Interest: providers must tell patients what matters to their decision,
including the potential for conflicts of interest, such as provider
relationships with drug companies. Here, truthfulness is a primary
ethical issue.
Relief of Suffering To honor the principle of beneficence, providers should try to
at the End of Life: relieve suffering to the best of their ability. However, some of the
drugs that relieve suffering at the end of life can also hasten
death. The double-effect rule will help the physician to make
decisions in these difficult situations.
Medical Mistakes: Mistakes happen in all walks of life. But medical mistakes have
the potential for hurting people and thereby violating the principle
of nonmaleficence. Learning how to prevent mistakes, openly
reporting mistakes, and learning from mistakes will help the
physician to respect the principles of nonmaleficence, justice, and
beneficence.
Confidentiality: All four principles play a part in this issue. Can a patient’s medical
information be kept confidential in the electronic age? When can
confidentiality be breached? And who is allowed access to
confidential information? This is easy to handle since there are
Star Fleet Regulations that codify the handling of medical
records.
Healthcare Justice is the principle that applies in this issue. How can doctors
Rationing: fairly allocate limited healthcare resources to as many people as
possible, without limiting resources to those who currently have
them? Is it possible to reach a bare minimum of care for all? This
was an issue during the famine on Tarsus IV in the Federation
year 2246 (Stardate 14116.53).

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MEDICAL ETHICS CERTIFICATION
In general, Star Fleet healthcare professionals are required to make difficult decisions
every day as part of their jobs. For each situation that arises, they must strike a balance
between: providing effective care; doing what is best for a particular patient and for
society in general; and allowing a patient to have a voice in treatment options. To help
guide them when making difficult decisions, Star Fleet medical personnel must rely on a
set of guiding principles known as Medical Ethics. As such, the Star Fleet Division of
Medicine established and published the Star Fleet Manual of Medical Ethics
(BUMED-002), which contained such guiding principles. Therefore, as part of the Star
Fleet medical certification program, all Star Fleet medical professionals and enlisted
medical technicians must attend courses and training sessions pertaining to medical ethics.
This training and compliance program helps to ensure that Star Fleet medical workers are
informed about the medical ethics dilemmas they will face daily and how to address them
properly. In summary, adhering to known and accepted medical ethical standards and
guidelines will result in successful patient interaction, improved outcomes, proper legal
compliance, minimized financial losses, and reduction of any potential disputes or
litigation.
STAR FLEET BOARD OF MEDICAL ETHICS
As part of its commitment to medical ethics, Star Fleet created the Star Fleet Board of
Medical Ethics to oversee the quality of healthcare and healthcare providers within the
Star Fleet, and to ensure compliance with the standards and principles of medical ethics
throughout the service. A more detailed description of the Star Fleet Board of Medical
Ethics can be found in Section 1.8 of this manual.

OFFICIAL USE ONLY
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4.0 STAR FLEET MEDICAL OPERATIONS

As stated in Section 1.0 of this volume, the Star Fleet Division of Medicine is that
organization within the Department of the Star Fleet that is tasked principally with the
management and operation of Star Fleet base and station medical facilities, as well as the
personnel, equipment and procedures related to medical practice. As such, the most
important functions and operations that pertain to medical practice within the Star Fleet
will be discussed. Medical operations, as it is defined here, essentially means the functions
and tasks performed by the Star Fleet Division of Medicine for the maintenance of the
health and safety of members of the Star Fleet, as well as the humanitarian efforts to
those in need anywhere in space. This chapter is divided into five sections that deal with
the various operations performed by Star Fleet Division of Medicine. These operations
will be described in the sections below:
Section 4.1 describes the administrative operations performed by the Star Fleet Division
of Medicine, explicitly, the Star Fleet Bureau of Medicine and Surgery. As defined
by Star Fleet Command, ‘Administrative Operations’ are the procedures and actions
taken to implement and accomplish the internal functional and managerial processes of
the Star Fleet Division of Medicine.
Section 4.2 describes the basic command and management functions performed by Star
Fleet medical officers that administer or that are in command of Star Fleet medical
facilities. ‘Functional Operations’ is defined as those procedures and actions taken to
execute the basic operational functions required to manage any Star Fleet medical
facility. These will essentially be the functions performed by the Chief Medical Officer of
an independent medical command having the same authority as any other officer in
command as specified in Star Fleet Regulations 5461 and 5780.
Section 4.3 describes the various customary and specialized medical services provided by
professionals within the Star Fleet Division of Medicine. These are the customary
services provided by any and all primary care physicians throughout the Federation.
Section 4.4 describes the various methods and procedures that pertain to major medical
emergencies. This section will also discuss the primary Federation document governing
how galactic emergencies are to be handled by Star Fleet - the Federation Galactic
Emergency Procedures.
Section 4.5 describes the management of Star Fleet medical records. As such, this
section will describe the content of the medical records database, as well as the rules and
standards regarding medical record access and retention.

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STAR FLEET MEDICAL DIRECTIVES
As with other branches of the Star Fleet the Division of Medicine also publishes and
maintains instructions and regulations directed at those serving within the division and the
Star Fleet Medical Corps as a whole. Such instructions and regulations are contained
within applicable Bureau of Medicine and Surgery documents and manuals.
APPLICABLE STAR FLEET GENERAL ORDERS
Star Fleet General Orders also contain specific requirements to be executed by Star
Fleet medical personnel. As such, the following table lists the General Orders applicable
to Star Fleet medical personnel.
Table 10a40.1
TABLE OF STAR FLEET GENERAL ORDERS
SPECIFICALLY APPLICABLE TO MEDICAL PERSONNEL
General
Description
Order
Specifically, General Order 6 is designed to protect the Federation and its citizens from
unknown communicable diseases. If all the persons within a command perished because of
disease, General Order 6 is automatically implemented 24 hours after the last person has
6 died. This action protects other vessels or commands from infection when no one is available
to warn the vessel or command of the danger. In such a case, the Chief Medical Officer of the
command must submit the command’s Medical Log to Star Fleet Command prior to
destruction.
The purpose of this order is to prevent contact with worlds that may have an effect or that
may threaten the health, safety, or security of the United Federation of Planets. Such threats
to safety and security include, but not limited to, the health and safety to any persons in the
7 Federation, but may also include aspects or facets of the quarantined system that may have a
deleterious effect on the life forms of the quarantined planet as well. All Star Fleet medical
officers must be aware of the worlds that are listed as quarantined.
The purpose of this General Order is to establish the procedures required to isolate a
command from the dangers of disease or other agents that will adversely affect the health
and safety of the general public. Isolation of a command is required by law to prevent the
10 spread of such agents and disease to an unsuspecting public. General Order 10 can only be
invoked by the Commanding Officer of the command only after certification by the command’s
Chief Medical Officer.
General Order 13 directs Star Fleet Commanders to aid all spacecraft and persons in distress
per Star Fleet Regulation 6630. It is the duty and responsibility of all members of the Star
Fleet Service to help persons found to be in distress anywhere in space – whether within or
13 outside Federation territory. A person is considered to be in distress when that person is lost
in space, their vessel disabled, marooned, or injured. Star Fleet medical officers are required
to assist all persons in distress anywhere that they may be found.
General Order 19 reiterates the roles and responsibilities of Star Fleet Commanders to
protect and support Federation colonies, settlements and expeditions, and establishes the
19 rules governing the support and authority of Star Fleet over commercial and private colonies.
Specifically, this order sets the requirements for the medical examination by a certified Star
Fleet Medical Officer to be performed on a Federation outpost or colony on an annual basis.

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4.1 ADMINISTRATIVE OPERATIONS

Administrative Operations is defined as those procedures and actions taken to execute
the internal functions and mission of the Star Fleet Division of Medicine. For example,
these include establishing the criteria for qualification of medical personnel for duty,
developing standard medical practices, developing and enforcing the rules and regulations
regarding the conduct of personnel within the Division of Medicine, analyzing and
evaluating each medical facility in order to determine the appropriate complement of the
medical staff, analyzing and evaluating each medical duty station in order to establish the
allocations of the technical and functional specialties, etc. As such, this section will
concentrate on those operations relating to the administrative functions performed by the
Star Fleet Bureau of Medicine and Surgery.
DETERMINING NUMBERS AND TYPES OF ASSETS
Determining the number and types of Star Fleet medical facilities is directly linked to the
number and size of the Shore Establishment, as well as the number and size of the
Operating Forces. Therefore, the size requirement for medical facilities will essentially be
based upon the number of bases, stations and other shore facilities, the total number of
ship crews, the total number of troops, and the size of the civilian work force. The group
responsible for determining the medical force size is the Star Fleet Office of Medical
Personnel within the Star Fleet Bureau of Medicine and Surgery. In general, it is the
Star Fleet Office of Medical Personnel that evaluates the medical requirements of the
Department of the Star Fleet in terms of the numbers and types of doctors, surgeons,
professional specialists, nurses and enlisted medical technicians needed to support the
medical responsibilities of the Department, and will perform evaluations pertaining to the
requirements for medical personnel for the Operating Forces, as well as those of all Star
Fleet medical facilities.
DETERMINING THE LOCATION OF MEDICAL FACILITIES
Determining the location of Star Fleet medical facilities, specifically base medical facilities,
will be within the purview of the Star Fleet Office of Hospitals and Medical Facilities,
specifically, the Star Fleet Office of Hospitals and Medical Facilities. However, in
general, the location of Star Fleet medical facilities such as hospitals, medical centers and
such, will be based upon the location of Star Fleet bases as determined by the Star
Fleet Base Requirements and Specifications Section and the Star Fleet Office of
Strategic Planning as explained in Section 4.4 of Part 1 of Volume VI of the Star Fleet
Command Manual.
DETERMINING THE DESIGN OF MEDICAL FACILITIES
Determining the design of Star Fleet medical facilities will be under the purview of Office
of Medical Facility Design Requirements as stated in Section 1.1 of this manual. As
stated in Section 1.1, the function of this office to establish the basic design and operating
requirements for Star Fleet shore and ship medical facilities. As such, this office will work
primarily with the Star Base Systems Command and the Star Fleet Construction
Command in the design and construction of shore-based medical facilities.

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DETERMINING MEDICAL FACILITY COMPLEMENTS
In general, each medical command within the Star Fleet has a specific allowance, or
complement, of medical personnel allocated to it based upon the number of Duty
Stations the medical facility may require. As such, the complement may vary from
medical facility to medical facility depending upon the size of the facility and the number of
the various specialties required by the facility. This is primarily true for ground-based
hospitals and medical facilities. However, the compliments aboard ships and space stations
are usually constant, depending upon the size and class of the vessel or space station. This
is because all vessels and space stations within a specific class are designed and built the
same. However, for any new class of vessel or space station the complements must be
determined based upon the vessel's or station’s physical size and crew complement. Such
analyses will be performed by the Star Fleet Office of Medical Personnel in association
with the Office of Star Fleet Ship Personnel for ships, and the Office of Star Fleet
Base Personnel for space stations. In summary, each medical duty station. either aboard
a ship class or a space station type, will be evaluated in order to determine the proper
allotment of professional, technical and support personnel necessary to properly perform
the needed medical functions. Once the staff complement for any particular type of
medical facility has been established the Star Fleet Office of Medical Personnel will
work with the Star Fleet Bureau of Personnel regarding the creation and allocation of
the job billets needed at the facility, and to provide the Star Fleet Bureau of Personnel
with the requirements to fill these billets.
ALLOCATING MEDICAL PERSONNEL TO THE DIVISION
In general, most new Star Fleet medical officers will initially come from the Star Fleet
Academy’s College of Medicine and Dentistry, but many will come from the civilian
workforce as well. As such, the allocation of new medical officers and personnel into the
division will be handled by the Office of Medical Personnel Recruitment.
ALLOCATING MEDICAL PERSONNEL TO COMMANDS
Normally, once a medical command is fully staffed the Personnel Officer of the
command will usually make the necessary personnel requests to the Star Fleet Bureau
of Personnel regarding any vacancies that need to be filled. The Star Fleet Bureau of
Personnel will then contact the Star Fleet Office of Medical Personnel to determine
the availability of medical personnel for duty.
In general, the Personnel Officer of the command will receive a request from the
command’s Chief Medical Officer regarding the need to fill a vacancy or to acquire
specialized medical personnel. The Personnel Officer will then submit the request to the
Star Fleet Bureau of Personnel for such personnel. The Bureau of Personnel will
then contact the Star Fleet Office of Medical Personnel to ascertain the availability of
such requested medical personnel. As such, it will be the Star Fleet Office of Medical
Personnel that will select the appropriate personnel to fill the vacancy. It should be noted
that the Chief Medical Officer of the command may contact the Office of Medical
Personnel directly in order to ascertain whether such medical personnel are available.
Though the Chief Medical Officer of the command cannot directly request medical
personnel, but must follow procedure, the Chief Medical Officer may submit a request
to the command’s Personnel Officer for a specific individual or individuals.

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TRAINING AND CERTIFYING MEDICAL PERSONNEL
In general, billets, or job slots, within the Star Fleet Division of Medicine have specific
requirements regarding the qualification and training of the personnel who will fill those
slots. These requirements will normally be generated by the Office of Medical
Personnel Certification or by the Office of Civilian Medical Personnel, in the case
of civilians. It is the function of these offices to establish the criteria for the qualification of
personnel to perform the medical duties within the Star Fleet, and to establish the
minimum requirements in terms of education and job skills. Such certification requirements
are established by reviewing the functions performed in the various medical billets and as
such, develop the criteria for personnel qualification as it relates to these duties. The result
is the development of training programs designed such that all Star Fleet medical
personnel can meet the qualifications for medical duty within the Star Fleet. This includes
the requirement for continuous training and certification of medical personnel to perform
their healthcare and therapeutic duties.
TRAINING AND CERTIFYING CHIEF MEDICAL OFFICERS
In addition to training medical officers and enlisted Medical Technicians, the Star Fleet
Division of Medicine also has a program to train medical officers in the command and
administration of Star Fleet medical facilities as well. This program is basically required
for those who wish to be Chief Medical Officers and is managed by the Office of Star
Fleet Medical Officers. The program is generally taught at the Star Fleet Academy, or
at one of its annexes. The courses taken will be a mixture of medical facility administration
along with command training by instructors from the Star Fleet’s Commanding Officer
School, which is described in more detail in Section 8.4 of Volume III of the Star Fleet
Command Manual.
ASSIGNING PERSONNEL TO MEDICAL DUTY
Personnel allocated to medical duty will be assigned to medical job billets by the Star
Fleet Office of Medical Personnel based upon need and will base such assignments on
the qualifications of the job and the personnel that will fill them. Specifically, Star Fleet
medical service personnel will be assigned to medical billets by the Office of Military
Medical Personnel. Such assignments will be forwarded to the Star Fleet Bureau of
Personnel (BUPERS) for implementation as it is BUPERS that has the primary authority
to order personnel to duty stations. On the other hand, civilian medical personnel hired or
contracted by Star Fleet will be assigned to medical units by the Office of Civilian
Medical Personnel. Most of the medical assignments will be made for Star Fleet bases
and space stations.
Assignment to ship medical duty is a bit more complicated as it involves both the Star
Fleet Office of Medical Personnel and the Star Fleet Ship Personnel Assignment
Section of the Office of Star Fleet Ship Personnel. In addition, ship medical duty also
has additional requirements associated with it such as training in exobiology and alien
medicine. In addition, the Star Fleet Ship Personnel Assignment Section also
establishes the length of time for medical duty aboard ships and therefore, will develop the
schedules for rotation of medical personnel to and from ship as part of its Ship-Shore
Duty Rotation program for medical personnel who wish to be more flexible in their duty.
A more detailed look at the assignment process of medical personnel may be found in

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ASSIGNING CHIEF MEDICAL OFFICERS TO FACILITIES
Another important function of the Star Fleet Office of Medical Personnel is the
selection and assignment of Chief Medical Officers to command Star Fleet medical
facilities. This task will be handled by the Office of Star Fleet Medical Officers along
with the Star Fleet Office of Medical Personnel, together these two offices will
establish the criteria for qualification of Chief Medical Officers to become officers in
command of Star Fleet shore medical facilities, as well as the criteria for selection of
Chief Medical Officers to manage ship Sickbays in accordance with Star Fleet
Regulation 5780. However, these two sections can only make a recommended selection.
The actual selection of Chief Medical Officer will be made by the Medical Officer
Assignment Section, with approvals from the Commander: Star Fleet Medical
Officers, the Chief of Star Fleet Medicine, the Chief of Star Fleet Personnel and
with final approval of the Director: Star Fleet Command. The approved selection will be
sent to the Star Fleet Bureau of Personnel for final disposition and issuance of orders.
Moreover, the Star Fleet Office of Medical Personnel, specifically, the Office of
Medical Personnel Training, is also responsible for establishing the training programs
for the qualification of Chief Medical Officers for medical facility duty, and to establish
training programs to maintain current Chief Medical Officers up to date on medical
facility command management. As part of this function the Office of Medical Personnel
Training will establish or locate special facilities for the training and education of
prospective and current Star Fleet Chief Medical Officers. As such, this office will work
closely with the Star Fleet Training Command (TRAINCOM) in locating and
establishing these special facilities.
MEDICAL DUTY ROTATION[1]
Medical Duty Rotation is the planned and scheduled reassignment of personnel from
one medical duty station to another. In general, personnel assigned to Star Fleet medical
facilities located on Star Fleet bases will normally be stationed at the base for about six
years. This is because it takes at least two years to become knowledgeable regarding the
procedures used at the facility. In addition, this time may be longer if the professional is
an intern, which requires an additional two years of internship. On the other hand, medical
personnel working aboard Star Fleet space station and outpost Sickbays will normally be
stationed at the facility for about three years. This allows for a more frequent rotation of
medical personnel from station to station. However, it should be noted that only the most
experienced medical professionals and technicians will be assigned to stations. As a
general rule, there are no internships at Star Fleet space stations or outposts. Regarding
medical personnel stationed at other facility types such as space station, outpost and ship
Sickbays, the Star Fleet Bureau of Medicine and Surgery provides medical personnel
with the opportunity to work at the larger base medical facilities as well. In general,
Medical Duty Rotation is not mandatory except where there will be a need to fulfill a
specific billet on a particular station. As such, base and station medical personnel will be
given the opportunity to accept a post on another base or station.

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ESTABLISHING MEDICAL ORGANIZATIONAL STRUCTURES
One of the most important Administrative Operations performed by the of Star Fleet
Division of Medicine is to develop the essential organizational structures for the many
medical facilities, commands and units in accordance with Star Fleet Regulation 4140.
As such, the medical organizational structures basically define the "Chain of Command" of
the facility, command or medical unit. The organization responsible for developing the
various organizational structures will be of the Star Fleet Office of Hospitals and
Medical Facilities within the Star Fleet Bureau of Medicine and Surgery. An
example of the basic organizational structure for a typical large Star Fleet medical facility
can be seen in Figure 10a41.1, and for a typical Starship Sickbay: Figure 10a41.2.
ESTABLISHING MEDICAL DUTY STATIONS
In general, Medical Duty Stations are the specific functional or administrative areas,
sites, or locales at any Star Fleet medical facility. As such, Medical Duty Stations fulfill
the requirement set forth in Star Fleet Regulation 4150 regarding such medical duty
stations and therefore, Medical Duty Stations will be established, along with their
associated duty areas for specific medical functions, and will be manned by trained and
qualified medical personnel. The responsibility for establishing Medical Duty Stations
falls to the Star Fleet Bureau of Medicine and Surgery.
ESTABLISHING MEDICAL PROCESSES AND PROCEDURES
One of the basic functions of Star Fleet Bureau of Medicine and Surgery is to develop
medical processes and procedures. This particular function is the responsibility of the Star
Fleet Office of Medical Procedure. However, it should be noted that the majority of the
practices and procedures used by medical professionals within the Star Fleet are standard
throughout the United Federation of Planets, and that most of the procedures were
developed at Federation universities and medical facilities and adopted by Star Fleet.
The organization primarily responsible for developing the procedures and practices with
the Division of Medicine is the Star Fleet Office of Medical Procedure within the
Star Fleet Bureau of Medicine and Surgery.
The primary function of the Star Fleet Office of Medical Procedure is to establish and
maintain the standards of medical practice throughout the Department. As such, this office
establishes and maintains all the standards and regulations regarding sanitation and health
within the Department, and will work with the Office of Medical and Health Standards
to make such regulations and procedures standard across the entire Department. Not only
will this office develop standards, but will also develop and maintain the procedures used
during medical examinations and surgery.

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STAR FLEET MEDICINE
AUDITING MEDICAL PROCESSES AND PROCEDURES
To make certain that Star Fleet medical facilities and other medical commands have
developed and are properly executing their approved medical procedures the Star Fleet
Office of Medical Procedure, specifically, the Office of Medical Procedure Review,
will audit commands in the application and maintenance of their medical practices and
procedures. As such, this section will work with the Star Fleet Office of Examinations
and Audits in carrying out the internal review of Star Fleet medical facility policies, and
of medical practice and procedures and will report the findings of such audits, along with
any recommendations or suggestions, to the Star Fleet Inspector General (SFIG) and
to the Deputy Chief: Bureau of Medicine and Surgery (CMEDSRG). Based upon the
findings of the audit, the CMEDSRG will then determine a course of action, which may
involve the implementation of the recommendations to enhance such processes, policies or
procedures, or such other action as may be appropriate.
ESTABLISHING MEDICAL SUPPLY CAPACITY
Another basic administrative function of the Star Fleet Division of Medicine is to define
or identify the supply and equipment requirements of the division and to implement plans
and procedures to supply all the medical facilities throughout Star Fleet. The organization
responsible for managing the supply and provision function for the Division of Medicine
is the Star Fleet Office of Medical Supplies, and office within the Star Fleet Bureau
of Medicine and Surgery. In general, the function of the Star Fleet Office of Medical
Supplies is to furnish all Star Fleet hospitals, dispensaries and medical facilities with the
necessary medical equipment, tools, and consumable goods required for their proper
operation. Within this office the Office of Medical Supply Requirements will analyze
and determine the medical supply requirements for all the medical facilities within the Star
Fleet, which includes ship board, space station and planet-based medical facilities. As
such, this office will receive inputs from the various planning organizations regarding the
proposed size of the various medical facilities to be constructed and the possible material
requirements of those facilities. However, the responsibility for determining the number
and types of the large and permanently mounted equipment to be used at all Star Fleet
medical facilities is entrusted to the Office of Medical Equipment Requirements. This
office will work with the Office of Medical Facility Design Requirements in creating
the specifications for constructing and furnishing medical facilities with the equipment
needed to diagnose and treat patients. Lastly, regarding the currently operating medical
facilities, the Star Fleet Office of Medical Supplies will manage the provisioning of
those existing medical facilities with the tools, instruments and consumable goods required
for medical practice.

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STAR FLEET MEDICINE
ALLOCATING MEDICAL SUPPLIES
Allocating medical supplies for the department is principally the responsibility of the Star
Fleet Office of Medical Supplies, chiefly the Office of Medical Supply Acquisition.
As such, it is the function of the Office of Medical Supply Acquisition to procure
medical supplies for the Department; either by direct purchasing from an outside vendor,
or through the Star Fleet Supply Command. When directly purchasing from an outside
vendor, this office will work with the Star Fleet Office of Purchasing regarding the
purchase of medical supplies and equipment, and will manage the accounts used in the
purchase of medical equipment for the Star Fleet. Therefore, this office will report to the
Star Fleet Bureau of Finance and Accounting regarding the monies required and
spent by the division for medical supplies and equipment.
As part of the allocation process the Star Fleet Office of Medical Supplies will also
manage the receipt process, including the inspection of received supplies and equipment
for quality and to ensure the products meet Star Fleet standards. The organization
responsible for this task is the Office of Medical Supply Quality. In general, the
function of this office is to ensure the quality and safety of medical supplies, including all
drugs, medicines, as well as surgical tools and equipment. As part of its function, this
office will inspect all medical supplies and medicines that are received by Star Fleet to
ensure the quality of the medical products produced and manufactured by outside
vendors. This is accomplished through inspections, reviews and audits of manufacturing
processes and records.
STORING MEDICAL SUPPLIES AND EQUIPMENT
In general, allocated medical supplies and equipment destined for Star Fleet medical
facilities will normally be shipped to and stored on the premises of the local medical
facility. However, the larger Star Fleet ground bases and headquarters will have large
warehouse facilities for the storage of medical supplies and equipment. In addition, these
large warehouse facilities will be divided into storage facilities designed to store medical
supplies for the local medical facility and for those medical supplied and equipment
destined for fleet use. Space stations, on the other hand, will have an area of the station’s
Sickbay dedicated to the storage of the station's medical supplies and equipment,
including certain refrigerated areas designed to handle perishable medicines.
Medical supplies and equipment stored in warehouses and storage facilities designated for
fleet use will be managed by the local Star Fleet Supply Depot under the cognizance of
the Star Fleet Office of Material Management of the Star Fleet Supply Command.
The chief function of the Star Fleet Office of Material Management (SUPMGMT) is to
manage the accounting and storage of medical supplies destined for the fleet. As part of
its management function, this office will oversee the stock of goods and supplies procured
by the Office of Medical Supply Acquisition and will work with the Office of Medical
Supply Storage Requirements regarding the actual handling and storage of medical
supplies, drugs and equipment procured by the Star Fleet Office of Medical Supplies.

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STAR FLEET MEDICINE
ESTABLISHING ADMINISTRATIVE REQUIREMENTS
The Star Fleet Bureau of Medicine and Surgery also establishes and maintains the
basic administrative requirements and procedures needed to manage Star Fleet medical
facilities, and are contained in document BUMED-004, the Star Fleet Medical Officer’s
Handbook, a copy of which is provided in Appendix A. The following paragraphs provide
a look at some of administrative requirements contained in BUMED-004.
MEDICAL REPORTS, RECORDS AND CORRESPONDENCES
The administrative responsibilities that are contained within the Star Fleet Medical
Officer’s Handbook also include requirements and specifications regarding the type and
format of required medical documentation. Such documentation includes all medical
reports, medical records of Star Fleet and other personnel, letters and correspondences,
both written and electronic. The format for such medical documentation will be developed
by the Star Fleet Bureau of Medicine and Surgery, along with the Star Fleet Bureau
of Standards, and the forms and documents printed by the Star Fleet Bureau of
Records and Manuals. And as required by Star Fleet Regulation 8370, all medical
documents within the Star Fleet will be marked FOR OFFICIAL USE ONLY and as such,
cannot be disclosed or disseminated to anyone outside the Star Fleet without permission
from the Director: Star Fleet Command and the Judge Advocate General.
In general, all individual medical reports and records are confidential to the patient and
physician and therefore, will be marked CONFIDENTIAL per standard BUSTAND-0013.
As such, being confidential documents, personal medical records have very strict browsing
rules and therefore, cannot be disclosed to anyone outside the Department of the Star
Fleet as specified in Star Fleet Regulation 8370. In addition, medical records also
cannot be submitted as evidence in any civil court as required by Star Fleet Regulation
8380. Thus, all persons in command shall adhere to the specifications detailed in Star
Fleet Regulations 4510 and 4520 regarding medical records.
MEDICAL LOGS
As part of the specifications for medical documentation, a Medical Log is required to be

kept by all Chief Medical Officers in accordance with Star Fleet Regulations 4530
and 4540. Specifically, Star Fleet Regulation 4530 states that: “A Medical Log shall be
maintained by the Chief Medical Officer aboard each ship and base;” and that “The Chief
of Star Fleet Medicine shall prescribe regulations governing the contents, preparation and
storage of Medical Logs and adjunct records.” As such, Medical Logs are official and legal
documents of the command, as specified in Star Fleet Regulation 4540.
As stated above, the Chief Medical Officer of the command is required to maintain the
command’s Medical Log. All personnel assigned to duty as the Duty Medical Officer
shall make entries into the log and shall properly maintain the Medical Log. Entries into
the log include times and dates, the names of patients, the names of doctors and other
medical personnel involved in a medical procedure, medical procedures used, health and
sanitation findings of the command, mental health conditions, et cetera. However, only
professional medical opinions or recommendations shall be entered into the log. The
Medical Log shall not contain any personal opinion or any information of a non-medical
nature.

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STAR FLEET MEDICINE
PREPARING FOR EMERGENCIES
The Star Fleet Medical Officer’s Handbook also specifies requirements for the
preparation of medical emergencies at each medical facility. As such, the Chief Medical
Officer at each medical facility or command must develop an Emergency Medical Plan
for the entire command in keeping with Paragraph a of Star Fleet Regulation 4680.
EVALUATING MEDICAL FACILITY READINESS
One of the more important aspects of medical facility administration and management is to
ensure the facility is able to handle any medical emergency that may occur within or
around the command. Therefore, the Emergency Medical Plan for the command will be
periodically exercised through simulated emergencies. As such, the Star Fleet Office of
Hospitals and Medical Facilities will frequently implement scheduled and unannounced
medical emergency exercises at most of the more major medical facilities such as Star
Fleet Medical Centers, Starbase hospitals, and Star Fleet Station Infirmaries. Such
exercises will be accomplished by teams comprising personnel from the Star Fleet Office
of Examinations and Audits and medical personnel from the Star Fleet Office of
Medical Procedure.
Emergency medical readiness exercises aboard a Star Fleet ship, on the other hand, will
be handled by the Star Fleet Ship Readiness Section of the Office of Star Fleet Ship
Operations. Such exercises will be performed in conjunction with other readiness
exercises used to evaluate the overall operational performance of the vessel by Star Ship
Command*. Usually, only a single medical officer from the Star Fleet Office of Medical
Personnel will be present during the exercises in order to evaluate the performance of
the vessel’s Sickbay staff during the exercises. The results of such an evaluation will be
submitted to the Chief of Star Fleet Medicine for review and disposition.
Regarding the adequacy of emergency medical processes and procedures, the Office of
Medical Procedure Review will work with the Star Fleet Office of Examinations and
Audits and the Office of Medical and Health Standards regarding their review and
evaluation of Star Fleet medical processes, policies and procedures, the result of which
would be to make the necessary changes to such processes or procedures in order to
conform to standards or to enhance efficiency. Or, should the evaluation reveal an issue
with the implementation of emergency medical procedures, or of the medical command
itself, the Star Fleet Office of Medical Procedure may form an appropriate Medical
Board of Inquiry to investigate any procedural or personnel issue. The results from such
a Board of Inquiry will be submitted to the Chief of Star Fleet Medicine and/or the
Star Fleet Inspector General, whichever is appropriate
*See Section 1.2 in Volume II of the Star Fleet Command Manual regarding the functions performed by the Star
Fleet Ship Readiness Section.
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STAR FLEET MEDICINE
REQUIREMENTS FOR CONTINUED PROFESSIONAL TRAINING
The United Federation of Planets, being a large assemblage of many races, cultures
and therefore, many differing physiologies, requires that persons practicing medicine for
the Department of the Star Fleet or that are performing medical functions within Star
Fleet continuously update their knowledge of medicine and medical practice. Both enlisted
Medical Technicians and medical officers must continuously update their certifications.
As such, the Office of Medical Personnel Training is tasked with establishing the
standards and requirements for training and certification of all Star Fleet medical
personnel. Officers, must attend refresher classes and retake the medical exams every two
years. These classes are given at the medical schools at the various Star Fleet Academy
Annexes located throughout the Federation.
Enlisted Medical Technicians and Medical Specialists must refresh their certifications
by attending refresher or advanced classes and taking the Proficiency Examinations of
their specific rating within the division. The courses and exams must be taken no more
than every five (5) years. The courses and exams are taken at specific Fleet Schools.
Section 3.2 of this volume will make available the location of the various Fleet Schools
specializing in Star Fleet medical and healthcare functions.
STAR FLEET MEDICAL MANUALS
As stated in Section 1.1, the Star Fleet Bureau of Medicine and Surgery is responsible
for developing and maintaining the manuals and procedures to be used by the Division of
Medicine. The following table lists some of the more important manuals used by medical
personnel within the division.
Table 10a41.1
SAMPLING OF STAR FLEET MEDICAL MANUALS
Manual Title Description
Describes the general organization and function
Star Fleet Medical Division of the Star Fleet Division of Medicine. The manual
BUMED-001
Manual also presents the standards and regulations
established by the Division of Medicine.
Describes the standards and regulations
Star Fleet Manual of Medical
BUMED-002 regarding professional conduct and medical
Ethics
ethics within the Division of Medicine.
Describes and details the standards and
Star Fleet Manual of Medical procedures established for the practice of
BUMED-003
Practice medicine within the division, including approved
medical methods and techniques.
The handbook describes the duties, authority, and
Star Fleet Medical Officer’s responsibilities of Fleet Medical Officers. The
BUMED-004
Handbook handbook also describes the medical procedures
to be performed in the field.
Manual lists and describes the standard devices,
Star Fleet Manual of Medical instruments and equipment used by the Division
BUMED-005
Equipment of Medicine. The manual also establishes the
requirements for purchasing such equipment.

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STAR FLEET MEDICINE
Figure 10a41.1
GENERAL ORGANIZATIONAL STRUCTURE FOR A LARGE STAR FLEET MEDICAL FACILITY
1000 Commander:
CAPT Medical Facility
2000 Medical Facility

CMDR Executive Officer
2100 2200
Medical Personnel Medical Supply
LCDR Officer LEUT Officer
2300 2400
Medical Records Medical Facility
LEUT Officer LEUT Comptroller
2500 2600
Medical Training Medical Facility
LEUT Officer LCDR Security Officer
2700 2800
Patient Services Medical Facility
LEUT Officer LEUT Chaplain
3000 Medical Facility 4000 Chief Medical

CMDR Operations Officer CMDR Officer
3100 3200 3300 3400 4100 4200 4300 4400

Facility Facility Facility Facility Electronic
Chief Physician Chief Surgeon Chief Dentist Chief Psychologist
LCDR Engineering Officer LCDR Services Officer LEUT Maintenance Officer LEUT Systems Officer LCDR LCDR LEUT LEUT
3500 3600 Medical 4500 4600 4700 4800

Facility Information Medical Services Chief Medical
Transportation Chief Radiologist Chief Pharmacist
LEUT Services Officer LEUT LEUT LEUT Officer LEUT LEUT Laboratory Officer
Officer
4900
Head
LEUT Nurse

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STAR FLEET MEDICINE
Figure 10a41.2
TYPICAL STAR FLEET SHIP SICKBAY ORGANIZATION
4000 Chief Medical

Officer
LCDR
4001 Medical
Yeoman
T4
4100 4200 4300 4400

LCDR LCDR LEUT LEUT
4500 4600 4700 4800 Medical Laboratory

Chief Pathologist Chief Pharmacist Chief Radiologist
Officer
LEUT LEUT LEUT LEUT
4900
Head Nurse
LEUT

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STAR FLEET MEDICINE
4.2 MEDICAL COMMAND MANAGEMENT

Medical Command Management is defined as the policies, regulations, procedures and
actions taken to manage the internal operations of a Star Fleet medical establishment. In
general, the regulations and procedures employed at Star Fleet medical facilities for the
regulation of medical practice at the facility were developed and employed by the Star
Fleet Bureau of Medicine and Surgery, and are required to be employed by all Star
Fleet medical facilities. However, the specific policies and directives established for any
medical facility is the privilege and responsibility of the head of that medical facility, who
has the general title of Chief Medical Officer. As such, the function of this section is to
describe how such facilities are managed and the officer with the duty and responsibility
for managing the facility.
GENERAL MEDICAL FACILITY MANAGEMENT
Star Fleet medical facilities are Staff Corps activities and as such, will generally be
managed by an officer of the Medical Corps in accordance with Star Fleet Regulation
5780, which states: “The officer detailed to command a Star Fleet hospital or medical
facility shall be an officer of the Medical Corps, eligible for command, and shall have the
same authority over the hospital, facility or area, and the personnel contained therein, as
that described for any Commanding Officer. However, if such a medical facility is within a
line Starship, Hospital ship or attached to a shore command, the officer detailed to
command the hospital or medical facility shall come under the direct command of the
ship’s Commanding Officer or the base’s Commanding Officer, except if such medical
facility is an independent, detached command.” The rank or grade of the officer in charge
will depend upon the size of the medical facility as defined in Section 8.0 of this manual.
However, on very large medical facilities, such as Medical Centers, the management of
such facilities may be separated into two categories: facility operations and medical
functions with the overall facility under the command of a line officer from Star Base
Command. This division of authority can best be illustrated in Figure 10a41.1. In this
particular situation, the Chief Medical Officer, who will be in charge of all medical
personnel and medical functions, will be subordinate to the Facility Commander. On the
other side, the facility’s Operations Officer will have similar duties as a typical Base
Commander, being responsible for the general operations and care of the entire facility.
Specific instances of the Chief Medical Officer may be those in charge of the Medical
Department of a command and have such titles as Base Medical Officer or Station
Medical Officer.
On moderately-sized and small medical facilities, the facility will be under the management
of the Chief Medical Officer, who will function as the Commanding Officer of the
facility as specified in Star Fleet Regulation 5780. Therefore, facilities such as Star
Fleet Hospitals and ship Sickbays, will be under the command of the Chief Medical
Officer who will be an officer of the Medical Corps, and will be responsible for all the
personnel and the activities that occur at the facility.

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STAR FLEET MEDICINE
CHIEF MEDICAL OFFICER
As stated above, the Chief Medical Officer is the senior officer of a medical command
and will have all the same authority and responsibility as any Star Fleet Commanding
Officer as specified in Star Fleet Regulation 5461: “An officer of the Medical Corps
detailed as Chief Medical Officer of a command shall have full authority over the medical
personnel and facilities under his command, including those medical facilities attached to
or part of an existing command under the authority of a line Commanding Officer.”
RESPONSIBILITIES
The essential responsibilities of the Chief Medical Officer are outlined in the Star Fleet
Medical Officer’s Handbook. Specifically, the Chief Medical Officer of a command
shall be responsible for:
1. The overall health and fitness of all Star Fleet servicemembers in accordance with
Paragraph b of ARTICLE 55 of the Star Fleet Charter, all civilians employed by the
command, persons visiting the command, and all persons found in distress out in deep
space in accordance with ARTICLE 9 of the Star Fleet Charter.
2. Rendering medical and humanitarian aid to all sentient beings. When encountering
situations where humanitarian aid will be necessary, the Chief Medical Officer of the
command shall make every effort to convince the Commanding Officer of the
command to render such aid as necessary or available.
3. The medical and logistical preparedness of his or her medical command or facility, and
to ensure that the command contains the proper instructions and procedures
pertaining to the handling of medical emergencies as required by Star Fleet
Regulation 4680.
4. Ensure all medical personnel under his or her charge are adequately and properly
trained in their duties and are qualified to perform their medical functions, and that
they are certified to execute their duties.
5. For the actions of all the members of his or her staff, and for everything that happens
at his or her medical facility; to ensure that all medical procedures are properly carried
out by his or her staff per Paragraph 1 of Star Fleet Regulation 4120.
6. For the sanitation and cleanliness of all medical areas; for inspecting and evaluating all
food preparation areas for cleanliness and sanitation as required by Star Fleet
Regulation 8420; and for the sanitation and hygiene of all living spaces as required
by Paragraph 5 of Star Fleet Regulation 4310.
7. For the economy within his or her command; to require that all his subordinates rigidly
comply with the regulations governing receipt, accounting, and expenditure of
Federation money and materials per Star Fleet Regulation 4790.
8. For maintaining accurate and complete medical records, including all personal medical
records, records of medical procedures, records of medical examinations and findings,
birth and death certificates, medical personnel certifications, and all medical logs and
correspondences related to medical matters.
9. For the security of his or her command including: the control of all visitors, for the
security of personal property, for the security of the command from dangers and risks
to life and property, from illegal searches and seizures, or from disclosing personal and
medical records per Star Fleet Regulations 4420, 4460, 4670, 4770, and 8370.

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STAR FLEET MEDICINE
AUTHORITY
The authority of a Chief Medical Officer comes directly from Star Fleet Regulations,
and from those other authorities and directives as the Director: Star Fleet Command
and the Chief of Star Fleet Medicine has conferred upon him. As such, the Chief
Medical Officer of a command has certain authorities and privileges not given to other
officers that may be in charge. As such, the Chief Medical Officer has the authority to:
1. Determine the fitness, both physically and mentally, of personnel to perform their
lawful duty, and to certify that the individual is capable of performing such duties as
specified in Star Fleet Regulation 8710. Should an individual fail to meet the
requirements for fitness, the Chief Medical Officer has the authority to remove that
individual from duty.
2. Have the Commanding Officer of his or her command relieved from command upon
a negative outcome of an examination for fitness to command under Paragraph c of
Star Fleet Regulation 4210.
3. Control the access to the medical records of the individuals assigned to or employed
by the command as stated in Paragraph 2 of Star Fleet Regulation 4520. Only the
Chief Medical Officer, the Commanding Officer, the Personnel Officer and the
service member him or herself of the command may access and view the medical
records of that service member unless otherwise permitted by higher authority.
4. Have absolute control over all that happens within his medical facility including the
authority to control access to the facility, control over all that comes in and out of the
facility, the control and prohibition of arms within his facility, and the authority to
create policies restricting access to patients, medical staff and equipment.
5. Override a medical procedure being performed or suggested by a medical professional
working at the command. While performing his or her function, the Chief Medical
Officer of the command may stop any medical procedure and suggest or require the
execution of a different medical procedure, regardless of the power or expertise of the
performing physician or surgeon. However, in so doing, the Chief Medical Officer
shall bear full responsibility for the outcome of his or her decision. In addition, all
visiting physicians and medical personnel shall come under the authority of the Chief
Medical Officer of the command.
6. Shutdown or close any facility or workspace that does not meet Federation standards
for cleanliness, sanitation and hygiene. However, this applies only to those facilities
and spaces that could have a deleterious effect on the health and wellbeing of its
occupants or workers.
7. Certify the deaths of persons that have died at the command in accordance with Star
Fleet Regulation 4471. However, in the case of deaths by murder or by other
criminal activity where the event comes under the jurisdiction of law enforcement, a
Star Fleet Medical Examiner will be required to ascertain the cause of death before
the certification of death can be finalized.
8. Certify the births of individuals or entities born at the command. In certifying births,
the Chief Medical Officer shall also certify and ensure that the new born is
completely healthy and ready for life. However, as for the regard and sanctity of life as
stated in the Articles of Federation, the Chief Medical Officer of the command
shall not permit the premature termination of a life through abortion or other means,
and shall not permit any of his or her staff to recommend or partake in any such
procedure.

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STAR FLEET MEDICINE
DUTY MEDICAL OFFICER
The Duty Medical Officer is that medical corps officer designated by the Chief Medical
Officer of the command to perform the duties of the Chief Medical Officer while he or
she is away, and to manage the medical functions for the period of time designated by the
Chief Medical Officer. As such, the Duty Medical Officer will have the same or similar
duties as that of an Officer of the Day for command line officers. For large organizations
with many medical professionals working each day, the Duty Medical Officer will be the
person in charge. For smaller organizations, such as for a Starship Sickbay, the Duty
Medical Officer may be a single individual responsible for the entire facility.
Medical professionals from other medical corps will not be assigned duty as Duty Medical
Officer. These professionals are: Dentists, Pharmacists, Psychologists and Psychiatrists,
and certain Medical Services Corps professionals. Lastly, nurses will never stand the
Duty Medical Officer watch since their role traditionally is to support the physician. The
primary qualification to stand the Duty Medical Officer watch is to have some training or
experience in surgical procedures.
DUTY MEDICAL PROFESSIONAL
A Duty Medical Professional is a generic term for a Star Fleet medical professional
who is assigned the duty as the primary medical specialist for the day. Examples include:
Duty Dentist, Duty Psychologist, Duty Radiologist, Duty Cardiologist, etc. These individuals
are the medical professionals who work in a specific medical department at a Star Fleet
medical facility. All such duty medical professionals will come under the supervision and
command of the Duty Medical Officer for the day each of them has the duty.
CHIEF NURSE
The title of Chief Nurse is assigned to an individual from the Nurse Corps in charge of
all the nurses and nurses’ aides at a Star Fleet medical facility. As such, the Chief Nurse
has the same authorities and responsibilities as a Chief Medical Officer of the command
as it relates to nursing, but who is subordinate to the Chief Medical Officer. In general,
the position and billet of Chief Nurse is normally reserved for large medical organizations
such as at Star Fleet Medical Centers, Starbase Hospitals and other smaller shore-
based medical facilities.
HEAD NURSE
The Head Nurse is that Nurse Corps officer designated by the Chief Nurse of the
command to perform the duties of the Chief Nurse while he or she is away, and to
manage the nursing functions for the period of time designated by the Chief Nurse.
However, the title of Head Nurse is also applied to the topmost individual of the Nursing
Department of smaller medical facilities, such as on ship Sickbays. In these smaller
medical organizations, the Head Nurse will have the same authority and responsibilities
as the Chief Nurse on the larger medical facilities. In these smaller organizations the
person assigned nursing duties for the day will have the designation of Duty Nurse,
whose primary function it is to support the Duty Medical Officer.

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STAR FLEET MEDICINE
MEDICAL COMMAND MANAGEMENT FUNCTIONS
As stated in Section 4.1 of this manual, the Star Fleet Bureau of Medicine and
Surgery also establishes and maintains the basic administrative requirements and
procedures needed to manage Star Fleet medical facilities that shall be executed by all
medical personnel in charge of a medical facility. The following are some of the various
command functions that must be administered by those in charge of medical facilities.
MEDICAL PROPERTY MANAGEMENT
One of the most important administrative functions is the management of the medical
facility’s property. Property management means the administration and control of facility
funds and accounts, the control of drugs and medicines, the control of equipment and
supplies, as well as the management and control of the facility’s buildings, structures and
grounds. In general, the Chief Medical Officer of the command has the exclusive
responsibility for the management of his or her facility and the property contained therein
or thereabouts. All medical property, and the management of such property, is covered
under Star Fleet Regulations 8760, 8761, 8770, 8790, 8791 and 8792, and is
further specified in Chapter 4 of the Star Fleet Medical Division Manual.
In addition, the Chief Medical Officer is also responsible for the visitors at the facility as
well, as specified in Star Fleet Regulation 4420. In most cases, visitors will be those
loved ones or individuals that wish to call on a patient at the facility. As such, the Chief
Medical Officer will establish the policy regarding visitation rights and the hours allowed
for such visits.
MEDICAL DOCUMENT MANAGEMENT
One of the most important administrative functions performed by those in command of a

medical facility is the management of the various medical documents and records created
at the facility. Specifically, Paragraph 2 of Star Fleet Regulation 8820 clearly states that
“Records pertaining to the physical and mental fitness of all officers and enlisted
technicians of the Star Fleet shall also be maintained, which shall also reflect on their
fitness for service,” and that such records be kept proper and up to date as required by
Medical documents also include the facility’s Medical Log, as required to be maintained
by Star Fleet Regulation 4530, which is an official record of the command as stated in
Star Fleet Regulation 4540. As such, the Chief Medical Officer of the command is
required to maintain the Medical Log and shall issue policies concerning the contents of
the log and who can make entries into the log.

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STAR FLEET MEDICINE
MEDICAL COMMAND PERSONNEL MANAGEMENT
As previously stated, one of the foremost responsibilities of the Chief Medical Officer is
the management of the personnel under his or her command. As such, the Chief Medical
Officer is responsible for the actions of every member of his or her staff, and for
everything that happens at his or her facility. This is accomplished through education and
training so that all members of the staff are properly trained in their duties and qualified to
perform their medical functions. Therefore, the Chief Medical Officer shall require that
the medical personnel under his or her command be recertified every two years. In most
cases this function will be handled by the Medical Personnel Officer of the command.
However, on the smaller medical facilities, the function of personnel management will fall
onto the Chief Physician of the command.
In addition to ensuring that the personnel under the authority of the Chief Medical
Officer are properly trained and certified to perform their duties, the Chief Medical
Officer shall also instill in his or her personnel a philosophy of patient-focused care.
Medical facility managers must foster a commitment among its physicians, nurses and
administrators to going the extra mile on behalf of their patient’s care. Such patient-
focused care has a direct link to the quality and safety of the healthcare provided as it is
vital to build a respectful and trusting relationship between doctor and patient. The greater
confidence patients have in the staff’s abilities, the better able the staff will be to foster
patient recovery. In general, healthcare providers have a legal and moral obligation to
ensure a high quality of patient care and to strive to improve such care. This aspect of
medical staff management is good a segue to the next subsection on patient management.
MEDICAL PATIENT MANAGEMENT
The most important administrative function concerns the patients themselves. In general,
patient management is the professional interaction, from intake to discharge, between the
patient and the health care team. It includes communication, empathy, examination,
evaluation, diagnosis, prognosis, and intervention. The purpose for such proper patient
management is to:
• Reduce Readmission. It is not proper medical efficiency to have a patient leave the
facility only to be readmitted soon after. Therefore, the medical staff must focus on
thoroughness and accuracy in their diagnosis and treatment.
• Patient Advocacy. Nothing is more troubling to a patient, not to mention detrimental
to their recovery, than having a medical professional be inconsiderate or indifferent
concerning their condition or their health.
• Improve Outcomes. This is the primary focus of every Chief Medical Officer.
Medical personnel must continuously strive to improve the care they provide their
patients in order to increase medical efficiency, success and to inspire confidence in
the staff’s abilities.
Patient management also includes capacity management as well. That is, managing the
number and type of care units at the facility. Chief Medical Officers must ensure that
they are prepared to handle any medical emergency, and to have, at their disposal, all the
necessary staff, space, equipment, and supplies to meet such emergencies.

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4.3 CONVENTIONAL MEDICAL SERVICES

Conventional medical services, as defined here, are those standard and traditional services
that have been provided by general practitioners down through the centuries. As such, this
section will provide a detailed description of the various conventional and essential medical
services provided by Star Fleet medical personnel.
PREVENTIVE CARE
Preventive care is any medical service that defends against health emergencies. It includes
periodic visits to physicians, such as for annual or quarterly physicals; prenatal, pregnancy,
delivery and postpartum care; dental care and more. In addition, preventive care may
include the taking or medications and vitamin supplements. That is, some medicines are
preventive, such as immunizations, contraception, and allergy medications.
Within the Star Fleet preventive care is employed through regular exercise or physical
activity, along with periodic and scheduled medical checkups. All Star Fleet facilities and
ships are built with gymnasiums or areas where personnel can exercise and workout. This
is a stipulation as set forth in Paragraph b of Star Fleet Regulation 4610, which
requires that Commanding Officers: “Maintain a satisfactory state of health and fitness
of the personnel under his command, and to afford an opportunity or provide such
facilities or places where the fitness of the personnel under his command may be exercised
within reasonable restrictions regarding space and time; and to afford such facilities or
places for the rest and relaxation of the personnel under his or her command .” Exercise
equipment is provided at each of these locations for use by both service personnel and
civilian employees.
The second aspect of preventive care is the services provided by Star Fleet medicine.
Such services include:
• Scheduled Physical Checkups – this is a requirement under regulations. For Star

Fleet ships and space stations operating in deep space, physical checkups shall be
performed quarterly as shown in Figure 10a43.1; for personnel at Star Fleet bases
and headquarters, physical checkups shall be performed bi-annually. Such checkups
include dental examinations and oral cleaning as well.
• Frequent Scheduled Examinations for Specific Conditions – this is to handle
chronic physical ailments or conditions in order to prevent them from expanding to a
more serious condition; or for prenatal and pregnancy care; or for pediatric care.
• Scheduled and Impromptu Immunizations – this is a requirement specified in
Star Fleet Regulation 8721, which states: “Persons in the Star Fleet Service shall
permit such actions to be taken to immunize themselves against disease as is
prescribed by competent authority.”
• Scheduled or Periodic Psychological Evaluations – this is to evaluate personnel
for their fitness for duty as required under Star Fleet Regulation 8710.
In summary, preventive care is the pattern of nursing and medical care that focuses on
disease prevention and health maintenance. It includes early diagnosis of disease,
discovery and identification of people at risk of development of specific problems,
counseling, and other necessary intervention to avert a health problem.

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SPECIALITY CARE
Specialty care is the services provided to remedy or address a specific or specialized

medical condition. Such specialties include, but are not limited to: Cardiology,
Dermatology, Endocrinology, Gastroenterology, Immunology, Neurology,
Obstetrics and Gynecology, Prosthetics, Oncology and Hematology, Nephrology,
Ophthalmology, Orthopedics, Otolaryngology, Rheumatology, Urology, just to
name a few. As such, most of the specialty care will be performed by medical specialists,
including many medical professionals from the Star Fleet Medical Services Corps.
However, some of the general practitioners may also get involved in specialty care as well.
For example, a general practicing medical officer may prescribe Retnax V[2], a medication
used to treat certain forms of nearsightedness, for some patients, though they are not eye
specialists.
EMERGENCY CARE
Emergency Medicine, also known as accident or emergency medicine, is the medical

specialty concerned with the care of illnesses or injuries requiring immediate medical
attention as illustrated in Figure 10a43.2. As such, the Star Fleet College of Medicine
and Dentistry has a program whereby medical officers can specialize in Emergency
Medicine. Thus, Emergency Physicians perform care for unscheduled and
undifferentiated patients of all ages and types. As first-line providers, their primary
responsibility is to initiate resuscitation and stabilization and to start investigations and
interventions to diagnose and treat illnesses or injuries in the initial or acute phase.
Emergency Physicians generally practice in Star Fleet hospital emergency
departments, pre-hospital settings via emergency medical services, and intensive care
units, but may also work in primary care settings such as Star Fleet clinics*. Sub-
specializations of Emergency Medicine include disaster medicine, medical toxicology,
ultrasonography, critical care medicine, hyperbaric medicine, radiation medicine, space
medicine, and palliative care.
Emergency medical services also includes onsite emergency medical care. This will usually
be performed by Star Fleet Emergency Medical Technicians, trained and certified to
give emergency medical care to persons before they reach a healthcare facility, but who
are not professional doctors or nurses. These medical technicians essentially provide
urgent pre-hospital treatment and stabilization for serious illness and injuries and transport
to definitive care, and will usually arrive at the scene in special emergency vehicles, or are
transported via Transporter.
*Star Fleet Clinics are described in more detail in Section 8.0 of this manual.

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SURGERY
In general, Surgery is the branch of medicine that is concerned with the treatment of
injuries, diseases, and other disorders by manual and instrumental means. Surgery
involves the management of acute injuries and illnesses as differentiated from chronic,
slowly progressing diseases, except when patients with the latter type of disease must be
operated upon. As such, surgery, if required, will only be performed only by certified Star
Fleet surgeons and trained physicians. Some of the most common surgical operations
done on human service members, their family members, and other persons by Star Fleet
surgeons include the following:
Table 10a43.1
SAMPLE LIST OF COMMON HUMANOID SURGICAL PROCEDURES
Procedure Description
The surgical removal of the appendix, typically caused by an appendicitis, or the acute
Appendectomy
inflammation of this tube due to infection.
The surgical procedure to remove blockage from carotid arteries, the arteries located in
Carotid
the neck that supply blood to the brain. Left untreated, a blocked carotid artery can lead
Endarterectomy
to a stroke.
Surgery involving the removal of a cloudy lens, which is replaced with a clear artificial
Cataract Surgery
lens implant.
The surgical delivery of a baby by an incision through the mother's abdomen and uterus.
Cesarean Section This procedure is done when doctors determine it a safer alternative than a vaginal
delivery for the mother, baby, or both.
Cholecystectomy Surgery to remove a human gallbladder as a result of gallstones and infection.
Surgical procedure to create a coronary bypass by grafting a piece of a vein above and
Coronary Artery
below the blocked area of a coronary artery, enabling blood to flow around the
Bypass
obstruction.
The surgical removal of foreign material and/or dead, damaged, or infected tissue from a
Debridement
wound or burn.
Hysterectomy the surgical removal of a woman's uterus.
Inguinal Hernia A surgical procedure to repair Inguinal Hernias, or bulging of the small intestines through
Repair a weak area in the lower abdominal muscles.
Surgery performed on the back in order to relieve pain, or repair an abnormal backbone,
Lower Back
stress on the back, injury or a physical disorder when all other options have been
Surgery
considered.
Mastectomy The surgical removal of all or part of the female breast.
(All Types)
Surgical procedures performed in or around the mouth and jaw, usually by a dental
Oral Surgery
specialist who’s trained to perform certain kinds of oral surgeries.
Orthopedic Surgeries performed on the musculoskeletal system such as Lower Back Surgery.
Surgery
The surgical removal of part of the large intestine (colon) which may be done to treat
Partial Colectomy
cancer of the colon or inflammatory conditions such as ulcerative colitis or diverticulitis.
Prostatectomy The surgical removal of all or part of the male prostate gland.
The process of detaching healthy skin from one part of the body to repair areas of lost or
Skin Grafts
damaged skin in another part of the body.
Tonsillectomy The surgical removal of one or both tonsils.
As a general rule, cosmetic surgery is not allowed to be performed by Star Fleet medical
personnel or performed at Star Fleet medical facilities, except to correct a physical
disfigurement as a result of an injury that occurred while on duty. Examples of the kind of
surgeries performed by Star Fleet medical personnel can be seen in Figures 10a43.3 and
10a43.4.

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MEDICAL ANALYSES
Medical Analysis is another form of service provided by Star Fleet medicine. All such
analyses will be performed at a Star Fleet Medical Laboratory. A Medical Laboratory
is a place where clinical pathology tests are carried out on clinical specimens to obtain
information about the health of a patient to aid in diagnosis , treatment , and prevention of
disease. Clinical medical laboratories are an example of applied science, as opposed to
research laboratories that focus on basic science, such as found in some academic
institutions. In general, Medical Laboratories vary in size and complexity and so offer a
variety of testing services. More comprehensive services can be found in Starbase
hospitals and Star Fleet Medical Centers, where 70% of clinical decisions are based on
laboratory testing. Also, Star Fleet ship Sickbays usually have laboratories that provide
more basic testing services. An example of such medical testing performed in a Starship
Sickbay laboratory can be seen in Figure 10a43.5.
In general, a standard laboratory test will check a sample of blood, urine, or body tissue. A
qualified Star Fleet Medical Technician or your Medical Officer will then analyze the
test sample(s) to see if the results fall within normal or a specific range. Such tests use a
range of values because what is normal differs from person to person and from species to
species. Many factors affect test results. A list of the more common laboratory tests is
provided in the table below.
Table 10a43.2
LIST OF COMMON MEDICAL LABORATORY ANALYSES
Analysis Description
This test, also known as a CBC, is the most common blood test performed. It measures
Complete Blood the types and numbers of cells in the blood, including red and white blood cells and
Count platelets. This test is used to determine general health status, screen for disorders and
evaluate nutritional status.
this test measures how long it takes blood to clot. This coagulation test measures the
presence and activity of five different blood clotting factors. This test can screen for
Prothrombin Time
bleeding abnormalities, and may also be used to monitor medication treatments that
prevent the formation of blood clots.
measures glucose, sodium, potassium, calcium, chloride, carbon dioxide, blood urea
nitrogen and creatinine which can help determine blood sugar level, electrolyte and fluid
Basic Metabolic balance as well as kidney function. The Basic Metabolic Panel can help your doctor
Panel monitor the effects of medications you are taking, such as high blood pressure
medicines, can help diagnose certain conditions, or can be part of a routine health
screening.
Comprehensive Combines the Basic Metabolic Panel with six more tests for a more comprehensive
Metabolic Panel evaluation of metabolic functions, with a focus on organ systems .
A group of tests used to evaluate cardiac risk. It includes cholesterol and triglyceride
Lipid Panel
levels.
a combination of tests used to assess liver function and establish the possible presence
Liver Panel
of liver tumors.
Thyroid Stimulation This test screens and monitors the function of the thyroid.
Hemoglobin A1C This test is used to diagnose and monitor diabetes..
A general screening test used to check for early signs of disease. It may also be used
Urinalysis
to monitor diabetes or kidney disease.
Cultures are used to test for diagnosis and treatment of infections. Illnesses such as
Cultures urinary tract infections, pneumonia, strep throat, MRSA and meningitis can be detected
and tested for appropriate antibiotic treatment.

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LONG TERM CARE
Another service provided by Star Fleet medicine is long-term care. In general, Long-
term Care, or LTC, is a variety of services which help meet both the medical and non-
medical needs of Star Fleet service members with a chronic illness or disability who
cannot care for themselves for long periods. Long term care is focused on individualized
and coordinated services that promote independence, maximize patients' quality of life,
and meet patients' needs over a period of time. As such, it is common for long-term care
to provide custodial and non-skilled care, such as assisting with normal daily tasks like
dressing, feeding, using the bathroom. Increasingly, long-term care involves providing a
level of medical care that requires the expertise of skilled practitioners to address the
multiple chronic conditions associated with some space-born injuries or injuries resulting
from exposure to high-energy radiation. Long-term care of Star Fleet service members
can be provided at home, in the community, in assisted living facilities or in designated
nursing homes. In general, most of the LTC of service members will be provided at Star
Fleet Veteran’s hospitals and long-term care facilities.
VETERAN HEALTHCARE
One of the most useful benefits provided to Star Fleet Service veterans is medical care.
Most veterans are entitled to medical care that covers preventative services, treatment and
diagnostic services, as well as hospital stays. As such, Star Fleet veterans can go to any
of the many Star Fleet Veteran’s Hospitals, managed by the Star Fleet Bureau of
Veterans Affairs, which are located on every planet within the United Federation of
Planets. The types of medical services provided to Star Fleet veterans and their
immediate family include: Inpatient and outpatient care at Star Fleet veteran medical
facilities, mental health care, women veterans and spousal health care, prescription drugs
from approved providers, Long-term Care depending on needs, income, and space
availability, and care from community health care providers when Star Fleet can’t provide
the needed service. This is based on certain conditions and eligibility requirements.
For veterans with serious and permanent disabilities, the Star Fleet Office of Disabled
Veterans was created to manage and provide the services to disabled veterans. Primarily,
this will be in the form of long-term nursing care. Thus, Star Fleet veterans are given
opportunities for nursing home care that are not available to the general population. For
example, there are two types of nursing home care available to veterans: a) SFVET
Nursing Homes, and b) community nursing homes. To aid in this need, the Disabled
Veteran Long-Term Care Section was created to manage those persons that were
transferred out of active service and discharged under a medical disability suffered while
on active duty in Star Fleet. Most of the disabled veterans will permanently reside in a
veterans’ hospital, but there may be those who will live at home and be cared for by a
loved one or a private medical service.

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OTHER REQUIRED MEDICAL FUNCTIONS
Star Fleet medical personnel may, from time to time, be required to perform other
medical functions as may be necessary, based upon the situation. For example, and during
a time of mass casualty or of a massive medical emergency, Star Fleet medical personnel
will be required to practice their profession on those that are not in the Star Fleet
Service as may be directed under Star Fleet Regulation 6620, which states: “The
senior officer present may require the officers of the Medical Corps, Medical Services Corps
and Dental Corps under his authority to render emergency professional aid to persons not
in the Star Fleet Service when such aid is necessary and demanded by the laws of
humanity or the principles of interplanetary courtesy.”
SERVICES TO FEDERATION COLONIES AND EXPEDITIONS
As provided in the ARTICLE 21 of the Star Fleet Charter, Star Fleet is given broad
authority and responsibility over all colonies and expeditions in deep space. This authority
extends to private, academic and commercial colonies and expeditions as well as those
initiated and maintained by Star Fleet. As part of its responsibility, Star Fleet is required,
by law, to perform periodic medical examinations of the members of such enterprises.[3]
Specifically, Star Fleet Regulation 6621 requires that a qualified Star Fleet surgeon
certify the health of colonists and research personnel located on alien planets every year,
as stated here: “The senior officer present shall require the officers of the Medical Corps,
Medical Services Corps and Dental Corps under his authority to perform regular medical
inspections, examinations and other professional services to persons situated on
Federation colonies and expeditions. All research personnel on alien planets are required to
have their health certified by a Star Fleet surgeon at one Federation year intervals .” An
example of an annual health certification can be seen in Figure 10a43.6.
HEALTH INSPECTIONS
Star Fleet medical professionals are required to periodically perform certain inspections as
specified in Star Fleet Regulation 4310, which states, in part, that: “The Chief Medical
Officer of a command shall hold periodic inspections of living quarters, sanitary areas,
medical areas and food preparation areas for hygiene and sanitation, and shall report to
the Commanding Officer of the results of such inspection .” As such, this provides the
Chief Medical Officer, and all Medical Officers under him, a broad definition regarding
what is cleanliness.

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Figure 10a43.1
EXAMPLE OF QUARTERLY PHYSICAL CHECKUP

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Figure 10a43.2
EXAMPLE OF EMERGENCY MEDICAL CARE

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Figure 10a43.3
EXAMPLE OF MINOR SURGERY ABOARD A STAR FLEET SHIP

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Figure 10a43.4
EXAMPLE OF EXTENSIVE SURGERY ABOARD A STAR FLEET SHIP

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Figure 10a43.5
EXAMPLE OF MEDICAL LABORATORY WORK

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Figure 10a43.6
EXAMPLE OF YEARLY MEDICAL EXAMINATION OF FEDERATION COLONISTS

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4.4 EMERGENCY MEDICAL OPERATIONS

This section will provide a relatively detailed description of the various emergency medical
services provided by Star Fleet. Emergency medical operations, as defined here, are the
functions and services provided to persons and populations outside of the Star Fleet and
not those emergencies that may happen to individual service members as described in
Section 4.3 of this manual. The emergency medical operations described in this section will
generally involve Federation citizens, and which are basically humanitarian in nature.
In general humanitarian assistance is the responsibility of every member of the United

Federation of Planets. However, when a planet or social system is struck with disaster,
it is the specific duty of Star Fleet to come to the aid of the stricken planet or system. Aid
may be in the form of food or medical supplies and attention; to provide the equipment
and materials needed to mitigate or prevent the disaster from worsening; to provide
transportation for evacuation, and to provide, to the extent possible, shelter.
In addition to humanitarian support to planets and systems, Star Fleet has the duty and
responsibility to assist persons, ships and craft that are in distress in open space. Distress
in space may be defined as problems with the spacecraft, collision with another spacecraft,
persons stranded on a planet or in space, or persons lost in space. In all cases, the nearest
Star Fleet vessel or medical facility is required to proceed with all possible speed to the
vessel or persons in distress, rescue such persons in distress and to render any aid or
assistance as needed.
FEDERATION GALACTIC EMERGENCY PROCEDURES
Federation Galactic Emergency Procedures[4] are the systems and processes created
by the Health Administration of the Federation Council for dealing with any crisis or
disaster that may befall any member of the United Federation of Planets in order to
fulfill its duties under ARTICLES 1, 2, 43, 48, and 49 of the Articles of Federation. These
Galactic Emergency Procedures basically provide the actions necessary or suggested in
order to handle or mitigate any major Federation-wide or planetary emergency. These
procedures will apply to all members of the Federation and specifically, to be carried out
by Star Fleet under the direction of the Federation Council in accordance with ARTICLE
48 of the Articles of Federation.
The Federation Galactic Emergency Procedures is a large volume containing sixteen

major sections or titles, most of which will describe a major emergency. The first five titles
are administrative and present the purpose, rules and responsibilities contained within the
Galactic Emergency Procedures. The list of all the titles contained within the Galactic
Emergency Procedures are displayed in Table 10a44.1 on the next page. The table
shows the Title Number, the Title Label and a description of the content within the title.

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Table 10a44.1
FEDERATION GALACTIC EMERGENCY PROCEDURES
Title Title Label Descriptive Elements
General purpose and function of the procedures.
1 Purpose and Function References requirements under the Articles of
Federation.
The Federation organizations responsible for handling
2 Responsible Organizations galactic emergencies, such as the Federation Council
Health Administration, and their responsibilities.
Presents the definitions and description of terms used in
3 Definitions
the procedures.
Describes the responsibility of the members of the
4 Federated Planets Responsibilities United Federation of Planets in supporting the mitigation
of galactic emergencies as required by the Articles.
Describes how galactic emergencies are classified and
5 Declaration of Galactic Emergency declared, and the organizations and persons authorized
to make such declarations.
Describes the actions to be taken by all members of the
6 Wars and Conflicts United Federation of Planets during galactic war or
conflict.
Outlines the procedures concerning collisions of spatial
7 Collisions by Spatial Bodies bodies, such asteroids and meteors, on Federation
planets.
Outlines the procedures concerning the handling of
8 Pandemics and Epidemics
planetary pandemics and epidemics.
Outlines the procedures to be used in the case of
9 Environmental Emergencies environmental emergencies such as mass pollution and
contamination, severe storms, earthquakes, etc.
Outlines the procedures and specifications to field
10 Social, Economic and Political Crises commanders on how to handle planetary social,
economic and political crises.
Outlines the procedures and recommendations
11 Planetary Annihilation pertaining to the possibility or actuality regarding the
annihilation of a planet by natural and unnatural means.
Outlines the procedures concerning the evacuation of an
12 Planetary Evacuation entire planet, as well as for the handling of the refugees
as a result of such an evacuation.
Outlines the procedures regarding the establishment of
temporary shelters in the event of a disaster. This title
also provides instructions and guidelines on how
13 Temporary Shelter
temporary shelters are to be constructed, where they
can be constructed and what facilities shall be made
available to such shelters.
Directs field commanders on the conditions, regulations
14 Martial Law and procedures regarding temporary martial law
imposed on a social system, if it becomes necessary.
Special provisions are those procedures, authorities,
15 Authorities and Special Provisions directives and actions that may be taken during and
under special or unusual circumstances.
Describes the procedures and processes required to
16 Recovery from Emergencies
recover from galactic and planetary emergencies.

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LOCAL MEDICAL EMERGENCIES
A Local Emergency is defined as an emergency condition or situation that is occurring or

that has occurred that is localized to a specific planet or planetary system. Thus, such
emergencies are generally localized to a single planet or to one or more areas of a single
planet. Examples of recent Local Emergencies are as follows:
• The New Paris Plague[5] – The New Paris colony located on Makus III was hit with a
severe outbreak of the Crawford[6] plague in the year 2267 (Stardate 21344.32). An
emergency medical station was temporarily erected on Makus III in order to handle
the sick and to transfer medicines directly to the colonies. A Starship was dispatched
to transport the medicines to Makus III under Title 8 of the Galactic Emergency
Procedures.
• The Deneva Infestation[7] – It was discovered that a wave of mass insanity was
moving across the galaxy in the year 2267 (Stardate 21440.92), which had its origin in
the Beta Portalan system and has spread to the planet Deneva. A Starship was
dispatched to investigate. It was determined that the cause of the insanity was due to
an organism invading the bodies of the population and that the organism could only be
killed by ultraviolet radiation. The Starship deployed satellites to immerse the planet
in ultraviolet light as illustrated in Figure 10a44.1.
• The Ariannus Bacterial Invasion[8] – The planet Ariannus was attacked in 2269
(Stardate 22076.66) by a virulent bacterial invasion which could wipe out the entire
population of over a billion people. A Starship was dispatched under Title 8 of the
Galactic Emergency Procedures to decontaminate the planet using an atmospheric
spray process as illustrated in Figure 10a44.2.
• The Merak II Botanical Plague[9] – In 2269 (Stardate 22118.06) the planet Merak
II was plagued by a botanical virus which attacks all forms of vegetable life. If not
stopped the plague could render the planet uninhabitable. Therefore, a Starship was
dispatched under Title 8 to the planet Ardana in order to obtain zienite, the only
known substance that can halt the plague.
For Local Emergencies, Star Fleet basically provides support services to the local health
organizations per Article 48 of the Articles of Federation. Such support includes the
transport of needed drugs, medicines, vaccines, sanitizing agents, and consumable medical
supplies; providing medical equipment and medical personnel; offer the use of Star Fleet
medical facilities; and to offer the use of Star Fleet assets to transport and house the
victims of such emergencies. For larger emergencies, such as planetary pandemics, Star
Fleet may dispatch Hospital Ships to the area to help local health officials cope with the
extent of the sick or injured as required under the Galactic Emergency Procedures.
In general, the first line of defense of a Local Emergency will always be the local system
or planet. Star Fleet will typically come to the aid of the system when requested or by
direction of the Federation government.

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GLOBAL MEDICAL EMERGENCIES
Global Emergencies are defined as those disasters or conditions that affect many
planets within or outside the United Federation of Planets, or the entire galaxy.
However, unlike local emergencies, global emergencies are difficult to manage and may be
beyond the capabilities of the Federation. Therefore, such emergencies may require the
entire Federation to be involved as required by Article 43 of the Articles of Federation.
Examples of recent Global Emergencies are as follows:
• The Death of the Inhabitants of the Malurian System[10] – In the year 2267
(Stardate 21607.49), a Starship was on its way to the Malurian System when it was
discovered that there were no life readings emanating from the system. The entire
population of over 4 billion people on 4 planets were no longer living. I cause was an
old Earth probe whose computer was corrupted by an accident in space. The Starship
on the scene dealt with the probe and had it destroyed.
• Planetary System Destruction by a Rogue Device[11] – In the year 2267
(Stardate 21628.19) the Starship U.S.S. Enterprise (NCC-1701) received a distress
call from Starship U.S.S. Constellation (NCC-1710). While proceeding to the last
location of the Constellation sensors showed that systems L-370 and L-374 were
completely destroyed. It was later determined at a mechanical device, a doomsday
weapon, was destroying planets for fuel. The device was eventually destroyed.
• Galactic Invasion by a Giant Amoeba[12] – While on its way to Starbase Six in
2268 (Stardate 21717.88), a Starship was redirected to investigate the loss of
communication from System Gamma 7A in Sector 39J. As they were proceeding
toward the system, they came across a zone of darkness in space. As they were
passing through, a large single living cell of about 17,700 km long was encountered
(Figure 10a44.3) that had destroyed billions of people. Upon analysis or the organism,
it was decided that an anti-matter mine be placed next to its nucleus in order to
destroy the organism. The cell was destroyed.
As depicted in the above examples, such Global Emergencies will usually be handled by
Star Fleet since such emergencies generally occur in open space. As such, it will be Star
Fleet that will be in charge of the emergency, coordinate relief efforts, and predominantly
use its medical assets and resources to remedy the emergency. If needed, Star Fleet may
also request aid from local members as required under Articles 13, 43, 48 and 49 of the
Articles of Federation to help with the crisis. In all cases, the Star Fleet forces involved
with the emergency will consult the Federation Galactic Emergency Procedures for
guidance in mitigating and relieving the emergency situation.

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WARTIME MEDICAL OPERATIONS
As specified in Paragraph 1, Article 52 of the Articles of Federation, Star Fleet is the

primary instrument of war in open space for the United Federation of Planets. As such,
Star Fleet has the burden of handling all casualties as a result of war that occurs in open
space. As such, Title 6 of the Federation Galactic Emergency Procedures was created
to handle the medical issues that would arise as a result of war. Therefore, the Star Fleet
Bureau of Medicine and Surgery, along with the Star Fleet Office of Strategic
Planning, and the Star Fleet Office of Strategic and Tactical Operations jointly
developed the plans and procedures pertaining the resources that would be needed in
case of general war, which includes medical resources as well.
One of the major resources used for large-scale medical operations are the many hospitals
and medical facilities located at the four Star Fleet Headquarters, at each of the
twenty-eight Starbases, on all eleven Garrisons, and contained within twenty-six of the
forty-two Star Fleet Space Stations. These large hospital facilities can handle close to
100,000 casualties. However, these hospitals are considered rear-area facilities and as
such, will be used more for long-term convalescence than for immediate care in times of
war.
Another of the major resources needed to handle the casualties of war in open space was
the development of the Support-Medical or SM-class Hospital Ship. These are
essentially large mobile medical facilities capable of handling those injured in battle. They
contain large convalescence areas that can handle up to 2400 patients each, and are
designed to handle battle casualties from several Starships simultaneously. Currently
there are eleven Hospital Ships in the fleet, which means that these ships can handle the
wounded for an entire battle fleet. As such, the Hospital Ship will be immediate medical
care facilities for the fleet during action. Upon their immediate care, patients aboard these
ships will be transported to the larger hospitals located on nearby Starbases.
Lastly, front-line combatant vessels are equipped with their own Sickbay facility. Crew
members injured during battle will be treated on site and therefore, the Sickbay will be
regarded as the immediate care and triage medical facility during battle. After battle, and
under the provisions of Star Fleet Regulation 4710, the injured will be transferred to a
nearby medical facility, most likely a Hospital Ship.
During ground operations Star Fleet Marine Corps troops will always have a Star Fleet
Corpsman assigned to each unit. Their job is to provide immediate first aid to the troops
under fire as illustrated in Figure 10a44.4. When such aid is given and the wounded is
stabilized enough for travel, the Corpsman will have the wounded moved to a back-area
hospital. Such hospitals are located usually in the “Command and Control” area of the
“Theater of Operations” as described in Section 8.4 of Volume II of the Star Fleet
Command Manual, and are either temporary or permanent medical facilities. Where no
such ground facility is available, the wounded will be transported up to a waiting Hospital
Ship, or if a Hospital Ship is not available, a Star Fleet combatant with a Sickbay.

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ESTABLISHING TEMPORARY FIELD HOSPITALS
During major crises, such as war and planetary disasters, temporary hospitals may be
required to be erected in order to treat as large a number of the sick and injured as
possible. In many cases where the planetary system may still be intact, several Star Fleet
hospital ships may be sufficient to handle a major load of casualties. However, where the
indigenous medical infrastructure was destroyed, temporary field hospitals will be erected
on the planet where the disaster occurred.
When disaster strikes, Star Fleet will generally be the first to send material and expert
medical assistance. If local hospitals are out of commission or overwhelmed, the Star
Fleet Division of Medicine can get a field hospital functioning within twelve hours of
arriving at the setup site. The operation begins hours before the medical delegation leaves
the nearest Starbase. An advance team of three to six specialists will go to assess the
needs and to find a site where Star Fleet can set up. As soon as the medical and logistics
teams arrives, everyone gets to work immediately. The logistics team will usually be
specialists from the Star Fleet Office of Fleet Logistics, and the erection team from the
Star Fleet Construction Command. The Construction Command will erect as many
temporary structures as needed to handle the disaster. The logistics team will unpack and
arrange appropriate equipment for each structure. If the disaster was a geologic one, the
largest unit will house trauma and orthopedics. If it is a pandemic or some other medical
emergency, the main tent will deal with infectious disease treatment and control; if it is a
major planetary fire, the burn unit is the main structure. In any case, Star Fleet will
cooperate with local government and Federation officials, hospitals, relief organizations
and other smaller medical delegations.
Temporary field hospitals may also involve setting up temporary medical facilities aboard
Star Fleet ships. Where a Starship Sickbay is not large enough to handle the number of
casualties, temporary facilities, beds, et cetera, will be erected in the cargo areas or on the
Flight Deck. At such areas, the injured will be beamed directly to these areas for
immediate treatment. In most cases, such temporary medical facilities will be divided into
treatment centers and recovery units.

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Figure 10a44.1
EXAMPLE OF MITIGATING A LOCAL EMERGENCY: PLANETARY DECOMTAMINATION EFFORT
REMOVAL OF THE DENEVA INFESTATION USING ULTRAVIOLET LIGHT EMITTING SATELLITES

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STAR FLEET MEDICINE
Figure 10a44.2
EXAMPLE OF MITIGATING A LOCAL EMERGENCY: PLANETARY DECOMTAMINATION EFFORT
DECONTAMINATION OF BACTERIAL INFECTION ON ARIANNUS BY ATMOSPHERIC SPRAY
Spray Nozzle

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Figure 10a44.3
EXAMPLE OF MITIGATING A POTENTIAL GALACTIC EMERGENCY:
DESTRUCTION OF A GIANT LIVING CELL IN SPACE

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Figure 10a44.4
EXAMPLE OF TREATING THE WOUNDED UNDER BATTLE CONDITIONS

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4.5 STAR FLEET MEDICAL RECORDS

Every person within the Department of the Star Fleet has a personal file, which
constitutes a complete history of an individual while attached to the Service from the day
he or she enters the Service until their obligation to the Service or Star Fleet’s obligation
to them has ended. This record is known as the individual’s Personnel Record or
Service Record in the case of Service personnel. This record is continuously updated for
any change in status, pay grade or assignment and it applies to anyone receiving pay from
the Department including Reserve and Retired personnel.
The actual Service Record file is part of a huge database maintained by the Star Fleet
Office of Personnel Records. The physical location of this database is within the records
computers maintained by the Star Fleet Bureau of Records at Star Base Central, with
backup copies located at each of the five Star Fleet Headquarters located throughout
the Treaty Zone. As part of this database a section of it contains the complete medical
record of a Service member. Typically, this field within the database contains a link to
another database that contains all the medical information for any and all past and present
Service members, retirees, and civilian employees of the Department of the Star Fleet.
PERSONAL MEDICAL RECORDS
As stated above, the complete medical record of an individual is contained in a separate

database, but which is linked to the central personal file with an address of the link. The
specific record in the central file has a record number of 310-20, which is called the
Medical Record Link. The medical database contains all the medical information of the
individual, all drugs and prescriptions, body scans, dental information, surgeries, injuries,
psychological profiles, treatments, recommendations, comments and the personnel that
treated or attended him or her. The contents of this database will be described in the
following section entitled PERSONNEL MEDICAL RECORD CONTENTS.
In general, Star Fleet personnel medical records are official documents and as such, fall
within the provisions of the standards regarding official record access and modification.
Specifically, Star Fleet Regulation 8360 states: “No person, without proper authority,
shall withdraw official records or correspondence from files or memory storage, or destroy
them, or withhold them from those persons authorized to have access to them .” As such,
only authorized persons may have access to any personnel record.
All individuals within the Department of the Star Fleet have a right to see and question
any material that has been entered into their Medical Record. Service personnel are
guaranteed this right under Star Fleet Regulation 8340. Personnel are encouraged to
review their record at least once a year. If the individual feels that certain information is
missing or incorrect, he or she can make a request to their Executive Officer or
manager. Typically, any changes made to an individual’s Medical Record can only be
performed by the command’s Chief Medical Officer.

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PERSONNEL MEDICAL RECORD CONTENTS
As stated above an individual’s Medical Record is a database file containing all medical
data on the individual. The medical is the same regardless of whether individual is an
officer, enlisted, or a civilian employee. All share the same types of information. In
addition, the record may also contain links to other medical databases as well.
Table 10a45.1
STAR FLEET SERVICE MEDICAL RECORD CONTENTS
Record
Document Description/Contents
Number
310-20 Service Record Link Address link to the individual’s Service Record
310-21 General Medical Information Individual’s medical information: height, weight, etc.
310-22 Medical Examinations Medical examinations, quarterly checkups, etc.
310-23 Major Medical Procedures Medical procedures, surgeries, hospitalizations, etc.
Prescriptions, drugs and medications, medication
310-24 Medication Records
history, including anesthesia
310-25 Dental Records Address link to dental records
Address link to psychological records such as
310-26 Psychological Records
psychological profiles, illnesses, treatments, etc.
Address link to medical scan records, X-rays, views,
310-27 Medical Scan Records
etc.
310-28 SPARE
310-29 Death Record Address link to Death Certificate and death information
MEDICAL RECORD RETENTION
According to standards, Star Fleet Personnel Records are maintained throughout the
length of time an individual is on active duty, and beyond. This includes Retired as well as
personnel in Reserve status. In the situation where an individual enters the Reserve
Force, the Medical Record, along with the Service Record, of the individual will be
transferred to the Star Fleet Bureau of Reserve Personnel who will manage the
service members’ Service Record from that point onward.
In the case of Retired members of the Service, the Star Fleet Office of Veterans will
receive and manage the Medical Records for the remainder of the individual’s lifetime.
As such, the retention schedule of such records is the life of the individual; beyond that,
the retention schedule will come under the guidelines set forth by the Star Fleet Bureau
of Records.

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MEDICAL LOGS
In addition to maintaining the personal medical records of each and every person in the
command, the Chief Medical Officer must also maintain a record of the activities
performed by him and every member of his or her staff, as well as any administrative
function or medical procedure executed by the medical organization as required by Star
Fleet Regulation 4530. This is record is known as the Medical Log, and is maintained
at the medical facility for all time. It is a legal record of the command, as stated in Star
Fleet Regulation 4540: “The Captain's or Commander's Log, Engineering Log,
Navigation Log, Communications Log, Medical Log, Computer Memory Banks and devices,
Transporter Log and Flightdeck Log shall each constitute an official record of the
command” and as such, must stay with the command at all times, as long as the command
is in operation. However, copies of the Medical Log will be regularly sent to Star Fleet
Central Records and the Star Fleet Office of Medical Records as backups, and
incremental entries will be periodically reviewed by the staff at the Star Fleet Bureau of
Medicine and Surgery and the Office of the Star Fleet Inspector General.
One important aspect to the Medical Log is that any entry into the log that would require
an investigation into the cause of a medical condition may also require the Commanding
Officer to start an investigation and to enter such into the Captain’s Log[13]. The
purpose of this is to ensure a complete and proper determination of the cause of any
special medical condition. Such investigations that would require entry into both the
Medical Log and the Captain’s Log may include:
• Determining origin and cause of a new or unknown disease or infection, and to

prevent the spread of such disease or infection;
• Determining the cause of personal injury, perhaps due to an assault, rape or other
attack, that may require a criminal investigation and/or that may result in a court-
martial;
• Determining the cause of psychological or emotional trauma that may have been
caused through criminal activity or intent;
• Determining the cause of organ damage where no known cause could have resulted in
the condition. In this particular instance a scientific investigation may be initiated.
In each case, the Chief Medical Officer must justify his or her log entry as to what
constitutes a reasonable doubt as to the cause or condition. This is to prevent any
frivolous log entries and requirement on the part of the Commanding Officer to begin
an investigation.

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OFFICIAL USE ONLY
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5.0 STAR FLEET MEDICAL OFFICERS

A Star Fleet Medical Officer is a commissioned Staff Corps officer of the Star Fleet
Medical Corps or Medical Services Corps. As such, Medical Officers may only
perform those non-military duties as prescribed by law, and will be restricted only to those
duties required by their specific medical field. However, they are commissioned officers
and therefore, they hold a position of authority or command and thus, are responsible, by
law, for the lives and actions of the persons under their authority as well as the materiel
assigned or licensed to them. Star Fleet Medical Officers derive their power and
authority through a “commission” given to them by the Federation Council President
and as such, are called Commissioned Officers.
As stated above, Star Fleet Medical Officers will be restricted only to those duties
related to their profession and as such, by law, cannot engage in belligerent activities. This
requirement is stipulated in Star Fleet Regulation 5830, which states: “Members of the
Medical, Dental, Chaplain, Medical Service, Nurse, or Science Corps shall be detailed or
permitted to perform only such duties, in peace or war, as are related to medical, dental,
religious service or scientific study, and the administration of medical, dental, science, or
religious units and establishments.” Therefore, they cannot command a Star Fleet space
vessel or command any shore facility, except those relating to medical practice.
Regarding their authority, Star Fleet Medical Officers, though they are commissioned
officers and hold a position of authority and are responsible for those under their authority,
they only have such authority as it relates to medicine and medical practice. Therefore, a
Star Fleet Medical Officer cannot issue military orders to anyone within the Star Fleet
Service. However, they can issue such orders as it relates to the medical condition of
anyone in the Star Fleet Service, regardless if they are senior to that Medical Officer,
and they have the authority, under Star Fleet Regulations, to have anyone in the Star
Fleet Service, except the Director: Star Fleet Command, relieved of duty. In addition,
they also have the authority to issue orders pertaining to the sanitation and cleanliness of
spaces within their medical jurisdiction.
As stated in Section 4.0 of Volume III of the Star Fleet Command Manual, Star Fleet
Medical Officers, like all Star Fleet officers, are appointed for a term of six years. The
initial term is established by contract, which is signed when entering Medical Service or
upon entry into the Star Fleet Academy. Subsequent terms will also be six years and the
extension of the contract is accomplished through a letter of intent to continue for another
six-year period. This letter of intent must be issued approximately three months before the
term of their commission will expire. At the end of the term, the officer will receive and
sign an extension to the contract, which extends the period of his or her commission
another six years.

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STAR FLEET MEDICAL OFFICER DUTIES
The primary duty of every Medical Officer in the Star Fleet Service is to discharge the
responsibilities of their office to the best of their ability in conformance with existing orders
and regulations, and to hold sacred their oath to provide medical care to whoever needs it,
and to give aid and comfort to the injured, regardless of origin; provide aid to persons in
distress; and to aid in any emergency or system disaster consistent with bearing true faith
and allegiance to the United Federation of Planets. This duty is specifically embodied in
Star Fleet Regulation 8110, which states: “Every officer in the Star Fleet Service shall
acquaint himself with, obey, and so far as his authority extends, enforce the laws,
regulations and orders relating to the Department of the Star Fleet. He will faithfully and
truthfully discharge the duties of his office to the best of his ability in conformance with
the existing orders and regulations and his solemn profession of the oath of office, in
absence of the service to protect the public interest.” As a rule, the duties of a Star Fleet
Medical Officer are many and often complex, dealing with technical areas or personnel
problems. The challenge to the Star Fleet Medical Officer is to carry out successfully all
the duties assigned to him or her in an efficient manner.
The general duties of Star Fleet Medical Officers are specified in Federation law and
in Star Fleet Regulations. In general, the duties and responsibilities of a Star Fleet
Medical Officer are:
1. Assuming responsibility for the duties assigned to the officer and for the conduct of his
or her subordinates; However, Medical Officers are confined to only those functions
that relate to the medical profession;
2. Ensuring optimum material and functional readiness within the Medical Officer’s
assigned area of responsibility; promptly reporting to superiors any deficiencies within
their area, repairs required or other defects needing correction that are beyond the
capabilities of the officer’s responsibility, or deficiencies in methods or procedures;
3. Supervising the performance of the Medical Officer’s assigned work centers and in
carrying out proper maintenance, cleanliness, and material management; directing the
operation of his or her assigned area through leading senior Medical Technicians;
4. Ensuring all medical and surgical equipment and instruments within the Medical
Officer’s assigned work areas are in proper working condition, properly stored and
maintained, and are properly labelled; ensuring all safety equipment and fittings within
the Medical Officer’s assigned spaces are in proper working condition and are
properly labelled, and that all safety placards and instructions are posted in appropriate
areas;
5. Ensuring all drugs, medicines and medical compounds are properly labelled, stored and
controlled; maintain the security of all such drugs, medicines and medical compounds,
and to account for the use of such drugs and medicines;
6. Maintain the security of all medical records, classified material and of any official
Federation or Star Fleet document, medical or otherwise.
Another important duty of every Medical Officer is the health and safety of every person
under their command, and to ensure that each person has the tools and equipment to
perform their jobs. Officer’s, by law, are responsible for the individuals under their charge.

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STAR FLEET MEDICAL OFFICER AUTHORITY
The authority of a Star Fleet Medical Officer is set down in Star Fleet Regulations
and Federation law. Authority within the Star Fleet signifies that seniors have the legal
right to require subordinates to obey their lawful orders as required in Star Fleet
Regulation 5420, which states that “All officers of the Star Fleet Service, of whatever
designation or corps, shall have all the necessary authority for the performance of their
duties and shall be obeyed by all persons, of whatever designation or corps, who are, in
accordance with these regulations and other from competent authority, subordinate to
them.”
The authority conferred upon a Star Fleet Medical Officer is essentially specific to their
profession. As described in Section 4.0 of Volume III if the Star Fleet Command
Manual, Star Fleet Medical Officers will also have General, and Organizational
Authority as well; General Authority in that the medical profession is endowed with
certain authorities recognized throughout the United Federation of Planets, and
Organizational Authority as it relates to the officer’s specific medical functional duties
and responsibilities of the Medical Officer’s specific assignment or billet within the
medical organization.
The specific authorities conferred upon Star Fleet Medical Officers are set forth in
Federation and Star Fleet Regulations, and in the articles of the Star Fleet Charter,
some of which are stated as follows:
1. A Star Fleet Medical Officer shall “receive anyone who is need of medical care and
to treat such individual to the best of his or her ability, regardless of command policy or
directive. As part of this authority, Star Fleet Medical Officers shall have full power to
manage and regulate their medical facility, regardless of its location or under whose
command it resides.”
2. A Star Fleet Medical Officer shall have full power and authority to “enter any ship,
vessel, colony, station or enterprise out in deep space in which they shall have reason
to suspect that the vessel, colony, station or enterprise may be carrying and spreading
disease or infection, and to have physically removed any person suspected or found to
be infected or carrying disease from their surroundings and to place them in isolation
for observation and treatment.”
3. A Star Fleet Medical Officer shall have full power and authority to “remove any
person from duty who is not physically or mentally fit to perform such duty.”[1]
Star Fleet Medical Officers, by virtue of their commission, have a legal, as well as, a
moral obligation to exercise their authority. They represent the Federation and have the
responsibility to enforce its laws regarding the health and wellbeing of its citizens, and as
part of this responsibility, are authorized to compel individuals, if necessary, in order to
maintain the health and wellbeing of the citizens of the Federation.

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EXERCISE OF AUTHORITY
A Star Fleet Medical Officer automatically exercises authority when in the execution of
his or her office. That is, a Medical Officer is in the “execution of his or her office” when
performing any activity the officer is required or authorized to do relating to medicine or
medical matters. However, although a Medical Officer can exercise authority, they are
also subject to authority as well. As stated in Star Fleet Regulation 5410: "All persons
in the Star Fleet Service on active service, and those on the retired list with pay, are at all
times subject to Star Fleet authority. While on active service they may, if not on leave of
absence except as noted below, on the sick list, taken into custody, under arrest,
suspended from duty, in confinement, or otherwise incapable of discharging their duties,
exercise authority over all persons who are subordinate to them." Therefore, a Star Fleet
Medical Officer shall still come under military authority and the Chain of Command.
A Star Fleet Medical Officer may exercise authority at any time, whether he or she is on
duty or not. For example, a Medical Officer may exercise authority as a physician at the
scene of an accident or disaster that is outside his or her duty station. This includes non-
Star Fleet and civilian locales, except where the Federation has no jurisdiction. At such
places the Medical Officer shall ask permission or suggest his or her assistance in the
medical emergency. Therefore, in essence, a Star Fleet Medical Officer is on duty all of
the time, even during Leave.
Being a Star Fleet Medical Officer may also require the exercise of discipline as well. As
a Star Fleet officer they may be required to reprimand subordinates and coworkers for
bad behavior, or for actions performed that may harm the unit, or for inept care to a
patient. As such, the function of a reprimand is to teach subordinates the correct way of
doing things or discourage bad behavior. Conversely, a Medical Officer should also
praise subordinates for good behavior, exemplary conduct, or for competent, proficient,
and effectual work. However, Star Fleet Medical Officers have no authority to discipline
line military and non-medical personnel, but should report any bad behavior, misconduct
or dereliction of duty to the individual’s superior.
In the exercise of authority, a Star Fleet Medical Officer may delegate his authority to
others in the performance of his or her duties. In general, delegation is most often
necessary since no one person can do everything. However, the delegation of authority
and the issuance of orders and instructions by a person in the Star Fleet Medical
Service do not relieve that person from any responsibility imposed upon that officer. As
such, the Medical Officer must ensure that the delegated authority is properly exercised
and that the orders and instructions issued by him or her are properly executed as
required under Star Fleet Regulation 5430.
Although given authority over subordinates, an officer must exercise such authority with
respect of those subordinate to him or her. As such, an officer of the Star Fleet Medical
Service cannot abuse his or her authority by virtue of the power vested in them by
Federation law. Star Fleet Regulation 5440 specifically states that “Persons in
authority are forbidden to injure their subordinates by tyrannical or capricious conduct, or
by abusive language.” Such conduct is considered unprofessional and is subject to a court-
martial or removal from duty.

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MANNER OF ADRESSING MEDICAL OFFICERS
Medical Officers of the Star Fleet Medical Corps (MED), Dental Corps (DNT) or
Medical Services Corps (MDS) shall be formally addressed in oral communication as
“Doctor” as stipulated in Paragraph 2 of Star Fleet Regulation 5320. However, the
relationship between a medical officer and all other military personnel may be relatively
informal. For example, a Star Fleet Medical Officer may be referred to as “Doc” in
regular and informal conversation.
In written, taped or other electronic communications the name of the medical officer shall
be indicated with the particular medical corps the person is a member, and the designation
of this corps shall be placed immediately after his rank as follows:
Leonard McCoy, Lt. Commander, MED

or
Dr. Leonard McCoy, LCDR, SFMED
Regarding the quarters in which Medical Officers will reside, the nameplate or placard
shall contain the full name of the individual and his or her title below the name as such:[2]
LEONARD McCOY
M. D.
MEDICAL OFFICERS IN COMMAND
In general, Star Fleet Regulations require that someone will be placed in command of a
Star Fleet unit at all times, and that includes Star Fleet medical facilities as well.
Specifically, Paragraph 1 of Star Fleet Regulation 4130 regulates the requirements for
officers in command: “Except as otherwise provided herein or otherwise authorized by the
Director: Star Fleet Command, as appropriate, at least one (1) officer, either in command
or eligible to succeed to command, shall be present and ready for duty at each command.”
As such, to be in command of a medical facility implies that an individual in the Medical
Service has been given the authority to lawfully exercise control over subordinates by
virtue of their rank and position. This authority is given to such officers in the Star Fleet
Charter and as such, the authorities given to such officers have the sanction of law.
Star Fleet Medical Officers that reach the level of command of a medical facility will
have the title of Commander: Star Fleet Medical Facility or Chief Medical Officer,
depending upon the size and scope of the medical command, and will have the same
authority, responsibilities and duties as those given to line Commanding Officers. As
such, the authority of a Chief Medical Officer is codified in Star Fleet Regulation
5461, which states: “An officer of the Medical Corps detailed as Chief Medical Officer of a
command shall have full authority over the medical personnel and facilities under his
command, including those medical facilities attached to or part of an existing command
under the authority of a line Commanding Officer .” The specific duties and responsibilities
of a Chief Medical Officer were described in greater detail in Section 4.2 of this manual.

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PROFESSIONAL OATH[3]
On Earth, doctors and physicians were generally required to take an oath of their medical
profession. This was originally the Hippocratic Oath, which is an oath of ethics taken by
physicians. In its original form, it requires a new physician to swear to uphold specific
ethical standards. The oath is the earliest expression of medical ethics in the known
universe, establishing several principles of medical ethics which remain of paramount
significance today. These include the principles of medical confidentiality and non-
maleficence. The original oath was written in Ionic Greek, between the fifth and third
centuries BC, Earth, and is traditionally attributed to the ancient Greek doctor Hippocrates
(460-370 BC.)
The Hippocratic Oath has gone through a number of revisions down through the centuries
to the current version, which had been relabeled the Medical Professional’s Oath. The
following is the current oath that is sworn by all officers of the Star Fleet Medical
Service before they enter actual duty:
“I do hereby affirm my loyalty to the profession I am about to enter. I will be mindful

always of my great responsibility to preserve the health and the life of my patients, to
retain their confidence and respect both as a physician and a friend who will guard their
secrets with scrupulous honor and fidelity, to perform faithfully my professional duties, to
employ only those recognized methods of treatment consistent with good judgment and
with my skill and ability, keeping in mind always nature's laws and the body's inherent
capacity for recovery; I will do no harm.
I will be ever vigilant in aiding in the general welfare of the community, planetary systems,
and alien societies, sustaining their laws and institutions, not engaging in those practices
which will in any way bring shame or discredit upon myself or my profession. I will give no
drugs for deadly purposes to any person, though it be asked of me.
I will endeavor to work in accord with my colleagues in a spirit of progressive cooperation

and never by word or by act cast imputations upon them or their rightful practices.
I will look with respect and esteem upon all those who have taught me my art. To my
school or institution I will be loyal and strive always for its best interests and for the
interests of the students who will come after me. I will be ever alert to further the
application of basic biologic and scientific truths to the healing arts and to develop medical
practice and principles.”

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5.1 STAR FLEET BASE MEDICAL OFFICERS

This section will provide a comparatively detailed description of the doctors and Medical
Officers that are assigned to Star Fleet bases and space stations. In general, Star Fleet
bases, such as Starbases and Star Fleet Headquarters, will employ the entire gamut
of medical professionals and medical services. In addition, the medical services provided
by Base Medical Officers may also include the civilian population that works at the base
or station, as well as the families of both civilian workers and Star Fleet service members.
And depending upon the provisions in the agreement to locate the base at the site, Star
Fleet medical personnel may also be required to provide Star Fleet medical services to
the indigenous population as well.
RESPONSIBILITIES OF BASE MEDICAL OFFICERS
All Base Medical Officers throughout the fleet will have the same basic responsibilities,
which are to:
• Provide complete medical and surgical services to all members of the Star Fleet
Service and their families. Provide general and maintenance healthcare to civilian
employees that work for Star Fleet at the facility.
• Provide complete psychological, psychiatric and counseling services to all members of
the Star Fleet Service and their families. Provide on counseling services to civilian
employees that work for Star Fleet at the facility. Execute Fitness for Duty
evaluations on employees and Service members in accordance with Star Fleet
Regulation 8710.
• Inspect base areas for cleanliness and sanitation, especially living quarters and areas
where food will be manually prepared as required by Star Fleet Regulation 8420,
and to periodically inspect Food Synthesizers for cleanliness and hygiene.
• Provide medical and healthcare to Federation colonies and enterprises located at or
near the facility; perform annual medical examinations of Federation citizens working
in such areas in accordance with Star Fleet Regulation 6621.
• Provide emergency medical care to Federation citizens found injured in deep space in
accordance with Star Fleet Regulation 6620; aid Federation and non-
Federation healthcare workers in the amelioration of the sick or injured during
planetary or galactic disasters; provide medical aid and assistance to any person found
distressed or lost in space as specified in Star Fleet Regulation 6630.
• Perform health examinations and provide medical aid to non-Federation persons
that have been granted asylum and temporary refuge in accordance with Star Fleet
Regulation 6900.
• Properly maintain all medical logs, documents and medical records; to safeguard such
records and to prevent unauthorized persons for obtaining or examining such records.

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FUNDAMENTAL BASE MEDICAL OFFICER DUTY
Medical Officers stationed at a Star Fleet base, base hospital or medical center largely
function in the same manner as with their civilian counterparts. That is, they typically work
an eight hour day during the hours of 0800 to 1700 each day, except if they have the duty
as Duty Medical Officer for the day, which is defined as the Standard Work Day or
Normal Working Hours for the base. Base medical officers stand their duty in assigned
work areas associated with their particular medical specialty.
In general, all Base Medical Officers will have their own private office in which they will
work, but will also work in those areas associated with their particular medical specialty.
The medical facilities at Star Fleet bases are large enough to house all Medical Officers
and Medical Technicians, though unlike Medical Officers, Medical Technicians will
not have their own private office. As such, all Star Fleet medical personnel will be housed
on site along with their families. It is rare that a Star Fleet medical person will reside in
quarters or housing off the base. This is because in case of a medical emergency, medical
professionals must be available at all times, and must be able to be contacted at all hours
of the day.
As stated above, most Star Fleet medical professionals and technicians will work a normal
work day at their assigned locations. Base Hospitals are relatively large complexes or a
large single structure. As such, medical personnel will generally confine their duties to the
area of their responsibility, unless ordered to proceed to another location. In general, Star
Fleet base medical facilities are compartmentalized into specific medical and medical
service areas, some of which are general medical areas such as Emergency Rooms,
Surgery, and general Examination Rooms. As such, general practitioners, emergency
room physicians and surgeons will work in these general medical areas. Specialists, on the
other hand, will be located in buildings and areas designated and equipped for them, and
will have their offices located in those areas.
As mentioned above, Medical Officers assigned to bases generally do not work in watch
cycles, but most during Normal Working Hours. However, there will be one senior or
experienced medical professional that will have the duty for the entire day. That person is
known as the Duty Medical Officer or DMO.
The Duty Medical Officer is the person, selected by the Chief Medical Officer, to
manage the Hospital or medical facility, and the duty schedule for the medical staff for
the day. This is usually a scheduled event and only those placed on the Duty Roster will
stand the duty. The primary responsibility of the DMO is to manage the professional and
technical staff during the day, and to manage the duty staff after working hours. Typically,
the shift begins at 0800 when, at that time, the off-going DMO will turnover duty to the
on-coming DMO. Aside from his or her supervisory duties, the DMO will also engage in his
or her profession as well, but normally, the DMO will be a senior general practitioner and
will work at either the Emergency Room or the primary Medical Examination Room.
Since the DMO works outside Normal Working Hours, special private quarters are
available for him or her to rest and relax, and in which they must keep neat and clean.

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STAR FLEET MEDICINE
COMMAND OF A BASE MEDICAL FACILITY
In general, a Star Fleet base medical facility is a rather large establishment containing
many structures, offices and personnel. Thus, the person in command of such a facility
must have significant authority and be, at least, of command grade; that is, having the
rank of Captain or Commander.
MEDICAL FACILITY COMMANDER
Large medical facilities will customarily be commanded by a Commander with the title of
Commander: Medical Facility <x> and having the rank of Captain (MED). And very
large Regional Medical Centers will be commanded by a flag officer with the rank of
Commodore having the title of Commander: Regional Medical Center. Therefore,
the management of such large medical facilities will be divided between the facility’s
Operations Officer and the Chief Medical Officer as illustrated in Figure 10a51.1.
MEDICAL FACILITY OPERATIONS OFFICER
As shown in Figure 10a51.1, the function of the Medical Facility Operations Officer is
the management of the facility’s property and its non-medical equipment and services. As
such, the MFO is responsible to keep the overall facility operating and to supply the
medical staff with needed services and equipment. In addition, the MFO is responsible for
the maintenance of the grounds, buildings and structures comprising the facility, and of
any transportation vehicles or devices at the facility.
MEDICAL FACILITY CHIEF MEDICAL OFFICER
The function of the medical facility’s Chief Medical Officer is the management of the
medical staff and is in command of all medical activities at the site. The duties and
responsibilities and authority of the Chief Medical Officer are those stated in Star Fleet
Regulation 5461 and in Section 4.2 of this manual. In addition to those duties, the
Chief Medical Officer will also periodically work at his or her profession in order to
maintain his or her certification.
BASE MEDICAL OFFICER
The Base Medical Officer (MDO), in general, is the Chief Medical Officer responsible,
under the Base Commander or the Medical Facility Commander, for the health and
wellbeing of base personnel, and of any visitor or employee that may be on site. As such,
the MDO is in charge of the facility’s Hospital or Base Hospital. The Base Medical
Officer is also responsible for making any health inspections he deems necessary and in
advising the Base Commander with respect to health, hygiene and sanitation. The Base
Medical Officer will typically be a certified physician and an officer of the Star Fleet
Medical Corps restricted to duty within his or her medical profession. As such, the Base
Medical Officer will never command a Star Fleet base or stand any watch relating to
the command or operation of the base such as Command Duty Officer, as required
under Star Fleet Regulation 5830. The Base Medical Officer will usually have the
rank of Commander (MED), but may also be from one of the other medical corps.,
except the Nurse Corps. A more detailed description of the Base Medical Officer may
be found in Section 5.2 of Part 1 of Volume VI of the Star Fleet Command Manual.

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STAR FLEET MEDICINE
BASIC SPACE STATION MEDICAL OFFICER DUTY
Medical Officers stationed at Star Fleet space stations work under similar conditions as
those Fleet Medical Officers do aboard ship, and in some cases, will be qualified Fleet
Medical Officers as well. And like ships, the size of the staff of a station’s medical facility
will depend upon its organization and the medical services it can provide. An example of
the organization of a typical Star Fleet space station is illustrated in Figure 10a51.2.
In general, station Medical Officers will exercise their specialty within the confines of the
station’s Infirmary – the station’s medical facility complex. This can be quite a large area,
spanning several decks with smaller emergency clinical units located at key locations
throughout the space station as shown in Figures 10a83.1 and 10a83.2. As such, station
Medical Officers will work in one of these areas. In general, junior medical personnel will
usually stand their duty in one of the small clinics, while senior medical personnel and
medical specialists will stand their duty in the main Hospital or Infirmary. However, if
required, medical officers may be called to any part of the station in order to take care of
the sick and injured. But usually, this will be handled by the local Emergency Clinic.
As stated above, most of the time station medical officers will perform their duty within the
main Infirmary. The Infirmary is open at all times, but may not be fully staffed at all
times. The normal operating hours of a space station Infirmary will be between 0600 and
1800 each day, which makes it a twelve-hour work day. This is due to the size of the
station itself and the number of persons within it, both military and civilian, and possibly,
their families as well. Therefore, from the hours of 1800 to 0600, only a small staff of
medical personnel will be on duty in the Infirmary. All others will be off-duty, but are
considered to be “On Call” at all times should there be a medical emergency. And as with
their ground-based colleagues, station Medical Officers will also have an office in which
to perform some of their administrative work. However, due to the size of the facility,
station Medical Officers will have to share office space with one or more of their
colleagues – usually sharing the same or similar medical specialty.
As with ground-based medical facilities, space stations will also have a Duty Medical
Officer in charge of the medical facility during non-working hours. Thus, the Duty
Medical Officer (DMO) is that person, selected by the Station Medical Officer, to
manage the Infirmary and the medical staff that is on duty for that day. As such, the
DMO will assign professional duties to the medical personnel on watch and to perform
those other functions required of medical officers such as performing sanitation and health
inspections, and executing medical analyses where needed. The Duty Medical Officer
will normally stand his or her watch in the Duty Medical Officer’s office, which also
contains sleeping quarters as well.

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STAR FLEET MEDICINE
COMMAND OF A SPACE STATION MEDICAL FACILITY
In general, all Star Fleet space station commands, whether they are large or small, have
medical facilities designed and built to handle the general health and well-being of their
personnel. These are small hospitals that can perform all the major and minor surgical and
medical procedures. However, unlike large Star Fleet ground bases, which may have a
large Star Fleet Medical Center on site, the medical facilities aboard a Star Fleet space
station may be able to accommodate only the personnel stationed aboard the station or
any visitors to the command. As such, the medical facilities of space stations have a similar
organizational structure as those on a Star Fleet ship, but are somewhat larger in size
and scope in terms of medical services they are able to provide. As such, these facilities
are called Star Fleet Infirmaries instead of Sickbays. However, on some of the very
large stations, the medical facilities and services will be quite extensive and as such, will
operate like a ground hospital. Therefore, these medical facilities will be called Station
Hospitals. Lastly, Star Fleet Outposts are very small commands and their medical
facility is very similar, if not smaller, to that of a Star Fleet ship. Therefore, these medical
facilities will also be called Sickbays. As such, the rank and grade of the station’s Chief
Medical Officer will depend on the size of the station and the facility contained therein,
and will have the title of Station Medical Officer.
STATION MEDICAL OFFICER
In charge of a space station’s medical facility will be the Station Medical Officer, a Staff
Corps officer from one of the following corps: Star Fleet Medical Corps or the Star
Fleet Medical Services Corps. It should be noted that officers from both the Star Fleet
Dental Corps and the Star Fleet Nurse Corps typically will not command general
medical facilities, unless the facility is dedicated to only dentistry or nursing. Although part
of the command organization, the Station Medical Officer will be in complete command
of the medical facility of the station as specified in Star Fleet Regulation 5461, which
states: "An officer of the Medical Corps detailed as Chief Medical Officer of a command
shall have full authority over the medical personnel and facilities under his command,
including those medical facilities attached to or part of an existing command under the
authority of a line Commanding Officer." As such, the Station Commander cannot
interfere in the command and discipline of the medical staff, except where such persons
violated Star Fleet regulations or Federation law. If the medical individual broke a
station regulation, the Station Commander will defer the investigation and punishment
to the Station Medical Officer. However, regardless of the situation, the Station
Medical Officer shall be under the command and discipline of the Station Commander
at all times as a member of his staff.

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STAR FLEET MEDICINE
CIVILIAN DOCTORS AND SURGEONS
As with other professions within the Department of the Star Fleet, the Star Fleet
Division of Medicine also employs civilian medical professionals. The primary function of
civilian medical professionals is to fill the gap in medical staffing and to add in the overall
medical capability of a command. Civilian medical professionals will have the same duties
and responsibilities as their military counterparts, and will treat Star Fleet Service
members as well as their families. As such, civilian medical professionals will, more than
likely, be assigned duty as physicians and surgeons to the family members of Star Fleet
military personnel and to the families of the civilian employees working at the command.
In general, most of these medical professionals will be employed at Star Fleet bases.
Very few will be employed or assigned to Star Fleet space stations, an none to Outposts
or other small command. And civilian professionals will never perform medical duties to
forces during time of war. This includes those Local Forces that are attached to Star
Fleet, though the professional may be a citizen of the system from which the Local Force
originated.
Civilian medical professionals will be hired by the Office of Civilian Medical Personnel
within the Star Fleet Office of Medical Personnel of the Star Fleet Bureau of
Medicine and Surgery. In general, the function of the Office of Civilian Medical
Personnel is to manage all the civilian or non-Service medical personnel employed or
contracted by the Department of the Star Fleet within Federation territory. As such,
the function of this office is to evaluate and recruit, or contract, qualified civilian medical
personnel for the Division of Medicine. However, the day-to-day management of the
civilian medical workforce will be performed by both the Chief Medical Officer of the
command and the civilian Department Manager that reports directly to, and is directly
under, the Chief Medical Officer of the local medical command. And as stated in Section
7.3 of Volume III of the Star Fleet Command Manual and in Section 1.9 in Part 2 of
Volume VI of the Star Fleet Command Manual, all civilian professionals and semi-
professional workers will be evaluated by the civilian manager or supervisor they directly
report to, with review and concurrence by the Star Fleet Medical Officer under which
the reviewing civilian manager reports. The exceptions are contract professionals and
consultants, who will specifically be evaluated by the Chief Medical Officer to whom the
medical contractor reports.

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STAR FLEET MEDICINE
CONTRACT MEDICAL PROFESSIONALS
In addition to Star Fleet Medical Officers, civilian doctors and physicians may also be
contracted to perform medical duties for the Medical Division, if necessary. These are
temporary positions and may be terminated at any time. In general, contract medical
professionals report directly to the Chief Medical Officer of the command, and will be
evaluated by him.

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STAR FLEET MEDICINE
Figure 10a51.1
STAR FLEET HOSPITAL IDENTIFICATION CARD EXAMPLES
1000 Commander:
CAPT Medical Facility
2000 Medical Facility

2100 2200
Medical Personnel Medical Supply
LCDR Officer LEUT Officer
2300 2400
Medical Records Medical Facility
LEUT Officer LEUT Comptroller
2500 2600
Medical Training Medical Facility
LEUT Officer LCDR Security Officer
2700 2800
Patient Services Medical Facility
3000 Medical Facility 4000 Chief Medical

CMDR Operations Officer CMDR Officer
3100 3200 3300 3400 4100 4200 4300 4400

Facility Facility Facility Facility Electronic Chief Dental
Chief Physician Chief Surgeon Chief Psychologist
LCDR Engineering Officer LCDR Services Officer LEUT Maintenance Officer LEUT Systems Officer LCDR LCDR LCDR Officer LCDR
3500 3600 Medical 4500 4600 4700 4800

LEUT Services Officer LEUT LEUT LCDR Officer LCDR LCDR Laboratory Officer
Officer
4900
Head
LCDR Nurse

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STAR FLEET MEDICINE
Figure 10a51.2
TYPICAL STAR FLEET STATION MEDICAL DEPARTMENT ORGANIZATION
4000 Station Medical

Officer
CMDR
4001 Medical
Yeoman
T4
4100 4200 4300 4400

Chief Medical
Chief Physician Chief Surgeon Station Dentist
Administrator
LCDR LCDR LCDR LCDR
4500 4600 4700 4800

Medical Services Medical Laboratory
Chief Psychologist Chief Pharmacist
Officer Officer
LCDR LCDR LCDR LCDR
4900
Head Nurse
LCDR

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STAR FLEET MEDICINE
5.2 STAR FLEET SHIP MEDICAL OFFICERS

This section will provide a comparatively detailed description of the Medical Officers
assigned to Star Fleet ships. In general, the range of medical services that can be
provided aboard a Star Fleet vessel is quite limited, due primarily to the restriction on
crew complements of space vessels. As such, the size of the medical staff, and the range
of services they can provide, will be restricted to general practice and those necessary for
long duration space travel. Therefore, the medical professional aboard a Star Fleet ship
must also specialize or incorporate other medical specialties in addition to those the
medical professional was initially trained to do in order to provide extended services. For
example, a general practitioner assigned to a ship must also have studied radiation health
science, alien medicine, and the psychology of deep space travel and confined living[4].
Such physicians are specialists and have their own classification and their own training
program. These professionals are known as Fleet Surgeons or Fleet Medical Officers.
GENERAL DUTIES OF FLEET MEDICAL OFFICERS
All Fleet Medical Officers throughout the fleet will have the same general duties. These
duties are listed below:
• Provide general and maintenance healthcare to all members of the crew, and provide
emergency medical care as needed. Provide needed immunizations as required.
• Perform psychological evaluations of crew members, and observe crewmembers for
possible negative psychological and emotional reactions to negative situations, and
provide counselling where needed.
• Have crew members removed from duty who are not physically capable of performing
their assigned duties; remove crew members from duty who exhibit aberrant or
unusual behavior per Star Fleet Regulation 8710.
• Perform most forms of surgery in order to save life, except perhaps those that may
require new, unknown or special techniques, or that may result in the death of the
crew member or patient.
• Inspect ship areas for cleanliness and sanitation, especially living quarters and areas
where food will be manually prepared as required by Star Fleet Regulation 8420.
Periodically inspect ship’s Food Synthesizers for cleanliness and hygiene.
• Provide medical and healthcare to Federation colonies and enterprises located in
deep space. Inspect and certify the health, by examination, of all Federation colonies
and enterprises in accordance with Star Fleet Regulation 6621.
• Provide emergency medical care to Federation citizens found injured in deep space in
accordance with Star Fleet Regulation 6620; aid Federation and non-
distressed, either on a planet or out in space as specified in Star Fleet Regulation
6630.
• Perform health examinations and provide medical aid to non-Federation persons
that have been granted asylum and temporary refuge aboard ship in accordance with
• Properly maintain all medical logs, documents and medical records.

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STAR FLEET MEDICINE
FLEET MEDICAL OFFICER QUALIFICATION
In general, Star Fleet ship billets, or job slots, have specific requirements regarding the
qualification and training of the personnel who will fill those slots. These requirements are
set down by the Star Fleet Office of Medical Personnel and the Office of Star Fleet
Ship Personnel. Together, they established the criteria for the qualification of personnel
to perform the medical duties aboard Star Fleet ships, and to establish the minimum
requirements in terms of education and job skills. These requirements were established by
reviewing the variety of medical procedures that may be necessary as may be required as
a result of space travel and the functions that must be performed at each medical station
aboard ship and as such, develop the criteria for medical personnel qualification as it
relates to the duties performed at these stations. The result is the development of training
programs designed such that Star Fleet medical personnel can meet the qualifications for
medical duty aboard Star Fleet ships. This includes the requirement for continuous
training and certification of medical personnel as well. Such requirements for duty as a
Fleet Medical Officer will be set down by the Star Fleet Office of Medical Personnel.
FLEET MEDICAL OFFICER REQUIREMENTS
As stated above, the job of Fleet Medical Officer requires a certain amount of training
above that of being a regular Star Fleet Medical Officer. The Star Fleet Academy and
several Academy Annexes have schools specifically created to train and certify Fleet
Medical Officers. A list of these schools can be found in Section 3.2 of this manual. As
such, these schools will teach and certify Fleet Medical Officers per the requirements
set forth by the Office of Medical Personnel Training. These general requirements are
that the officer is already a certified Star Fleet medical professional, and that the officer
has completed Fleet Medical Officer training at one of the Academy Annexes.
FLEET MEDICAL OFFICER TRAINING
Fleet Medical Officer training involves additional specialized education in one or more
fields of medicine. For example, in order to become a certified Fleet Medical Officer, the
candidate must have completed at least one of the following medical programs: Alien
Medicine, Vulcan Medicine, Practical Psychiatry, Space Psychology, Radiation
Health Medicine, Space Medicine, Zero Gravity Surgery, or a conventional medical
specialty such as Orthopedics. The candidate must demonstrate proficiency in the
selected specialty through a board examination composed of such medical specialists
before final certification. A complete description of the training programs and certification
process can be found in Chapter 5 in Volume XIV of the Star Fleet Command Manual.
In addition, before any perspective Fleet Medical Officer is assigned to a Star Fleet
ship, he or she must have completed preparatory training at the Star Fleet Ship
Training Center on Starbase Three. The function of this training is to acquaint the new
medical officer on life aboard a Star Fleet ship, and to familiarize the officer with some of
the systems and equipment he or she may come in contact with aboard ship. In addition
to the basic routines of ship life, the prospective medical officer will also be subjected to
emergency drills and simulated ship casualties in order to evaluate the individual on his or
her ability to cope with stressful situations.

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STAR FLEET MEDICINE
STAR FLEET SHIP SICKBAY DUTY
In general, Fleet Medical Officers will exercise their specialty within the confines of the
ship’s Sickbay – the vessel’s medical facility complex (see Section 8.5 for details.)
However, if required, medical officers may be called to any part of the ship in order to take
care of the sick and injured. But most of the time the medical officer will perform his or her
duty in the Sickbay’s primary Examination Room, accompanied by the Duty Nurse.
This duty is recognized as the Standard Medical Watch, and the standard uniform while
standing the watch will be the Medical Duty uniform as shown in Figure 10a52.1.
MANAGEMENT OF THE SHIP’S SICKBAY
Depending on the size and class of the vessel, the Medical Department on a Star Fleet
ship can be substantial. For example, aboard a Cruiser-class Starship, the number of
persons comprising the ship’s Medical Department can be anywhere from fifty to
seventy persons, with average being around sixty-one. In charge of the ship’s Medical
Department and thus, the Sickbay, will be the Chief Medical Officer.
CHIEF MEDICAL OFFICER
As previously stated in Section 4.2, the Chief Medical Officer is the senior officer of a
medical command and will have all the same authority and responsibility as any Star
Fleet Commanding Officer as specified in Star Fleet Regulation 5461: “An officer of
the Medical Corps detailed as Chief Medical Officer of a command shall have full authority
over the medical personnel and facilities under his command, including those medical
facilities attached to or part of an existing command under the authority of a line
Commanding Officer.” The Chief Medical Officer, a certified Fleet Medical Officer, is
in command of the entire medical facility, its staff and patients[5], and establishes the duty
schedules for the entire medical staff.
STARSHIP QUALIFICATION FOR FLEET MEDICAL OFFICERS
Starship Qualification is the process in which all crew members must understand the
basic functions of the ship in full, as well as an understanding of the duties performed by
other individuals at each watch station aboard ship. The purpose of this qualification is to
provide crewmembers with an understanding of each other’s job responsibilities and, to
provide crewmembers with a level of competence to perform another individual’s job
function in the event an extreme situation exists whereby critical ship functionality must be
performed by individuals from another billet. However, Star Fleet medical personnel need
only have a cursory understanding of ship operations and therefore, they do not have to
stand non-medical watches or participate in the qualification process since, according to
Star Fleet Regulation 5830, medical personnel cannot perform military functions. As
such, Starship Qualification for medical officers is voluntary, unless the ship’s Chief
Medical Officer otherwise requires the complete certification.

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STAR FLEET MEDICINE
GENERAL MEDICAL WATCHSTANDING
In general, Sickbays aboard ship will normally be manned with a minimum of medical
personnel, except during General Quarters and other ship emergencies. As such, during
a normal working day the medical watch consists of a staff of three persons along with the
Duty Medical Officer. During General Quarters, the medical staff may go on a three-
section duty rotation of eight hours per cycle.
The Duty Medical Officer (DMO) is the person, selected by the Chief Medical Officer,
to manage Sickbay and the watch organization for the medical staff on duty. The primary
responsibility of the DMO is to perform scheduled and emergency medical examinations,
to treat the sick and injured, perform sanitation inspections of food processing and eating
areas and to manage the duty medical staff and medical laboratories, both underway and
in-port. The Duty Medical Officer will normally stand his watch in the Chief Medical
Officer’s office in Sickbay, where he will address patients and make his or her rounds.
MEDICAL DUTY STATIONS
Medical Duty Stations are full-time locations within the ship’s Sick Bay. Certain medical
examination rooms will be designated for continuous operation and a Duty Medical
Officer (DMO) will be assigned by the Chief Medical Officer to man the station. The
function of these stations is to handle routine medical examinations as well as triage and
emergency medical care. An example of a typical Medical Duty Station can be seen in
Figure 10a52.2.
Table 10a52.1
TABLE OF STAR FLEET SHIP SICKBAY MEDICAL DUTY STATIONS
Station Hours of Operation Manned By Primary Function
• General medical
• Emergency medical services
Primary Examination Duty Medical
0000-2400 • Perform health and sanitation
Room Officer
inspections
• Maintain Medical Log
• Provide on-call nursing
Nurses’ Station 0000-2400 Duty Nurse • Monitor patients in recovery
room
• Provide medical analysis
Duty Laboratory
services
Medical Laboratory 0800-1600 Technician
• Engage in medical research
As Needed
• Forensic analysis
• Dispense medicines and
Duty Pharmacist prescription drugs to patients
Dispensary 0800-1600
On Call, As Needed • Supply medicines to duty
medical staff
Dental Examination Duty Dentist, • Scheduled dental examinations
0800-1600
Room Dental Technician • Emergency dental services
Other Medical Duty Stations aboard ship, such as the Dispensary, Psychology, and
Dentistry, will normally be unmanned until needed, but will have a duty professional on
standby at all times. In general, all medical personnel aboard ship are on call at all times.

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STAR FLEET MEDICINE
Figure 10a52.1
STANDARD MEDICAL DUTY UNIFORM

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STAR FLEET MEDICINE
Figure 10a52.2
TYPICAL STAR FLEET SHIP MEDICAL DUTY STATION

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STAR FLEET MEDICINE
5.3 STAR FLEET DENTAL OFFICERS[6]

A Star Fleet Dental Officer, or Dentist, is special class of medical professional, but one
that is limited specifically to oral health. As part of their practice, Star Fleet Dentists are
also trained and certified to perform surgery on the oral cavity, teeth, gums and the
surrounding tissue, whichever applies, on any species known to Federation medicine. In
addition, Star Fleet dentistry is also divided into specific branches of dental specialization
as well. Aside from general dentistry, which is defined as training in the various forms of
preventive, restorative and cosmetic dental procedure, there is Endodontics, Oral and
Maxillofacial specialties, Orthodontics, Dentofacial Orthopedics, Periodontics and
Prosthodontics. As such, Star Fleet had created a special Dental Corps devoted
specifically to manage this area of medicine. And based upon the training required, the
minimum rank for a certified Star Fleet Dentist, practicing general dentistry, will usually
be Lieutenant. Lastly, Star Fleet Dentists are also bound to the same ethics standards
as other Star Fleet medical professionals and therefore, are subject to the Star Fleet
Board of Medical Ethics as well.
STAR FLEET BASE DENTAL OFFICERS
At Star Fleet bases the medical facilities there will have an area of the Base Hospital or
a separate building dedicated only to dentistry. In these spaces the base Dental Officers
will have their offices, but will perform their actual work within the dental examination and
surgery areas. There are also areas for the manufacture and fitting of periodontal and
maxillofacial prosthetics such as dentures, dental implants and dental braces. As such,
these areas will be manned primarily by Dental Specialists and Dental Technicians.
Dental Officers stationed at Star Fleet bases function the same way as their civilian
colleagues. That is, like many other medical professions at the base, Star Fleet Dental
Officers will work an eight hour day, usually within the Normal Working Hours of 0800
to 1700. However, beyond the Normal Working Hours, dentistry will be performed by
the Duty Dental Officer or DDO. As stated above, the dental facilities and specialties at
a Star Fleet base are quite extensive. As such, the organizational structure of a base
dental facility will also be significant and will contain most, if not all, of the dental fields
practiced within the profession. An example of the organizational structure of a typical
base dental establishment can be seen in Figure 10a53.1.
DUTY DENTAL OFFICER
The Duty Dental Officer (DDO) is the person, selected by the Chief Dental Officer, to
manage the dental facility, and the duty schedule for the dental staff for the day. This is
usually a scheduled event and only those placed on the Duty Roster will stand the duty.
The primary responsibility of the DDO is to manage the professional and technical staff
during the day, and to manage the duty dental staff after working hours. Typically, the
shift begins at 0800 when, at that time, the off-going DDO will turnover duty to the on-
coming DDO. Aside from his or her supervisory duties, the DDO will also engage in his or
her profession as well, but normally, the DDO will be a certified Dental Officer and will
usually stand his or her duty in the Dental Examination Room. Since the DDO works
outside Normal Working Hours, special private quarters are available for him or her to
rest and relax, and in which they must keep neat and clean.

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STAR FLEET MEDICINE
STAR FLEET STATION DENTAL OFFICERS
In general, the dental facilities aboard a Star Fleet station are not as extensive as those
at Star Fleet bases, but are large enough to handle almost any dental work. Therefore,
the organizational structure for a typical station Dental Division will contain those areas
of dentistry needed for a command the size of a typical Star Fleet space station. An
example of such an organization can be seen in Figure 10a53.2. Typically, a station’s
Dental Division consists of a team of professionals specializing in oral health and
treatment such as certified Dentists, Oral Surgeons, Dental Technicians, and Oral
Hygienists. Dentists, dental surgeons and oral hygienists assigned to duty aboard a Star
Fleet space station will be assigned to one of the four sections of the Dental division as
shown in Figure 10a53.2.
In general, all dental work will be performed within the station’s Infirmary in an area
called the Dentistry Section. The Dentistry Section is a small area containing the
offices of the heads of the four dental sections and of the Station Dental Officer,
several examination rooms, a dental surgery area, and a facility to fabricate and fit dental
prosthetics. As stated above, Dental Officers will perform their work within the
Dentistry Section of the station’s Infirmary. As such, the hours of operation for the
Dentistry Section will be the same as that of the Infirmary. The Infirmary is open at
all times, but may not be fully staffed at all times. The normal operating hours of a space
station Infirmary will be between 0600 and 1800 each day, which makes it a twelve-hour
work day. This is due to the size of the station itself and the number of persons within it,
both military and civilian, and possibly, their families as well. Therefore, from the hours of
1800 to 0600, only a small staff of medical personnel will be on duty in the Infirmary. All
others will be off-duty, but are considered to be “On Call” at all times should there be a
medical emergency. And as with their ground-based colleagues, station Medical Officers
will also have an office in which to perform some of their administrative work. However,
due to the size of the facility, station Medical Officers will have to share office space with
one or more of their colleagues – usually sharing the same or similar medical specialty.
DUTY DENTAL OFFICER
As with ground-based medical facilities, space stations will also have a Duty Dental
Officer in charge of the station’s dental facility during non-working hours. Thus, the Duty
Dental Officer (DDO) is that person, selected by the Station Dental Officer, to
manage the dental staff that is on duty for that day. As such, the DDO will assign
professional duties to the dental personnel on watch and to perform those other functions
required of dental officers. The DDO will normally stand his or her watch in the Dentistry
Section, which also contains a small room for sleeping.
STATION DENTAL OFFICER
In charge of this division is the Station Dental Officer (DNT), an officer of the Dental
Corps with the rank of Lieutenant and is responsible for the dental and oral health of the
personnel stationed or working at the facility; the safe and proper operation, maintenance,
cleanliness and procurement of all dental equipment and supplies; the maintenance and
cleanliness of all dental areas; and for the supervision and conduct of the personnel within
the Dentistry division as a whole.

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STAR FLEET MEDICINE
STAR FLEET SHIP DENTAL OFFICERS
In order to provide the complete range of medical health services to crew members, Fleet
Dental Officers will be assigned to Star Fleet ships. Similar to a Fleet Medical Officer,
Fleet Dental Officers as specially certified for deep space duty. Besides caring for the
dental health of the ship’s crew, Fleet Dental Officers are also trained and certified to
handle alien dentistry as well, and will practice all manner of dental hygiene. In addition,
Dental Officers aboard ship will also provide dental services to the various colonies and
expeditions located in deep space. Most of the time, however, Dental Officers will
perform dental hygiene on the crew. This will be in the form of dental checkups, which will
include teeth and gum examinations and prophylaxis, which are typically scheduled events,
occurring every six months. On the other hand, special oral surgery will be performed as
the need arises.
All dental work will be performed within Sickbay in an area called the Dentistry Section.
The Dentistry Section is a small area containing only the Chief Dentist’s office and a
Dental Examination Room. The Dental Examination room will usually be manned by
a Duty Dentist or Duty Dental Technician between the hours of 0800 and 1600, which
constitutes the Normal Working Hours aboard ship. But the dental staff will be on call
at all times to handle any dental emergency. After hours, the Duty Dentist will usually
not be located in the Dentistry Section, but will enjoy after work activities. However, if
there is a dental emergency, the Duty Dentist will be notified, along with the Duty
Dental Technician, who will both proceed to the Dentistry Section to handle the
dental emergency.
Because of the small size of the Dentistry Section, there will be a very small number of
billets aboard ship to contain Dental Officers and Dental Technicians. For example, a
typical Cruiser-class Starship may only contain three Dental Officers and three Dental
Technicians. As such, this group comprises the entire Dentistry Division within the
ship’s Medical Department. The Dentistry Division, itself, is broken down into two
sections: General Dentistry, which basically is a small pool of dentists and oral surgeons
on call to provide dental services, both acute and preventative; and the Oral Hygiene
section, which performs the cleaning or prophylaxis of teeth and the surrounding tissue. As
such, the typical organizational structure for this division can be found in Figure 10a53.3.
SHIP’S CHIEF DENTIST
In charge of this division is the Chief Dentist (DNT), the Dental Corps officer with the
rank of Lieutenant responsible for the dental and oral health of the crew; the safe and
proper operation, maintenance, cleanliness and procurement of all dental equipment and
supplies; the maintenance and cleanliness of all dental areas; and for the supervision and
conduct of the personnel within the Dentistry division as a whole.

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Figure 10a53.1
TYPICAL STAR FLEET BASE DENTAL ORGANIZATION
4300 Chief Dental

Officer
LCDR
4301 4302 Dental Records

Chief Dental
Yeoman Clerk
T5 T4
4310 4320 4330 4340

Chief of
Chief Dentist Chief Oral Surgeon Chief Orthodontist
Periodontics
LCDR LCDR LCDR LCDR
4350 4360 4370 4380

Chief of Chief of Dental Laboratory
Chief Oral Hygienist
Prosthodontics Endodontics Officer
LCDR LCDR LCDR LCDR

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Figure 10a53.2
TYPICAL STAR FLEET STATION DENTAL ORGANIZATION
4300
Station Dental
Officer
LCDR
4301
Dental Yeoman
T4
4310 4320 4330 4340

Chief Dentist Chief Oral Surgeon Chief Orthodontist Chief Oral Hygienist
LEUT LEUT LTJG S5

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Figure 10a53.3
TYPICAL STAR FLEET SHIP DENTISTRY DIVISION ORGANIZATION
4300
Chief Dentist
LEUT
4310 Lead Dentist / Oral

4320
Chief Oral Hygienist
Surgeon
LEUT S5

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5.4 STAR FLEET PSYCHOLOGISTS AND

PSYCHIATRISTS
A primary concern of Star Fleet is the mental health of its personnel, especially those
whose duty takes out into deep space, away from home and loved ones, in an enclosed
and confined vessel. As such, Star Fleet created the Star Fleet Bureau of Mental
Health for the sole purpose of safeguarding the mental health of Star Fleet personnel,
and to manage any facility pertaining to the mental health of service members.
PSYCHOLOGISTS
In general, a Star Fleet Psychologist studies normal and abnormal mental states,
perceptual, cognitive, emotional, and social processes and behavior by experimenting with,
and observing, interpreting, and recording how individuals relate to one another and to
their environments. Star Fleet Psychologists are generally graduates of the Star Fleet
Academy Department of Humanities and Social Science and are issued a certificate
to practice psychology. As such, they are not medical doctors and thus, do not fall under
the rules regarding military activity. Therefore, a Star Fleet Psychologist may be
ordered to perform certain military duties, usually those activities relating to intelligence
activities. Typically, psychologists need a doctoral degree in psychology, although a
master's degree is sufficient in some situations. Psychologists generally do not prescribe
medication, although some Star Fleet Psychologists with post-doctoral training in
clinical psychopharmacology have been granted prescriptive authority for mental health
disorders. However, although they are not medical doctors, a Star Fleet Psychologist
will still be subject to the Star Fleet Board of Medical Ethics.
PSYCHIATRISTS
A Star Fleet Psychiatrist is a certified physician who specializes in psychiatry, the

branch of medicine devoted to the diagnosis, prevention, study, and treatment of mental
disorders. Psychiatrists are medical doctors, unlike psychologists, and are usually
graduates of the Star Fleet Academy College of Medicine and Dentistry. In general,
they evaluate patients to determine whether their symptoms are the result of a physical
illness, a combination of physical and mental ailments, or strictly psychiatric. A Star Fleet
Psychiatrist usually works as the clinical leader of the multi-disciplinary team, which may
comprise psychologists, social workers, occupational therapists and nursing staff. Lastly,
both Star Fleet Psychologists and Psychiatrists are bound to Star Fleet medical
ethics standards and therefore, are subject to the Star Fleet Board of Medical Ethics
as well. In addition, since Star Fleet Psychiatrists are medical doctors they cannot
engage in military activities at any time.
FLEET MEDICAL OFFICERS
As stated in Section 5.2 of this manual, Fleet Medical Officers assigned to Star Fleet
ships may also be qualified psychologists as well[7]. Their function would be to assess the
behavior of crewmembers and to observe crew reactions to stressful situations, and based
upon their findings, suggest a course of action or a plan to treat the problem.

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STAR FLEET PSYCHOLOGICAL AND PSYCHIATRIC DUTIES
As stated in Section 5.0 in this manual, Star Fleet Psychologists and Psychiatrists are
officers of the Star Fleet Medical Corps and as such, have the same basic duties and
responsibilities as other, general Star Fleet Medical Officers. However, there are certain
duties unique to the psychological profession. As such, the essential specific duties and
responsibilities of Star Fleet Psychologists and Psychiatrists are as follows:
1. Diagnose and treat various mental, emotional, and behavioral disorders; provide
assessment and recommendations for appropriate treatment for the above disorders;
provide effective individual, family and group psychotherapy;
2. Prevent, diagnose and treat mental disorders. Work alongside doctors to determine the
best course of treatment for particular patients
3. Implement various tests and examinations such as: intelligence tests, mental acuity
tests, tests to gauge emotional responses to situations, tests to evaluate behavior
patterns, and tests to determine any underlying psychosis;
4. Perform research into and study the causes of particular behavioral patterns. Perform
various lab tests on animals and sentient beings, and conduct trials with carefully
controlled sample groups. Examine how memory, thought and perception actually
work.
5. Research changes in behavioral patterns over an entity’s life; as part of this analysis,
focus on particular time periods, such as infancy or adolescence. Aim to correct
behavioral disorders caused by improper development.
6. Study and evaluate the psychology of alien or newly discovered life forms; examine
behavioral trends in alien societies; use the research gained to give advice to military
and intelligence agencies regarding alien leadership, group behavior and attitude
control.
7. Work with law-enforcement personnel and function as experts in various legal and
court-martial cases. Particular tasks include assessing competency, working with child
witnesses and performing psychological evaluations;
8. Supervise the staff at Star Fleet psychiatric facilities; monitor the performance of the
psychiatric staff, ensure assigned work centers are properly maintained and ensure that
personnel carry out proper maintenance, cleanliness, and material management
procedures; direct the operation assigned work areas through leading senior Medical
Technicians;
9. Ensure all psychotropic drugs and medicines are properly labelled, stored and
controlled; maintain the security of all such drugs and medicines; and maintain an
inventory of all such drugs and medicines, and account for the use of such drugs and
medicines;
10. Maintain the security of all medical and psychiatric records, classified material and of
any official Federation or Star Fleet document, medical or otherwise.
Another important duty of every Star Fleet Psychologist or Psychiatrist is the health
and safety of every personnel under their command, and to ensure that each person has
the tools and equipment to perform their jobs. Officer’s, by law, are responsible for the
individuals under their charge.

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STAR FLEET BASE PSYCHOLOGISTS AND PSYCHIATRISTS
At most Star Fleet ground bases the medical facilities there will have an area of the Base
Hospital, or a separate building, dedicated to mental health. In these spaces the base
Psychologists and Psychiatrists will have their own private office where they will
perform most their work as outlined in the previous section STAR FLEET PSYCHOLOGICAL
AND PSYCHIATRIC DUTIES, except where they may be involved in giving and monitoring
tests to a large group, or working in a laboratory. Generally, Star Fleet Psychologists
and Psychiatrists will typically work during the normal working hours of 0600 to 1800
each day. Therefore, from the hours of 1800 to 0600 they will be off-duty. However, unlike
the other medical professions within the Star Fleet Medical Service that have a Duty
Medical Officer working after hours, all Psychologists and Psychiatrists are on call 24
hours a day. As such, there is no specific ‘Duty Psychologist’ assigned to handle cases or to
respond to a mental health related issue after working hours.
Star Fleet bases may also contain a Star Fleet Psychiatric Hospital for the treatment
of serious mental disorders as well. The personnel working in such a facility work within a
different schedule. Personnel in a Psychiatric Hospital work in three shifts as follows:
Shift 1 – 0800 to 1600; Shift 2 – 1600 to 2400; and Shift 3 – 0000 to 0800.
COMMAND OF A BASE MENTAL HEALTH FACILITY
Large mental health facilities located on Starbases and Star Fleet Headquarters, such
as a Star Fleet Psychiatric Hospital or a detached Star Fleet Mental Facility, have a
large command organization, and will generally be split between the management of the
physical facility and the management of the facility’s medical function and staff as
illustrated in Figure 10a54.1. As such, the commander of such facilities will customarily be
administered by an officer with the title of Commander: Mental Health Facility <x> or
Commander: Psychiatric Facility <x> having the rank of Captain (MED).
Where a Star Fleet Hospital, located at a ground base, contains an attached mental
health facility, the organization of that facility will come under the umbrella of the overall
command organization of the hospital. As such, attached menial health organizations will
be another subdivision of the overall organization called the Psychology Division. The
primary function of the Psychology Division is the mental health of the personnel
stationed at the base. As such, this division is principally involved in the assessment and
treatment of mental health issues affecting Service members; in the research of the
psychology of known and alien life forms, counseling Service members and their families,
and in the forensic evaluation of crimes. Mental health that are assigned to duty to the
Psychology Division will be assigned to one of the four sections as illustrated in Figure
10a54.2.
In charge of the Psychology Division is the Base Psychologist, the officer responsible
for the overall mental health of the personnel stationed at the base. The Base
Psychologist will usually be an officer of the Medical Corps certified by the Star Fleet
Bureau of Mental Health, but may also be an officer of the Science Corps specializing
in psychology and will customarily have the rank of Lieutenant Commander.

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STAR FLEET STATION PSYCHOLOGISTS
Hospitals located within Star Fleet space stations will usually have a small mental health
facility as part of the medical organization. As such, the station’s Medical Department
will contain a Psychology Division for the purpose of handling mental health issues
aboard the station. The function of the Psychology Division is principally to assess and
treat mental health issues affecting those Service members stationed aboard the space
station, and to research into staff behavior, the psychology of known and alien life forms,
counseling Service members and their families, and in the forensic evaluation of crimes
that occur out in deep space or within the Jurisdictional Authority of the station.
However, Star Fleet station mental health facilities are designed only to handle minor
mental health issues. For major psychiatric problems, an individual will usually be sent to a
Star Fleet Psychiatric Hospital at a major Starbase for treatment. Psychologists and
Psychiatrists assigned to duty at a Star Fleet space station will be assigned to one of
the three sections of the Psychology Division as illustrated in Figure 10a54.3.
In charge of the Psychology Division aboard a Star Fleet space station is the Station
Psychologist, the officer responsible for the overall mental health of the personnel
assigned to the station. The Station Psychologist will usually be an officer of the
Medical Corps certified by the Star Fleet Bureau of Mental Health, but may also be
an officer of the Science Corps specializing in psychology and will customarily have the
rank of Lieutenant.
STAR FLEET SHIP PSYCHOLOGISTS
Star Fleet ship Sickbays may also be equipped with a minor mental health facility, but
are not very large since Star Fleet ship Sickbays do not have a significant amount of
space available for mental health. As such, the Medical Department aboard a Star
Fleet ship will have a separate Psychology Division. However, unlike the Psychology
Division at a Star Fleet space station, the mental health facilities aboard most of the
larger ships, such as Cruisers, etc., are able to handle most mental health issues, including
various forms of psychoses. This is primarily due to the fact that such vessels operate out
in deep space and may not be able to come across a Federation mental health facility for
long periods of time. Therefore, most Star Fleet ships will have mental health facilities
that may include psycho-therapeutic equipment such as a neural beam neutralizing device
for violent cases. In addition, this division may also be involved in specific research into
crew behavior, the psychology of known and alien societies, counseling crewmembers and
in the forensic evaluation of crimes in space. The staff within the ship’s Psychology
Division will be quite small, usually containing only Psychologists and Psychiatrists,
both of which will be assigned to one of two sections within the division as shown in Figure
10a54.4. The Psychology Division usually does not contain many, if any, enlisted
Mental Health Technicians. If any are needed, members of the Security Division may
be called to restrain a violent patient, etc.
In charge of this division is the Chief Psychologist, the officer responsible for the overall
mental health of the ship’s crew. The Chief Psychologist will usually be an officer of the
Medical Corps certified by the Star Fleet Bureau of Mental Health, but may also be
an officer of the Science Corps specializing in psychology and will customarily be a senior
officer with the rank of Lieutenant Commander, but may also be a Lieutenant as well.

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Figure 10a54.1
EXAMPLE OF THE COMMAND ORGANIZATION OF A STAR FLEET PSYCHIATRIC HOSPITAL
1000
Commander:
CAPT Psychiatric Facility
2000
Psychiatric Facility
2100 2200
Personnel Officer Security Officer
LCDR LCDR
2300 2400
Supply Officer Training Officer
LCDR LEUT
2500 2600
Patient Services
Records Officer
LEUT LEUT Officer
3000 4000
Superintendent:
Operations Officer
CMDR CMDR Psychiatric Program
3100 3200 3300 3400 4100 4200 4300 4400

Facility Facility Maintenance Information Chief of Chief of Chief of Psychiatric
LCDR Engineering Officer LCDR Services Officer LEUT Officer LEUT Services Officer LCDR Psychiatry LCDR Neuroscience LCDR Psychotherapy LCDR Equipment Officer
4500 4600
Chief of Psychiatric Head Psychiatric
LEUT Counselling LCDR Nurse

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Figure 10a54.2
EXAMPLE OF A BASE PSYCHOLOGY DIVISION ORGANIZATION
4500
Base Psychologist
LCDR
4501
Yeoman
T5
4510 4520 4530 4540 Chief Alien

Chief Psychologist Chief Psychiatrist Chief Psychotherapist
Psychologist
LEUT LCDR LEUT LEUT

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Figure 10a54.3
EXAMPLE OF A STATION PSYCHOLOGY DIVISION ORGANIZATION
4600
Station Psychologist
LEUT
4610 4620 4630

Chief Psychologist Chief Psychiatrist Chief Psychotherapist
LEUT LEUT LTJG

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Figure 10a54.4
EXAMPLE OF A STAR FLEET SHIP PSYCHOLOGY DIVISION ORGANIZATION
4400
Chief Psychologist
LCDR/LEUT
4410 4420
Lead Psychologist Chief Psychiatrist
LEUT LTJG

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5.5 STAR FLEET PHARMACISTS

The Division of Medicine contains a special branch of the Star Fleet Medical Corps
specifically for pharmaceutical professionals, which is administered by the Star Fleet
Bureau of Pharmacology. In general, a Star Fleet Pharmacist is a person who is
professionally qualified to prepare and dispense medicinal drugs. Most Star Fleet
Pharmacists undergo training or graduate-level education at the Star Fleet Academy
College of Medicine and Dentistry. They are educated in the biochemical mechanisms
and actions of drugs, drug uses, therapeutic roles, side effects, potential drug interactions,
and monitoring parameters for almost all of the sentient beings within the Federation. As
such, a Star Fleet Pharmacist will graduate from the Star Fleet Academy College of
Medicine and Dentistry with the rank of Lieutenant Junior Grade.
RESPONSIBILITIES OF STAR FLEET PHARMACISTS
All Star Fleet Pharmacists throughout the Star Fleet will have the same general duties
and responsibilities, which are:
• Preparing and dispensing medicinal drugs, which includes the dispensing of vaccines
and immunizations, as required. Dispenses medications by compounding, packaging,
and labeling pharmaceuticals.
• Providing pharmacological data to multidisciplinary health care teams, and monitoring
patient drug therapies; provides pharmacological information by answering questions
and requests of health care professionals and counseling patients on drug therapies.
• Prepares medications by reviewing and interpreting physician orders and detecting
therapeutic incompatibilities. Controls medications that are administered by monitoring
drug therapies; advising interventions.
• Completes pharmacy operational requirements by organizing and directing technicians’
workflow, verifying their preparation and labeling of pharmaceuticals, and verifying
order entries, and inspections. Supervises the work results of support personnel.
• Develops hospital staff’s pharmacological knowledge by participating in clinical
programs and training pharmacy staff, students, interns, externs, residents, and health
care professionals.
• Complies with Federation drug laws as regulated by the Federation Food and
Drug Administration, and as enforced by the Star Fleet Drug Enforcement
Agency. Maintains current registration, studies existing and new legislation,
anticipates legislation, and advises the Chief Medical Officer on needed actions.
• Protects patients and technicians by adhering to infection-control protocols. Maintains
safe and clean working environment by complying with command procedures, rules,
and regulations regarding cleanliness and sanitation.
• Properly maintain all pharmaceutical logs, documents and records. Ensure a proper
accounting of all drugs, medicines and pharmaceutical compounds. Inventory all
pharmaceutical supplies and equipment. Maintains records for controlled substances
and removes outdated and damaged drugs from the pharmacy inventory.

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PHARMACEUTICAL PERSONNEL CLASSIFICATIONS
Pharmaceutical personnel are classified based upon the level of certification an individual
receives in order to compound and dispense drugs and medicines. Thus, the classification
of pharmaceutical personnel was developed by the Star Fleet Office of Pharmaceutical
Personnel in order determine the complements of pharmaceutical functions and hence,
the job billets. As such, the Office of Pharmaceutical Personnel Standards created
the following definitions of pharmaceutical personnel:
Pharmacist: A person who is professionally qualified and certified to prepare and
dispense medicinal drugs.
Apothecary: One who prepares and dispenses drugs or compounds for medicinal
purposes, usually under supervision of a certified Pharmacist. A
semi-professional senior enlisted Pharmaceutical Technician.
Pharmaceutical One who aids in the preparation and dispensing of drugs and
Technician: medicines under the direct supervision of a certified Pharmacist or
Apothecary. A trained enlisted junior Pharmaceutical Technician.
Therefore, pharmaceutical personnel assigned to Star Fleet pharmaceutical facilities will
be a mixture of professional, semi-professional, and non-professional personnel.
PHARMACEUTICAL FACILITY CLASSIFICATIONS
Pharmaceutical personnel will generally work in one of three places: a Pharmacy, a

Dispensary, or a Pharmaceutical Laboratory. A Star Fleet Pharmacy is a relatively
large place where drugs and medicines are produced and dispensed. In addition, a
Pharmacy is also a storage location for all types of drugs, some of which will be under
strict control either because of their potency and effect, or their shelf-life and perishability.
As such, Pharmacies will employ pharmaceutical personnel of all types, as listed above,
and will also employ civilian pharmaceutical personnel as well. Pharmacies are generally
found on large Star Fleet bases and Headquarters, and will usually be housed in their
own building or structure. In summary, they are independent units.
In general, Dispensaries are essentially small Pharmacies, and will usually be part of a
larger medical facility such as a Hospital, Infirmary, or Sickbay. And although a
Dispensary will be able to handle most drugs, there are some medicines and compounds
that will not be available to them, primarily because Dispensaries have limited storage
capacities.
Pharmaceutical Laboratories are places where drugs and compounds are developed or
analyzed, and are not places where drugs and medicines are dispensed to patients. Their
primary function is to develop new medicines to combat a new disease or infection, and to
provide the results to the requesting medical facility. However, Pharmaceutical Labs are
also known for developing new drugs and compounds without a specific request to
develop one. In addition, such labs are also used to analyze new or unknown compounds
as well. These may be alien compounds that may have been injected into an individual
resulting in some harmful effect. The lab’s job will be to analyze the compound and to find
an antidote or some compound to counteract the effects. Lastly, Pharmaceutical Labs
may also be used to analyze drugs or compounds that were used in the commission of a
crime.

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BASIC PHARMACY DUTY
Star Fleet Pharmacists stationed at a Star Fleet base Hospital Dispensary or Base
Pharmacy will work the same hours as their Medical Officer colleagues. That is, they
typically work an eight hour day during the hours of 0800 to 1700 each day, except if they
have the duty as Duty Pharmacist for the day. As such, Star Fleet Pharmacists will
perform their function within the aforementioned areas. Only those pharmacists, chemists
and other pharmaceutical persons will work inside a Pharmaceutical Laboratory.
In general, Pharmacists will generally share a private office in which to work on their
administrative functions. The pharmaceutical facilities at Star Fleet bases are large
enough to house all Pharmacists and Pharmaceutical Technicians, though the later
will not have a private office, but work within the general area of the Pharmacy or
Dispensary. As such, all Star Fleet pharmaceutical personnel will be housed on site
along with their families. It is rare that such individuals will reside in quarters or housing
off the base. This is because in case of a medical emergency, all medical personnel,
including pharmaceutical personnel, must be available at all times, and must be able to be
contacted at all hours of the day.
On large ground bases there may be more than one Pharmacy. The primary Pharmacy
or Dispensary, located within the Base Hospital, is basically for use by the hospital and
for Star Fleet military personnel. However, large Starbases may also be built with
shopping malls for use by military and civilian personnel alike. In such shopping malls a
full-service Pharmacy may be available for everyone. Besides filling prescriptions and
dispensing drugs, this type of Pharmacy may also sell over-the-counter medications and
other various and sundry items. However, this type of Pharmacy will usually be manned
by a civilian contractor or indigenous Pharmacist. But in many cases these pharmacies
will be manned by Star Fleet Pharmacists and Pharmaceutical Technicians.
Infirmaries at Star Fleet stations will also have a moderately-sized Dispensary as part
of its organization. In addition, one some of the larger stations, where there are a
significant number of civilian employees working there and many visitors to the station,
may have a full service Pharmacy constructed within the stations’ shopping mall area. As
such, there may be one or more Duty Pharmacist or Pharmaceutical Technician to
work at each place. For station pharmaceutical personnel, store duty is highly sought after.
Therefore, as with base pharmaceutical personnel, there is a Pharmacy Duty Rotation
program for station pharmaceutical personnel.
Aboard Star Fleet ships, the pharmaceutical staff for the Sickbay Dispensary is very
small. A typical Cruiser-class Starship may contain only a single professional Pharmacist
and one, or maybe two, Pharmaceutical Technicians. All pharmaceutical personnel will
work in a single small area called the Dispensary located within Sickbay. As such, all
formulations and dispensing of drugs will take place at this location. An example of such a
facility can be seen in Figure 10a85.2.

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DUTY PHARMACIST
As mentioned in other sections, Star Fleet Pharmacists and Pharmaceutical

Technicians assigned to bases generally do not work in watch cycles, but during Normal
Working Hours. However, there will be made available a Duty Pharmacist, or DPH, in
case there is a need to formulate and dispense drugs after working hours. This duty only
applies to the facility’s hospital Dispensary and does not include any general retail
Pharmacy under Star Fleet management. Typically, the Duty Pharmacist will generally
stay close to the Infirmary or Hospital and will be on call. However, aboard Star Fleet
ships there will not be a Duty Pharmacist since, in most cases, there is only one
professional Pharmacist. Therefore, this individual will be on call at all times, but will
work the ship’s Normal Working Hours and then go off duty.
COMMAND OF PHARMACEUTICAL FACILITIES
On large Star Fleet bases where there is a significant medical facility with a large
Dispensary or Pharmacy, the officer in charge of all pharmaceutical personnel is the
Base Pharmacist (PHM), an officer of the Medical Services Corps with training in
pharmacology and certified as a Pharmacist. The Base Pharmacist will usually hold the
rank of Lieutenant Commander and is responsible for the proper dispensing of drugs,
medicines and other pharmaceutical and medical items; for the procurement of special
therapeutic equipment; for the maintenance and cleanliness of the pharmacy areas; and
for the conduct and supervision of the Pharmacy division. An example of the organization
chart for the Base Pharmacist can be seen in Figure 10a55.21.
In charge of this section is the Station Pharmacist (PHM), an officer of the Medical
Services Corps and is a certified Pharmacist. The Station Pharmacist will usually
hold the rank of Lieutenant and is responsible for the proper dispensing of drugs,
medicines and other pharmaceutical and medical items; for the procurement of special
therapeutic equipment; for the maintenance and cleanliness of the pharmacy areas; and
for the conduct and supervision of the Pharmacy division as a whole. An example of the
organization chart for the Station Pharmacist can be seen in Figure 10a55.2.
Aboard ship, the head of the Pharmacy division will be is the Chief Pharmacist (PHM),
an officer of the Medical Services Corps with training in pharmacology and certified as a
Pharmacist. The Chief Pharmacist will usually hold the rank of Lieutenant Junior
Grade and is responsible for the proper dispensing of drugs, medicines and other
pharmaceutical and medical items; for the procurement of special therapeutic equipment;
for the maintenance and cleanliness of the pharmacy area; and for the conduct and
supervision of the Pharmacy division.
MILITARY DUTY OF PHARMACEUTICAL PERSONNEL
In general, Star Fleet medical personnel cannot engage in military activities due to their
status as required by Interplanetary law. However, pharmaceutical personnel do not fit
into the standard definition of a medical person and therefore, are not bound by laws and
rules of war. Therefore, under wartime conditions, Star Fleet pharmaceutical personnel
may be ordered to perform military duties.

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Figure 10a55.1
EXAMPLE OF A BASE PHARMACY DIVISION ORGANIZATION
4600
Base Pharmacist
LCDR
4601
Yeoman
T3
4610 4620 4630 4640

Pharmaceutical Pharmaceutical Pharmaceutical
Chief Pharmacist
Personnel Officer Laboratory Officer Supply Officer
LEUT LEUT LEUT LTJG

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Figure 10a55.2
EXAMPLE OF A STATION PHARMACY DIVISION ORGANIZATION
4600
Station Pharmacist
LEUT
4610 4620 4630

Pharmacy Pharmaceutical
Chief Pharmacist
Administrator Supply Officer
LTJG LEUT LTJG

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5.6 STAR FLEET MEDICAL SPECIALISTS

In general, Medical Specialists are distinctive medical professionals that specialize in a
particular medical procedure or part of an anatomy. In general, such specialists are
general practice medical professional who have continued their education into a specific or
special area of medicine. Such areas include, but not limited to: Anesthesiology,
Cardiology, Dermatology, Endocrinology, Gastroenterology, Immunology,
Medical Scanning and Radiology, Neurology, Obstetrics and Gynecology,
Prosthetics, Oncology and Hematology, Nephrology, Ophthalmology,
Orthopedics, Otolaryngology, Rheumatology, Urology, just to name a few. As such,
the majority of such specialists will be assigned to and work within the Star Fleet Bureau
of Medical Services, and most will have the rank of Lieutenant Commander.
In general, medical specialists will not be found in all Star Fleet medical facilities. Most of
the specialists listed above will be assigned to major Star Fleet hospitals and medical
centers. Therefore, medical specialists will normally practice medicine at a ground medical
facility. There will only be a few medical specialists that will be assigned to a deep-space
medical facility such as a Star Fleet station Infirmary or ship’s Sickbay, and only those
specializing in illnesses or issues that are related to life out in deep-space or aboard ships.
Where a crew member may contract a disease or suffer a major injury out in deep space
requiring a specialist, the local medical facility will do its best to treat the patient, but will
eventually transfer the patient to a ground medical facility that will have the required
specialists. In some instances, usually aboard a Star Fleet space station, a specialist may
be transported to the station to treat the patient. However, this is a temporary assignment
and only for those cases that require immediate attention.
As previously stated, Star Fleet medical specialists will usually be assigned to a ground
medical facility, but there are a few that may be assigned to a smaller facility. As such, the
following (Table 10a56.1) lists the medical facility at which a Star Fleet medical specialist
will normally be found.

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Table 10a56.1
TABLE OF MEDICAL SPECIALIST ASSIGNMENTS
Medical Facility Type
Starbase Hospital
Outpost Infirmary
Starship Sickbay
Station Infirmary
Medical Center
Medical Specialist
Hospital Ship
Base Clinic
Alien Medicine       
Anesthesiologist       
Audiologist       
Cardiologist       
Dermatologist       
Dietician       
Endocrinologist       
Gastroenterologist       
Gerontologist       
Gynecologist       
Hematologist       
Immunologist       
Nephrologist       
Neurologist       
Obstetrician       
Oncologist       
Otolaryngologist       
Ophthalmologist       
Optometrist       
Orthopedist       
Pediatrician       
Physiatrist       
Podiatrist       
Proctologist       
Pulmonologist       
Radiation Physicist       
Radiologist       
Radiotherapist       
Rheumatologist       
Space Medicine       
Urologist       

OFFICIAL USE ONLY
VOLUME X
STAR FLEET MEDICINE
6.0 STAR FLEET NURSES

A Star Fleet Nurse is a military medical professional focused on the care of service
members, their families, and Federation communities in order to attain, maintain, or
recover optimal health and quality of life. A Star Fleet Nurse may be differentiated from
other health care providers by their approach to patient care, training, and scope of
practice. In general, most Star Fleet Nurses provide care within the ordering scope of a
Star Fleet physician, and this traditional role has shaped the public image of nurses as
care providers. Star Fleet Nurses also develop a plan of care, working collaboratively
with physicians, therapists, the patient, and other team members, that focus on treating
illness to improve quality of life. The Star Fleet Division of Medicine also contains
advanced practice nurses, such as Clinical Nurse Specialists and Nurse Practitioners,
who diagnose health problems and prescribe medications and other therapies, and who
are permitted to practice independently in a variety of settings. Star Fleet Nurses are
typically graduates of the Star Fleet Academy College of Medicine and Dentistry and
usually graduate with the rank of Ensign.
As stated above, Star Fleet Nurses will be restricted only to those duties related to their
profession and as such, by law, cannot engage in belligerent activities. This requirement is
stipulated in Star Fleet Regulation 5830, which states: “Members of the Medical,
Dental, Chaplain, Medical Service, Nurse, or Science Corps shall be detailed or permitted to
perform only such duties, in peace or war, as are related to medical, dental, religious
service or scientific study, and the administration of medical, dental, science, or religious
units and establishments.” Therefore, and in general, nurses will not command any Star
Fleet activity, except as a leader of a nursing team.
Regarding their authority, Star Fleet Nurses, though they are commissioned officers and
hold a position of authority and are responsible for those under their authority, only have
such authority as it relates to nursing and patient aid. Therefore, a Star Fleet Nurse
cannot issue military orders to anyone within the Star Fleet Service. However, they can
only issue such orders as it relates to the medical condition of an individual in the Star
Fleet Service, and only when such orders were initially issued by a Star Fleet Medical
Officer. Only Medical Officers can issue medical orders, but may delegate such
authority to Star Fleet Nurse-officers.
As stated in Section 4.0 of Volume III of the Star Fleet Command Manual, Star Fleet
Nurses, like all Star Fleet officers, are appointed for a term of six years. The initial term
is established by contract, which is signed when entering Medical Service or upon entry
into the Star Fleet Academy. Subsequent terms will also be six years and the extension
of the contract is accomplished through a letter of intent to continue for another six-year
period. This letter of intent must be issued approximately three months before the term of
their commission will expire. At the end of the term, the nurse will receive and sign an
extension to the contract, which extends the period of his or her commission another six
years.

VOLUME X
STAR FLEET MEDICINE
STAR FLEET NURSE RESPONSIBILITIES
The general duties of Star Fleet Nurses are specified in Federation regulations and
standards, and in the standards and regulations specified by the Star Fleet Bureau of
Nurses. In general, the duties and responsibilities of a Star Fleet Nurse are:
1. Order, interpret, and evaluate diagnostic tests. Observe and record patient’s behavior
to treatment; assess and evaluate patients' needs for, and responses to, the care
rendered; apply sound nursing judgment in patient care management decisions.
2. Provide primary and emergency care for occupational and non-occupational injuries and
illnesses; collaborate with the nursing team to create a Plan of Care for all patients;
direct and guide ancillary personnel and maintain standards of professional nursing.
3. Implement physicians’ orders, administer medications, start intravenous treatments[1],
perform treatments, procedures and special tests, and document treatment as required
by Star Fleet rules and regulations. Coordinating with physicians and other healthcare
professionals for creating and evaluating customized treatment and care plans; support
Star Fleet physicians in their duties as illustrated in Figure 10a60.1.
4. Provide emotional and psychological support to the patients and their families as
illustrated in Figure 10a60.2; create a harmonious environment.
5. Ensure all medical and surgical equipment and instruments are clean and available for
use by the doctor or surgeon.
6. Administer prescription and non-prescription medications as ordered; ensure all drugs,
and medicines are properly handled, labelled, stored and controlled; maintain the
security of all such drugs, and medicines, and account for the use of such drugs and
medicines.
NURSE AUTHORITY
Star Fleet Nurses have only such authority as a Star Fleet Medical Officer delegates
to them. There is no inherent authority conferred upon Star Fleet Nurses, except those
honors and respect that is accorded to any Star Fleet commissioned officer.
MANNER OF ADRESSING NURSES
Nurse Officers of the Nurse Corps shall be formally addressed in oral communication as
“Nurse” as stipulated in Paragraph 2 of Star Fleet Regulation 5320. On the other hand,
Nurses having doctoral degrees shall also be addressed as “Doctor” as well. However,
unlike physicians, the relationship between nurses and all other military personnel shall
remain formal.
In written, taped or other electronic communications the name of the nurse shall be
indicated with the designation for the Star Fleet Nurse Corps placed immediately after
his or her rank as such:
Christine Chapel, Lieutenant, NRS

or
Dr. Chandra, LCDR, NRS

VOLUME X
STAR FLEET MEDICINE
CLASSIFICATION OF STAR FLEET NURSES
Star Fleet has several classifications of those engaged in the nursing profession, which
includes both commissioned officers and non-commissioned enlisted persons. All of which
fall under the category of nurse. The following subsections will define the various classes
of nurses as developed by the Star Fleet Office of Nurse Standards.
STAR FLEET NURSES AND NURSE-PRACTITIONERS
A Star Fleet Nurse-Practitioner (NP) is a registered nurse who is qualified through

advanced training to assume some of the duties and responsibilities formerly assumed only
by a physician. Autonomously and in collaboration with health care professionals and other
individuals, Star Fleet NPs provide a full range of primary, acute and specialty health
care services, including:
• Ordering, performing and interpreting diagnostic tests such as lab work and scans
• Diagnosing and treating acute and chronic conditions, infections and injuries
• Prescribing medications and other treatments
• Managing patients' overall care, including medical counseling
• Educating patients on disease prevention and positive health and lifestyle choices.
All Star Fleet NPs must complete a master's or doctoral degree program, usually at the
Star Fleet Academy, and have advanced clinical training beyond their initial professional
nurse preparation. Didactic and clinical courses prepare nurses with specialized knowledge
and clinical competency to practice in primary care, acute care and in long-term medical
care settings. Star Fleet NPs undergo rigorous certification, periodic peer review, clinical
outcome evaluations and adherence to a code for ethical practices. Self-directed continued
learning and professional development is also essential to maintaining clinical competency.
Additionally, to promote quality health care and improve clinical outcomes, NPs lead and
participate in both professional and lay health care forums, conduct research and apply
findings to clinical practice.
SPECIALTY NURSES
A Specialty Nurse is a certified Star Fleet Nurse who has specialized training in a
specific area of medical practice such as a Surgical Nurse. Examples of such nurses may
be found in Table 10a13.1 in Section 1.3 of this manual.
NURSES’ AIDE
Nurse’s Aides or Nurse Assistants assist patients with basic daily tasks. They work in
hospitals and long-term care settings like Star Fleet Veterans Hospitals, and may
provide home care to Service personnel. Their responsibilities may include helping patients
with their personal hygiene and with eating, repositioning bedridden patients, and taking a
patient's vital signs. Nurse’s Aides work under the supervision of a certified Star Fleet
Nurse or Star Fleet Nurse-Practitioner. Nurse’s Aides are generally enlisted Medical
Technicians and are not graduates from the Star Fleet Academy College of Medicine
and Dentistry.

VOLUME X
STAR FLEET MEDICINE
NURSE’S OATH
The Nurse’s Oath is a pledge taken by Star Fleet Nurses to do their best for their
patients. It is often called the ‘Nightengale Pledge’, and is usually administered at
graduation ceremonies. It is called the Nightingale Pledge in honor of Florence Nightingale,
and is a modified version of the old Hippocratic Oath taken by doctors. In 1893 on Earth,
Lystra Gretter and a Committee for the Farrand Training School Grace for Nurses in the old
United States of America created the pledge, which goes as such:
"I solemnly pledge myself before God and in the presence of this assembly: To pass my
life in purity and to practice my profession faithfully. I will abstain from whatever is
deleterious and mischievous and will not take or knowingly administer any harmful drug. I
will do all in my power to maintain and elevate the standard of my profession and will hold
in confidence all personal matters committed to my keeping and all family affairs coming
to my knowledge in the practice of my calling. With loyalty will I endeavor to aid the
physician in his work and devote myself to the welfare of those committed to my care."

VOLUME X
STAR FLEET MEDICINE
Figure 10a60.1
STAR FLEET NURSE: ASSISTING A PHYSICIAN

VOLUME X
STAR FLEET MEDICINE
Figure 10a60.2
STAR FLEET NURSE: CARING FOR PATIENTS

VOLUME X
STAR FLEET MEDICINE
6.1 STAR FLEET BASE HOSPITAL NURSES

This section will provide a comparatively detailed description of the nurses that are
assigned to Star Fleet bases and space stations. In general, Star Fleet bases, such as
Starbases and Star Fleet Headquarters, will employ many nurses to serve and support
the medical staff and their patients. In addition, the services provided by Base Nurses
will also include the civilian population that works at the base or station, as well as the
families of both civilian workers and Star Fleet service members stationed there. And
depending upon the provisions in the agreement to locate the base at the site, Star Fleet
Nurses may also be required to provide Star Fleet nursing care to the indigenous
population as well.
RESPONSIBILITIES OF BASE NURSE-OFFICERS
As outlined in Section 6.0, all base and station Nurse-Officers throughout the fleet will
have the same basic responsibilities, which are:
• To provide support to Star Fleet Medical Officers and Medical Specialists in the
performance of their duties to provide complete medical and surgical services to all
members of the Star Fleet Service and their families, and to the civilian employees
that work for Star Fleet at the facility.
• To order, interpret, and otherwise evaluate diagnostic and medical tests, and to
observe and record patient’s behavior to treatment; to assess and evaluate patients'
needs for, and responses to, the care rendered; and to apply sound nursing judgment
in patient care management decisions.
• To implement the orders from Star Fleet Medical Officers, administer medications,
perform medical treatments, procedures and special tests, and document treatment as
required by Star Fleet rules and regulations; coordinate with physicians and other
healthcare professionals in creating and evaluating customized treatment and care
plans.
• To administer prescription and non-prescription medications as ordered; ensure all
drugs, and medicines are properly handled, labelled, stored and controlled; maintain
the security of all such drugs, and medicines, and account for the use of such drugs
and medicines.
• To provide primary and emergency care for occupational and non-occupational injuries
and illnesses; collaborate with the nursing team to create a Plan of Care for all
patients; direct and guide ancillary personnel and maintain standards of professional
nursing.
• To ensure all medical and surgical equipment and instruments are clean and available
for use by the doctor or surgeon; to ensure that all medical areas are neat, clean and
sanitary as required by regulation.
• To properly maintain all medical logs, documents and medical records; to safeguard
such records and to prevent unauthorized persons for obtaining or examining such
records.

VOLUME X
STAR FLEET MEDICINE
RESPONSIBILITIES OF BASE NURSE’S AIDES
The basic function of Star Fleet Nurse’s Aides, also known as Nurse Assistants, is to
support the nursing staff. As such, their responsibilities will be:
• To support the nursing staff of the facility; to carry out the instructions of the Nurse-
Officers that are over them; assist Medical Officers and Nurse-Officers with
treatments and therapies; and to provide some rehabilitative care, such as assisting
patients with range-of-motion exercises.
• To help maintain patients’ personal hygiene and grooming needs; to clean and bath
patients; to help patients with bathroom activities; to help dress patients; to serve
meals and to help patients eat their food; and to help to transfer the patients to and
from beds.
• To change patient bedding; to keep patient rooms neat and clean; to inspect and to
have clean bathrooms and sanitary areas.
• To perform minor health care jobs like taking temperature, pulse and blood pressure;
turn, reposition and move patients between wheelchairs, moving devices[2], seats and
beds; administer medication as ordered by the patient's doctor or Nurse-Officer.
However, Nurse’s Aides cannot make changes to the dosage or type of medication,
and must instead alert the doctor or nurse on duty if a patient is not responding well
to medication.
• To spend time with the patients and to provide companionship; to make the stay of
patients as pleasant as possible by bringing things that they need; keeping water
pitchers, ice bags and hot pads ready for the patient to use whenever necessary, and
to listen to patients regarding any health concerns they might have and to report such
details to a Nurse-Officer or Medical Officer.
• To support to Medical Officers and Nurse-Officers in providing healthcare to
Federation colonies and enterprises located at or near the facility; aid Medical
Officers in performing their annual medical examinations of Federation citizens
working in deep space in accordance with Star Fleet Regulation 6621.
• To support to Medical Officers in providing emergency medical care to Federation
citizens found injured in deep space in accordance with Star Fleet Regulation
6620; aid Federation and non-Federation healthcare workers in the amelioration
of the sick or injured during planetary or galactic disasters; to assist any person found
• Properly maintain patient records; take notes of medical issues in the patient's chart;
keep detailed records that can be referred to by doctors and nurses.

VOLUME X
STAR FLEET MEDICINE
FUNDAMENTAL BASE NURSE DUTY
Star Fleet Nurse-Officers stationed at a Star Fleet base, base hospital or medical
center function in the same manner as with their civilian counterparts. That is, they
typically work an eight hour day during the hours of 0800 to 1700 each day, except if they
have the duty as Duty Nurse for the day. In general, base Nurse-Officers stand their
duty in assigned work areas associated with their particular specialty, but will usually be
found at an area within a hospital called the Nurse’s Station.
Unlike base Medical Officers, Nurses do not have their own private office in which they
will work, but will work from the medical facility’s Nurse’s Station. In general, the
Nurse’s Station is the area where patients are remotely monitored, and where the
scheduled medicines are prepared for dispensing to the patients. The Nurse’s Station will
contain sufficient nursing personnel to handle any emergency that may occur within the
wards. However, some Nurses will work in other medical areas such as in Radiology,
Oncology and other places. These are specialty nurses that only perform their specific
function.
As stated above, Star Fleet Nurses, Nurse-Practitioners and Medical Technicians

will work a normal work day at their assigned locations. Base Hospitals are relatively
large complexes and as such, nursing personnel will generally confine their duties to the
area of their responsibility, unless ordered to proceed to another location. In general, Star
Fleet base medical facilities are compartmentalized into specific medical and medical
service areas, some of which are general medical areas such as Emergency Rooms,
Surgery, and general Examination Rooms. As such, Star Fleet Nurse-Practitioners,
Emergency Room Nurses and Surgical Nurses will work in these specialized medical
areas. Nurse-Specialists, on the other hand, will work in buildings and areas designated
for them.
DUTY NURSE
As mentioned above, Nurse-Officers assigned to bases generally do not work in watch

cycles, but during Normal Working Hours. However, there will be one senior or
experienced medical professional that will have the duty for the entire day. That person is
known as the Duty Nurse or DNR.
The Duty Nurse is that person, selected by the Chief Nurse, with approval from the
Chief Medical Officer, to work with and support the Duty Medical Officer for the day.
This is usually a scheduled event and only those nurses placed on the Duty Roster will
stand the duty. The primary responsibility of the DNR is to support the professional and
technical staff during the day, and to manage the duty nursing staff after working hours.
Typically, the shift begins at 0800 when, at that time, the off-going DNR will turnover duty
to the on-coming DNR. Aside from his or her supervisory duties, the DNR will also engage
in his or her profession as well, but normally, the DNR will be a senior Nurse-Officer and
will work at either the Emergency Room or the primary Medical Examination Room.
Since the DNR works outside Normal Working Hours, special private quarters are
available for him or her to rest and relax, and in which they must keep neat and clean.

VOLUME X
STAR FLEET MEDICINE
BASE NURSE UNIFORM
As required by the Star Fleet Uniform Standard (BUPERSMAN-332) and by Star

Base Command Order 633, all nursing personnel working at Star Fleet shore medical
facilities must wear the light-blue (medical) version of the working tunic as the standard
Working Uniform. All male nurses shall wear the SWMM0M work uniform, and all
female nurses shall wear either the SWFG0M standard long or SWFM0M short working
uniform as prescribed by the Base Commander and the Base Medical Officer during
normal working hours. However, all medical personnel may also wear the SWGG0M
Medical Working uniform with the 3442 coveralls as well, or such other special medical
clothing as the Base Medical Officer may prescribe. Usually, the SWGG0M uniform will
be worn during surgery or other medical procedure. Lastly, all administrative personnel
working within the Medical Department shall wear the goldenrod tunic. That is, all
males shall wear the SWMG0A work uniform, and all females shall wear either the
SWFG0A standard long or the SWFx0A standard short working uniform as proscribed by
the facility’s commander.
The badge of a Nurse-Officer at a base medical facility will be the standard Star Base
Command patch having gold foil for the background center area and the Nurse Corps
Cross embroidered in red. Enlisted nurses or Nurses’ Aides will have the silver foil with a
red cross embroidered in the center as illustrated below. Civilian nurses employed by the
base medical facility will also wear the Star Base Command patch, but with blue foil for
the background and a red cross embroidered in the center.
STAR FLEET BASE NURSE PATCH
Nurse-Officer Nurse-Practitioner Nurse’s Aide Civilian Nurse
BASIC NURSE ORGANIZATION
In most Star Fleet medical facilities, the organization associated with the nursing function
will be manned by a combination of Nurse-Officers, and enlisted Nurse’s Aides and
Medical Technicians. In charge of this organization will be the Chief Nurse, in the case
of a ground base, and the Station Nurse for deep space stations. The function of these
officers is to manage the nursing and medical technician staff, and to carry out the
regulations, standards, policies and procedures for nursing as directed by the Star Fleet
Bureau of Nurses. On ground bases the Chief Nurse will have the rank of Lieutenant
Commander, while the Station Nurse will have a rank of Lieutenant.

VOLUME X
STAR FLEET MEDICINE
BASE NURSING DIVISION
The principal function of the Nursing division is to care for patients and to assist them in
their recovery back to full health through the application of prescribed therapies and the
management of the patient and his environment. As such, the division will primarily consist
of certified nurses from the Star Fleet Bureau of Nurses and Medical Technicians
from the Star Fleet Bureau of Medical Services. Nurses and Medical Technicians
assigned to duty at a Star Fleet base will be assigned to one of the four sections within
the Nursing division as listed in Table 10a61.1 below and illustrated in Figure 10a61.1.
In charge of this division, and of all nurses and Medical Technicians at a Star Fleet
base, is the Chief Nurse (NRS). The Chief Nurse is responsible for the care of the sick
and injured during convalescence; to aid and support the ship’s doctors and surgeons; to
aid patients during therapy; and for the conduct and supervision of all nursing and medical
technician personnel within the division. The Chief Nurse will usually be an officer of the
Nurse Corps with the rank of Lieutenant Commander, but may also be an officer of
the Medical Services Corps as well.
Table 10a61.1
TITLES AND RANKS OF NURSING DIVISION OFFICERS
Section Typical
Section Section Officer Title
Designation Rank
General Nursing Head Nurse NRSG LEUT
Nursing Personnel Nurse Personnel Officer NRSP LTJG
Medical Technicians Chief Medical Technician MTEC S8
Emergency Medical Technicians Chief Emergency Medical Technician EMTS S7
GENERAL NURSING SECTION
The General Nursing section consists only of certified Star Fleet Nurses. A Nurse is a
Star Fleet Nurse Corps officer responsible for: the treatment, safety, and recovery of
acutely or chronically ill individuals; the promotion of health and health maintenance of the
crew; and in the treatment of life-threatening emergencies in a wide range of health care
or environmental settings. In providing care, nurses implement the nursing care plan using
the nursing process. This is based around a specific nursing theory which is selected based
on the care setting and population served. In providing nursing care, the nurse uses both
nursing theory and best practice derived from nursing research.
In charge of this section is the Head Nurse (RNL), a Nurse Corps officer, usually having
the rank of Lieutenant. The Head Nurse is responsible for the conduct, professionalism
and supervision of all the nurses under his or her cognizance. In addition, the RNL is also
responsible for the training and qualification of all the nurse-officers within the section, and
is responsible to have his or her nurses keep up with the latest nursing practices.

VOLUME X
STAR FLEET MEDICINE
NURSING PERSONNEL SECTION
The function of the Nursing Personnel section is to recruit or allocate certified nurses
into the Nursing division. As such, this section acts as a personnel resources organization
and will work closely with the Medical Personnel section in the allocation of qualified
Nurses, Nurse-Practitioners, Nurse’s Aides and Emergency Medical personnel. As
such, this section will evaluate the nursing needs of the Medical Department and will
determine the required complement of nurses for the department. Once determined, this
section will make requests to the Medical Personnel section for the allocation of nurses
to the facility.
In charge of this section is the Nurse Personnel Officer (NRP), a Nurse Corps officer,
usually having the rank of Lieutenant Junior Grade.
MEDICAL TECHNICIANS SECTION
The function of the Medical Technicians section is to provide a pool of qualified enlisted
Medical Technicians and Nurse’s Aides to support the base medical staff. In general,
medical technicians perform medical and clinical testing in a medical laboratory, perform
emergency medical procedures in a hospital setting, and will assist in surgical procedures.
This section consists entirely of enlisted Medical Technicians and Specialists, usually of
grade S2 or higher.
In charge of this section is the Chief Medical Technician (MLC), a senior enlisted
Medical Specialist of grade S8 with training in general and emergency medical
procedure. The MLC primarily manages the enlisted medical staff and will schedule and
provide training to the technicians under his or her authority.
EMERGENCY MEDICAL TECHNICIANS SECTION
The function of the Emergency Medical Technicians section is to provide a pool of

qualified enlisted Emergency Medical Technicians (EMT), also known as Paramedics,
who are clinicians, trained to respond quickly to emergency situations regarding medical
issues, traumatic injuries and accident scenes. In general, Emergency Medical
Technicians perform emergency medical procedures at an injury site, and are always
called into action whenever an emergency situation or accident has occurred. In addition,
Emergency Medical Technicians and may also serve as duty Corpsmen during Shore
Leave or Liberty periods. Therefore, EMTs are on duty at all times. This section consists
entirely of enlisted Medical Technicians and Specialists, usually of grade S2 or higher.
In charge of this section is the Chief Emergency Medical Technician (EMT), a senior
enlisted Medical Specialist of grade S7 with training in emergency medical procedures.
The EMT primarily manages an enlisted staff of Emergency Medical Technicians and
will schedule and provide training to the technicians under his or her authority.

VOLUME X
STAR FLEET MEDICINE
STATION NURSING DIVISION
from the Star Fleet Bureau of Medical Services. Nurses and medical technicians
assigned to duty at a Star Fleet base will be assigned to one of the three sections within
the Nursing division as listed in Table 10a61.2 below and illustrated in Figure 10a61.2.
In charge of this division, and of all nurses and medical technicians at the station, is the
Station Nurse (NRS). The Station Nurse is responsible for the care of the sick and
injured during convalescence; to aid and support the ship’s doctors and surgeons; to aid
patients during therapy; and for the conduct and supervision of all nursing personnel
within the division. The Station Nurse will usually be an officer of the Nurse Corps with
the rank of Lieutenant, but may also be an officer of the Medical Services Corps as
well.
Table 10a61.2
Section Typical
Designation Rank
General Nursing Head Nurse NRSG LTJG
Emergency Medical Technicians Chief Emergency Medical Technician EMTS S7
nursing theory and best practice derived from nursing research.
In charge of this section is the Head Nurse (RNL), a Nurse Corps officer, usually having
the rank of Lieutenant Junior Grade. The Head Nurse is responsible for the conduct,
professionalism and supervision of all the nurses under his or her cognizance. In addition,
the RNL is also responsible for the training and qualification of all the nurse-officers within
the section, and is responsible to have his or her nurses keep up with the latest nursing
practices.

VOLUME X
STAR FLEET MEDICINE
Medical Technicians and Nurse’s Aides to support the station medical staff. In general,
emergency medical procedures in a Sickbay setting, and will assist in surgical procedures.
This section consists entirely of enlisted Medical Technicians and Specialists, usually of
grade S2 or higher.
Medical Specialist of grade S8 with training in general and emergency medical
procedure. The MLC primarily manages the enlisted medical staff and will schedule and
provide training to the technicians under his or her authority.
EMERGENCY MEDICAL TECHNICIANS SECTION
The function of the Emergency Medical Technicians section is to provide a pool of

qualified enlisted Emergency Medical Technicians (EMT), also known as Paramedics,
who are clinicians, trained to respond quickly to emergency situations regarding medical
issues, traumatic injuries and accident scenes. In general, Emergency Medical
Technicians perform emergency medical procedures at an injury site, and are always
called into action whenever an emergency situation or accident has occurred. In addition,
Emergency Medical Technicians and may also serve as duty Corpsmen during Shore
Leave or Liberty periods, if the station is located near or orbiting around a habitated
planet or world. Therefore, EMTs are on duty at all times. This section consists entirely of
enlisted Medical Technicians and Specialists, usually of grade S2 or higher.
In charge of this section is the Chief Emergency Medical Technician (EMT), a senior
enlisted Medical Specialist of grade S7 with training in emergency medical procedures.
The EMT primarily manages an enlisted staff of Emergency Medical Technicians and
will schedule and provide training to the technicians under his or her authority.

VOLUME X
STAR FLEET MEDICINE
Figure 10a61.1
BASE NURSING DIVISION ORGANIZATION
4900 Nursing
Division
NURS
4910 General Nursing

4920 Nursing Personnel
4930 Medical Technicians
4940 Emergency Medical
Section Section Section Technicians Section
NRSG NRSP MTEC EMTS

VOLUME X
STAR FLEET MEDICINE
Figure 10a61.2
STATION NURSING DIVISION ORGANIZATION
4800 Nursing
Division
NURS

4830 Emergency Medical
Section Section Technicians Section
NRSG MTEC EMTS

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STAR FLEET MEDICINE
6.2 STAR FLEET SHIP NURSES

This section will provide a comparatively detailed description of the nurses and Nurse-
Officers assigned to Star Fleet ships. In general, the range of nursing services that can
be provided aboard a Star Fleet vessel is quite limited, due primarily to the restriction on
crew complements of space vessels. As such, the number of nurse billets will be restricted
to general nursing functions and those nurses necessary for specialized medical care
associated with long duration space travel and encounters with alien beings. Because of
these restrictions, a special category of nurse was created to handle nursing functions
aboard Star Fleet ships. These nursing specialists are called Fleet Nurses.
GENERAL DUTIES OF FLEET NURSES
All Fleet Nurses throughout the fleet will have the same general duties. These duties are
listed below:
• To provide general nursing care to all members of the crew, and to provide emergency
medical care as needed; to assist Medical Officers in providing immunizations as
required.
• Observe and record patient’s behavior to treatment; assess and evaluate patients'
needs for, and responses to, the care rendered; apply sound nursing judgment in
patient care management decisions; order, interpret, and evaluate diagnostic tests for
the professional staff.
• Administer prescription and non-prescription medications as ordered by Fleet Medical
Officers; ensure all drugs, and medicines are properly handled, labelled, stored and
controlled; maintain the security of all such drugs, and medicines, and account for the
use of such drugs and medicines.
• To provide emotional and psychological support to crewmembers as illustrated in
Figure 10a60.2; create a harmonious Sickbay environment.
• Maintain all Sickbay areas for cleanliness and sanitation, especially the convalescence
wards, surgical areas, and examination rooms; ensure all Sickbay medical and
surgical equipment and instruments are clean and available for use by Fleet Medical
Officers.
• Support the professional staff in providing medical and healthcare to Federation
colonies and enterprises located in deep space in accordance with Star Fleet
Regulations 6620, 6621 and 6630; perform health examinations and provide
medical aid to non-Federation persons that have been granted asylum and
temporary refuge aboard ship in accordance with Star Fleet Regulation 6900;
• Assist the professional staff in maintaining all medical logs, documents and medical
records; enter all medical examination results in the proper medical databases.
Illustrations of the various duties Star Fleet ship nurses perform can be seen in Figures
10a62.3 through 10a62.8.

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FLEET NURSE QUALIFICATION
In general, Star Fleet ship billets, or job slots, have specific requirements regarding the
qualification and training of the personnel who will fill those slots, such as those for Fleet
Nurses. These requirements are set down by the Star Fleet Office of Medical
Personnel, and the Office of Star Fleet Ship Personnel. Together, they established
establish the criteria for the qualification of nurse personnel to perform the required
nursing duties aboard Star Fleet ships, and to establish the minimum requirements in
terms of education and job skills as specified by the Star Fleet Office of Nurse
Training. These requirements were established by reviewing the variety of nursing
services that may be required for space medicine and the functions that nurses must
perform at each medical station aboard ship and therefore, develop the criteria for nurse
personnel qualification as it relates to the duties performed at these stations. The result is
the development of training programs designed such that Star Fleet nurse personnel can
meet the qualifications for medical duty aboard Star Fleet ships. This includes the
requirement for continuous training and certification of medical personnel as well. Such
requirements for duty as a Fleet Nurse will be set down by the Star Fleet Office of
Medical Personnel.
FLEET NURSE REQUIREMENTS
As stated above, the job of Fleet Nurse requires a certain amount of training above that
of being a regular Star Fleet Nurse-Officer. The Star Fleet Academy and several
Academy Annexes have schools specifically created to train and certify Fleet Nurses. A
list of these schools can be found in Section 3.2 of this manual. As such, these schools will
teach and certify Fleet Nurses per the requirements set forth by the Star Fleet Office
of Nurse Training. These general requirements are that the Nurse-Officer is already a
certified Star Fleet Nurse-Practitioner, and that the officer has completed Fleet Nurse
training at one of the Academy Annexes.
FLEET NURSE TRAINING
Fleet Nurse training involves additional specialized training in one or more fields of
nursing. For example, in order to become a certified Fleet Nurse, the candidate must
have completed at least one of the following medical programs as it relates to nursing:
Alien Medicine, Vulcan Medicine, Radiation Health Medicine, Space Medicine,
Zero Gravity Surgery, or a conventional nursing specialty such as Emergency Room
Nurse. The candidate must demonstrate proficiency in the selected specialty through a
board examination composed of such nursing specialists before final certification. A
complete description of the training programs and certification process can be found in
Chapter 5 in Volume XIV of the Star Fleet Command Manual.
In addition, before any perspective Fleet Nurse is assigned to a Star Fleet ship, he or
she must have completed preparatory training at the Star Fleet Ship Training Center
on Starbase Three. The function of this training is to acquaint newly certified nurses on
life aboard a Star Fleet ship, and to familiarize them with some of the systems and
equipment he or she may come in contact with aboard ship. In addition, to the basic
routines of ship life, the prospective Fleet Nurse will also be subjected to emergency drills
and simulated ship casualties in order to evaluate the individual on his or her ability to
cope with stressful situations.

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In general, Fleet Nurses will exercise their craft within the confines of the ship’s Sickbay
– the vessel’s medical facility complex (see Section 8.5 for details.) However, if required,
nurses may also be called to any part of the ship in order to take care of the sick and
injured, which may include the patients sleeping quarters as well [3]. But most of the time
nurses will perform their duties within the Sickbay, primarily within the Convalescence
Wards, Examination Rooms, and Medical Laboratories as Duty Nurses. This duty
is recognized as the Standard Medical Watch, and the standard uniform while standing
the watch will be the Medical Duty uniform as shown in Figure 10a62.3.
MAINTENENCE OF THE SHIP’S SICKBAY
Part of the job of a Fleet Nurse is the maintenance and cleanliness of the Sickbay
spaces. In general, Fleet Nurses will usually assign enlisted Medical Technicians or
Nurse’s Aides to perform the actual work, but it is their responsibility to see that the
work gets done. For the more extensive technical work, the ship’s Head Nurse will make
a request to the Ship Maintenance Officer for repairs.
HEAD NURSE
Aboard Star Fleet ships, the Head Nurse (NRS) is the senior officer of over all Fleet
Nurses, Nurse’s Aides, and Medical Technicians, and has the same authority and
responsibility as those of all the other Division Officers aboard ship. The Head Nurse
reports directly to the Chief Medical Officer as head of the Nursing Division aboard
ship.
STARSHIP QUALIFICATION FOR FLEET NURSES
performed by individuals from another billet. However, Star Fleet nursing personnel need
such, Starship Qualification for nursing personnel is voluntary, unless the ship’s Chief
Medical Officer otherwise requires the complete certification.

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GENERAL NURSE WATCHSTANDING
In general, Sickbays aboard Star Fleet ships will normally be manned by a minimum
staff of nursing personnel, except during General Quarters and other emergencies. As
such, during a normal working day (0800-1600) the medical watch consists of a staff of
three persons including the Duty Nurse. During General Quarters, the entire medical
staff may go on a three-section duty rotation of eight hours per cycle.
DUTY NURSE
The Duty Nurse (DNR) is that person, on watch, assigned by the Head Nurse and
approved by the Chief Medical Officer, to perform nursing duties alongside the Duty
Medical Officer. The primary function of the Duty Nurse is to assist the Duty Medical
Officer (DMO) in the management of the Sickbay; to assist the DMO during medical
examinations and other medical services; and to care for patients, whether in Sickbay or
the patient’s quarters. The Duty Nurse will also complete any of the necessary
documentation related to the treatment of the patient or the medical services performed
by the team, both underway and in-port. The Duty Nurse will normally stand his or her
watch at the Nurse’s Station in Sickbay.
NURSE DUTY STATIONS
Nurse Duty Stations are full-time locations within the ship’s Sickbay. Certain medical
examination and recovery rooms will be designated for continuous operation and a Duty
Nurse (DNR) will be assigned by the Head Nurse to man these stations. The function of
these stations is to monitor patient’s recovery, support routine medical examinations, and
to support Medical Officers during medical emergencies. An example of the various
Nurse Duty Stations can be seen in Figure 10a62.1.
Table 10a62.1
TABLE OF STAR FLEET SHIP NURSE DUTY STATIONS
Station Hours of Operation Manned By Primary Function
• General medical
Duty Medical • Emergency medical services
Primary Examination
0000-2400 Officer and • Perform health and sanitation
Room
Duty Nurse inspections
• Maintain Medical Log
• Provide on-call nursing
Nurses’ Station 0000-2400 Duty Nurse • Monitor patients in recovery
room
• Provide medical analysis
Duty Laboratory
services
Medical Laboratory 0800-1600 Technician
• Engage in medical research
As Needed
• Forensic analysis
• Monitor patient’s recovery
Recovery Wards / • Take periodic patient medical
0000-2400 Duty Nurse
Intensive Care Unit data
• Attend to patient needs
Other Nurse Duty Stations aboard ship, such as Surgery, Physical Therapy, Medical
Scanning and the Psychiatric Wards, will normally be unmanned until needed, but will
have a duty professional on standby at all times. In general, all nurse personnel aboard
ship are on call at all times.

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NURSING DIVISION
from the Star Fleet Bureau of Medical Services. The typical organizational structure
for this division can be found in Figure 10a62.2.
In charge of this division, and of all nurses aboard ship, is the Head Nurse (NRS). The
Head Nurse is responsible for the care of the sick and injured during convalescence; to
aid and support the ship’s doctors and surgeons; to aid patients during therapy; and for
the conduct and supervision of all nursing personnel within the division. The Head Nurse
will usually be an officer of the Nurse Corps with the rank of Lieutenant, but may also
be an officer of the Medical Services Corps as well.
Table 10a62.2
Section Typical
Designation Rank
General Nursing Lead Nurse - Specialist NURS LTJG
nursing theory and best practice derived from nursing research. In charge of this section is
the Lead Nurse (RNL), a Nurse Corps officer, usually having the rank of Lieutenant
Junior Grade.
Medical Technicians and Nurse’s Aides to support the ship’s medical staff. In general,
emergency medical procedures, and may serve as duty Corpsmen off ship for Landing
Parties or during Shore Leave or Liberty periods. This section consists entirely of enlisted
Medical Technicians and Specialists, usually of grade S2 or higher.
Medical Specialist of grade S6 with training in emergency medical procedure. The MLC
primarily manages the enlisted medical staff and will schedule and provide training to the
technicians under his or her authority.

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Figure 10a62.1
EXAMPLE OF TYPICAL STARSHIP NURSE DUTY STATIONS
Medical Laboratory Examination Room Intensive Care Unit

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Figure 10a62.2
TYPICAL STARSHIP NURSING DIVISION ORGANIZATION
4900 Nursing
Division
NURS

Section Section
NURS MTEC

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Figure 10a62.3
EXAMPLE OF A CERTIFIED FLEET NURSE SHOWING BADGE DESIGNATION

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Figure 10a62.4
FLEET NURSE DUTY: ASSISTING IN MEDICAL EXAMINATIONS

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Figure 10a62.5
FLEET NURSE DUTY: ASSISTING IN SURGERY

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Figure 10a62.6
FLEET NURSE DUTY: ADMINISTERING VACCINATIONS

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Figure 10a62.7
FLEET NURSE DUTY: SUPPORTING MEDICAL OFFICERS

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Figure 10a62.8
FLEET NURSE DUTY: PERFORMING ADMINISTRATIVE WORK, WRITING REPORTS, ETC.

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6.3 STAR FLEET CIVILIAN NURSES

This section will describe the role civilian nurses and nursing personnel play in the overall
medical program within the Star Fleet. In general, civilian nurses are employed to fill the
gap in a medical command’s nursing complement. Usually, civilian nurses will be hired
from local sources in order to fill the gap in the command’s nursing billets. Therefore,
civilian nurses will never be transported to a remote site, except during a major planetary
or galactic emergency where a detachment of Star Fleet medical staff will be ordered to
the scene of the emergency. But even in this instance, this specific duty may be voluntary
and not mandatory.
In general, civilian nurses will have a civilian employment classification or either “P” for
Professional staff, or “A” for Administrative staff. As such, the duties of a civilian nurse will
be the same as those specified for their Star Fleet military counterparts. However, in
most cases, civilian nurses will usually perform their nursing duties on the civilian staff or
the families of Service members, but may also be required to assist Star Fleet military
doctors as needed. But in all cases, civilian nurses will always be under the direction of a
Star Fleet medical professional, which may be a civilian doctor hired by Star Fleet, or a
Star Fleet Medical Officer or Nurse-officer. However, civilian nurses will never be
under the direction of an enlisted Medical Technician. Only those civilian personnel that
have an employment classification of “A” may be assigned duty to an enlisted medical
person.
Civilian nurses will never be stationed on or assigned to a Star Fleet ship, outpost, or
construction facility. Civilian nurses will be restricted to the large ground facilities such as
Starbase Hospitals, Star Fleet Medical Centers, and Star Fleet prisons or penal
colonies. Rarely, will there be a civilian nurse employed aboard a Star Fleet space station,
except, perhaps, on those stations with a significant civilian population.

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OFFICIAL USE ONLY
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7.0 STAR FLEET MEDICAL TECHNICIANS[1]

Enlisted Medical Technicians are those individuals who had enlisted into the Star Fleet
Service as specialists in medical technology or knowledge in medicine, but who do not
have a college degree or a commission of authority. In essence they are the rank and file
of the Medical Service and perform the bulk of the routine medical tasks not normally
performed by the professional staff. The majority of the Medical Technicians that enter
the Service are those qualified enlisted persons that have gone through Star Fleet
Medical Technician training at a Fleet School. Their initial training will focus on the
science, equipment, tools, processes and procedures of general medicine. After completion
of this phase of their training, they will have graduated with the rank of Medical
Technician 3rd Class (T4), and may be sent out to the fleet for initial medical duty. A
more detailed description regarding entrance into the Star Fleet Medical Service and of
the training and duties of Medical Technicians may be found in Sections 9.1 and 9.2 of
this manual.
GENERAL MEDICAL TECHNICIAN DUTIES
In general, the primary function of Star Fleet Medical Technicians is to support the
professional medical staff by executing the orders of their superior officers and to properly
discharge their medical duties and responsibilities to the utmost of their ability, and in
conformance with existing directives, procedures and regulations. Therefore, their duties
will be more focused on the technical and procedural aspects of their medical specialty
rather than on the administration of subordinates or patients. A more complete description
of the duties and responsibilities of Star Fleet Medical Technicians can be found in
In addition, Medical Technicians will not have any military duties assigned to them
outside of their medical specialty or perform any duty other than their prescribed medical
function, as required by Star Fleet Regulation 5830. As such, medical personnel will
not have any battle station or stand any military watch outside of the medical facility,
except where the treatment of the sick and injured must be performed outside of the
facility or away from the base or space station.
GENERAL MEDICAL TECHNICIAN AUTHORITY
Enlisted medical personnel do not have, as a result of their enlistment, authority as Star
Fleet medical officers do. Enlisted personnel may only have or exercise that authority
which is granted to them by a Star Fleet Medical Officer or other higher authority. That
is, if a Medical Officer directs a Medical Technician to perform a medical procedure on
an individual or patient, the patient must follow the directions of the enlisted Medical
Technician, regardless whether the patient is an enlisted person or an officer. However,
among the enlisted ranks, senior enlisted Medical Technicians have authority over junior
enlisted Medical Technicians as specified in Star Fleet Regulation 5420, and is in
keeping with the principles set down in Star Fleet Regulation 8131, which states in part
that: “Juniors shall show deference to seniors at all times by recognizing their presence
and by employing a courteous and respectful bearing in mode and speech toward them.”

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MANNER OF ADRESSING MEDICAL TECHNICIANS
Star Fleet Medical Technicians are enlisted persons and therefore, all officers shall
formally address Medical Technicians in all oral communication by their name, or their
general grade along with their name such as “Medical Technician Smith”, “Dental Specialist
Compton”, or “Chief Biopsy Technician Harrison”, as stipulated in manual BUPERSMAN-
335: Star Fleet Customs and Courtesies. However, unlike medical officers and nurses,
Medical Technicians may address each other by their name or, in the case of a senior
enlisted technician, by their grade and/or name such as “Chief” or “Chief Harrison.” In any
case, the relationship between enlisted Medical Technicians can be informal, but must
be formal between themselves and Medical Officers and Nurse-Officers.
In written, taped or other electronic communications the name of the Medical

Technician shall be indicated with their rank and grade, with the word “Class” being an
optional suffix. In addition, since enlisted technicians do not belong to any Officer Corps,
designations such as “MED”, “DNT”, “NRS”, or “MDS” will not be appended to their
name, rank or title.
John B. Harrison, Chief Laboratory Technician

or
Geoffrey Compton, Medical Specialist 3rd [Class]
CIVILIAN MEDICAL TECHNICIANS AND ASSISTANTS
The Star Fleet Division of Medicine may also employ or contract civilians certified in
Federation medicine or medical practice to work as Star Fleet Medical Technicians or
Star Fleet Medical Assistants on a permanent or temporary basis. The majority of the
civilian employees hired as medical technicians will be certified Paramedics that will be
assigned to support a Star Fleet Medical Officer, but may also assist an enlisted
Medical Technician as well. They may also perform the all the administrative work such
as record keeping and documentation. These persons will normally be classified with a job
code "A" and paid in accordance with the pay schedule specified in Section 7.1 of Volume
III of the Star Fleet Command Manual.

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7.1 BASE MEDICAL TECHNICIANS

This section will provide a comparatively detailed description of the Medical Technicians
that are assigned to Star Fleet bases and space stations. In general, Star Fleet bases,
such as Starbases and Star Fleet Headquarters, will employ many medical technicians
to serve and support the medical and nursing staff. In addition, the services provided by
base Medical Technicians may also include the civilians that work at the base or station,
primarily in support of the professional medical staff.
RESPONSIBILITIES OF BASE MEDICAL TECHNICIANS
As outlined in Section 7.0, all base and station Medical Technicians throughout the fleet
will have the same basic responsibilities, which are:
• To provide support to Star Fleet Medical Officers and Medical Specialists in the
performance of their duties; and to obey the orders of those medical persons senior to
themselves.
• To perform diagnostic and medical tests, and to record the results of such tests; to
observe patient’s behavior during such tests; to assist patients on and off diagnostic
equipment; and to assist patients to and from diagnostic and other medical areas.
• To implement the orders from Star Fleet Medical Officers, administer medications,
perform medical treatments, procedures and special tests, and document treatment as
required by Star Fleet rules and regulations.
• To administer prescription and non-prescription medications as ordered; ensure all
drugs, and medicines are properly handled, labelled, stored and controlled; maintain
the security of all such drugs, and medicines, and account for the use of such drugs
and medicines.
• To ensure all medical and surgical equipment and instruments are clean and available
for use by Medical Officers and Medical Specialists; to ensure that all medical
areas are neat, clean and sanitary as required by regulation.
records.
In summary, Star Fleet Medical Technicians are responsible primarily to the medical
staff, which consists of Star Fleet Medical Officers, Nurse-Officers, and other senior
Medical Technicians, and being responsible primarily to medical officers, Medical
Technicians take their orders only from senior Star Fleet medical personnel. As such,
regular Star Fleet personnel must give Medical Technicians due deference to the
position they hold, and that Star Fleet Medical Technicians should show due respect to
their military seniors, though they are not obliged to carry out military orders. In addition,
Medical Technicians will not have any military duties assigned to them outside of their
medical specialty or perform any duty other than their prescribed medical function, as
required by Star Fleet Regulation 5830. As such, medical personnel will not have any
battle station or stand any military watch outside of the medical facility, except where the
treatment of the sick and injured must be performed outside of the facility or away from
the base or space station.

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BASE AND STATION MEDICAL TECHNICIAN BADGES
The badge of an enlisted Medical Technician working at a Star Fleet base or space
station will be the standard Star Base Command badge having a silver foil background
and having either a red Star Fleet Caduceus or a red “Rod of Asclepius” embroidered in
the center. A special badge for enlisted Emergency Medical Technicians also employs
the silver foil background, but will have a blue “Star of Life” embroidered in the middle as
illustrated below.
TYPICAL MEDICAL TECHNICIAN BADGES SEEN AT A BASE HOSPITAL
General Medical Medical Services Dental Assistant/ Dental Pharmaceutical
Technician Technician Hygienist Technician Technican
Psychiatric Radiological Laboratory Physical Emergency Medical

Technician Technician Technician Therapist Technician
Medical Technicians assigned to a Star Fleet Outpost will display a special badge
indicating that he or she works Outpost Medical Duty. The badges of these particular
individuals are illustrated below.
STAR FLEET OUTPOST MEDICAL TECHNICIAN BADGES
Medical Medical Services Emergency Medical
Technician Technician Technician

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7.2 SHIPBOARD MEDICAL TECHNICIANS

This section will provide a comparatively detailed description of the Medical Technicians
assigned to Star Fleet ships. In general, The Medical Department aboard a Star Fleet
ship does not have the variety of Medical Technician specialties as do bases and some
space stations. As such, the Medical Technicians aboard ship are general purpose
enlisted medical specialists and thus, will be involved in all aspects of medical care.
Therefore, to be a Medical Technician aboard a Star Fleet ship will require additional
specialized training in several enlisted medical disciplines.
GENERAL DUTIES OF SHIPBOARD MEDICAL TECHNICIANS
All Medical Technicians throughout the fleet will have the same general duties. These
duties are listed below:
• Assisting Star Fleet Medical Officers and military physicians by performing a variety
of diagnostic and therapeutic procedures; performing medical tests under direction of
a Star Fleet medical officer; preparing for and assisting medical professionals during
surgery.
• Assisting Star Fleet Medical Officers in medical research; gathering medical data for
analysis; and assisting in writing research reports and papers. Drafting and analyzing
medical documents and reports; drafting correspondences for a medical officer that is
informative in nature, but that does not include any medical opinion, prescription,
analysis or advice.
• Operating and maintaining sophisticated medical equipment; performing medical
laboratory procedures and experiments.
• Administer non-prescription medications as ordered by a Fleet Medical Officer or
Nurse-Officer; ensure all drugs, and medicines are properly handled, labelled, stored
and controlled; maintain the security of all such drugs, and medicines, and account for
the use of such drugs and medicines.
• Maintain all Sickbay areas for cleanliness and sanitation, especially the convalescence
wards, surgical areas, and examination rooms; ensure all Sickbay medical and
surgical equipment and instruments are clean and available for use by Fleet Medical
Officers.
• Providing medical care in an operational or combat environment; supporting the
professional staff in providing medical and healthcare to Federation colonies.
• Summarize medical documents; attend medical proceedings such as administrative
and court hearings and trials; performing the duty of medical expert in cases of trials
and other legal or medical proceedings; assist the professional staff in maintaining all
medical logs, documents and medical records; enter all medical examination results in
the proper medical databases.
Illustrations of the various duties Star Fleet ship Medical Technicians perform can be
seen in Figures 10a72.1 through 10a72.4.

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In general, Medical Technicians will perform their functions within the confines of the
ship’s Sickbay. However, if required, Medical Technicians may also be called to any
part of the ship in order to help take care of the sick and injured, move or transport the
injured, or carry medical equipment to the scene of a medical emergency. But most of the
time Medical Technicians will perform their duties within the Sickbay, primarily within
the Examination Rooms and Medical Laboratories. This duty is recognized as the
Standard Medical Watch, and the standard uniform while standing the watch will be the
medical blue coveralls as shown in Figure 10a72.3.
DUTY MEDICAL TECHNICIAN
The Duty Medical Technician (DMT) is that person, on watch, assigned by the Chief
Medical Technician and approved by the Chief Medical Officer, to perform medical
support duties alongside the Duty Medical Officer. As such, the primary function of the
Duty Medical Technician is to assist, along with the Duty Nurse, the Duty Medical
Officer (DMO) in the management of the Sickbay; to assist the DMO during medical
examinations and other medical services; and to care for patients. The Duty Medical
Technician or the Duty Nurse may also complete any of the necessary documentation
related to the treatment of the patient or the medical services performed by the team,
both underway and in-port. The Duty Medical Technician will normally stand his or her
watch within the main Sickbay Examination Room.
DUTY MEDICAL LABORATORY TECHNICIAN
Duty Medical Laboratory Technician (DML) is that person, on watch, assigned by the
Chief Medical Technician and approved by the Chief Medical Officer, to perform
medical analysis within any one of the ship’s Medical Laboratories, as directed by the
Duty Medical Officer. As such, the primary function of the Duty Medical Laboratory
Technician is to perform biochemical and medical analyses, biopsies, pathologies, and
any other analyses that may be performed by the ship’s Medical Laboratories. The
Duty Medical Laboratory Technician will also create or submit his or her analyses
findings to the Duty Medical Officer and the Chief Medical Officer as required by
procedure or regulation. The DML will normally be on call during the duty and will not
necessarily stand the watch in the laboratory. However, when requested or during
General Quarters, the DML will immediately proceed to the appropriate laboratory as
directed.

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MEDICAL TECHNICIAN’S ORGANIZATION
Aboard Star Fleet ships Medical Technicians are part of the Nursing Division and
therefore, will come under the overall management of the Head Nurse. However,
Medical Technicians grouped in a separate organization from the nurses, which is called
the Medical Technicians Section. The function of the Medical Technicians section is
to provide a pool of qualified enlisted Medical Technicians to support the ship’s medical
staff. In general, medical technicians perform medical and clinical testing in a medical
laboratory, perform emergency medical procedures, and may serve as duty Corpsmen off
ship for Landing Parties or during Shore Leave or Liberty periods. This section consists
entirely of enlisted Medical Technicians and Specialists, usually of grade S2 or higher.
Medical Specialist of grade S6 with training in emergency medical procedure. The MLC
primarily manages the enlisted medical staff and will schedule and provide training to the
technicians under his or her authority.
STAR FLEET SHIP MEDICAL TECHNICIAN BADGES
The badge of an enlisted Medical Technician assigned to a Star Fleet ship will be the
standard Star Ship Command badge having a silver foil background and having either a
red Star Fleet Caduceus or a red “Rod of Asclepius” embroidered in the center. A special
badge for enlisted Emergency Medical Technicians also employs the silver foil
background, but will have a blue “Star of Life” embroidered in the middle as illustrated
below.
STAR FLEET SHIP MEDICAL TECHNICIAN BADGES
Standard Medical Medical Services Emergency Medical
Technician Technician Technician

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STARSHIP QUALIFICATION FOR MEDICAL TECHNICIANS
performed by individuals from another billet. However, enlisted Medical Technicians
such, Starship Qualification for Medical Technicians is voluntary, unless the ship’s
Chief Medical Officer otherwise requires the complete certification.

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Figure 10a72.1
STAR FLEET SHIP MEDICAL TECHNICIAN DUTY: AIDING MEDICAL OFFICERS DURING EXAMINATIONS

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Figure 10a72.2
STAR FLEET SHIP MEDICAL TECHNICIAN DUTY: HELPING PATIENTS

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Figure 10a72.3
STAR FLEET SHIP MEDICAL TECHNICIAN DUTY: DELIVERING MEDICAL INSTRUMENTS

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Figure 10a72.4
STAR FLEET SHIP MEDICAL TECHNICIAN DUTY: HANDLING EMERGENCY PATIENTS

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7.3 STAR FLEET EMERGENCY MEDICAL

TECHNICIANS
A Star Fleet Emergency Medical Technician is a special type of Medical Technician
with training well above what the regular medical technician would complete. In general a
Star Fleet Emergency Medical Technician (EMT) is a person who is specially trained
and certified to administer basic emergency services to victims of trauma or acute illness
before and during transportation to a hospital or other healthcare facility. In the civilian
world, Star Fleet EMTs would be called ‘Paramedics.’ As such, EMTs are first responders
who travel to the scene of a medical emergency in order to perform life-saving procedures
and get a victim stable enough to take to a full medical facility such as a hospital. They
spend much of their time traveling in or operating ground medical vehicles or medical
spacecraft, heading where ever they are needed. EMTs are also required to report on a
patient's status once they drop them off at a hospital for more intensive treatment, and
are generally responsible for the cleanliness and organization of the medical transport unit
to which they are assigned. Being an EMT also requires that an individual undergo brief
but intensive training and obtain certification proving their competency. Lastly, EMTs are
most likely to be assigned duty at a Starbase or Star Fleet space station. Rarely are they
assigned to a Star Fleet ship.
In general, an EMT is not a type of doctor, nurse, or physician’s assistant. As such, EMTs
are not allowed to use any treatment that requires entry into or access to vital organs.
There are a few exceptions, such as providing life-saving injections as necessary to keep
the patient alive or is having a severe reaction, and to start an intravenous flow of
medication and fluids.
EMERGENCY MEDICAL TECHNICIAN RESPONSIBILITIES
The primary function of an Emergency Medical Technician is to respond to emergency

calls, to provide life-saving care when and where need it, and then transport that person
to a medical facility. As such, they:
• Respond to emergency calls or respond as directed by an emergency care facility.

• Assess a person’s condition in an emergency.
• Document what happened to them.
• Determine what treatment is required; to provide the proper emergency first aid, or to
give life support, if needed.
• Bring a patient to an emergency medical facility to receive medical care.
• Give the medical staff at the medical facility a detailed report on the person.
• Transport patients from one medical facility to another

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STAR FLEET MEDICINE
EMERGENCY MEDICAL TECHNICIAN TRAINING
EMT training involves additional specialized training in one or more fields of primary care
medicine. For example, the candidate must have completed at least one of the following
medical programs as it relates to emergency medicine: Emergency Room procedures,
use of cardiac stimulators, and other life-saving equipment that may be used out in the
field. The candidate then must demonstrate proficiency in emergency medical care through
a board examination composed of senior EMT’s and emergency medical specialists before
final certification.
EMERGENCY MEDICAL SYSTEM SYMBOL
The symbol used to indicate a Star Fleet Emergency Medical Technician is the ‘Star of
Life.’ The Star of Life, as shown in the illustration below, is a blue, six-pointed star,
outlined with a yellow or black border, and usually features a white ‘Rod of Asclepius’ in
the center. The Star of Life was originally designed by Earth’s old American Medical
Association in 1963 as the Universal Medical Identification Symbol. Its usage continues to
this day.
SYMBOL OF EMERGENCY
MEDICAL SYSTEM

VOLUME X
STAR FLEET MEDICINE
7.4 STAR FLEET CORPSMEN

Star Fleet Corpsmen are basically highly trained Emergency Medical Technicians
specifically created for ground troops. Their primary function is to support the ground
troops during combat and to provide emergency aid to troopers that have been injured. As
such, Star Fleet Corpsmen will be assigned permanent duty to a Marine Corps unit
unless requested out of such duty, or until they reach the rank of S5 where they may be
reassigned duty as instructors of Corpsmen.
STAR FLEET CORPSMAN TRAINING
The basic training for Star Fleet Corpsman is the same as that for an Emergency
Medical Technician, but with additional training pertaining to providing emergency
medical aid to troopers under combat conditions. Their training will concentrate on the
techniques of life saving and injury mitigation using a minimum of medical equipment, and
to prepare the injured for transport to a field hospital or Star Fleet medical facility. In
addition, Corpsmen will train alongside Marine Corps troops in the field under simulated
combat condition in order to gain medical experience under fire and to add in the esprit de
corps of the unit. Therefore, a Star Fleet Corpsman will be assigned to a specific
Marine Corps unit for a period of about three (3) years and then, may be rotated into
another unit.
STAR FLEET CORPSMAN SYMBOL
The symbol used to indicate a Star Fleet Corpsman is the ‘Rod of Asclepius’ placed in
the center of the badge of the Star Fleet Marine Corps. The Corpsman badge that is
worn on the working uniform or the Marine combat uniform will be the green Marine
Corps badge with the ‘Rod of Asclepius’ embroidered in red. The badge used with the
dress uniforms will be a silver metal Marine Corps badge with a medical blue background
and the ‘Rod of Asclepius’ in silver.
STAR FLEET MARINE CORPSMAN BADGE
Worn on Marine Corps Worn on Formal Dress Blue and

Working and Combat Uniforms Ceremoinial Dress White Uniforms

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STAR FLEET MEDICINE

OFFICIAL USE ONLY
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STAR FLEET MEDICINE
8.0 STAR FLEET MEDICAL FACILITIES

This section will provide a comparatively detailed description regarding the classification of
medical facilities within the Star Fleet Division of Medicine. As such, the following table
defines the types of medical facilities within the Star Fleet.
Table 10a80.1
DESCRIPTION OF STAR FLEET MEDICAL FACILITY TYPES
Medical Facility Type Definition/Description
A Medical Center is defined as a large complex of medical buildings and

structures for the purpose of providing medical care to a large number of
people, including the nearby civilian population. Such complexes are built
Star Fleet Medical Center primarily at Star Fleet District Headquarters and Sector Starbases. Medical
Centers also serve as the medical command center for the region. Typically,
the officer in charge of this facility will have the rank of Captain or
Commander, MED.
A Hospital is a single building or structure containing one or more medical
Star Fleet Hospital departments, clinics or infirmaries. Typically, the officer in charge of this
facility will have the rank of Commander, MED.
An Infirmary is a small hospital-like structure used to care for the sick and
injured, or a place in a large institution (e.g., Prison) for the care of those who
Star Fleet Infirmary are sick or injured. Infirmaries can also be specialized medical areas within a
larger Hospital organization such as an Eye Infirmary. Typically, the officer in
charge of this facility will have the rank of Lieutenant Commander, MED.
A Pharmacy is a place where medicines are compounded or dispensed,
usually under supervision of a professional Pharmacist. A Star Fleet
Star Fleet Pharmacy Pharmacy may also be a structure at a Starbase where drugs, medicines and
personal medical equipment and supplies may be sold. Typically, the officer
in charge of this facility will have the rank of Lieutenant Commander, DNT.
A Dispensary is a place where medicines are prepared and provided; a place
where drugs and medicines are dispensed; a small Pharmacy. In most cases
Star Fleet Dispensary a Dispensary will be manned by one or more Pharmaceutical Technicians
under the supervision of a junior Pharmacist – usually with the rank of
Lieutenant or Lieutenant Junior Grade, DNT.
I A Clinic is a small health facility that is primarily focused on the care of
nStar Fleet Clinic outpatients. In most cases a Clinic will be manned by one or more Medical
Technicians under the supervision of a senior Medical Technician, Nurse-
Practitioner, or Registered Nurse.
g
A Hospital Ship is defined as a Star Fleet vessel that contains a fully
e equipped and functional hospital. The management of such facilities will
nStar Fleet Hospital Ship usually be divided into vessel command and hospital command as specified
e in Star Fleet Regulation 5780. Typically, the officer in charge of this facility will
have the rank of Commander, MED.
r
a A Sickbay is a ship-borne medical facility designed primarily for the care of
Star Fleet Ship Sickbay the vessel’s crewmembers. Typically, the officer in charge of this facility will
l have the rank of Lieutenant Commander, MED.
A First Aid Station is a small cubicle, kiosk or alcove used to immediately treat
minor injuries or ailments. On very small commands a First Aid Station may
Star Fleet First Aid Station
A consist of a cabinet. In general, First Aid Stations generally come under the
management of the Chief Medical Officer of the command.
The subsequent sections of this chapter will describe the various medical facilities listed
above that are operated by the Star Fleet Division of Medicine.

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STAR FLEET MEDICINE
MEDICAL FACILITY COMMAND
In general, a Star Fleet medical facility will be commanded by an officer of the Medical
Corps having the title of Chief Medical Officer, as defined in Section 4.2 of this manual.
The following table lists the customary ranks of medical facility commanders and Chief
Medical Officers by facility type.
Table 10a80.2
RANKS OF STAR FLEET MEDICAL FACILITY COMMANDERS
Medical Facility Classification Typical Rank: Typical Rank:
Medical Facility Name Desn Facility Commander Chief Medical Officer
Hospitals and Infirmaries
Star Fleet Headquarters Medical Center SFMDC Rear Admiral Captain
Star Fleet Regional Medical Center SFRMC Commodore See Note 1
Starbase Hospital SBHSP Commodore Captain
Starbase [Fleet]2 Hospital (Detached) SBHSD Captain See Note 1
Star Fleet Psychiatric Hospital SFPSY Captain See Note 1
Star Fleet Prison Infirmary SFPFR Captain Commander
Star Fleet Station Hospital SNHSP Captain Lieutenant Commander
Star Fleet Outpost Infirmary SOTFR Commander Lieutenant Commander
Star Fleet Hospital Ship SSHSP Captain Commander
Star Fleet Ship Sickbays SSKBY Captain/Commander Lieutenant Commander
Star Fleet Brig Infirmary SFPBN Lieutenant Commander Lieutenant
Star Fleet Clinic SFCLK Senior Chief Corpsman See Note 1
Notes
1. Facility Commander and Chief Medical Officer are one in the same.
2. A detached Starbase Hospital is also known as a Fleet Hospital.
MEDICAL FACILITY DIVISIONS
The number and assortment of medical divisions will depend upon the size of the facility
and the scope of its services. However, as a minimum, the essential divisions that may be
found at any Star Fleet medical facility are as follows:
• Medical Administration
• General Medicine
• Medical Specialties and Surgery
• Medical Services
• Nursing and Patient Care
As stated, these are the absolute minimum of organizations that must be established at
any Star Fleet medical facility. The following sections of this chapter will describe the
various suborganizations that make up the specific category of medical facility.

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STAR FLEET MEDICINE
STAR FLEET MEDICAL FACILITY SECURITY
Certain Star Fleet medical facilities may be protected by contingents of the Star Fleet
Security Forces Command (SECFOR). Their primary function is to protect the facility,
the personnel working there, and the patients admitted there. In addition, where there is
sensitive equipment or controlled substance storage facilities, security guards will be
posted at the entrance to these areas.
Medical facilities located within Star Fleet prisons and penal colonies will be closely
monitored by Prison Security, especially at a Maximum Security prison, as described
in Section 4.6 in Volume VIII of the Star Fleet Command Manual. This is to prevent
violent criminals from taking advantage of the medical facility and its personnel in order to
escape. This is accomplished through the use of isolation force fields and Anesthesia Gas
to isolate and subdue escaping prisoners.
MEDICAL FACILITY IDENTIFICATION BADGE
As part of medical facility security, each person working at a Star Fleet medical facility
must wear an identification badge that is plainly visible for anyone to see. The badge is
used to identify the individual as an authentic and an authorized medical facility worker.
Each badge contains the security information and access level of the wearer. Hospital
doors have sensors that when approached, the badge will send a message signaling the
door to open. The security priority will be on the one that is not allowed to enter. That is,
if two people come near a secure door, and one has access rights, but the other does not,
the door will not open. The one without access will have to move away.
Examples of the medical facility identification badges can be seen in Figures 10a80.1 thru
10a80.4. The badge is basically a medical blue placard that is attached to a lanyard that is
worn around the neck. The badge contains a picture and name of the individual displayed
prominently in front, with the rank or grade of the person immediately below. Below the
rank will be the individual’s primary duty assignment and the person’s duty station below
that. Civilian and alien employees working at Star Fleet medical facilities will be restricted
to certain medical functions and medical areas at the facility. To indicate this restriction,
the badge is striped in red and medical blue as illustrated in Figure 10a80.4. The badge
has been designed to be highly visible and conspicuous.
Star Fleet ships, on the other hand, do not require the wearing of an identification badge
due to the secure nature of space vessels. However, personnel working aboard Star Fleet
Hospital Ships and in medical facilities located on Star Fleet Stations must wear the
same identification badge as shown in the figures.

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STAR FLEET MEDICINE
STAR FLEET PSYCHIATRIC FACILITIES
Star Fleet Psychiatric Hospitals are usually separate facilities and are rarely attached
to a regular Star Fleet medical facility. As such, they may be an independent structure
that is located within a Star Fleet Medical Center complex. In such cases, the facility
will be independently under the command of an officer of the Medical Corps, and will not
report directly to the facility’s Chief Medical Officer or the Base Medical Officer. The
officer in charge will have the title of Commander: Star Fleet Psychiatric Facility
<Location> or Commander: Star Fleet Psychiatric Hospital <n>, and will usually
have the rank of Captain (MED). However, there will always be a small facility within a
regular Star Fleet Hospital that will be dedicated to mental health, psychological testing
and counselling, but which is not designed to handle a large number of psychiatric cases.
As such, this comprises the Psychology Division of the Medical Department for the
base. The individual in charge of this small division will be the Base Psychologist, an
officer from the Bureau of Mental Health with the rank of Lieutenant Commander.
Aboard Star Fleet ships and on Star Fleet Space Stations, the Medical Department
of the command will also contain a Psychology Division that will manage a small facility
which is part of the command’s Sickbay or Infirmary. As such, this division, along with
its associated facility, will be under the direction of the Chief Medical Officer. In charge
of the Psychology Division for the space station is the Station Psychologist; and on a
Star Fleet ship, it will be the Chief Psychologist, both of whom will have the rank of
Lieutenant, maybe Lieutenant Commander.
Certain Star Fleet prisons are designed to handle criminals that are mentally disturbed or
are totally insane. These facilities are not just confinement facilities, but medical facilities
as well. Most of them contain treatment centers to work on getting inmates back to
normal. There are also experimental treatments and other research that may be going on
at these special facilities. For example, the treatment center at Tantalus V is currently
working on changing criminal mental patterns using an experimental device known as a
Neural Neutralizer[1]. The program, headed by Dr. Simon Van Gelder, is making great
strides in this field. Although the inmates at this facility can move about freely, the facility
still is a highly secure place, which is located 10 kilometers below the planet's surface and
is surrounded by a protective force field.

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STAR FLEET MEDICINE
STAR FLEET PHARMACEUTICAL FACILITIES
Throughout the Star Fleet there are very few large, distinct and autonomous facilities
that are dedicated only to pharmaceutical activities. For example, there are only four major
Star Fleet Pharmaceutical Laboratories located throughout the Federation, which
are located on Earth, Alpha Centauri, Planet Q[2], and at Starbase Seven. In addition,
not all Starbases or Star Fleet Headquarters will have a Star Fleet Pharmacy. As
previously mentioned, a Star Fleet Pharmacy is a full-service facility located on site that
is available to anyone, and that besides filling prescriptions and dispensing drugs, may also
sell over-the-counter medications and other various and sundry items. These are separate
facilities located within the base’s shopping area, which is open to all persons on the base
and are not for use by on-site Hospitals or other medical facilities. However, all Star
Fleet Hospitals, Infirmaries, and ship Sickbays will contain a Dispensary, an internal
resource for the formulation and dispensing of drugs and medicines for use by the medical
facility only.
The above mentioned Dispensaries will be managed by the medical facility’s Pharmacy
Division. In general, the function of the Pharmacy division is to prepare and dispense
drugs and medications to patients, to collect and disseminate patient drug information and
to provide guidance to patients on the proper use of drugs. In addition, the Pharmacy
division will also be responsible for the procurement, storage and inventory of all drugs,
medications and prosthetic devices at the station. In charge of the Pharmacy Division is
the Base Pharmacist at Starbases, the Station Pharmacist at Star Fleet space
stations, and the Chief Pharmacist aboard Starships. All are officers of the Medical
Services Corps with training in pharmacology and are certified Pharmacists.
STAR FLEET DENTAL FACILITIES
In general, Star Fleet dental facilities are usually small clinics established to handle most
dental work. As such, they can be defined as “clinics” due to their relatively small size, and
they are not normally attached to or part of the main hospital. On ground bases, Star
Fleet Dental Facilities are normally located on the main medical facility grounds, but in
a separate building. These small dental clinics have all the equipment necessary to handle
all forms of dental work, including major dental surgery. These facilities are also equipped
to design and fabricate dental prosthetics as well.
In space, all Star Fleet ships and space stations also contain an area within the main
medical facility, Sickbay or Infirmary, that will provide dental care. Such dental areas
will normally be placed away from any of the general medical examination and surgical
areas, but may be near some diagnostic areas. The purpose here is to separate the regular
patient from the dental patient so as not to place any additional anxiety on the part of the
dental patient.
All Star Fleet dental facilities will come under the management of the facility’s Dentistry
Division. Basically, the function of the Dentistry division is to provide quality oral care
services, as well as to diagnose and treat diseases of the oral cavity. In charge of this
division at a Starbase will be the Base Dental Officer, with the rank of Lieutenant
Commander; on a Star Fleet Station it is the Station Dental Officer with the rank of
Lieutenant; and aboard a Star Fleet ship it is the Chief Dentist, which will have the
rank of Lieutenant; all of whom are Dental Corps officers certified to practice dentistry.

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STAR FLEET MEDICINE
STAR FLEET CLINICS
Star Fleet Clinics are very small facilities that are essentially designed to handle minor
and immediate medical emergencies. As such, they are considered Urgent Care Centers
or UCCs, which are places that provide immediate and semi-urgent healthcare and
treatment for the sick and the injured who do not have a life-threatening condition. They
are usually manned by one or two medical persons, one of whom may be a Star Fleet
Medical Officer or Nurse. But at most of the small clinics the personnel manning such a
facility will normally be enlisted Medical Technicians, under the supervision of a senior
Medical Technician.
On Star Fleet ground bases such small clinics may be dispersed throughout the grounds
at points farthest away from the central facility. Their function is to handle minor medical
emergencies locally. If the medical emergency is such that it is beyond the capability of
the clinic, the patient will be kept stabilized until transportation arrives to move the patient
to the central hospital.
On most of the larger Free-floating Y-nodal space stations, each of the three wings will
have a small medical facility or clinic near the access tubes. The function of these stations
is to handle all minor medical issues and to address major medical issues that may occur
within the module. For the more severe cases, the clinic will work on stabilizing the patient
until he or she can be moved to the central Hospital or Infirmary. On the other hand,
aboard Star Fleet ships there are no such clinics due to lack of space. However, there are
small niches or alcoves placed at strategic locations throughout the ship for the purpose of
handling minor and some major medical emergencies. These areas are called Immediate
Care Centers.
VETERANS HOSPITALS
At most of the Star Fleet Medical Centers there will be an area dedicated exclusively for
Star Fleet veterans. Such veteran’s facilities will have administrative offices, recreational
facilities and veteran’s medical and rehabilitation facilities and together, these facilities
collectively form a Star Fleet Veterans Hospital. Star Fleet Veterans Hospitals
handle both temporary and out-patient care, and long-term or permanent care. For
example, disabled veterans, although discharged from active service, will, in most cases,
remain at a Star Fleet Veterans Hospital for the duration of their care. Every effort will
be made to care for the veteran and to assist the veteran in his or her recovery and
adaptation to civilian life.
In addition, and as part of the veteran’s benefits, their family members can also go to a
Veterans Hospital for immediate and out-patient care. However, there is no provision for
long-term care of family members. For a more complete discussion of the medical benefits
afforded to Star Fleet veterans and their families, consult Section 9.8 of Volume III of the
Star Fleet Command Manual.

VOLUME X
STAR FLEET MEDICINE
Figure 10a80.1
STAR FLEET MEDICAL FACILITY IDENTIFICATION BADGE EXAMPLE: REGULAR PHYSICIAN
10 8482
IF FOUND, PLEASE RETURN TO:

OFFICE OF MEDICAL PERSONNEL
STAR FLEET HOSPITAL
STARBASE ELEVEN
Dr. B. M. M’BENGA
LT. COMMANDER (MED)
DIRECTOR, VULCAN MEDICINE
STAR FLEET REGIONAL HOSPITAL
STARBASE ELEVEN
EXPIRES STARDATE: INDEF

VOLUME X
STAR FLEET MEDICINE
Figure 10a80.2
STAR FLEET MEDICAL FACILITY IDENTIFICATION BADGE EXAMPLE: NURSE
10 22150

OFFICE OF MEDICAL PERSONNEL
STAR FLEET HEADQUARTERS - EARTH
JEANNIE MALONE
LIEUTENANT JG (NRS)
NURSE - EMERGENCY ROOM
STAR FLEET HEADQUARTERS - EARTH

VOLUME X
STAR FLEET MEDICINE
Figure 10a80.3
STAR FLEET MEDICAL FACILITY IDENTIFICATION BADGE EXAMPLE: MEDICAL TECHNICIAN
10 11273

PERSONNEL OFFICER
TANTALUS V
PENAL INSTITUTION
ELI BEHAR
CHIEF MEDICAL TECHNICIAN
PSYCHO-THERAPY SPECIALIST
STAR FLEET BUREAU OF CORRECTIONS
STAR FLEET REHABILITATION FACILITY
TANTALUS V PENAL INSTITUTION

VOLUME X
STAR FLEET MEDICINE
Figure 10a80.4
STAR FLEET MEDICAL FACILITY IDENTIFICATION BADGE: RESTRICTED CIVILIAN MEDICAL PERSON
13 11984

PERSONNEL OFFICER
TANTALUS V
PENAL INSTITUTION
LETHE
GRADE A4
THERAPIST
STAR FLEET BUREAU OF CORRECTIONS
STAR FLEET REHABILITATION FACILITY
TANTALUS V PENAL INSTITUTION
EXPIRES STARDATE: 21339.39

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STAR FLEET MEDICINE
8.1 STAR FLEET MEDICAL CENTERS

A Star Fleet Medical Center is a large complex of medical buildings and specialty areas.
They are found almost exclusively on Star Fleet Headquarters facilities. Such facilities
not only provide general and specific medical care, but are also research centers as well,
containing various research laboratories and technology development facilities. At Star
Fleet Medical Centers the full range of medical practice is exercised from general
healthcare to the development and manufacture of medical prosthetics. An example of a
Star Fleet Medical Center can be seen in Figure 10a81.1, and an example of a medical
research facility at a Medical Center can be seen in Figure 10a81.2.
STAR FLEET REGIONAL MEDICAL CENTERS
In addition to the major Star Fleet Medical Centers, some of the larger Star Fleet
bases will have an area set aside for a substantial Star Fleet Regional Medical Center.
The function of the Regional Medical Center is to serve as the center for medical
attention for the entire region of space the Star Fleet base serves, which will include
medical services to the civilian population within the region as well as to the Service
members. All planets and worlds within the region may utilize the services of the Medical
Center. This policy was instituted primarily because the worlds or colonies within the area
may not have adequate medical services available to them. Therefore, and in accordance
with ARTICLE 9 of the Star Fleet Charter, such facilities were constructed to meet Star
Fleet's obligation to support Federation establishments and personnel. Such facilities are
independent of the primary base facility and the personnel that are assigned to the
medical center will not be assigned duties relating to the primary base operation.
In command of this type of medical facility will be the Regional Star Fleet Medical
Officer. The Regional Medical Officer will be an officer of the Medical Corps, as
specified in Star Fleet Regulation 5780, and which states: "The officer detailed to
command a Star Fleet hospital or medical facility shall be an officer of the Medical Corps,
eligible for command, and shall have the same authority over the hospital, facility or area,
and the personnel contained therein, as that described for any Commanding Officer.
However, if such a medical facility is within a line Starship, Hospital ship or attached to a
shore command, the officer detailed to command the hospital or medical facility shall come
under the direct command of the ship’s Commanding Officer or the base’s Commanding
Officer." The Regional Medical Officer will usually have the rank of Captain (MED),
but may also have the rank of Commodore as well, and will be responsible for all the
personnel, equipment and buildings that comprise the Regional Medical Center.

VOLUME X
STAR FLEET MEDICINE
LOCATION OF STAR FLEET MEDICAL CENTERS
As previously stated in other sections, Star Fleet Medical Centers are basically located
only at the large Star Fleet Headquarters. The following table lists all the major Star
Fleet Medical Centers and the services they provide.
Table 10a81.1
LOCATION OF MAJOR STAR FLEET MEDICAL CENTERS
Location
Medical Center Description
Base SCS
• Situated at Star Fleet Headquarters
in San Francisco
• Adjacent to Star Fleet Academy
College of Medicine and Dentistry
• Full service medical facility
• Has a large medical research center
• Future Fleet Medical Officers will SFHQ - Earth 274-MARK-018
Earth complete residency here
• Treatment facilities are training
hospitals
• Largest Medical Center in Star Fleet
• Largest Veterans Hospital in Star
Fleet
• Situated directly within Star Fleet
Headquarters - Alpha Centauri
• Medical complex is a part of the Star
Fleet Academy Annex
Star Fleet Medical Center - SFHQ -
• Full service medical facility 295-MARK-353
Alpha Centauri • Contains Advanced Alien Medicine
Alpha Centauri
Unit
• Contains a large Medical Technology
and Research Center
Headquarters - Andor
Fleet Academy Annex
• Has separate Recruit Training SFHQ - Andor 053-MARK-328
Andor Hospital
• Has a very large Regional Medical
Supply Depot
• Has very large Veterans Hospital
Headquarters - Andor
Fleet Academy Annex
Star Fleet Medical Center - • Has separate Recruit Training
SFHQ - Tellar 041-MARK-076
Tellar Hospital
• Contains a separate Star Fleet
Marine Corps Hospital
• Contains a very large Regional
Medical Supply Depot
Headquarters - Rigel
Fleet Academy Annex
• Has second largest Alien Medicine
facility in the Star Fleet SFHQ - Rigel 152-MARK-328
Rigel • Contains a separate Star Fleet
Marine Corps Hospital
• Contains Advanced Trauma Center
• Contains a very large Regional
Medical Supply Depot

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STAR FLEET MEDICINE
MEDICAL CENTER ORGANIZATION
The command organization of a Star Fleet Medical Center is divided into two or more
separate administrations, all under the command of a single Facility Commander. The
two administrations shown in Figure 10a81.3 relate to the maintenance and operational
side of the facility, while the other focuses on the medical function.
MEDICAL CENTER COMMANDER
In command of a Medical Center will be the Commander: Star Fleet Medical Center
<location>, with the designation of COMMEDCEN<n>. The COMMEDCEN will be an
officer of the Medical Corps, as specified in Star Fleet Regulation 5780, which states:
"The officer detailed to command a Star Fleet hospital or medical facility shall be an officer
of the Medical Corps, eligible for command, and shall have the same authority over the
hospital, facility or area, and the personnel contained therein, as that described for any
Commanding Officer. However, if such a medical facility is within a line Starship, Hospital
ship or attached to a shore command, the officer detailed to command the hospital or
medical facility shall come under the direct command of the ship’s Commanding Officer or
the base’s Commanding Officer." In addition, since a Medical Center services a large
area of space and is the center of medical activity for the sector, the COMMEDCEN will
also be the Regional Star Fleet Medical Officer. As such, the Regional Medical
Officer will usually have the rank of Captain (MED), but may also have the rank of
Commodore as well, and will be responsible for all the personnel, equipment and
buildings that comprise the Fleet or Regional Medical Center.
MEDICAL CENTER COMMANDER AUTHORITY
The authority of the commander of a Star Fleet Medical Center will be the same as that
for a Starbase commander, which is codified in Star Fleet Regulation 5461: “An
officer of the Medical Corps detailed as Chief Medical Officer of a command shall have full
authority over the medical personnel and facilities under his command, including those
medical facilities attached to or part of an existing command under the authority of a line
Commanding Officer.”
MEDICAL FACILITY OPERATIONS OFFICER
As stated above, a Star Fleet Medical Center is divided into two command: the physical
unit and the medical function. The operational side of the facility will be under the
command of the facility’s Operations Officer. The Operation Officer will generally be
an officer of the line (SBC) having the rank of Commander. The function of the
Operations Officer is to manage the physical facility and all services as may be supplied
to the medical function.
CHIEF MEDICAL STAFF OFFICER
On the other side of the organization is the Chief Medical Staff Officer, the senior
officer in charge of all medical functions at the facility. The Chief Medical Staff Officer
will always be an officer of the Medical Corps and will have the rank of Commander.
The function of the Chief Medical Staff Officer is to manage the entire medical function
and the medical staff of the facility.

VOLUME X
STAR FLEET MEDICINE
BASIC MEDICAL CENTER COMPONENTS
Basically, a Star Fleet Medical Center is a complex of buildings and structures designed
for the purpose of providing all forms of medical care to an entire region of space. As
such, the following buildings and structures may be found in a typical Medical Center:
• An Administration Building
• A Main Hospital
• A Biomedical Research Facility
• A Neurological Center or Neuroscience Institute
• A Cancer Care Center
• An Orthopedic Center
• A Dental Center
• A Psychiatric Facility
• A Family Care Center
• A Veterans Care Center or Veterans Hospital
VETERAN CARE FACILITIES
Star Fleet veterans are those individuals who have served in the Service, but who have
been separated and no longer have any obligation to the Service. Although no longer a
part of the Service, Star Fleet, veterans will still have some privileges given them as
former members of the Service. As such, the Star Fleet Bureau of Veterans Affairs
was created to handle all the services and benefits given to Star Fleet veterans and their
families in accordance with Paragraph 4 of Article 47 of the Star Fleet Charter. The
primary benefit given to Star Fleet veterans is health care. The basic medical package
given to Star Fleet veterans is considered a family package. That is, the health and
medical benefits provided apply to both the veteran and his or her immediate family.
Because of such benefits, all Star Fleet Medical Centers will have a Veterans Care
Center as part of its organization. However, unlike the other facilities that make up the
Medical Center, a Veterans Care Center will be managed by the Star Fleet Bureau
of Veterans Affairs.
In addition, disabled veterans, although discharged from active service, will, in most cases,
remain at a Star Fleet Veterans Hospital or Veterans Care Center for as long as the
veteran is disabled. Every effort will be made to care for the veteran and to assist the
veteran in his or her recovery and adaptation to civilian life.

VOLUME X
STAR FLEET MEDICINE
Figure 10a81.1
TYPICAL STAR FLEET MEDICAL CENTER BUILDING

VOLUME X
STAR FLEET MEDICINE
Figure 10a81.2
TYPICAL STAR FLEET MEDICAL CENTER RESEARCH FACILITY

VOLUME X
STAR FLEET MEDICINE
Figure 10a81.3
TYPICAL STAR FLEET MEDICAL CENTER ORGANIZATION
Medical Center 1000 Commander:

Star Fleet
Command Staff CAPT Medical Center
2000 Medical Center

2100 2200
Medical Center Medical Supply
LCDR Personnel Officer LEUT Officer
2300 2400
Medical Center Medical Center
LEUT Records Officer LEUT Comptroller
2500 2600
Medical Center Medical Center
LEUT Training Officer LCDR Security Officer
2700 2800
Patient Services Medical Center
3000 Medical Center 4000 Chief Medical

CMDR Operations Officer CMDR Staff Officer
3100 3200 3300 3400 4100 4200 4300 4400

Facility Facility Facility Facility Electronic Chief Dental
Chief Physician Chief Surgeon Chief Psychologist
LCDR Engineering Officer LCDR Services Officer LEUT Maintenance Officer LEUT Systems Officer LCDR LCDR LCDR Officer LCDR
3500 3600 Medical 4500 4600 4700 4800

LEUT Services Officer LEUT LEUT LCDR Officer LCDR LCDR Laboratory Officer
Officer
4900
Chief Nursing
LCDR Officer

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8.2 STAR FLEET BASE HOSPITALS

By definition, a Star Fleet Hospital is any single, large structure that contains all the
needed medical services. Such hospitals are usually located on planetary Starbases, such
as the one illustrated in Figure 10a82.1; though there are large internal facilities also
located within the massive Free-floating Starbases such as Starbase One. In addition,
a hospital may also be a mobile structure such as those built into Star Fleet Hospital
Ships, or as a place to treat specific illnesses such as a Star Fleet Psychiatric Hospital.
Star Fleet Hospitals are all managed by the Star Fleet Office of Hospitals and
Medical Facilities, an office within the Star Fleet Bureau of Medicine and Surgery,
which is responsible for the management, location and the development of the command
structure for all Star Fleet medical facilities.
STAR FLEET HOSPITAL ORGANIZATION
A Star Fleet Hospital has a command structure that is chiefly divided into three different
organizations, as illustrated in Figure 10a82.2. These are: the Administrative or
Command organization, the Operations organization, and the Medical staff. The
Administrative organization basically deals with the essential management of the facility
and as such, is made almost entirely of line officers and enlisted Technicians. The
Operations organization is generally responsible for the operation and maintenance of
the facility and therefore, is made up of a combination of line officers and engineering
personnel. Lastly, the Medical organization executes the medical function, which is
completely made up of personnel from all of the medical corps.
COMMAND OF STAR FLEET HOSPITALS
In general, a Star Fleet Hospital will typically be commanded by an officer of the Star
Fleet Medical Corps, as specified in Star Fleet Regulation 5780, and who has the
education and experience in hospital and medical personnel management. As such, the
commander of a hospital will have the title of Commander: Star Fleet Hospital <n>,
and will usually have the rank of Captain (MED). When not available, or away from the
hospital, or the position is vacant for one reason or another, the Executive Officer will
assume temporary command of the facility in accordance with Star Fleet Regulations
5810 and 5990.
MEDICAL OFFICER OF THE DAY
The Medical Officer of the Day, also known as the MOD, is that Medical Officer
assigned by the Chief Medical Officer to be in charge of the hospital, and its staff, for
the day. Where most of the staff will work in three-section shifts (e.g. 0800-1600, 1600-
2400, 0000-0800), the MOD will be on station for the entire twenty-four hour period,
starting at 0800. Special quarters are available to the MOD so that he or she may rest as
needed.

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STAR FLEET MEDICINE
LOCATION OF STAR FLEET HOSPITALS
In general, every Star Fleet Base and Garrison will have a hospital. The following lists
the currently active hospitals, along with their function and location.
Table 10a82.1
LOCATION OF MAJOR STAR FLEET HOSPITALS
Location
Hospital Description
Base SCS
Star Fleet Hospital – Starbase 1 Regional hospital for Sector 002 Starbase 1 012-MARK-035
Star Fleet Hospital - Argelius Regional hospital for Sector 013 Starbase 2 137-MARK-044
Star Fleet Hospital - Groombridge Regional & training hospital for Sector 015 Starbase 3 247-MARK-029
Star Fleet Hospital - Rutilicus Regional hospital for Sector 025 Starbase 4 318-MARK-056
Star Fleet Hospital - Geminorum Regional hospital for Sector 114 Starbase 7 197-MARK-355
Star Fleet Hospital – Corinth Regional hospital for Sector 033 Starbase 8 344-MARK-319
Star Fleet Hospital – Starbase 11 Regional & training hospital for Sector 231 Starbase 11 204-MARK-042
Star Fleet Hospital - Relva Regional hospital for Sector 547 Starbase 14 291-MARK-026
Star Fleet Hospital – Draconis Regional hospital for Sector 1211 Starbase 19 257-MARK-068
Star Fleet Hospital - Ophiuchi Regional hospital for Sector 1695 Starbase 20 337-MARK-016
Star Fleet Hospital - Phoenicis Regional hospital for Sector 2184 Starbase 21 062-MARK-322
Star Fleet Hospital - Rotanen Regional hospital for Sector 557 Starbase 25 044-MARK-038
Star Fleet Hospital - Arietis Regional hospital for Sector 2483 Starbase 27 128-MARK-009
Star Fleet Hospital - Herculis Regional hospital for Sector 4178 Starbase 28 310-MARK-070
Star Fleet Hospital - Europe Garrison Hospital Garrison 1 274-MARK-018
Star Fleet Hospital - Teegarden Garrison & Regional Hospital Sector 003 Garrison 2 139-MARK-001
Star Fleet Hospital – Garrison 3 Garrison & Regional Hospital Sector 178 Garrison 3 126-MARK-009
Star Fleet Hospital – Garrison 8 Garrison Hospital Garrison 8 076-MARK-341
Star Fleet Hospital - Cestus DESTROYED Garrison 9 039-MARK-011
Star Fleet Hospital - Marfak Garrison & Regional Hospital Sector 1792 Garrison 10 134-MARK-041
Star Fleet Hospital – Garrison 12 Garrison Hospital Garrison 12 336-MARK-341

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STAR FLEET MEDICINE
GENERAL HOSPITAL OPERATIONS
In general, Star Fleet hospitals operate much like any other Federation hospital, and
the rules for cleanliness, security, and visitation are the same. In addition, convalescence
wards at Star Fleet Hospitals afford a good deal of privacy. Such rooms are spacious
and contain private baths and toilet areas. An example of such a room can be seen in
Figure 10a82.3.
And the primary rule applied to all Star Fleet Hospitals is that quiet shall be maintained
about the decks in respect for the patients convalescing there. Where specific areas, such
as Intensive Care areas, require absolute quiet, special lights will flash indicating
absolute quiet shall be maintained. An example of such can be seen in Figure 10a82.4.
MEDICAL ASSIGNMENTS
Medical Officers and other medical professionals will be assigned duties according to the
Medical Duty Roster and by any specialty required. The Medical Duty Roster is
generally developed and posted by the Chief Physician of the hospital. The roster is
basically the rotation schedule of General Practitioners for duty at specific stations
within the hospital such as Examination Rooms, Emergency Rooms, Surgical Areas
and Laboratories. The roster is generally made up a month or week in advance and is
posted physically and electronically for all to see.
MAINTENANCE AND CLEANLINESS
In general, all medical decks and rooms are cleaned on a daily basis, except for those area
that require special handling and sterilization such as surgical areas. The cleanliness and
sanitation of hospital areas will usually be the responsibility of the Chief Medical Officer
and his or her Department Heads. Maintenance of the facility, including the operation
and maintenance of the hospital’s systems will be the responsibility of the Operations
Officer. In addition, the Operations Officer is also responsible for the maintenance and
upkeep of hospital grounds as well.
INSPECTIONS
Inspections are a normal part of hospital operations. There are several kinds of inspections
that occur regularly such as sanitation, cleanliness, personnel, patients, and basic hospital
operations. All departments and sections will inspect their areas and spaces on a daily
basis for cleanliness and sanitariness. Areas such as surgery and others will be inspected
and tested for microbes and bacteria, and will be sterilized after each operation as
required by medical regulation. Such inspections are the responsibility of individual
Department Heads.
The Chief Medical Officer of the hospital will have the responsibility for inspecting the
personnel under his or her direction. The Chief Medical Officer will usually inspect his or
her people each day to ensure they are in proper uniform, and that they are neat and
clean. Usually, this inspection will occur around 0745, just before the first shift. In addition,
the Hospital Commander, or the Base Commander, may also inspect the hospital as
well; primarily to ensure that patients are being treated well and that the facility provides a
clean and cheerful atmosphere. An example of such an inspection can be seen in Figure
10a82.5.

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STAR FLEET MEDICINE
VISITORS
All hospitals will usually allow certain guests to visit patients, usually friends and family
members. However, visitors must follow the rules set by the hospital as required by Star
Fleet Regulation 4420. As such, all visitors, including all civilians, Federation officials
and senior military officers, must adhere to the rules of the hospital. Where visitors may
cause a disturbance, the hospital’s security personnel will escort them off the premises or
arrest them for violations of Federation law. An example of a guest visiting a patient in
his (or her) room can be seen in Figure 10a82.6.
HOSPITAL SECURITY
Star Fleet hospitals will also contain a contingent of security personnel from the Star
Fleet Security Forces Command as well. Their function is to maintain the security of
the facility, its personnel and the patients registered at the facility. As such, security
personnel may be found at the hospital’s reception desk, making periodic security patrols,
guarding certain patients, and monitoring the hospital grounds for unauthorized entry.
As part of hospital security, all hospital personnel must wear an Identification Badge
and it must be shown visibly so that all can see. Such an ID badge is used to allow entry
into the hospital and to those areas where the individual may work. However, to prevent
unauthorized use of an ID badge, the badge contains special features to ensure improper
use. For example, in the back of each service badge is a small microchip transmitter that
continuously sends location and personal information of the individual. The chip itself is
normally not active until the individual is wearing the badge. The chip becomes
electronically activated based upon the body heat of the species relative to the ambient
temperature. For humans, the temperature in which the chip becomes active is 36 o C.
However, the chip must also detect that the individual wearer is the proper person. The
chip tests this based upon a DNA sampling. See Section 8.0 for illustrations of the various
Identification Badges worn by hospital staff personnel.

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STAR FLEET MEDICINE
OTHER TYPES OF STAR FLEET HOSPITALS
Aside from standard medical hospitals, Star Fleet also has special hospitals as well. These
are hospitals designed to handle a specific medical condition or for psychiatric issues. The
following subsections will provide a description of these other types of hospitals within the
Star Fleet.
STAR FLEET PRISON INFIRMARIES
Star Fleet medical facilities are also located within the confines of Star Fleet prisons and
penal colonies as well. These facilities are not very large and therefore, are classified as
Infirmaries. Prison Infirmaries are able to handle most major medical problems, but
where there may be a major life-threatening condition, the prisoner may be transported,
under guard, to a regular hospital or medical center. Infirmaries located within Star
Fleet prisons and penal colonies will be closely monitored by Prison Security, especially
at a Maximum Security prison, as described in Section 4.6 in Volume VIII of the Star
Fleet Command Manual. This is to prevent violent criminals from taking advantage of
the medical facility and its personnel in order to escape. This is accomplished through the
use of isolation force fields and Anesthesia Gas to isolate and subdue escaping prisoners.
In charge of a prison or penal colony Infirmary will be the Prison Medical Officer, an
officer of the Medical Corps with the rank of Commander (MED). The Prison Medical
Officer, or PMO, is that medical officer assigned by the Star Fleet Office of Medical
Personnel, at the request of the Star Fleet Bureau of Corrections, to manage the
Infirmary. The PMO will have the same authority as any other Chief Medical Officer as
guaranteed under Star Fleet Regulation 5461.
STAR FLEET PSYCHIATRIC HOSPITALS
For special psychological problems or severe mental conditions, Star Fleet has special
Psychiatric Hospitals located throughout Federation space. Star Fleet Psychiatric
Hospitals are detached hospitals or wards specializing in the treatment of serious mental
disorders, such as major depressive disorder, schizophrenia and bipolar disorder.
Psychiatric Hospitals vary widely in their size and grading. Some hospitals may
specialize only in short term or outpatient therapy for low-risk patients. Others may
specialize in the temporary or permanent care of residents who, as a result of a
psychological disorder, require routine assistance, treatment, or a specialized and
controlled environment. Patients are often admitted on a voluntary basis, but people whom
psychiatrists believe may pose a significant danger to themselves or others may be subject
to involuntary commitment and involuntary treatment. Psychiatric Hospitals may also
be referred to as psychiatric wards or units when they are a subunit of a regular hospital.
In general, Psychiatric Hospitals are detached commands and therefore, do not come
under the command of the Base Commander or the Medical Facility Commander.
They are separate facilities under the command of a Psychiatric Facility Commander.
However, in the case of a Star Fleet asylum for the criminally insane, such as the facility
on Elba II, the administrator of such a facility may have the title of “Governor” since the
facility is an independent, self-governing entity all by itself[3].

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VETERANS HOSPITALS
Star Fleet Veterans Hospitals were established to meet the healthcare obligations of
Star Fleet veterans as required by ARTICLE 47 of the Star Fleet Charter. In general,
the responsibility for the care and management of Star Fleet Veterans Hospitals falls to
the Star Fleet Office of Veterans Hospitals, an office within the Star Fleet Bureau of
Veterans Affairs. That is, unlike other Star Fleet hospitals and medical facilities,
Veterans Hospitals belong exclusively to the Bureau of Veterans Affairs, though the
physical design and medical practice functions were developed by the Star Fleet Bureau
of Medicine and Surgery.
Veterans Hospitals are relatively large complexes that have administrative offices,
recreational facilities and a large medical and rehabilitation facility. Combined, they
collectively form a Star Fleet Veterans Hospital. Star Fleet Veterans Hospitals
handle both temporary and out-patient care, and long-term or permanent care. For
example, disabled veterans, although discharged from active service, will, in most cases,
remain at a Star Fleet Veterans Hospital for the duration of their care. Every effort will
be made to care for the veteran and to assist the veteran in his or her recovery and
adaptation to civilian life. In addition, and as part of the veteran’s benefits, family
members can also go to a Veterans Hospital for immediate and out-patient care as well.
However, there is no provision for long-term care of family members.
In charge of a Star Fleet Veterans Hospital will be the Commander: Veterans

Hospital <n>, a line officer from the Star Fleet Bureau of Veterans Affairs with
training and experience in hospital management. The commander of a Veterans Hospital
will normally be selected by and always reports directly to the Commander: Veterans
Hospitals (COMVETHSP) at Star Base Central, and the commander will usually have
the rank of Captain (SFC).

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Figure 10a82.1
STAR FLEET BASE HOSPITAL EXAMPLE: STARBASE 3 HOSPITAL ON GROOMBRIDGE 1830

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Figure 10a82.2
TYPICAL STAR FLEET BASE HOSPITAL ORGANIZATION
1000 Commander:
CAPT Star Fleet Hospital
1100
Executive Officer
CMDR
2000 3000
Administrative Operations
LCDR Officer LCDR Officer
2100 2200 2300 2400 3100 3200 3300 3400

Engineering Hospital Services Maintenance Electronic
Personnel Officer Supply Officer Records Officer Comptroller
LEUT LEUT LEUT LEUT LEUT Officer LEUT Officer LEUT Officer LEUT Systems Officer
2500 2600 2700 2800 3500 3600 Medical

Patient Services Information
Training Officer Security Officer Chaplain Transportation
LEUT LEUT LEUT Officer LEUT LEUT Services Officer LEUT Officer
4000 Chief Medical

CMDR Officer
4100 4200 4300 4400

LCDR LCDR LEUT LEUT
4500 4600 4700 4800

Medical Services Chief Medical
Chief Radiologist Chief Pharmacist
LEUT LEUT Officer LEUT LEUT Laboratory Officer
4900
Head
LEUT Nurse

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Figure 10a82.3
TYPICAL STAR FLEET BASE HOSPITAL ROOM

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Figure 10a82.4
TYPICAL INTENSIVE CARE AREA AT A STARBASE HOSPITAL

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Figure 10a82.5
STARBASE COMMANDER INSPECTING HOSPITAL WARDS

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Figure 10a82.6
VISITING A PATIENT IN A HOSPITAL ROOM (STARBASE ELEVEN)

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8.3 STAR FLEET STATION MEDICAL AREA

Star Fleet Stations are like other space vessels except that they do not have a deep-
space propulsion system. However, space stations are larger than ships and as such, do
not have a Sickbay, but an Infirmary. An Infirmary is larger than a ship’s Sickbay, but
smaller than a base Hospital. That is, whereas a Hospital is a building, a space station
Infirmary is an area, and in the case of a Star Fleet space station, it is a section of the
station. For example, a typical Free-floating Y-nodal space station will generally have
four medical facilities as illustrated in Figures 10a83.1 and 10a83.2. The main complex will
be located in a protected area within the central
Each wing of the station will also contain a small medical area called an Immediate Care
Center or ICC. The ICC can handle most medical emergencies that may occur within the
wing and its primary function is to perform immediate care of any injured and to prepare
the injured for transport to the main facility. This is the key reason why these ICCs are
located close to the support shaft of the station wing units as shown in Figure 10a83.1. In
general, these ICCs are small clinics and are usually manned by a single Medical Officer,
a Nurse, and several Medical Technicians. Duty at an ICC is on a rotational basis,
usually on a weekly basis. During the work day the staff of the ICC will be on standby, but
are available 24 hours a day.
On small stations, such the Modular station shown in Figure 10a83.3, the medical area
for the facility is too small to be an Infirmary and therefore, is classified as a Sickbay.
Modular station Sickbays can perform most emergency medical functions, and some
surgery, but they generally are used for minor injuries and to prep the patient for transport
to a larger hospital. The same applies to the medical facility on a Star Fleet Outpost as
well, which is also called Sickbay.
STAR FLEET STATION MEDICAL FACILITY ORGANIZATION
Managing the station’s medical facility will be the station’s Medical Department. And as
with medical facilities at Star Fleet ground bases, the Medical Department on board a
typical Star Fleet space station will also be compartmentalized into Divisions and
Sections specifically designed to handle the particular functions of the department. As
such, a Division within the Medical Department will be organized based upon a major
area of medicine or medical practice and will have a somewhat wide scope as it relates to
their field, whereas a medical Section will be focused on a particular area or medical
specialty. An illustration of the divisions that may be found in the Medical Department
of a typical Star Fleet Station can be seen in Figure 10a83.4.
Furthermore, all divisions within the Medical Department of a Star Fleet space station
will be manned by Staff Corps officers from the Star Fleet Medical Corps, the Star
Fleet Dental Corps, the Star Fleet Medical Services Corps and the Nurse Corps,
and therefore, will be restricted to duty within their specific profession as required in
Paragraph 2b of Star Fleet Regulation 5100. Therefore, they will not have any other
duties except those that pertain to their medical training.

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STAR FLEET MEDICINE
STAR FLEET STATION MEDICAL FACILITY COMMAND
In charge of the station’s Infirmary is the Station Medical Officer or MDO. The
Station Medical Officer is the senior medical officer and head administrator of the
facility’s Medical Department and therefore, is the officer responsible to the Station
Commander for: maintaining the health and mental wellbeing of the personnel stationed,
working or visiting the facility, and of any passenger that may be embarked therein; for
executing medical inspections of the facility and advising the facility commander with
respect to health, hygiene and sanitation; for ensuring the fitness for duty of the personnel
stationed at the facility; for conducting periodic medical examinations of facility personnel;
and for conducting scheduled medical examinations on nearby Federation colonies for
health maintenance as required by law. As such, the Station Medical Officer will always
be an officer of the Medical Corps or Medical Services Corps, and will normally have
the rank of Lieutenant Commander, but may also have the rank of Commander on
some of the very large stations.
The Station Medical Officer has absolute authority over his or her medical facility, or
Infirmary, and its associated areas as specified in Star Fleet Regulation 5461. As
such, the Station Medical Officer, along with his staff, is not under the authority of the
facility's watch officer and therefore, facility medical personnel can only be assigned duties
as the Station Medical Officer specifies. In addition, the Station Medical Officer also
has special privileges not given to other Department Heads or officers. These special
privileges include the authority to have the facility’s Station Commander relieved of duty
under Star Fleet Regulation 4210 if has been determined by a medical examination
that the commander is unfit for duty.
STAR FLEET STATION MENTAL HEALTH FACILITIES
Very rarely will there by a facility aboard a space station that is dedicated solely to mental
health. Star Fleet station Infirmaries generally have only a small or minor section used
basically for psychological testing and counselling. For major psychiatric problems, an
individual will usually be sent to a Star Fleet Psychiatric Hospital at a Starbase for
treatment. However, the Medical Department of a Star Fleet station will contain a
Psychology Division for the purpose of caring for the mental health of station personnel.
As such, this division is principally involved in the assessment and treatment of mental
health issues affecting Service members. In addition, this division may also be involved in
specific research into staff behavior, the psychology of known and alien life forms,
counseling Service members and their families, and in the forensic evaluation of crimes.
In charge of this division is the Station Psychologist (PSY), the officer responsible for
the overall mental health of the personnel assigned to the station; for monitoring
psychological factors of station personnel under conditions of stress; and for the conduct
and supervision of the Psychology division as a whole. The Station Psychologist will
usually be an officer of the Medical Corps certified by the Star Fleet Bureau of Mental
Health, but may also be an officer of the Science Corps specializing in psychology and
will customarily have the rank of Lieutenant.

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Figure 10a83.1
STAR FLEET STATION MEDICAL FACILITIES: TOP VIEW
Immediate Care Centers (2)
Main Station Infirmary
Immediate Care Center

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Figure 10a83.2
STAR FLEET STATION MEDICAL FACILITIES: SIDE VIEW
Main Station Infirmary
Immediate Care Centers

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Figure 10a83.3
MODULAR STATION SICKBAY
Station Sickbay Module

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Figure 10a83.4
TYPICAL STAR FLEET STATION MEDICAL DEPARTMENT ORGANIZATION
4000 Medical
Department
MED
4100 General Medicine

4200 Surgery
4300 Dental
4400 Psychology
Division Division Division Division
GMED SURG DENT PSYC
4500 Medical Services

4600 Pharmacy
4700 Medical
4800 Nursing
Division Division Laboratory Division
MSRV PHRM LABR NURS
4010 Patient Services

Section
PATS

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8.4 STAR FLEET HOSPITAL SHIPS

In general, Hospital Ships, or Support-Medical (SM) ships, are essentially large mobile
medical facilities capable of handling most emergencies. They contain large convalescence
areas that can handle up to 2400 patients. These ships were designed to handle battle
casualties from several Starships simultaneously, and are also used to provide disaster
relief to Federation victims of natural disasters and as such, will be deployed to any
disaster area by Star Fleet Command. Hospital Ships are large and contain multiple,
independent Infirmaries, and Convalescent Wards in addition to extensive surgery and
examination areas, and contain many different types of laboratories for the investigation
and research into new diseases. Hospital Ships are equipped with special gyro-stabilizers
to keep it stabile during surgical operations and to keep the patients comfortable while
travelling at warp speeds. They are also equipped with large transporter facilities for the
transfer of large numbers of the sick and injured, and will contain large hangar bays for
the storage of its many medical shuttlecraft used for ground medical emergencies and
evacuations.
Hospital Ships are assigned by Star Fleet Command and will generally be attached to
a fleet. The placement and movement of Hospital Ships within a fleet is solely the
privilege of the Fleet Commander. Typically, Hospital Ships will not be assigned to any
squadron, but are usually part of the Command Group of the fleet. As such, Hospital
Ships will generally operate independently from any Fleet Squadron. Hospital Ships
are manned by Star Ship Command personnel for the general operation of the vessel.
However, the hospital portion of the ship will be completely manned and administered by
Star Fleet medical personnel. At the current time there are a total of eleven Hospital
Ships in the fleet as illustrated in the table below.
Table 10a84.1
CLASSES AND ASSIGNMENTS OF HOSPITAL SHIPS
Registry
Commissioned Name Fleet Squadron
(NCC)
Consolation Class
1321 U.S.S. Consolation 3RD COMGRP 3
1322 U.S.S. Tranquility 1ST COMGRP 1
1323 U.S.S. Convalesce 5TH COMGRP 5
1324 U.S.S. Oceanis 4TH COMGRP 4
1325 U.S.S. Sanctuary 6TH COMGRP 6
1326 U.S.S. Haven 5TH COMGRP 5
1327 U.S.S. Reassurance 8TH COMGRP 8
Comfort Class
1328 U.S.S. Comfort 1ST COMGRP 1
1329 U.S.S. Serenity 6TH COMGRP 6
1330 U.S.S. Refuge 2ND COMGRP 2
1331 U.S.S. Solace 2ND COMGRP 2

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CLASSES OF HOSPITAL SHIPS
There are two specific classes of Hospital Ships: the Consolation Class (NCC-1321)
and the Comfort Class (NCC-1328) as shown in Table 10a84.1 on the previous page.
The Consolation Class design is a variant of the standard Starship design, but with a
large hospital section added to the primary hull as shown in Figures 10a84.1 and 10a84.2.
The Consolation Class has only a single Warp engine, but is equipped with the standard
Impulse Drive unit. This class also has two independent Flight and Hangar decks
supporting twenty-four shuttlecraft: twenty M-Class Medical and four standard Class-F
Fleet shuttlecraft.
The Comfort Class was designed and built from the ground up to be a Hospital Ship as
illustrated in Figures 10a84.3 and 10a84.4. It is a very large and voluminous vessel that
can handle many thousands of patients and hundreds of medical staff. Because of its size
and bulk, this vessel was built with two Warp engines, and a custom Impulse Drive unit.
The Comfort Class also has a very large Flight Deck that can launch and retrieve
multiple medical and command craft simultaneously, and can store a fleet of about 120
craft of all types.
COMMAND ORGANIZATION
The command organization aboard a Star Fleet Hospital ship is very similar to that at a
large Star Fleet Medical center. That is, the command is divided between the running of
the ship and the medical services provided as illustrated in Figure 10a84.5. In command of
the vessel will be the ship’s Commanding Officer, and officer of the line with the rank of
Captain (SSC). However, the medical section of the vessel will be commanded by the
Chief Medical Officer, an officer of the Medical Corps with the rank of Commander.
The Chief Medical Officer is in complete charge of the medical facility as specified in
Star Fleet Regulations 5461 and 5780, which states: “The officer detailed to command
a Star Fleet hospital or medical facility shall be an officer of the Medical Corps, eligible for
command, and shall have the same authority over the hospital, facility or area, and the
personnel contained therein, as that described for any Commanding Officer. However, if
such a medical facility is within a line Starship, Hospital ship or attached to a shore
command, the officer detailed to command the hospital or medical facility shall come
under the direct command of the ship’s Commanding Officer or the base’s Commanding
Officer.”
MEDICAL SERVICE CRAFT
Star Fleet Hospital Ships will also contain a fleet of Class-M Medical service craft,
which is shown in Figures 10a84.6 and 10a84.7. The typical Class-M Medical craft is a
three-person unit containing a Pilot, Navigator and an Emergency Medical
Technician. The craft is equipped with a single bed, which can be removed and replaced
with a three-tiered bunk unit for increased capacity. The M-Class contains all the
necessary equipment to handle any medical emergency that may be far away from a
medical facility.

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Figure 10a84.1
EXAMPLE OF STAR FLEET HOSPITAL SHIP: CONSOLATION CLASS

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Figure 10a84.2
EXAMPLE OF STAR FLEET HOSPITAL SHIP: CONSOLATION CLASS (CONTINUED)
Forward View Rear View

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Figure 10a84.3
EXAMPLE OF STAR FLEET HOSPITAL SHIP: COMFORT CLASS

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Figure 10a84.4
EXAMPLE OF STAR FLEET HOSPITAL SHIP: COMFORT CLASS (CONTINUED)
Forward View Rear View

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Figure 10a84.5
TYPICAL STAR FLEET HOSPITAL SHIP ORGANIZATION
1000
Commanding
CAPT Officer
1002
Command
T5 Yeoman
1100
Executive
CMDR Officer
9000
Chief Medical
CMDR Officer
2000 3000 6000 7000 9100 9200 9300 9400

Operations Engineering Flight Control Ship Services Chief Hospital Chief Dental
Chief Surgeon Chief Psychologist
LCDR Officer LCDR Officer LCDR Officer LCDR Officer LCDR Administrator LCDR LCDR Officer LCDR
9500 9600 9700 9800

Medical Services Chief Medical
Chief Psychologist Chief Pharmacist
LCDR LCDR Officer LCDR LCDR Laboratory Officer
9900
Chief
LCDR Nurse

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Figure 10a84.6
STANDARD STAR FLEET HOSPITAL SHIP (CLASS-M) MEDICAL SHUTTLECRAFT
Maintenance
Port 1

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Figure 10a84.7
INTERIOR OF STANDARD STAR FLEET (CLASS-M) MEDICAL SHUTTLECRAFT

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8.5 STAR FLEET SHIP SICKBAYS

In general, all Star Fleet ships are equipped with an extensive medical facility called the
Sickbay. The term “sick-bay” originates from Earth in the 16th Century where the
forepart of a ship’s main deck was used as a hospital. Specifically, the term “sick-bay”
refers to a small recessed space in the forepart of a ship between decks, forward of the
bitts on either side. The term was carried forward into the 20th Century and used to
describe a compartment of a ship which contains the ship’s medicine chest. The term was
later compressed to “Sickbay” in the late 21st Century for a small compartment on a
space ship used to treat injured crewmembers. Such spaces were not designed for any
form of emergency outside of the crew of the ship and could not handle a large number of
patients. This changed with the introduction of the Federation Starship.
The missions of the newly developed warp-driven ships brought about the need to design
a significant area of the ship dedicated to medical functions. Thus, came about the modern
Sickbay. The functions of the Sickbay are:
1. To care for the sick and injured of the crew. The new Starships with crews in the
hundreds required a medical facility capable of handling a large number of patients.
2. To perform medical research in the deep space. Exploration contains its own unique
hazards, one being the possibility of exposure to new diseases, viruses and microbes.
As such, extensive medical research facilities are incorporated into the ships in order to
identify diseases and to produce a cure while on station since such ships operate at
the outer reaches of Federation or unknown space – far away from any Federation
hospital or medical facility[4].
3. To function as remote medical facilities[5]. The mission of the new Starships also
included the support for the many colonies and expeditions operating in deep space.
As such, the ship must also function as a medical facility for such enterprises.
Starships will routinely visit such enterprises in order to perform medical checkups as
required by law.
4. To function as an emergency medical facility. In the case of galactic or a planetary
disaster, the Starship would rush to the scene of a disaster or pandemic to function
as triage and hospital sites, or to provide needed medicines and cures[6].
5. To function as an alien medical research facility. When encountering new or alien life
forms Starship medical staff will be required to study the newly discovered life form
in terms of their biology. This may also function as a useful diplomatic tool should they
encounter sick or injured aliens, and then cure them.
Therefore, the need for a large and extensive medical facility is required in order for the
modern Star Fleet ship to perform its mission.

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BASIC STAR FLEET SHIP SICKBAY DESIGN
In general, the medical facility aboard a Star Fleet ship is designed as a complete facility,
constructed on a single deck area with all the necessary examination, laboratories and
recovery wards. As such, the Sickbay on a typical Starship will occupy an entire deck as
illustrated in Figure 10a85.1. The criteria for the location of Sickbay required that it be
located in a protected area with a space large enough to accommodate a significant
medical complex. On a typical cruiser class Starship, the location for Sickbay was chosen
to be Deck 7[7]. The reason for this was simple. Locating Sickbay on this deck is an ideal
place as it would be generally be a well-protected part of the ship. Although the most
protected area of the ships would be in the central areas of Decks 5 or 6, placing
Sickbay there would cause a loss of valuable crew living space, and would be too close to
the Impulse Propulsion and Primary Hull Engineering areas.
As illustrated in Figure 10a85.1 Deck 7 is located on the underside of the Primary Hull,
and as such, is more difficult to be hit by enemy fire. The general deck plan for Deck 7[8]
is shown in Figure 10a85.2. As can be seen, the Sickbay complex surrounds the central
computer core. This allows all medical equipment, sensors and computers to tie directly
into the computer core with minimal wiring and connections. Deck 7 also contains a
dedicated Medical Transporter unit for the transport of the sick and injured directly to
the Sickbay area. The location and orientation of the Transporter unit allows for the
quick handling of the sick and injured by minimizing the distance to the emergency room
area.
The Sickbay area aboard a cruiser-class Starship contains all the necessary examination
rooms, recovery wards and laboratories to handle any medical emergency. In addition,
there are living quarters and offices for the Duty Medical Officer, and the Duty Nurse
in order to provide 24-hour coverage and management of the medical facility. In addition,
there are other offices for the ship’s psychologist, psychiatrist, and dentist, as well as an
office and facilities for physical therapy as shown in Figure 10a85.2.
To illustrate some of the functional areas located within Sickbay, Figure 10a85.3 provides
a view of the normal duty stations within Sickbay such as the primary examination room,
the Chief Surgeon’s Office, the Intensive Care Unit and one of the several medical
laboratories within Sickbay. Figure 10a85.4 provides a more detailed look at one of the
medical laboratories and the equipment contained therein. As seen in Figure 10a85.4 the
laboratory workbench will be where most of the work will be performed. Also seen in this
picture is a large Pressure / Decompression Chamber used to treat compression or
decompression sicknesses such as aerobullosis, or to perform experiments requiring great
pressures or a vacuum.
EMERGENCY MEDICAL STATIONS
Besides the main Sickbay area, each deck on a Star Fleet ship will have a small cubicle
or cubby area designed to handle immediate medical issues, and are called Emergency
Medical Stations. These stations contain first aid kits, bandages, and medicines for
minor injuries, but some may be equipped with showers for chemical burns and radioactive
contamination, and may have a gurney for transport to Sickbay stored in case of a more
serious injury. These stations can be identified with a red cross placard posted on the
bulkhead next to the opening.

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SHIP’S MEDICAL DEPARTMENT ORGANIZATION
In general, the function of the Medical Department is to ensure the general health and
wellbeing of ship’s personnel. To meet the above goals the Medical Department will be
divided into specific medical Divisions designed to oversee the individual functions to
which the department is responsible. Each division will be administered by a Division
Officer, an officer of the Medical Corps specializing in a particular area of medicine. As
such, medical Divisions will be organized based upon a major area of medicine or medical
practice and will have a somewhat wide scope as it relates to their field. Within each
Division there will be specific medical Sections that focus on a specific area or medical
specialty.
All of the divisions within the Medical Department of a Star Fleet ship will be manned
by Staff Corps officers from the Star Fleet Medical Corps, the Star Fleet Dental
Corps, the Star Fleet Medical Services Corps and the Nurse Corps and therefore, will
be restricted to duty within their specific profession as required in Paragraph 2b of Star
Fleet Regulation 5100.
Division Officers will generally have a title depicting the area of medical specialty and
will usually have the prefix “Chief” attached to their title as illustrated in the table below.
For example, the Division Officer in charge of the Psychology division will have a title
of “Chief Psychologist.” In addition, medical persons assigned as Section Leader will
also be titled according to their area of specialization, but in their case their title will be
usually be prefixed with the term “Lead”. For example, the medical officer in charge of the
General Psychology section will have the title of “Lead Psychologist.” The following
table lists the Divisions that are normally a part of the ship’s Medical Department,
along with the titles and typical rank of the officers in charge of their division.
Table 10a85.1
TITLES AND RANKS OF MEDICAL DEPARTMENT DIVISION OFFICERS
OF A TYPICAL CRUISER-CLASS STARSHIP
Division Typical
Division Division Officer Title
Designation Rank
General Medicine Chief Physician GMED LCDR
Surgery Chief Surgeon SURG LCDR
Dentistry Chief Dentist DENT LEUT
Psychology Chief Psychologist PSYC LEUT
Pathology Chief Pathologist PATH LEUT
Pharmacy Chief Pharmacist PHRM LTJG
Radiology Chief Radiologist RADL LTJG
Laboratory Laboratory Officer LABR ENSN
Nursing Head Nurse NURS LEUT

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COMMAND OF STAR FLEET SHIP SICKBAYS
Aboard Star Fleet ships all Sickbays and medical areas will be under the command of
the ship’s Chief Medical Officer. This rule is codified in Star Fleet Regulation 5780,
which states: “The officer detailed to command a Star Fleet hospital or medical facility shall
be an officer of the Medical Corps, eligible for command, and shall have the same
authority over the hospital, facility or area, and the personnel contained therein, as that
described for any Commanding Officer. However, if such a medical facility is within a line
Starship, Hospital ship or attached to a shore command, the officer detailed to command
the hospital or medical facility shall come under the direct command of the ship’s
Commanding Officer or the base’s Commanding Officer.” However, as stated in the
aforementioned regulation, the Chief Medical Officer of a ship directly reports to the
ship’s Commanding Officer as one of his or her Department Heads.
In general, the Chief Medical Officer is responsible, under the Commanding Officer,
for the health, physical fitness and mental wellbeing of the crew, and of any passenger
that may be embarked. The Chief Medical Officer is also responsible for making any
health and safety inspections he deems necessary and in advising the Commanding
Officer with respect to health, hygiene and sanitation aboard ship.
The authority of the Chief Medical Officer, as it pertains to the Sickbay, is absolute as
specified in Star Fleet Regulation 5461, which states: “An officer of the Medical Corps
detailed as Chief Medical Officer of a command shall have full authority over the medical
personnel and facilities under his command, including those medical facilities attached to
or part of an existing command under the authority of a line Commanding Officer.” And as
stated in Section 2.3 of Volume IV Part 2 of the Star Fleet Command Manual, the Chief
Medical Officer can have the ship’s Commanding Officer relieved of duty under Star
Fleet Regulation 4210 if it has been determined, by a medical examination, that the
commander is unfit for duty. In addition, the Chief Medical Officer, along with his staff,
is not under the authority of the ship’s Senior Watch Officer and therefore, Sickbay
personnel can only be assigned duties as the Chief Medical Officer specifies.
The Chief Medical Officer will typically be a certified physician and an officer of the Star
Fleet Medical Corps restricted to duty within the medical profession. As such, the Chief
Medical Officer will never command a Star Fleet ship or stand any watch relating to the
command of the ship such as Officer of the Conn. Also, the Chief Medical Officer will
almost always have the rank of Lieutenant Commander, Star Fleet Medical Corps,
regardless of the size of the ship, but may be a Commander on the larger combatants,
and definitely a Commander or Captain as director of the medical facilities onboard a
Hospital ship. The officer in command of the medical facilities on board a Hospital ship will
also be the Chief Medical Officer of the ship as well.
As previously stated in Section 4.2 of this manual, a Duty Medical Officer (MDO) will be
assigned the duty of primary physician by the Chief Medical Officer for a twenty-four
hour period. The primary responsibility of the Duty Medical Officer is to perform
scheduled and emergency medical examinations, to treat the sick and injured, perform
sanitation inspections of food processing and eating areas and to manage the duty medical
staff and medical laboratories.

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Figure 10a85.1
TYPICAL CRUISER CLASS STARSHIP SICKBAY AREA - DECK 7
SICKBAY – DECK 7

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Figure 10a85.2
TYPICAL CRUISER CLASS STARSHIP SICKBAY DECK LAYOUT
Forward

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Figure 10a85.3
ILLUSTRATION OF GENERAL STARSHIP SICKBAY FUNCTIONAL AREAS
Medical Office Examination Room
Intensive Care Unit

Medical Laboratory 1

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Figure 10a85.4
ILLUSTRATION OF STARSHIP SICKBAY LABORATORY AREA
Pressure / Decompression Medical Lab Work Area
Chamber
Pressure / Decompression
Chamber Control Station

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8.6 STAR FLEET MEDICAL EQUIPMENT

This section will provide a somewhat detailed presentation and description of the various
medical equipment and devices used by Star Fleet medical personnel, and that can be
found at a typical Star Fleet medical facility. In general, all medical facilities, from the
smallest ship Sickbay to the large medical centers use the same medical devices. This is
to allow for consistency of use and maintenance, and will minimize the training needed
when transferred from one medical facility to another. This section will be divided into four
major parts:
• Subsection 1 – Permanently Installed Medical Equipment

• Subsection 2 – Portable and Handheld Medical Devices
• Subsection 3 – Surgical Equipment and Devices
• Subsection 4 – Medical Laboratory Equipment
Each part will identify the standard devices for that group, provide a detailed description of
the devices, and will provide pictures and diagrams of each of the devices described. In
addition, a brief explanation on the use of each device identified will also be provided.

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SUBSECTION 1
PERMANENTLY INSTALLED MEDICAL EQUIPMENT
This section deals with the standard fixed medical equipment, which are those medical
devices and mechanisms that are permanently installed at all Star Fleet medical facilities.
This includes wall-mounted as well as a floor-mounted equipment and devices. The
following paragraphs will identify the various types of fixed medical equipment that can be
found at any Star Fleet medical facility.
MEDICAL SCANNERS
The standard Medical Scanner is a wall-mounted display panel used to exhibit, in real
time, the current physiological condition of the patient. The standard medical scanning
system is composed of a scanner, which inputs to an analyzer-computer, the results of
which are displayed on a panel as shown in Figures 10a86.1 and 10a86.2. Scanning is
initiated and terminated by a small slide switch located on the bottom left of the display.
The unit will be connected to the facility’s central computer where the real-time data is
recorded for playback at a later date. Results from the scans are stored in the individual’s
permanent medical record and will be used to track changes in the medical condition of
the patient.
The display consists of a set of fixed parameters (e.g., Pulse and Respiration) and a set of
selectable dynamic medical parameters on a linear scale along with a moveable pointer to
show the current value. The scale values are color coded to indicate normal and abnormal
values, along with a vertical bar indicating normal range values. The display panel allows
up to six dynamic medical parameters to be displayed at any one time as illustrated in
Figure 10a86.2. The operator can select what medical parameters he or she wishes to
examine at any time during the scanning process. The operator can also record the
readings for future reference as stated above by pushing the central RECORDER button.
WHOLE-BODY SCANNER
A Whole-body Scanner is one that exhibits a visual picture of the internals of a patient.
This unit is similar to the old MRI, CAT, and CT scanners of the past, but will display the
image in three dimensions all at once. The patient lays down onto a padded platform and
the scanner will move across the body from head to toe. The image collected is colorized
by an imaging computer and locally displayed on a large viewing screen. The method
employed by the scanner is called Phased Tomography, which is imaging by sections or
sectioning through the use of a special kind of penetrating wave. The word tomography is
derived from Ancient Greek τόμος tomos, "slice, section" and γράφω graphō, "to write" or,
in this context as well, " to describe." Most units are horizontal, but there are vertical units
used where space is limited as well. Most of the vertical scanners can be found on Star
Fleet ships and on small outposts. As such, all Whole-body Scanners are hard-mounted
to the deck or floor of the facility.

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MEDICAL EXAMINATION TABLE
Medical Examination Tables, also called Treatment Tables or Taping Benches, are
raised and upholstered platforms where patients are examined and treated for medical
problems. An example of a typical Treatment Table can be seen in Figure 10a86.3. The
patient in question will usually be lying down on the table while being examined. The table
or bench itself can be swung down for easy mounting. As the illustration in Figure 10a86.4
shows, the bench is swung down to the floor and the patient will step on the platform.
Lying flat on the platform, it is raised up to the horizontal position and locked in place.
Once the platform is locked in place, its associated Medical Scanner will be activated for
diagnostic scanning automatically.
Aboard Star Fleet ships and at other small medical facilities, Medical Examination
Tables will also double as surgical tables as well, which will be seen later in Subsection 3
of this section. The standard Medical Examination Table also has attachments and
provisions for mounting surgical instrument trays and sterile enclosures.
CARDIOPULMONARY AND BODY ENERGY ANALYZER
A Cardiopulmonary and Body Energy Analyzer is a combined unit consisting of a

padded bench, a pair of foot-operated pedals and a computer-analyzer, as illustrated in
Figure 10a86.5. The function of this unit is to stress the human body through hard physical
activity, measure certain body functions and physiological parameters and then, examine
how fast the body can recover after such exertion. Sensors inside the cushion can detect
lung oxygen levels, blood oxygen absorption, heart rate, body temperature and heat
generation rate, and blood pressure. In addition, during testing the compression force
exerted on the legs by the pedals can be adjusted to increase, or decrease, physical
exertion. In most cases the unit is designed such that the body will be elevated at the legs
so that gravity will play an effect on the exertion levels. The unit can stress almost the
entire body as the leg motion back and forth affects the leg, stomach, back and rear
muscles, while the arms, back, neck, shoulder and chest muscles are isometrically stressed
due to the hard pulling of the grab handles to keep the body in position to pump the
pedals.
There are two types of such units: the Horizontal Stress Unit and the Vertical Treadmill.
The horizontal unit is what is shown in Figure 10a86.5. When performing the stress test
the patient mounts the bench and grasps the grab handles. The technician or doctor will
tilt the bench such that the patient’s body is in line with the foot pedals. The patient will
then exert force on the grab handles to pull him or herself closer to the foot pedals. On
orders from the technician or doctor, the patient will start pumping, and as stated above,
the technician or doctor can adjust the compression force exerted on the legs. The patient
will pump the pedals which causes the body to exert itself, the patient’s heart rate will
increase, the patient will perspire, all of which is being monitored by the operator at the
analyzer panel. It should be noted, however, that the patient will usually be partially
dressed so that the patient does not get his or her uniform wet from perspiration. This also
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ROBBIANI STROBE UNIT
A Robbiani Strobe Unit is a wall-mounted device used for the Robbiani Dermal-optic
Test, which is a psychological exam that registers a subject’s emotional structure through
skin and pupil responses to visual stimulation using specific color wavelengths[9]. The
strobe is essentially a wall-mounted box with a central light port that emits a pulsating
visible light in various color frequencies as shown in Figure 10a86.6. The strobe unit is
normally mounted opposite of an examination bench so that the subject will rest inclined
on the bench. The subject will be requested to raise his or her arms, palms facing out and
the fingertips at chin level. This is to help measure the psychological response to the
strobe lights. All Star Fleet medical facilities on ships, space stations and outposts will
have a Robbiani Strobe Unit. However, on large Star Fleet Medical Centers and
Starbase Hospitals, Robbiani Dermal-optic tests will normally be performed at base
Psychiatric facilities, and not at general medical and surgical facilities.
EXAMINATION CHAIRS
The Standard Medical Examination Chair, as illustrated in Figure 10a86.7, is designed

for use by those in the medical profession to examine and treat patients seated in the
chair. The Standard Medical Chair is a modified version of the Standard Scientific
Examination Pedestal Chair[10] used to observe and study an individuals’ reactions to
stimuli. The chair is adjustable to accommodate most body types and can tilt back for
close-up examinations. In addition, this chair is highly versatile as it can be used by
medical professionals of all types. For example, this chair can mount attachments to
convert it into a dentist’s chair. Attachments such as lighting fixtures, small tables, body
sensors, surgical tools, medical examination tools and instruments, and dental equipment
can all be mounted in order to customize the chair for a specific medical purpose.
Therefore, such chairs can be used by all medical professionals such as doctors, surgeons,
dentists, oral hygienists, optometrists and ophthalmologists, psychologists and
psychiatrists, physical therapists, and other specialists.
THERAPEUTIC CHAIRS[11]
Therapeutic Chairs are extensions of the Standard Medical Examination Chair that
have fixed pieces of equipment mounted to perform a specific medical therapy. For
example, these chairs are used extensively by Star Fleet psychologists and psycho-
therapists to treat mental illness or to perform beam therapy on the more violent cases as
shown in Figure 10a86.8. In this specific case, the therapeutic chair would be called or will
be part of a device called a Neural Neutralizer[12].

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HOSPITAL BEDS
All Star Fleet hospitals and Sickbays utilize a standard adjustable recovery bed called
the Standard Hospital Bed, which is basically a bed platform containing a special foam
mattress and pillow. There are only two types of the Standard Hospital Bed currently in
use by the Star Fleet Division of Medicine: Type I and the Type II. The Type I[13] is
the older version used by most hospitals in the Federation. This version folds in the
center using electric motors so that the patient can sit up in bed as illustrated in Figure
10a86.9. However, this version of the hospital bed is no longer used aboard Star Fleet
ships, deciding instead to go with the Type II “crib style” platform as shown in Figure
10a86.10. The Type II is a rigid framed bed which uses up less space than the Type I.
The Type II is preferred aboard ships since it is designed to keep the patient within the
confines of the bed while the ship is in motion. The patient will not fall out of the Type II
bed as easily as in the Type I bed.
While the Type II bed does not fold in the center as the Type I bed, the Type II
platform will tilt upward to a maximum angle of 10o. Titling is performed using two screw
motors on the headboard side as shown in the diagram in Figure 10a86.12, and is
controlled by a small button at the footboard side of the bed as shown in the diagram. The
design of the Type II platform also allows the bed to contain restraining straps for the
more violent cases as can be seen in Figure 10a86.11.

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Figure 10a86.1
STANDARD MEDICAL SCANNER AND DISPLAY PANEL
Scanner Panel
Panel Power Switch
Scanner/Sensor

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Figure 10a86.2
STANDARD MEDICAL SCANNER DISPLAY PANEL DETAIL

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Figure 10a86.3
STANDARD MEDICAL EXAMINATION TABLE

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Figure 10a86.4
MOUNTING ONESELF ONTO THE STANDARD MEDICAL EXAMINATION TABLE
Platform Position Lock

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Figure 10a86.5
STANDARD CARDIOPULMINARY STRESS AND BODY ENERGY ANALYZER PLATFORM
Cardiopulmonary and Body Energy Analyzer Panel
Foot Pedals
Grab Handles
Padded Bench

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Figure 10a86.6
STANDARD ROBBIANI STROBE UNIT
Robbiani Strobe Light

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Figure 10a86.7
STANDARD EXAMINATION CHAIR

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Figure 10a86.8
PSYCHO-THERAPEUTIC CHAIR

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Figure 10a86.9
STANDARD HOSPITAL BED TYPE I WITH ADJUSTABLE BACK

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Figure 10a86.10
STANDARD HOSPITAL BED TYPE II

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Figure 10a86.11
STANDARD TYPE II HOSPITAL BED WITH RESTRAINTS

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Figure 10a86.12
STANDARD HOSPITAL BED TYPE II DIAGRAM
Bed Tilt Switch
Max Tilt: 10o

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SUBSECTION 2
PORTABLE AND HANDHELD MEDICAL DEVICES
This section will provide a somewhat detailed presentation and description of the various
handheld medical devices used by Star Fleet medical personnel, and that can be found at
any Star Fleet medical facility. In general, all Star Fleet medical personnel will use the
same portable or handheld medical devices. This is to allow for consistency of use and
maintenance, and will minimize the training needed when transferred from one medical
facility to another. As such, the following are the most frequently used handheld devices,
except those used for surgery. Surgical devices will be covered in Subsection 3 of this
section.
MEDICAL HAND SCANNER
The Star Fleet Medical Hand Scanner is a small hand-held device used to gather basic
medical information on a patient. As of this writing, there are three types of scanners in
use within the Star Fleet medical service, as shown in Figure 10a86.13; all of which
function basically the same, but which may each have different capabilities. Typically, the
scanner is a cylindrical device of about 6.25 cm long and about 3.75 cm maximum
diameter, and is composed of two basically parts: a Collector, and the Control Module,
as illustrated in Figure 10a86.14.
The Collector contains a rotating sensor that may detect on multiple bandwidths. This
allows for multiple medical parameters to be collected, as well as constructing a three-
dimensional image of the patient. However, the number of parameters that can be
collected is limited to the internal memory of the device. The Control Module contains
the device’s power supply, rotating mechanism, analyzer and the video display unit. In
addition, the Control Module also contains a small radio in order to link with a nearby
recording device, such as a Medical Tricorder, for data storage and for a more complete
analysis of the data.
In practice, the Medical Hand Scanner will usually be held with the thumb, index and
middle fingers. For a broad inspection of the patient’s internals, the scanner is held parallel
with the body so as to obtain a wide sweep of the organs as illustrated in Figure 10a86.15.
To examine a specific area of the body, the scanner is held perpendicular with the body in
the area of interest as shown in Figure 10a86.16. The picture shown in Figure 10a86.16
also shows the scanner being used as a stand-alone device. That is, for quick readings and
medical assessments, the scanner can be used without any other supporting device.
However, for more comprehensive readings, it is usually recommended that a Medical
Tricorder be used in conjunction with the scanner as illustrated in Figures 10a86.15 and
10a86.18.

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MEDICAL TRICORDER
The Medical Tricorder device, as shown in Figure 10a86.17, utilizes the same standard
Feinberg Tricorder[14] unit as those used throughout Star Fleet. The unit is essentially a
hand-held sensing, computing and recording device. As such, the Medical Tricorder,
when pointed towards a patient, will scan the patient, acquire medical data on the patient,
analyze the data, display and store the data in local memory. Basically, the Medical
Tricorder differs from other Tricorders only in the software installed within the computer
section of the device.
Typically, the Medical Tricorder will be used in along with the Medical Hand Scanner
as described in the previous subsection and as illustrated in Figure 10a86.18. As such, the
Medical Tricorder contains a storage area in the lower compartment exclusively for the
scanner. A base within the unit holds the scanner in place while charging the power pack
of the scanner.
Medical Tricorders come in several types in order to support a specific medical specialty.
For example, Star Fleet psychologists may utilize a special Psycho-Tricorder[15] in order
to analyze psychiatric conditions and brain function of a subject. The unit can also recall
memories of the subject for the last twenty-four hours of the time the device is used,
generally called a “Regressive Memory Check”. The Psycho-Tricorder is used on many
occasions, such as for solving crimes, but requires a certain degree of privacy when used.
PORTABLE MEDICAL COMPUTER[16]
The Portable Medical Computer is the device used to analyze medical and other data,
and to perform such calculations and analyses as may be programmed by the user. The
computer is normally used in conjunction with a Tricorder, which functions as the I/O unit
for the computer. The computer also contains a powerful communications unit so that it
can link with a remote computer for more strenuous calculations. On Star Fleet ships the
computer will link with the ship’s central Library-Computer in order to obtain access to
the extensive library of information, and to send data back to the vessel’s computer for
further analysis and permanent data storage. A diagram of the computer is illustrated in
Figure 10a86.19, and an example of how it is used can be seen in Figure 10a86.20.
PORTABLE ELECTRONIC MICROSCOPE[17]
The Portable Electronic Microscope is used where no other electronic microscope can
be used such as in the field. The unit, as seen in Figure 10a86.21, contains a small built-in
stand for the sample to be examined. The unit is then placed over and onto the stand, and
is activated to begin the scan using the slide switch on the side. Knobs on one side of the
unit are used to change modes, and adjust the magnification, lighting and contrast for
optimal viewing. The sample can be magnified up to 50,000x on battery power and is
viewed through the viewport as illustrated in Figure 10a86.22. As such, it is a field device
used primarily for emergencies and should not be used for more rigorous and thorough
analyses.

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HEARTBEAT READER[18]
A Heartbeat Reader is basically a microphone used to amplify and record the rhythm of
an individual’s heart as illustrated in Figure 10a86.23. The reader is generally used along
with a computer or Tricorder that has an audio output speaker in order to listen and
record a heartbeat. As such, the Heartbeat Reader contains an internal communications
unit that will connect to and transmit the sounds of a heart to the audio output and
recording device. The Heartbeat Reader can also be used as a “white sound” masking
device as well. This application is primarily used to locate survivors where they cannot
respond. This is done by having the central computer or security monitoring unit sense
and broadcast the sounds of all the hearts of the individuals at the command. Then, using
the Heartbeat Reader as a “white sound” masking device, remove individual heartbeats
from the broadcast as shown in Figure 10a86.24. Once all the known heartbeats have
been masked, the remaining must be the survivors[19].
SPRAY HYPODERMIC[20]
The Spray Hypodermic, or Spray Hypo, is the modern method of medical injection of
substances into the body. The hypo is basically a high-pressure injector which does not
require the use of a needle to penetrate the epidermic layers. However, the Injector
Head of the hypo must be in contact with the epidermis in order to function properly. An
example of a Spray Hypodermic can be seen in Figure 10a86.25. This particular model,
the Type II MOD 3, requires preformulated, sealed medicinal vials, while other models
may use open vials for substances extemporaneously prepared.
As suggested above, Spray Hypodermics come in several models, each designed for a
specific purpose. An illustration of the types of models available is exemplified in Figure
10a86.26. The Type I, which is an earlier model, is now primarily used to inject fluid
through thick epidermal layers. The Types II and III models differ only in the design of
the Plunger, as seen in Figure 10a86.27. However different the design of the three types,
they all share the same method of attaching the Injector. As such, different Injector
types can be installed on each hypo model, therefore allowing the different hypodermic
models to interchange Injector types.
The basic function of the Spray Hypodermic is as follows: The Medicine Vial is first
inserted into the Plunger section with the Injector pointing upwards. The Plunger is
then pulled back to siphon the fluid out of the vial and into the Piston Tube. The
hypodermic is then oriented perpendicular to the area of injection and the Plunger is then
inserted down the tube. A ball check inside the Plunger prevents fluid from flowing back
to the vial. As the fluid is compressed in the Piston Tube, pressure in the tube reaches
the critical point for injection, which is controlled by spring-loaded needle valve in the
Injector body. The fluid is injected into the muscle area of the subject at high pressure
through a very small hole at the tip of the Injector. This is why the orientation of the
hypodermic is very important as illustrated in Figure 10a86.28.

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MEDICAL SPRAY APPLICATOR[21]
For relieving the pain and itch caused by minor cuts, scrapes, burns, and bites, a combined
antiseptic and anesthetic spray reliever is used by Star Fleet medical personnel. The
product is generally a liquid applied to the injury which quickly relieves the pain and
discomfort caused by such injuries, as well as to prevent epidermal infection. Such liquid
pain relievers are usually dispensed using a Spray Applicator. The Spray Applicator
applies the pain reliever by atomizing the liquid into a fine mist spray. Two types of Spray
Applicators are currently in use as shown in Figure 10a86.29. The Type I Pressurized
applicator uses a pressurized container of pain reliever that is locked into the spray body.
The fluid is released by pressing a trigger. The Type II Pump-Action sprayer uses
gravity to load the fluid into the atomizer, which is then applied by depressing the canister
as illustrated in Figure 10a86.30.
PORTABLE MEDICAL KITS[22]
When medical personnel are out in the field or attached to a Landing Party*, they will
usually bring along several of the portable medical devices shown in this subsection. The
more important of the devices will normally be carried, which are: a Handheld Medical
Scanner, a Spray Hypodermic with spare ampule, a Spray Applicator and a
Multifunction Portable Surgical device. All of the above items will be carried in a small
pouch called a Medikit[23]. The standard portable Medikit is the small belt-attached
pouch as shown in Figure 10a86.31. It is attached to the standard utility belt (Item 3482)
and tucked under the working tunic as shown in Figure 10a86.34. Where there is the
possibility of disease or sickness while in the field, the larger medium-sized kit will be used.
This kit contains all the same equipment as the small pouch, but with added medicine vials
as shown in Figure 10a86.32. Lastly, where there is the possibility of a major injury, a
larger handheld kitbag is available. This kit will carry not only the bare minimum of first aid
equipment, but also some surgical equipment as well. An example of this kitbag can be
seen in Figure 10a86.33.
*For a description of Landing Parties consult Section 5.5 of Part 2, Volume IV of the Star Fleet Command Manual.

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Figure 10a86.13
STANDARD HANDHELD MEDICAL SCANNERS
Medical Scanner Medical Scanner Medical Scanner

Type I MOD 4 Type IB MOD 2 Type II MOD 3

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Figure 10a86.14
STANDARD TYPE I MOD 4 HANDHELD MEDICAL SCANNER
Collector
Control Module

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Figure 10a86.15
HANDHELD MEDICAL SCANNER USAGE – WITH MEDICAL TRICORDER

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Figure 10a86.16
HANDHELD MEDICAL SCANNER USAGE - STANDALONE

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Figure 10a86.17
STANDARD MEDICAL TRICORDER
Video Display Sensor Array
Indicator Lights
Function Control Buttons
Data Storage Disks Speaker/Microphone
Lower Compartment:
Power Pack &
Handheld Scanner Storage

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Figure 10a86.18
MEDICAL EXAMINATION IN THE FIELD USING TRICORDER

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Figure 10a86.19
STANDARD PORTABLE MEDICAL COMPUTER

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Figure 10a86.20
THE PORTABLE MEDICAL COMPUTER IN USE IN THE FIELD

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Figure 10a86.21
DIAGRAM OF STANDARD PORTABLE ELECTRONIC MICROSCOPE MOD 2 WITH TAPE RECORDER
Adjustment Knobs
Power Switch
Analysis Indicators
Viewport
Recorder Slot with Tape Inserted

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Figure 10a86.22
THE PORTABLE ELECTRONIC MICROSCOPE IN USE IN THE FIELD

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Figure 10a86.23
PORTABLE HEARTBEAT READER

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Figure 10a86.24
PORTABLE HEARTBEAT READER USED AS A WHITE SOUND MASKING DEVICE

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Figure 10a86.25
EXAMPLE OF STANDARD TYPE II MOD 3 SPRAY HYPODERMIC

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Figure 10a86.26
ILLUSTRATION OF THE STANDARD SPRAY HYPODERMIC TYPES
Spray Hypo Spray Hypo Spray Hypo

Type I: High Pressure Type II MOD 2 Type III
(Tapered Nozzle)
Injector
Piston Tube
Plunger
Medicine Vial

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Figure 10a86.27
ILLUSTRATION OF THE TYPES OF SPRAY HYPODERMICS
Type 2 Type 3 Type 2

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Figure 10a86.28
DEMONSTRATION ON USE OF THE SPRAY HYPODERMIC: EXECUTING AN ON-WATCH VACINATION

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Figure 10a86.29
MEDICAL SPRAY APPLICATOR DIAGRAM
Type I Applicator: Type II Applicator:

Pressurized Canister Style Pump Style
Pressure Canister
Ball Valve
Spray Body
Spray Trigger
Fluid Fill Cap
Atomizer Nozzle

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Figure 10a86.30
TYPE II PUMP SPRAY APPLICATOR BEING USED ON AN INJURY

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Figure 10a86.31
PORTABLE MEDIKIT: STANDARD BELT POUCH
Spray Hypodermic
Field Reader Tube &
Subcutaneous
Extractor[M1]
Heart
Spray Applicator
Pulse
Temperature
Blood
Pressure
Medicine Vial
Medical Scanner

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Figure 10a86.32
PORTABLE MEDIKIT: STANDARD MEDIUM SIZED BELT POUCH

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Figure 10a86.33
PORTABLE MEDIKIT: LARGE HANDHELD EMERGENCY KIT

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Figure 10a86.34
EXAMPLE OF HOW THE PORTABLE MEDIKIT IS CARRIED

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SUBSECTION 3
SURGICAL EQUIPMENT AND DEVICES
This part will provide a somewhat detailed presentation and description of the various
equipment and devices used by surgeons at Star Fleet medical facilities. The equipment
and devices shown here will be employed at both ground-based hospitals as well as Star
Fleet space vessels.
SURGICAL PLATFORMS
A Surgical Platform is the table or bench on which patients will undergo surgery. The
basic design of the Surgical Platform is the same as the stock Medical Examination
Table described in Subsection 1 of this section. However, unlike the Examination Table,
which is fixed mounted to a bulkhead, the Surgical Platform is moveable and has
greater adjustability. Surgical Platforms have small, powered wheels that allow the table
to be moved anywhere, and in any position, so that the surgeon will have 360o access to
the patient. The platform can then be magnetically locked in place to the deck to prevent
movement. Platforms are also adjustable in terms of their height, as well. This is because
surgeons need the ability to adjust the table high or low, to allow them to gain access to
the part of the patient being operated on. Angle adjustment is also available to help the
doctor reach the surgical area more comfortably and safely.
The platform can also be made to bend or adjust in multiple areas to provide more
comfort for the subject. For example, patients may suffer certain ailments as a result of
lying incorrectly on a platform or table, or lying on an operating table for too long. In most
cases, nurses and doctors try to prevent this from happening. Typically, standard positions
are, for example, back, stomach, side, Trendelenburg and a seated/half-seated position.
The patient should always be optimally positioned in cooperation with the anesthetist,
surgeon and operating room staff. In general, and prior to an operation, a decision must
be made as to exactly how the patient is to be positioned so that the proper adjustments
to the platform can be made. This decision not only takes account of the type of operation,
it also considers the age, weight and health of the patient with regard to the heart, lungs,
circulation, metabolism, blood circulation problems et cetera. Therefore, the platform is
adjustable to account for these variations in patient position.
Another feature of the Surgical Platform is the ability to use appropriate interface
modules to establish communication with diagnostics systems. The platform contains
several outlets where electronic devices can be plugged into them for special purpose
monitoring or surgical instruments.
Lastly, as stated in Subsection 1, the standard Medical Examination Table aboard a

Star Fleet ship will usually be used as the surgical table. This is because a fixed table
mounted to the bulkhead is more stable for surgical operations than a mobile table that
relies on magnetic adhesion to the deck. In addition, the standard Medical Examination
Table will have attachments and provisions for mounting surgical instrument trays and
sterile enclosures to aid the surgeon in his duties. An example of such a platform can be
seen in Figure 10a86.35.

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SURGICAL ENCLOSURES
Surgical Enclosures are devices placed over the subject to protect them from any form
of harm, contamination or infection. The device is used exclusively for open thoracic
surgery involving entrance into the body cavity and for direct contact with internal organs.
The main feature of a surgical enclosure is the fact that the surgeon can operate on the
patient without fear of organ contamination due to a Sterilization Field[24] generated by
the unit. The field serves several purposes, one being that the field will destroy bacteria,
viruses and other microorganisms. The field produces radiations of special wavelengths,
including ultraviolet, that physically destroy such microorganisms. This keeps the patient’s
internals free from infection. Another function is that the field prevents objects from
accidently falling into the surgery site. Only the surgeon’s hands, and the instrument he or
she is holding, can pass through the field. Motion through the field and into the body
cavity must be made slowly. Any sudden movement will cause the field to lock up.
A Surgical Enclosure also contains an internal atmospheric system. Oxygen, nitrogen,

sterilizing, cleansing, anesthetic, and other gasses can be circulated within the enclosure,
which will be maintained within the enclosure by the sterilization field. The unit contains a
small ventilation system that allows such gases to be circulated and filtered. A small
variable-speed fan inside the unit circulated the gasses, taking a suction from inside the
work area and passing the gasses through filters and purifiers. Power to the unit comes
from the Surgical Platform the unit is mounted to. A built-in connector on the unit is
inserted into a slot on the edge of the platform. An example of a Surgical Enclosure in
action can be seen in Figure 10a86.36.
Immersion gasses, or gasses that envelop the surgical area, are used to surround the
subject during surgery to prevent contamination and infection. This is in addition to the
Sterilization Field. Such gasses enter the enclosure via a port on the platform. The
enclosure and the platform allow up to four gasses to be used, the gasses, themselves, are
contained in high pressure flasks located in a special cubby or cubicle built specifically for
the purpose of housing the gasses used by medical personnel. The gasses to be used must
first be determined before surgery so that the proper gas flasks can be connected to the
gas header. The gasses to be used may be introduced into the enclosure by switches
located at the top of the enclosure as shown in Figure 10a86.36.

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BIOMEDICAL FLUID TRANSFUSION AND FILTERING UNIT
The Biomedical Fluid Transfusion and Filtering Unit[25], as shown in Figure 10a86.37,
is a fixed, wall-mounted device used during surgeries and certain treatments. It is a multi-
purpose device used for blood transfusions, blood filtering, kidney and intestinal dialysis,
and blood and medicinal infusions, just to name a few.
The unit is comprised of a wall panel and a control boom that cantilevered off the wall
panel. All fluid connections are performed at the boom, which contains four fluid ports, two
fluid sight glasses, a fluid reservoir, and a remote control pendant or suspended control
unit. All fluids to and from the body will be handled by flexible tubing connected to the
tube ports. These ports allow fluid to be transferred to and from the bodies of two subjects
as shown in Figures 10a86.36 and 10a86.37. When not in use, the tube ports are covered
with a clear “jumper” tube that is attached to both the input and output ports. This keeps
foreign material from contaminating the ports.
The two sight glasses, mounted on the boom as shown in Figures 10a86.37 and 10a86.38,
are transparent windows through which the level and flow of fluid can be checked visually.
They are used to monitor the flow of fluid, as well as the color, of the fluid leaving the
body. Blood or fluid going to the body is held in a clear reservoir located in the underside
of the boom. This way the doctor or technician can visually monitor the fluid going to the
body. At the end of the boom is located the Control Pendant where the surgeon has
control of the fluid flow and the Overhead Sterilization Beam[26].
The control panel mounted on the wall is the main center of control for the unit as shown
in Figure 10a86.38. As shown, the wall panel controls the fluid pumps, filters, dialyzers,
and other equipment used to perform fluid transfer and purification, with some minor
control performed by the control pendant as shown in Figure 10a86.37. The wall panel has
controls for fluid pump speed, fluid pressure and fluid flow rate. The panel also has
controls for fluid filtration.
One function the unit performs is that of blood or fluid transfusions. In general, a blood
transfusion is the process of transferring blood or blood products into one's circulation
intravenously. This may be done with the aid of a Blood Transfusion Unit (Figure
10a86.39) or by direct intravenous insertion. In either case, a clear Tygon® tube will
connected to one of the fluid tube ports on the unit as seen in Figure 10a86.38.
Transfusions are used for various medical conditions to replace lost components of the
blood. Early transfusions used whole blood, but modern medical practice commonly uses
only components of the blood, such as red blood cells, white blood cells, plasma, clotting
factors, and platelets.
The other function the unit performs will be Dialysis. Dialysis is the process of removing
excess water, solutes, and toxins from the blood in humanoids whose kidneys or fluid
filtration organ can no longer perform these functions naturally. This is referred to as renal
replacement therapy. Dialysis works on the principles of the diffusion of solutes and
ultrafiltration of fluid across a semi-permeable membrane located in an area behind the
wall panel. The unit is capable of performing both hemodialysis and peritoneal dialysis. A
detailed description on how to use the device can be found in the Star Fleet Medical
Officer’s Handbook (BUMED-004).

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BLOOD TRANSFUSION AND MUSCULAR STIMULATION UNIT[27]
In conjunction with the Biomedical Fluid Transfusion and Filtering Unit there is a
separate Blood Transfusion and Muscular Stimulation, or BFM, device that may be
used as part of the transfusion or dialysis process. The device, as shown in Figures
10a86.39 and 10a86.40, is a portable unit that usually mounts on the patient’s arm and is
usually attached and locked in place on the side of a standard Type II Hospital Bed (see
Subsection 1 of this section.)
Power to the unit comes from a battery power pack stored inside a narrow door located on
the front of the unit as shown in Figure 10a86.40. The unit is usually empty of the power
pack when not in use. The power pack is usually inserted into a charging unit to keep the
pack fully charged. When ready for use, the narrow door is opened and the power pack
inserted.
A transfusion using this device is performed in one of two ways: a) through a tube from an
independent blood source, or b) locally using a blood container enclosed within the unit.
For the first case, the same type of Tygon® tube described in the previous section will be
inserted in one of ports shown in Figure 10a86.40. The other end of the tube will either be
attached to a fluid port on Biomedical Fluid Transfusion and Filtering Unit (BFT) or
directly to an intravenous fluid container. The difference being that the BFT forces blood
into the patient via a pump, while the other method uses gravity to feed the fluid to the
internal pump or directly into the circulatory system. It should be noted that the unit does
not only perform transfusions, but executes standard intravenous infusion of fluids as well.
This is used as the primary method of fluid replacement in order and to maintain fluid and
electrolyte balance, or to correct fluid volume deficits after excessive loss of body fluids.
The BFM also contains a muscular stimulation unit as well. This is basically a vibration
device used to exercise or massage the muscles in the arms and legs. The unit contains
both heat and massage, and is powered by the internal power pack. Control of the
massaging action is performed using the upper knob on the control panel.

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HANDHELD SURGICAL INSTRUMENTS
Star Fleet surgeons have a variety of instruments at their disposal. One of the most often
used, and historically popular instrument, is the scalpel. Historically, a scalpel, or lancet, or
bistoury, is a small and extremely sharp bladed instrument used for surgery, anatomical
dissection, podiatry, etc., and were either single-use disposable or re-usable. However, the
modern scalpel is a laser cutting device that can make very fine and accurate cuts without
fear of infection, or the need to clean the instrument afterwards. Such devices are called
Surgical Cutting Lasers. The following paragraphs will describe the various types of
cutting lasers.
SURGICAL CUTTING LASERS
The basic laser scalpel, or Surgical Cutting Laser, is a relatively large unit held in the
palm of the hand as illustrated in Figure 10a86.41. The unit is essentially a power pack
and laser beam emitter with a beam focusing tip mounted in front of the device. There are
various models of the cutting lasers, but the most commonly used by surgeons in the Star
Fleet are the Model 108 and the Model 204[28] as shown in Figure 10a86.42. Both
models have removeable beam emitter heads, for which there are many varieties of such
laser emitter heads that can be attached on either laser as illustrated in Figure 10a86.43.
For very fine surgical cutting there are the smaller handheld Laser Scalpels[29]. These
devices are normally held by the thumb and forefinger, with the forefinger used to trigger
or activate the laser. These lasers come in several models since their beam emitters are
fixed to the body as illustrated in Figure 10a86.44. Beam intensity is adjusted by rotating
the Focus Head to the desired setting
SURGICAL SEALING LASERS
Surgical Sealing Lasers are devices used to close and seal wounds and incisions. They
basically emit a low penetration laser beam which only affects the upper epidermal layer.
Two examples of such sealing lasers can be seen in Figure 10a86.43. This type of laser
usually has a long tapered emitter and can be identified by a green or red colored grip[30].
These lasers essentially cauterize the skin on either side of the incision or wound.
However, the end result will usually result in a scar. Therefore, the surgeon will utilize an
Anabolic Protoplaser to regenerate the tissue surrounding the sealed area in order to
prevent permanent scarring.
ANABOLIC PROTOPLASER / WOUND HEALER[31]
An Anabolic Protoplaser is a device used to heal wounds and surgical incisions through
the principle of anabolism. Anabolism is basically the constructive phase of metabolism, in
which the body cells synthesize protoplasm for growth and repair. Anabolism is generally
concerned with macromolecular synthesis, which is marked by or promoting metabolic
activity concerned with the biosynthesis of complex molecules (such as proteins or nucleic
acids). The manner in which this synthesis takes place is directed by the genetic code
carried by the molecules of deoxyribonucleic acid (DNA). As such, this mechanism speeds
up the healing process significantly. An example of the use of the Wound Healer version
of the Protoplaser can be seen in Figure 10a86.45, with a closer look at the device in
Figure 10a86.46. The surgical version of the Protoplaser can be seen in Figures 10a86.47
and 10a86.48.

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STAR FLEET MEDICINE
MISCELLANEOUS EQUIPMENT
Devices and instruments used in surgery include other, minor pieces of equipment. For
example, surgeons use a small pair of scissors for cutting bandages, etc., and is usually
red in color. An example of this scissor can be seen in the drawing shown in Figure
10a86.49. Other equipment that may be used are the classic handheld instruments such as
Hemostats; though in most cases such clamps will not be necessary since the surgeon
has electronic devices to stop or control bleeding.
In general, the instruments used for surgery will usually be placed on a special tray made
for that purpose. This Surgical Instruments Tray (Figure 10a86.49) can be carried like
any other tray, but is made to be mounted onto the Standard Surgical Platform (Figure
10a86.35.) As illustrated in the figure, all the instruments needed for surgery can be
placed on a single tray.
SURGICAL RESPIRATOR
An important piece of equipment that is normally available during surgery is the Surgical
Respirator. This is a simple device consisting of a plastic mask along with an oxygen or
breathing gas capsule, as illustrated in Figure 10a86.50. This mask is only used for short
surgeries that do not require the Surgical Enclosure.
PORTABLE CARDIAC STIMULATOR[32]
The Portable Cardiac Stimulator, or Cardiostimulator, is a device used to start, stop

or regulate the heart using an electromagnetic field generated and controlled by the unit.
It is an older device used by the old Space Service during the Romulan War, but it is still
used as a standby appliance should the built-in Cardiac Stimulator unit contained within
the Surgical Enclosure fail to function. As such, it will always be nearby during any
surgery. A picture of the device is presented in Figure 10a86.51. The heart rate and field
strength is controlled by the buttons on top of the unit as shown in Figure 10a86.51.
Power for the unit comes from a power pack stored in the handle of the unit and the pack
is installed into the unit from its underside. The device is held in the palm of the hand and
placed over the heart area as shown in Figure 10a86.52.

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Figure 10a86.35
STANDARD FIXED SURGICAL PLATFORM
Medical Scanner Display

Medical Systems Control Panel
Transfusion and Filtering Unit
Medical Databank
I/O Unit
Surgical Platform / Treatment Bench For Mounting Surgical Instruments Tray

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Figure 10a86.36
STANDARD STERILE FIELD SURGICAL ENCLOSURE
Sterilization Lamp Panel
Immersion Gas Selector
Ventilator Control
Cardiac Stimulator
Ventilation Filters Panel

Sterilization Field Control

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Figure 10a86.37
BIO-MEDICAL FLUID TRANSFUSION AND FILTERING UNIT

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Figure 10a86.38
BIO-MEDICAL FLUID TRANSFUSION AND FILTERING UNIT DIAGRAM
Bio-Medical Fluid Transfusion and Fluid Flow and Filtration Control

Filtration Control Panel
Fluid Sight Glasses Fluid Control Boom
Sterilizer
Light Control
Transfusion
Control
Fluid Control Pendant
Fluid Control Pendant Fluid Tube Ports Blood/Fluid Reservoir

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Figure 10a86.39
STANDARD BLOOD TRANSFUSION AND MUSCULAR STIMULATION UNIT

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Figure 10a86.40
STANDARD BLOOD TRANSFUSION AND MUSCULAR STIMULATION UNIT DIAGRAM
Fluid Tube Ports
Stimulator Control
Fluid Flow Control
Blood Container
and
Power Pack Door

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Figure 10a86.41
STARTING AN INSCISSION USING A HIGH-POWERED LASER SCALPEL

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Figure 10a86.42
STANDARD HANDHELD SURGICAL LASER SCALPELS
Model 108 Model 204

Surgical Laser Surgical Laser
Top View Top View
Side View Side View
Front View Front View

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Figure 10a86.43
STANDARD HANDHELD SURGICAL LASER SCALPELS AND SCALPEL HEADS
Handheld Surgical
Sealing Lasers
Laser Scalpel
Attachment Heads

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Figure 10a86.44
STANDARD HANDHELD SURGICAL LASER SCALPELS
Extra Fine Beam Standard Fine Beam Heavy Beam

Laser Laser Laser
(1 au) (2 au) (6 au)
Prime Focus
Intensity Range
Trigger
Grip
Range Lock

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Figure 10a86.45
STANDARD MODEL B1 ANABOLIC PROTOPLASER USED TO HEAL WOUNDS

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Figure 10a86.46
STANDARD MODEL B2 ANABOLIC PROTOPLASER / WOUND HEALER

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Figure 10a86.47
STANDARD MODEL A1 SURGICAL ANABOLIC PROTOPLASER
Top View
Front View
Side View

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Figure 10a86.48
STANDARD MODEL A3 SURGICAL ANABOLIC PROTOPLASER
Top View
Front View
Side View

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Figure 10a86.49
ILLUSTRATION OF STANDARD SURGICAL INSTRUMENTS TRAY WITH TYPICAL SURGICAL INSTRUMENTS READY

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Figure 10a86.50
STANDARD SURGICAL RESPIRATOR

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Figure 10a86.51
STANDARD PORTABLE CARDIAC STIMULATOR
Heart Rate and Stimulation Control Buttons

Field Projector
Field Generator
Power Switch

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Figure 10a86.52
EXAMPLE OF THE PORTABLE CARDIAC STIMULATOR IN USE

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SUBSECTION 4
MEDICAL LABORATORY EQUIPMENT
This subsection will provide a somewhat detailed presentation and description of the
standard equipment used in Star Fleet medical laboratories[33]. The equipment presented
here are standardized throughout the Star Fleet medical establishment and may be found
on any Star Fleet medical facility. As such, all Star Fleet medical laboratory personnel
will use the same equipment and devices in their specific laboratory as with all other
medical laboratory technicians throughout the Star Fleet medical establishment. This
promotes the consistency of use, analysis and maintenance, and will minimize the training
needed when transferred from one medical facility to another. Therefore, the following are
the most commonly used pieces of laboratory equipment.
MEDICAL ANALYSIS EQUIPMENT
The primary function of a medical laboratory is to analyze biological organisms, as well as

physiological and biochemical samples. Therefore, all Star Fleet medical laboratories will
be equipped with medical analysis appliances, which are standardized throughout the Star
Fleet medical establishment. The following are the most commonly used medical analysis
devices.
MEDICAL SAMPLE ANALYZER AND COMPUTER[34]
The standard Medical Sample Analyzer is a permanently mounted wall unit that is hard-
wired to the facility’s central computer. The unit performs several different analyses on any
number of biological and biochemical sample types, and stores the results of its tests in its
local memory and in the central computer. Figure 10a86.53 illustrates the unit at work in a
typical Starship medical laboratory, and a detail of the Sample Analyzer is presented in
Figure 10a86.54. As illustrated in Figure 10a86.54, the analyzer is divided into five sub-
units, the reason being the multitude of sample analyses the unit can perform; both
chemical and biological. In addition, the Sample Analyzer also has an internal radio for
communication with other analysis equipment, such as a Scanning Microscope.
The computer within the Sample Analyzer can be programmed to perform specialized
analyses functions. However, in most cases, the use of pre-programmed or “canned”
analyses will normally be utilized. Should a new analysis method or analysis program
become universally useful, the program can be transmitted via subspace radio to the Star
Fleet Office of Medical Technology for evaluation and acceptance.

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MEDICAL SCANNING MICROSCOPE[35]
A Medical Scanning Microscope is essentially a small version of a Whole-body

Scanner, as described in Subsection 1, used to examine and evaluate small organisms.
The Scanning Microscope functions by using scanners located at different locations on
the device in order to obtain a three-dimensional image of the object being scanned, both
the internal and external structures of the object. The resulting image of the object can be
displayed in several ways such as in cross-sections, or in an “exploded view.” This allows
doctors, surgeons and medical technicians the ability to fully visualize the object. An
example of its use can be seen in Figure 10a86.55.
In addition to visualization, the Scanning Microscope can also perform certain tests on
the subject. The objects or specimens are placed inside a clear container which is sealed
pneumatically. This receptacle, as shown in Figure 10a86.56, can be put under a vacuum
by an internal vacuum pump, controlled by the user at the device’s control module. The
specimen can then be subjected to such factors as various forms of radiation, various
temperatures up to 1200o Kelvin, and to various pressures from 0 absolute to 11,000 kpa.
Lastly, as with other pieces of electronic medical equipment, the Scanning Microscope
can be tied into the Medical Sample Analyzer. The images and test parameters the
specimen were subjected to will be transmitted to the Sample Analyzer for analysis and
recording. The data transmitted from the Scanning Microscope and received by the
Sample Analyzer will be stored in the Analyzer’s data storage area and eventually, to
the medical facility’s main computer database.
STANDARD ELECTRON MICROSCOPE[36]
An Electron Microscope is a device that uses a beam of accelerated electrons as a

source of illumination. As the wavelength of an electron can be up to 100,000 times
shorter than that of visible light photons, electron microscopes have a higher resolving
power than microscopes that require visible light, and can reveal the structure of objects
much smaller than possible with an optical scope. This device uses shaped magnetic fields
to form an electron optical lens system that is analogous to the glass lenses of an optical
microscope. As such, this device can achieve a resolution better than 50 pm in annular
dark-field imaging mode and typical magnifications of up to about 10,000,000 times.
In general, Electron Microscopes of this type are used to investigate the ultrastructure
of a wide range of biological and inorganic specimens including microorganisms, cells,
large molecules, biopsy samples, and crystals. In addition, this device can transmit its
images to the Medical Sample Analyzer for analysis and data storage. The Sample
Analyzer’s computer has imaging software that has the capability of identifying structures
and molecules stored in its database. An example of the standard Electron Microscope
used at Star Fleet medical laboratories can be seen in Figure 10a86.57.

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STAR FLEET MEDICINE
ATMOSPHERIC IONIZER AND AIR PURIFIERS[37]
In general, medical analyses should be performed in a clean and germ-free environment.

As such, Star Fleet medical laboratories will generally be equipped with portable air
purifiers as shown in Figure 10a86.58. The device uses an electric field to circulate the air
through the unit. As air passes through and around the multitude of horizontal plates,
dust, small particles, and bacteria in the air will be captured by these plates. In addition,
as the air flows through the unit negative ions and ozone will be released to purify and
refresh the air. Ozone, or activated oxygen, removes odors, molds and other breathable
contaminants from the air. This is required in order to maintain a pure and germ-free
environment such as in a medical laboratory. It should be noted that the device shown in
Figure 10a86.58 is a combined Atmospheric Ionizer and Purifier unit. However, there
are other devices that simply release negative ions into the atmosphere such as the device
shown in Figure 10a86.60.
INDUCTION DISTILLING UNIT
Medical laboratories will also perform chemical or biochemical analyses. As such, the
laboratory will need to have various containers and flasks to hold liquid and gas samples
for analysis. In general, the Medical Sample Analyzer will perform most analyses on
such samples. However, there is the possibility that such samples may need to be
modified, distilled or combined with other reagents before evaluation by the Sample
Analyzer. One method is distillation, or separation of chemicals. This will be performed
using an Induction Distilling Unit. The device utilized electric induction to heat a liquid,
which turns to a gas or vapor and then distilled using a condenser tube. An example of this
device can be seen in Figure 10a86.59. In addition, the induction device can also be used
to magnetically separate ionized particles within the liquid. Thus, providing a useful tool in
the analysis of chemical and biochemical materials.
MEDICAL WASTE DISPOSAL UNIT[38]
Medical analyses and surgical operations can generate biohazardous waste that must be
disposed of. Therefore, all Star Fleet medical facilities will have installed Medical Waste
Disposal Units to handle such waste. The device, as shown in Figure 10a86.60, basically
consists of a spherical receptacle, a high-energy beam emitter and a gas suction tube. The
principle is to place medical waste into a sealed container, destroy the waste using Phaser
Beam technology and evacuate the remaining particles, gasses, and materials through a
tube and eject the residue out into space. The unit shown in Figure 10a86.60 is one that
can be found aboard any Star Fleet ship or space station, and is portable from one
location to another, provided that there is a disposal port to space.
Ground medical facilities, such as those located on Starbases, use a similar unit, but the
vaporization of the waste is many times more complete because those disposal units have
a much more powerful beam unit. Therefore, there is no need to evacuate any residue out
into space.

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STAR FLEET MEDICINE
COMPRESSION/DECOMPRESSION CHAMBERS[39]
There may be times when personnel may be accidentally, or intentionally, subjected to

pressures or atmospheric conditions that are outside the range of their standard
physiological parameters. For example, on ground stations humans may be subjected to
high pressures for extended periods of time as a result of working under water. Or, in the
case of space travel, personnel may be required to acclimate to non-normal pressures as,
for example, transporting to a planet with a non-standard atmospheric pressure.
Also, such chambers also have an artificial gravity unit to adjust the gravitational forces
that may be subjected on a person. Gravities can range from zero to ten standard gravities
(9.8 N per kg)I in order to acclimate an individual to a specific planet’s gravity field, or to
hold the subject suspended in the air while pressurization or depressurization takes place.
Such chambers will also be used to treat decompression sickness or aerobullosis, otherwise
known as “The Bends.” This is the condition arising from dissolved gases coming out of
solution into bubbles inside the body on depressurization. Decompression sickness most
commonly refers to problems arising from underwater diving decompression (i.e., during
ascent), but may be experienced in other depressurization events such as emerging from a
pneumatic caisson, flying in an unpressurised craft at high altitude, and extravehicular
activity from spacecraft. Treatment of such conditions involves subjecting the affected
person at the pressures experienced, then systematically acclimating the body back to
normal or standard atmospheric conditions.
In general, Compression/Decompression Chambers are fundamentally high-pressure

cylinders with a thick, heavy-duty door that slides on a track as shown in Figure 10a86.61.
Some chambers may also contain an inner “safety” door as well. Cylinder pressurization or
depressurization is performed by a combined vacuum pump/air compressor unit. Control of
the unit can be performed locally, such as that shown in Figure 10a86.62, or remotely
from a control console as depicted in Figure 10a86.61.
The pressures within the chamber vary with the model of the unit. For example, the unit
shown in Figure 10a86.62 is basically a low-level Compression/Decompression chamber as
it can only reach a maximum pressure of about 1.75 atmospheres (52 in. Hg), whereas the
chamber shown in Figure 10a86.61 can reach pressures up to 5300 kpa or about 52 atm.
The local controls for the two models described above are illustrated in Figure 10a86.63.
The low-level unit will use the Type I control panel[40], while the higher pressure unit will
have a local control panel like the Type II panel also shown in Figure 10a86.63. And
because of the possibility of danger because of its higher operating pressure, the chamber
may also be controlled remotely using the control station as shown in Figures 10a86.61
and 10a86.64.
IStandard gravitational force as defined in Section 7.1 of Volume I of the Star Fleet Command Manual.

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Figure 10a86.53
STANDARD MEDICAL SAMPLE ANALYZER

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Figure 10a86.54
STANDARD MEDICAL SAMPLE ANALYZER DIAGRAM
Data Storage Section Analysis Selection Section Unit Control Section Sample Section Computer Section

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STAR FLEET MEDICINE
Figure 10a86.55
STANDARD MEDICAL SCANNING MICROSCOPE

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Figure 10a86.56
STANDARD MEDICAL SCANNING MICROSCOPE DIAGRAM
Vacuum Pump Switch
Power and Control

Module
Container Lid Lock and

Radiation Emitter
Section
Sample and Specimen

Receptacle and
Vacuum Chamber
Microscope Base
Power Switch Pressure Control Knob Vacuum and Magnification Knobs

Atmospheric
Tubes

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STAR FLEET MEDICINE
Figure 10a86.57
STANDARD ELECTRON MICROSCOPE

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Figure 10a86.58
STANDARD ATMOSPHERE IONIZER AND AIR PURIFIER

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Figure 10a86.59
STANDARD LABORATORY SAMPLE CONTAINERS AND INDUCTION DISTILLING UNIT
Induction Distilling Unit

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Figure 10a86.60
SHIP-BASED MEDICAL WASTE DISPOSAL UNIT AND ATMOSPHERIC AIR IONIZER
Medical Waste Disposal Unit Atmospheric Air Ionizer

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Figure 10a86.61
STANDARD LABORATORY COMPRESSION / DECOMPRESSION CHAMBER

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Figure 10a86.62
OPERATING THE LABORATORY COMPRESSION / DECOMPRESSION CHAMBER CONTROL PANEL
Standard Type I
Type II with Gravity Magnitude

Adjustment Knob

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STAR FLEET MEDICINE
Figure 10a86.63
STANDARD LABORATORY COMPRESSION / DECOMPRESSION CHAMBER CONTROL PANEL DETAIL
Type I Type II
Standard Panel Enhanced Panel
G
A R
T A
M V
O I
S T
P Y
H
E
R
E
S
CHAMBER GRAVITY CONTROL SETTINGS ARE AS FOLLOWS:

0 = FULL GRAVITY, 1 = 75% GRAVITY, 2 = 50% GRAVITY,
3 = 25% GRAVITY, AND 4 = ZERO GRAVITY

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STAR FLEET MEDICINE
Figure 10a86.64
LABORATORY COMPRESSION / DECOMPRESSION CHAMBER REMOTE CONTROL PANEL
A 1 7 1 1 2 3 3 4 4 5
B 2 8 3
1 9
2 5
2 1
3 7
3 3
4 9
5 5
5
4 0 6 2 8 4 0 6
C 3 9 1 2 2 3 3 4 5 5
D 4 1 5
1 1
2 7
2 3
3 9
4 5
4 1
5 7
5
0 6 2 8 4 0 6 2 8
E 5 1 1 2 2 3 4 4 5 5
F 6 1
1 7
1 3
2 9
3 5
3 1
4 7
4 3
5 9
6
2 8 4 0 6 2 8 4 0
G 1 7 1 1 2 3 3 4 4 5
H 2 8 3
1 9
2 5
2 1
3 7
3 3
4 9
5 5
5
4 0 6 2 8 4 0 6
I 3 9 1 2 2 3 3 4 5 5
J 5
4 1 1 1
2 7
2 3
3 9
4 5
4 1
5 7
5
0 6 2 8 4 0 6 2 8
K 5 1 1 2 2 3 4 4 5 5
L 1
6 1 7
1 3
2 9
3 5
3 1
4 7
4 3
5 9
6
2 8 4 0 6 2 8 4 0

OFFICIAL USE ONLY
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STAR FLEET MEDICINE
9.0 STAR FLEET MEDICAL DUTY

This chapter will primarily be devoted to the general processes relating to duty within the
Star Fleet Medical Service. That is, the process of entering and advancing within the
Medical Service. As such, this chapter will essentially present what an individual can
expect during their career or lifetime within the Star Fleet Medical Service, which will
be presented in somewhat chronological order.
Section 9.1 describes how individuals enter the Star Fleet Medical Service and the
processes that go during entry. In addition, this section will also describe the training and
education processes required for entry into Medical Service.
Section 9.2 describes how medical personnel are assigned to duty and the basis for their
assignments. In addition, this section will also describe the various special assignments
that may be presented to medical personnel.
Section 9.3 gives a detailed description of fleet medical duty from the time the medical
person reports to his or her medical duty station to when they may request a transfer to
another duty station. In addition, this section will give a brief description of some of the
medical duty stations and who will be in charge of that station.
Section 9.4 describes the various details or teams that medical personnel may be required
to serve. As such, this section will give a brief description of Star Fleet Medical Survey
Teams, Medical Examination Teams, and Emergency Medical Teams.
Section 9.5 describes the need for the continuous training and education of medical
personnel. In addition, this section will describe the various processes involved in the
recertification and relicensing of Star Fleet medical personnel.
Section 9.6 discusses the duties medical personnel have during General Quarters. This
section will also describe the various special medical alerts that are used at all Star Fleet
medical facilities. Lastly, this section will describe the duties of medical personnel after the
command was lost or abandoned.

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9.1 ENTERING MEDICAL SERVICE

This section will describe how individuals enter the Star Fleet Medical Service and the
processes that go during entry. However, this process does not include medical personnel
from a Local Force that has been attached to Star Fleet. The manner in which members
of Local Forces will be merged into the Star Fleet will be addressed in the manuals and
procedures issued by the Star Fleet Adjunct Forces Command.
ENTERING STAR FLEET MEDICAL SERVICE
Persons entering the Star Fleet Medical Service can do so in several ways as will be
described here and as described in Section 9.1 of Volume III of the Star Fleet Command
Manual. As such, the process is the same, which is:
• Entrance through the Star Fleet Academy College of Medicine and Dentistry
• Enlisting directly into Star Fleet Medical Service
• Entrance through the Star Fleet Reserve Force
• As a Reservist being reactivated into Medical Service
• Being conscripted into Medical Service
STAR FLEET ACADEMY SCHOOL OF MEDICINE AND DENTISTRY
The Star Fleet Academy College of Medicine and Dentistry is the premier institution
of the United Federation of Planets for the study and certification of medicine.
Entrance into the school is highly selective and requires applicants to be of relatively high
intelligence, motivation and of good moral character. Any citizen of the Federation can
apply, but entrance is highly competitive since there are only a limited number of billets
within the Star Fleet available for medical service. Entrance is not guaranteed. All
individuals applying to the Academy will be notified of their acceptance and status.
Individuals that meet all the requirements, but did not make it into the next available class
will be placed onto a waiting list. This list is prioritized based upon previous academic
achievement and other factors. Even so, there is no guarantee that an individual on the list
will ever enter the Academy College of Medicine and Dentistry at all.
Application to the Star Fleet Academy College of Medicine and Dentistry is

performed much in the same way as with normal enlistment, except that the application is
completed most often in the applicant’s home. During this process, scholastic and other
pertinent information will be automatically sent to the Office of Admissions for review.
The next stage of the process involves taking the examinations for admission.
The examination process for entry into the Academy also includes a test of the character
of the applicant as well. The applicant will be required to participate in an exercise that will
simulate a stressful situation in an enclosed space. This test is designed to determine any
psychological barriers that may affect the applicant’s ability to endure life in space or that
may affect their performance during emergency conditions. This is a necessary process
since Star Fleet is a space-faring organization and any officer at any time may be
required to serve aboard a vessel of some kind in the emptiness of space. Much of the
admissions process for entry into the Academy may be found in Section 8.3 in Volume III
of the Star Fleet Command Manual.

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STAR FLEET MEDICINE
ENLISTMENT INTO MEDICAL SERVICE
Enlistment is the method by which most Medical Technicians will enter the Service; the
established term of the initial contract being six years. A full description of the enlistment
process may be found in Section 9.1 of Volume III of the Star Fleet Command Manual.
The majority of the Medical Technicians that enter Medical Service are those qualified
enlisted persons that have gone through Star Fleet Medical Technician training at a
Fleet School. Their initial training will focus on the science, equipment, tools, processes
and procedures of general medicine. After completion of this phase of their training, they
will have graduated with the rank of Medical Technician 3rd Class (T4), and may be
sent out to the fleet for initial medical duty. A more detailed description of the training and
requirements of entry into Star Fleet Service may be found in Sections 8.1, 9.1 and 9.2
of Volume III of the Star Fleet Command Manual.
However, a portion of the Medical Technicians that enter the Medical Service have
already had medical experience as civilians before entering Star Fleet. These individuals
need only pass the Medical Technician Proficiency Test in order to enter Medical
Service without having to go through initial technician training, but will usually go through
advanced training at a Fleet School. These individuals will usually enter Medical Service
as a Medical Technician 2nd Class or Medical Specialist 3rd Class. However, these
individuals must still complete Basic Training at a Recruit Training facility*. The ratio
of persons that enter Medical Service with previous experience versus those that do not
is about 2:1 in favor of the inexperienced enlistee. This is because it is difficult to recruit
highly experienced persons from civilian life into Star Fleet service.
ENTRANCE INTO THE RESERVES
Unlike line officers that may have entered Star Fleet as a Reservist, as described in
Section 9.1 of Volume III of the Star Fleet Command Manual, Medical Corps officers
cannot enter the Service as a Reservist. Only those Medical Officers and Nurses that
have completed at least one term as a commissioned officer may enter the Reserves.
RESERVE MEDICAL OFFICER REACTIVATION[1]
There is always the possibility that, if the need arises, a Medical Officer that is currently
on Inactive Reserve status may be recalled for duty. This is rare, but it does happen on
occasion. If this should happen, the Reservist will have 48 hours to report for duty. The
process of reactivation will be covered in more detail in Section 9.7 of Volume III of the
Star Fleet Command Manual.
CONSCRIPTION INTO MEDICAL SERVICE
In times of war or Federation emergency Star Fleet is empowered to conscript eligible

citizens, if necessary, in order to maintain an effective force during such times. Medical
doctors and nurses may be conscripted from the general population, within proper
guidelines and restrictions. However, the power to conscript personnel into the Star Fleet
Service can only be authorized by the Federation Council through the Military Staff
Committee. Star Fleet, on its own, does not have the authority to conscript personnel
into Medical Service.
*See Section 8.2 in Volume III of the Star Fleet Command Manual for a description of Basic Training.

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STAR FLEET MEDICINE
TRAINING OF ENLISTED MEDICAL TECHNICIANS
With exception of those who entered Star Fleet with previous medical experience,
enlistees that have scored well in the Occupational Suitability Test for medical
application will enter the Class A School for Medical Technicians at a local training
center. This school provides 120 hours of basic medical training in subjects such as: taking
vital signs, using diagnostic equipment, assisting in minor surgical procedures, obtaining
specimens and laboratory testing, phlebotomy, and understanding medical terminology.
Upon completion of this phase in their training, the candidate will be advanced to grade
T3, but is as yet not a certified, rated Medical Technician. The next step is to declare a
specific medical specialty and to enter a specific Class B school.
A Class B school is one where the candidate Medical Technician becomes specialized in
a particular field. As such, this is where the candidate becomes one of the following:
• Medical Technician
• Surgical Assistant
• Medical Laboratory Technician
• Pharmaceutical Technician
• Mental Health Specialist
• Dental Technician
• Medical Services Technician
• Radiological Technician
The above list is just a few of the medical fields in which a Medical Technician candidate
may enter, and the candidate must complete at least 160 hours of training in one of these
specialties with an average score of 75% or better to graduate. After the required training
hours the candidate must take a certification exam in their specialty in order to earn the
title of Medical Technician, wear the Rating Symbol of their specialty (see Table
10a24.1 in Section 2.4 of this manual,) advance to grade T4, and be assigned to a medical
command.
Candidates who wish to further their education in their specialty may do so, but only after
they have worked in their specialty for at least one year. At that time a Medical
Technician may request advanced training in their field or to become a Medical
Specialist at one of the several Fleet Schools that specialize in medical training. (See
Table 10a32.1 for a list of the various Fleet Schools that focus on medical training.)
To become a Medical Specialist requires a lot of work and at least 240 hours of training
in their specialty. Some of this training may require courses to be taken at a Star Fleet
Academy Annex, which may result in acquiring a bachelor’s degree. As such, Medical
Specialists are highly sought after by medical commands, and is generally a sign that the
individual wishes to make a permanent career in Star Fleet.

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STAR FLEET MEDICINE
CIVILIAN MEDICAL PERSONNEL
Aside from active-duty military medical personnel, the Star Fleet Division of Medicine
will also employ civilian doctors, nurses and medical personnel as well. In general, civilian
medical personnel will be hired or recruited from the local indigenous population where the
medical command is located, such as the planet where a Star Fleet Headquarters or
Starbase is situated. Some, however, may be employed at Star Fleet space stations that
are located near a signatory Federation member world, but civilian medical personnel will
never be assigned to work aboard a Star Fleet ship of the line, except, perhaps, aboard a
Hospital Ship.
As a general rule, only certified Federation physicians and nurses will be accepted for
employment within the Division of Medicine. However, there may be exceptions
regarding employment at outlying Star Fleet stations. This exception is primarily due to
the fact that some Star Fleet stations are too far from many of the home worlds of the
Federation and that Star Fleet, depending on the position, is not required to pay for the
worker’s passage to the facility. Therefore, local civilian medical personnel may have to be
employed, though they might not be citizens of the Federation. Such non-Federation
personnel will not be placed in any position that could affect the safety and security of the
installation, or of the Federation itself. Most such individuals will usually be contracted to
serve the families of Service members stationed aboard the facility. For a more detailed
description of civilian medical personnel within the Star Fleet, see Section 2.5 of this
manual for such details.

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9.2 ASSIGNMENT TO A MEDICAL UNIT

This section will provide a comparatively detailed description regarding how individuals are
assigned to a Star Fleet medical unit. In general, only those persons within the Division
of Medicine that are certified as either being a Star Fleet Medical Officer, Doctor,
Medical Specialist, Nurse, Dentist, or an enlisted Medical Technician, will be
assigned to a medical unit by the Star Fleet Bureau of Personnel at the request of the
Star Fleet Office of Medical Personnel.
Assignment to duty is defined as the appointment and transfer to a specific medical unit or
position within the Star Fleet. Assignments will typically be issued as written orders to the
individual, which must be carried out as required under Star Fleet Regulation 8920. In
general, assignments of medical officers to Star Fleet medical units will be made by the
Commander: Star Fleet Medical Officers, assignments of nurses by the Commander:
Star Fleet Nurses, and for enlisted Medical Technicians by the Commander: Star
Fleet Medical Technicians. These assignments will be issued to the Star Fleet Bureau
of Personnel as requests for billet assignment. The Bureau will review the request to
determine whether such opening exists and will forward the request to the Chief of Star
Fleet Personnel (CPER) for approval. The approval by the CPER will be guided by the
choice of duty assignment requested by an individual as well as the needs of the fleet.
Naturally the needs of the fleet outweigh the individual’s request, but every effort is made
to accommodate an individual’s request. Generally, this request will usually be related to
the type of duty (shore versus ship) and the area within Federation space of the medical
duty station.
BASIS FOR DUTY ASSIGNMENTS
An Assignment is a specific occupation or detail within an organization. As such, a Duty

Assignment is the process of placing an individual into a specific position associated with
a billet or job slot. Duty Assignments are made based upon the needs of the fleet, and
are generally made where there is an open billet or a billet is about to become open out in
the fleet. That is, when someone has left a billet or has been promoted out of a billet that
position will be filled depending on the priority associated with the billet. For example, a
billet for a ship Commanding Officer will be filled as soon as possible versus a billet for a
nonrated crewman. Duty Assignments are also based upon the preferences of the
individual. However, the needs of the fleet take precedence. Should there be an open billet
in a desired command, organization or unit the first individual on the Billet Waiting List
will be chosen. In addition, any qualified individual may “bid” on the open billet and be
placed on the list.
In addition, when a new medical facility enters service, the new billets created for the unit
must be filled. For a new ship the Sickbay staff must be established before the ship will
enter service. The selection of a crew is typically done during the construction phase so
that the staff obtains detailed knowledge of the ship, the Sickbay and all of its systems
while it is still being built. Assignments will also made on the basis of a specific need. This
is usually performed as a result of a pending medical mission. As such, billets may be
opened or created in order to fulfill the needs of the mission.

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STAR FLEET MEDICINE
INTERNSHIP AND RESIDENCY
The initial tour of duty for Medical Officers and Nurse-Officers must include a period of
Internship and Residency at a base medical facility before assignment to a permanent
medical duty station. As a rule, medical Internship and Residency cannot be completed
aboard a Star Fleet ship. Most residencies are done at a Starbase Hospital, with some
performed aboard a Star Fleet space station. Very few Medical Officers will intern at a
Star Fleet Outpost.
The first year of a medical residency is called an Internship. Essentially, a first year
resident Medical Officer is completing their medical Internship. Medical residencies last
from 3-7 years in total. However, most medical residencies are four years long, with
surgical residencies being five years long. The residency for neurosurgery is the longest, at
seven years as shown below.
Table 10a92.1
STAR FLEET MEDICAL OFFICER RESIDENCY BY FUNCTION
Residency Residency
Medical Function Period Medical Function Period
(months) (months)
General Medicine / Internal Medicine 36 Anesthesiology 48
Pediatrics 36 Diagnostic Radiology 48
Dermatology 36 Urology 55
Obstetrics / Gynecology 40 General Surgery 60
Neurology 48 Orthopedic Surgery 60
Pathology 48 Otolaryngology 60
Psychiatry 48 Plastic Surgery 72
Ophthalmology 48 Neurosurgery 84
Upon successful completion of their residency, the Medical Officer or Nurse-Officer will
be assigned to a permanent medical duty station by the Star Fleet Office of Medical
Personnel. Most will remain at the hospital of their residency, but some will be assigned
to other Star Fleet Hospitals or Medical Centers. However, those wishing medical duty
aboard a Star Fleet ship will have to undergo additional training to become a Fleet
Medical Officer or Fleet Surgeon as outlined in Section 5.2 of this manual.
MEDICAL OFFICER CERTIFICATION
As stated in Section 1.8 of this manual, all Star Fleet medical personnel must be licensed
and certified by the Star Fleet Board of Medical Certification in the case of Medical
Officers, and by the Star Fleet Office of Nurse Certification in the case of Nurses,
before he or she can practice medicine within the Star Fleet. Usually, this certification is
conferred upon the officer upon successful completion of his or her Residency. At that
time the candidate will appear before the Board of Certification where he or she will be
interviewed along with a review of his or her academic, Residency and Fitness Reports.
Based upon this interview, the Board will either certify and license the candidate, or
recommend further Residency, remedial training, or possibly, dismissal from the Medical
Service.

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SHORE MEDICAL DUTY
In general, Shore Duty is the term used to describe a duty assignment at a Starbase, on
board a Star Fleet Station or at an Outpost. Medical Officers assigned to such duty
usually have just completed their Residency and are licensed to practice out in the fleet.
Usually, newly certified Medical Officers, Nurses and Medical Technicians will be
assigned duty at a remote outpost or station in order to get deep-space experience.
Medical personnel assigned to a remote Star Fleet outpost or station will generally be
stationed there for a minimum of between nine and eighteen months before they may be
rotated or transferred to another medical facility. However, if they are assigned medical
duty at a large planetary base, such as on a Starbase or Star Fleet Headquarters, the
length of the assignment may be much longer. In general, it is normally the goal of every
medical person to be assigned duty at a hospital or Medical Center at a large base. This
is because, in most cases, medical duty at a planetary base will usually be permanent.
However, medical personnel may request assignment to another medical facility or will be
part of the Medical Duty Rotation program.
The Medical Duty Rotation program is the scheduled reassignment of medical personnel
from one medical duty station to another. The function of this is to provide diversity of
experience and to boost morale. As such, the Star Fleet Division of Medicine strives to
provide its personnel with a wide range of experiences. Medical Duty Rotation,
therefore, is another method of providing station personnel with new experiences, which
will enhance their knowledge of differing physiologies and medical practice, and increase
their ability to handle new and challenging situations. Therefore, the following table will
provide a basic look at the various medical duty rotation schedules.
Table 10a92.2
STAR FLEET SHORE MEDICAL DUTY ROTATION SCHEDULE
Assignment Expected Next
Duty Station
Length Duty Station Comments
Type
(months) Type
Planetary Base Minimum 48 Permanent Duty Most desired of all shore duty
Orbiting Base 36 Base/Station Typically, newly certified medical personnel
Orbiting Station 24 Outpost/Base Typically, most supervisory medical personnel
Deep-space Station 18 Station/Base Usually for single, unattached persons
Garrison 24 Base In most cases desired by married persons
Floating Outpost 9 Station Usually for single, unattached persons
Fixed Outpost 12 Station Typically, newly certified medical personnel

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SHIP MEDICAL DUTY
The most demanding duty any young Medical Officer or Nurse could have is that of
being assigned to a Starship of the Line. Duty aboard a Star Fleet ship requires
additional training and certification in order to become a Fleet Medical Officer or Fleet
Surgeon, as stated in Section 5.2 of this manual. Therefore, before any Medical Officer
can be assigned to duty aboard a Star Fleet ships, he or she must complete additional
training at a Star Fleet Academy Annex, and have completed ship preparatory training
at the Star Fleet Ship Training Center on Starbase Three.
The standard duration for medical duty aboard a Star Fleet ship is generally three to five
years before the individual is allowed to be transferred to another vessel. However, the
normal duration for medical duty aboard a Star Fleet ship will generally be five years.
This is because most Star Fleet ships are assigned to five-year missions.
SHIP-SHORE MEDICIAL DUTY ROTATION
Star Fleet has a Ship-Shore Duty Rotation program for those who wish to be more
flexible in their medical duties. This program is, more often than not, very attractive to
married medical personnel. This program is only available after an individual has served
the requisite period of time established for that individual’s rank or grade. The requisite
duration is set by the Star Fleet Bureau of Medicine and Surgery and presented in
the table below. It should be noted that the exact time of service before duty rotation will
depend on whether the individual was initially assigned to shore duty or ship duty.
Table 10a92.3
SHIP TO SHORE MEDICAL DUTY ROTATION SCHEDULE
Officers Enlisted
Grade Ship Duty Shore Duty Grade Ship Duty Shore Duty
W1 18 mo. 36 mo. T4 36 mo. 18 mo.
W2 18 mo. 36 mo. T5 24 mo. 24 mo.
O1 36 mo. 36 mo. T6/S1 24 mo. 24 mo.
O2 36 mo. 36 mo. T7/S2 20 mo. 32 mo.
O3 42 mo. 30 mo. T8/S3 18 mo. 36 mo.
O4 42 mo. 30 mo. T9/S4 18 mo. 36 mo.
O5 36 mo. INDEFINITE S5 16 mo. 40 mo.
S6 12 mo. 48 mo.
T10 N/A INDEFINITE

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SPECIAL MEDICAL OFFICER DUTY
Special Medical Officer Duty is a specific position given to select Medical Officers
who exhibited special talents or some form of meritorious service which are generally
temporary in duration and function. In many cases such service could result in the person
receiving an award, medal or citation. The following are the typical forms of Special
Medical Duty assignments given to Medical Officers.
HUMANITARIAN DUTY
Humanitarian Duty is the temporary assignment from the normal duties in order to help
or aid a small group or world in distress. Both officers and enlisted Medical Technicians
may be assigned Humanitarian Duty, either individually or collectively. This particular
duty is called Assigned Humanitarian Duty, which is where the Federation may have
made a commitment to provide aid to a stricken world. In such cases, Star Fleet will be
the agency responsible for providing humanitarian aid and will assign medical personnel to
the world for an extended period of time, or until the crisis is suitably concluded so that
personnel may return to normal service. Such service will usually result in the individual or
individuals receiving a meritorious citation – usually the Star Fleet Humanitarian
Service Medal (see Appendix F in the Star Fleet Uniform Standard BUPERSMAN-
332.)
MEDICAL RESEARCH DUTY
Medical Research Duty is the temporary reassignment from the normal duties in order
to research or help in the research of a particular medical issue. This will most likely occur
when a new or unknown disease or illness is discovered and there is a need to analyze and
find a cure or method of inoculating the population from such a disease. Usually, this duty
will be offered to a medical specialist, and is usually voluntary. However, under certain
conditions, this duty may be mandatory. Should the research result in a cure or a new
medical procedure, the individual may receive a citation for his or her service. Such service
will usually result in the individual or individuals receiving a meritorious citation, such as
the Star Fleet Meritorious Service Medal, or the Star Fleet Surgical Excellence
Medal (see Appendix F in the Star Fleet Uniform Standard BUPERSMAN-332.)
MEDICAL INSTRUCTION DUTY
Medical Officers with extensive knowledge in a specific field of medicine may be invited
to teach at the Star Fleet Academy College of Medicine and Dentistry. This is also a
temporary assignment and usually lasts about four semesters at the Academy.

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SPECIAL ENLISTED MEDICAL TECHNICIAN DUTY
Special Enlisted Duty is temporary duty that is assigned to an enlisted service member,
usually for meritorious service. For example, the Medical Technician may be temporarily
assigned to Humanitarian Duty, along with other Technicians and Medical Officers
as described in the subsection above. The following are examples of such special duty.
INSTRUCTOR DUTY
Star Fleet enlisted personnel may also be requested or assigned to Instructor Duty.
This is a form of meritorious duty that recognizes an individual’s knowledge and skill in a
particular field of enlisted medical practice, equipment or procedure. However, most
instructor duty will be limited to Chief Technicians, Technician First Class and
Specialists. Individuals selected for such duty will usually attend a four week instructor
training course on their specialty as well as a two week leadership course prior to reporting
to duty.
EMERGENCY MEDICAL DUTY
The Star Fleet Bureau of Medicine and Surgery also has a program for trained and
qualified Emergency Medical Technicians. These are regular medical technicians who
have received additional, intensive training in emergency medicine, trauma, and life-saving
techniques. Once qualified, such Emergency Medical Technicians, or EMTs, will be
permanently assigned to an Emergency Medical Team at a Star Fleet base or space
station. A more detailed description of the duties and responsibilities of Star Fleet
Emergency Medical Technicians may be found in Section 7.3 of this manual.
In addition, regular enlisted Medical Technicians may also be assigned Emergency

Medical duty as well. This will normally be performed to temporarily supplement an
Emergency Medical Team during an emergency situation, or where there is a shortfall
in the complement of the EMT force. In such instances the Medical Technician will
receive special, rudimentary training in emergency medical procedure. But because this is
a temporary assignment, the assigned individual will not be permitted to wear the symbols
of the EMT service.
STAR FLEET CORPSMAN
As with Emergency Medical Technicians, Star Fleet Corpsman are specially trained
enlisted Medical Technicians who function as field medical support personnel for ground
Marine Corps troops as described in Section 7.4 of this manual. However, unlike EMTs,
regular Medical Technicians will never be assigned temporary or special duty as a Star
Fleet Corpsman.

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9.3 FLEET MEDICAL DUTY

This section will provide a somewhat detailed description regarding the duties performed
by Star Fleet medical personnel once they have been assigned a duty station.
GENERAL FLEET MEDICAL DUTIES AND RESPONSIBILITIES
The general duties of Star Fleet medical personnel are specified in Federation law and
in Star Fleet Regulations. Basically, the duties and responsibilities of Star Fleet medical
personnel are:
• To provide complete and emergency medical and surgical care to anyone in need of
such medical care, whether inside or outside Federation space.
• To provide psychological, psychiatric and other counseling services to all members of
the Star Fleet Service, their families, and to the civilian employees that work for
Star Fleet.
• To perform Fitness for Duty evaluations on employees and Service members in
accordance with Star Fleet Regulation 8710.
• To inspect Star Fleet and other Federation facilities for cleanliness and sanitation,
especially living quarters and areas where food will be manually prepared as required
by Star Fleet Regulation 8420.
• To provide regular and emergency medical care to prisoners of war, to those detained
in Star Fleet Brigs, and to enemies found on the battlefield.
• To provide emergency medical care to Federation citizens found injured in deep
space in accordance with Star Fleet Regulation 6620; aid Federation and non-
• To perform regular medical examinations and provide medical services to Federation
colonists and expeditionary personnel as required by Star Fleet Regulation 6621.
• To perform health examinations and provide medical aid to non-Federation persons
that have been granted asylum and temporary refuge in accordance with Star Fleet
Regulation 6900.
• To provide support to all medical personnel in the performance of their duties; and to
obey the orders of those medical persons that need assistance.
• To execute the orders and directives of those medical persons senior to oneself; to
show good comradeship to all those medical personnel serving alongside; to cheerfully
execute the functions that one has been trained to perform; and to show concern over
the pains and concerns of patients under one’s care.
records.

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REPORTING FOR MEDICAL DUTY
Medical personnel receiving orders to report for duty at a medical facility, be it a ground
station or ship’s Sickbay, will do so as their orders specify. Normally, individuals assigned
to medical facilities will have five to seven days in which to travel to the location of their
duty station and join the staff, unless their orders specify otherwise. Paragraph 1 of Star
Fleet Regulation 8920 is clear regarding the time required to report to their duty
station. The regulation specifically states: “An order from competent authority to an officer
requiring such officer to report to duty at a place, or to proceed to any point and report to
duty, but fixing no date and not expressing haste, shall be obeyed by reporting within four
days, exclusive of travel time, after its receipt for execution; if the order read ‘Without
Delay’, the officer shall report within 48 hours, exclusive of travel time, after its execution;
and if ‘Immediately’, within 12 hours, exclusive of travel time, after its execution. Officers
receiving ‘Proceed Without Delay’ and ‘Proceed Immediately’ orders shall endorse on their
orders the date and hour of their receipt for execution .” These requirements are inflexible
to the point that any application for revocation or modification of such orders will not
justify any delay in their execution if the individual ordered is able to travel.
When a person reports for duty their orders will be downloaded into the medical facility’s
computer. The command’s Personnel Officer and/or the Executive Officer will review
the individual’s orders and qualifications, and will then hand the person over to the Chief
Medical Officer of the command. The Chief Medical Officer will then determine what
duties he or she will perform and where they will be quartered. The individual will then be
entered into the ship’s Watch, Quarter and Station Bill for the command. The
individual will then be shown to his or her quarters and will be given time to “settle-in.” In
most cases a new staff member may be temporarily assigned a mentor to guide the new
staff member for a period of several days until he or she is fully acclimated to his or her
new command. The function of the mentor or “Buddy” is to train the new person on the
command’s customs and procedures; to give the new crewmember a tour of the facility in
order to show him or her the location of the more important medical stations and areas; to
aid the new staff member in obtaining personal services; to show the new staff member
how to use the equipment that he or she will be using on a daily basis; and to answer any
questions regarding the general life at the command.
Based upon any previous qualifications, the Chief Medical Officer may then place the
individual on the facility’s Medical Duty Roster, and to establish a training and
qualification plan the individual must complete when placed on the Medical Duty Roster.
In most cases, the tasks listed in the medical facility’s Medical Duty Roster that the new
staff member will be performing will be based upon the individual’s qualifications and
experience in the specific medical function.
Lastly, when an individual reports for duty they will usually be introduced to with their new
Commanding Officer. Medical Officers and Nurse-Officers are required to meet their
new Commanding Officer at their first opportunity, while enlisted Medical Technicians
and Nurse’s Assistants will meet with the Executive Officer first before being invited
to meet with the Commanding Officer.

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ORIENTATION AND ASSIGNMENT TO MEDICAL DUTY
Soon after a person reports to his or her specific medical duty station, he or she will meet
with the doctors, nurses and Medical Technicians within his or her Chain of Command,
starting with his or her Division Officer, who will introduce the new staff member to the
Department Head and to the members of the division. The Division Officer may assign
the individual a mentor and to guide the new staff member for a period of time, not
usually longer than three days. However, much will depend on whether the individual
reported aboard a Star Fleet ship or ground medical facility. It usually takes longer to get
settled at a ground command than aboard a ship or on a space station due to the size of
ground bases.
If the new medical person reported aboard a Star Fleet ship or space station, the new
staff member may be required to start standing medical duty as soon as twelve hours, or
two duty periods, after reporting aboard, depending upon the individual’s qualifications.
That is, if the new person was transferred to the new command from a similar medical
command, that person may be assigned duties within twelve hours of he or she reporting
aboard. However, if the new staff member is a freshly certified medical person, it may be
at least 24 hours before he or she will stand duty, and initially under supervision of a
senior Medical Officer, Nurse or Medical Technician.
As previously stated, Star Fleet medical personnel aboard ship will not be required to
undergo Starship Qualification unless specifically directed to by the Chief Medical
Officer of the command. However, if the individual is already Starship qualified, the new
person will not be required to undergo Starship Qualification, even if required by the
Chief Medical Officer. As such, this requirement may be waived.
In general, the individual’s Division Officer will place the new staff member on his or her
duty schedule and will establish a training and certification plan for the new member. This
form of training will be specific to the individual’s specialty, in the case of a Medical
Officer, and by his or her medical Rate in the case of a Medical Technician. The actual
monitoring of the progress of the new staff member towards certification will be performed
by the individual’s Section Leader.
As previously stated the individual will be placed on the medical command’s Medical Duty
Roster. The individual must then train and test on the assignments required in the
facility’s Medical Duty Roster. The facility’s Medical Training Officer will ensure that
the new staff member has met the qualifications of the billet and will report to the Chief
Medical Officer on the status of or progress towards qualification. All indications of an
individual’s duty qualifications and certifications will be entered into the individual’s
Personnel Record and maintained by the facility’s Personnel Officer or the facility’s
Records Officer.

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BASELINE MEDICAL EXAMINATION
Within a few days after reporting to the duty station the new staff member will be required
to undergo an initial medical and psychological examination. This will be a complete
examination of the individual, the results of which will be placed into the facility’s medical
databank. The purpose of this examination is to establish the individual’s physical and
mental health baseline, which will be used later for subsequent quarterly and special
medical examinations. It is the responsibility of the new staff member to report for this
medical examination within three days. If the new staff member has not reported for his or
her medical examination within three days, the Chief Medical Officer may impose
restrictions and discipline on the new staff member. If the Chief Medical Officer is not
satisfied with the results of such restriction or discipline, he or she may report to the
command’s Executive Officer for final disposition, which may include courts-martial.
MEDICAL DUTY STATIONS
Medical Duty Stations are full-time locations within a Star Fleet medical facility where
medical personnel perform their duties. In general, certain medical examination rooms will
be designated for continuous operation and will be the standard location for most medical
personnel to stand their duty. Personnel reporting for duty will be assigned a duty station
by the Chief Medical Officer based upon the qualifications and experience of the new
person. In general, Medical Duty Stations include the primary Examination Rooms,
Emergency Rooms, Surgical Areas, Convalescence Wards, the Dispensary and the
various Medical Scanning Rooms. In addition, there are other Medical Duty Stations
that are specific to a particular medical specialty as well.
In general, Medical Duty Stations are open and ready at all hours of the day or night,
though they may not be continuously manned at all times. However, some of the non-
critical duty stations may only be open during the normal Star Fleet working hours of
between 0800 and 1600, but will have a medical staff on call when needed at all times. In
addition, every Medical Duty Station will be under the charge of the senior Medical
Officer working within the space. All personnel assigned to a particular Medical Duty
Station will report directly to that officer.
In charge of all the Medical Duty Stations will be the Duty Medical Officer. As
described in Section 4.2 of this manual, the Duty Medical Officer is that medical corps
officer designated by the Chief Medical Officer of the command to perform the duties of
the Chief Medical Officer while he or she is away, and to manage the medical functions
for the period of time designated by the Chief Medical Officer. As such, all medical
personnel will report to the Duty Medical Officer for their assignments and medical
duties.
REQUESTS FOR CHANGE OF MEDICAL DUTY
A stated in Section 9.3 of Volume III of the Star Fleet Command Manual, any individual
within the Department of the Star Fleet may request a change in duty or job function.
However, such requests for transfer or change in duty must be submitted to and approved
by the person’s Commanding Officer before the request can proceed further; in this
case, the Commanding Officer will be Chief Medical Officer of the command.

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9.4 SPECIAL MEDICAL DETAILS

Aside from the standard duties and watches performed by Star Fleet medical personnel,
there may special medical tasks or assignments that may arise at any given instance of
time. As such, this section will discuss such special medical duties or details. A “Detail” is
defined as special or temporary duty assignment given to personnel in order to complete a
particular task or mission. As such, a Medical Detail will generally be composed of a
specific number of medical persons with the skills needed to accomplish the goal of the
detail. There are at least basic types of details in which medical personnel may participate,
each of which will be described in the following paragraphs.
For special medical details the Chief Medical Officer will usually assign personnel from
his or her command based upon that individual’s position within the Medical Duty
Roster. As such, there will be no suggestion of favoritism as it is well known that a person
at the top of the roster will be obligated to comply. This is different from other special
details as such duty may be voluntary. However, unlike other special teams, medical
personnel are obliged to participate in a special medical detail.
STANDARD TYPES OF MEDICAL DETAILS
Although special details do not occur on a frequent basis or that may be assembled only
during an emergency situation, there are certain functions or missions that a medical detail
will usually be required to perform. These standard medical details are designed to execute
a specific medical function as required by regulation:
Landing Party: A team composed of specialists that transport away

from a ship or space station in order to perform a
specific function. Usually, a medical officer will be part
of the landing party team.
Medical Survey Team: A small specialized team assembled for the purpose of
performing an initial or comprehensive medical survey
of a planet. This is essentially a scientific survey to
determine how safe the planet is biologically.
Medical Examination Team: A team assembled to perform medical examinations of
non-command personnel, or to perform health,
hygiene, sanitation, or some other required or ad hoc
medical examination or inspection – usually away from
the command.
Emergency Medical Team: A specific type of Casualty Assistance Team, or
CAT, composed of medical personnel for the purpose
of supporting a Damage Control Team during an
emergency situation.
Rescue and Assistance Team: A team of Star Fleet personnel assembled for the
purpose of rendering assistance to persons or activities
outside a ship or facility. Such teams will usually include
medical personnel for the purpose of rendering medical
aid to the afflicted.

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COLONY HEALTH CERTIFICATIONS
As required by law and regulation, all Federation colonies and expeditions must undergo
a medical health examination at least once a year as shown in Figure 10a94.1. As Star
Fleet Regulation 6621 states: “…all personnel on alien planets are required to have
their health certified by a Star Fleet Medical Officer at one Federation year intervals.”[2]
This function will usually be performed by a Medical Examination Team that will be
dispatched to the colony. The team will consist of a senior Medical Officer and several
junior Medical Officers and Medical Technicians. The size of the team will depend
upon the size of the colony or expedition.
INFECTUOUS DISEASE INVESTIGATIONS
Where there may be a sudden outbreak of disease or illness at a location a team of Star
Fleet medical personnel will be dispatched to the site to combat the infection. Generally,
the first step in this process is to gather samples and information regarding the infection.
This will normally be accomplished by a Medical Survey Team as illustrated in Figure
10a94.2. The next step is to analyze the sample and information gathered by the Medical
Survey Team in order to determine the next steps, which will usually be to develop some
medicine, vaccine or other means of prophylaxis. In such situations, Star Fleet Medical
Officers and civilian medical personnel may be requested to join a team of researchers to
analyze the data and samples gathered in order to determine the cause of the disease and
to come up with a method of combating the spread of such an infection, or to create a
vaccine to inoculate the population. Therefore, Star Fleet Medical Officers may be
assigned Medical Research Duty (see Section 9.2 in this manual) in order to join such a
research team.
EMERGENCY MEDICAL TEAM
An Emergency Medical Team, or MEDTEAM, is an assemblage of medical personnel for

the purpose of handling a medical emergency, usually for the command. For example,
should a significant medical emergency occur aboard a Star Fleet ship, an Emergency
Medical Team would be organized which would include all the off-duty doctors, nurses,
and Medical Technicians as needed in order to handle the emergency. The primary
officer in charge of the Emergency Medical Team will be the Duty Medical Officer.
When a medical emergency is announced, the assigned medical personnel will muster at a
predetermined area for their assignments. The primary examination area of the medical
facility will normally become the triage center and the Duty Medical Officer will assign
doctors and Medical Technicians to teams to perform local emergency treatments and
to transport the sick and injured back to the triage center. In some cases the Chief
Medical Officer may take over the duty and will direct the Duty Medical Officer to the
scene of the emergency to take charge of the medical efforts. This will usually happen in
the event of a significant medical emergency where a large staff of medical personnel may
be required. Emergency Medical Teams may also be a part of a command’s Rescue
and Assistance Team or RESCAT. In this case, the function of the Emergency
Medical Team is to evaluate the medical condition of survivors and to render medical
attention to individuals in distress as required under Star Fleet Regulation 6620. An
example of a small Emergency Medical Team can be seen in Figure 10a94.3.

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Figure 10a94.1
MEDICAL HEALTH CERTIFICATION: ANNUAL CHECKUP OF COLONISTS

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Figure 10a94.2
INFECTUOUS DISEASE INVESTIGATION: GATHERING SAMPLES

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Figure 10a94.3
EXAMPLES OF A SMALL EMERGENCY MEDICAL TEAM

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9.5 CONTINUAL MEDICAL CERTIFICATION

As previously stated in Section 3.2 of this manual, the United Federation of Planets is a
large assemblage of races and biological entities which requires that persons practicing
medicine for the Department of the Star Fleet, or that are performing medical services
within the Star Fleet, continuously update their knowledge of medical practices, methods,
procedures, and techniques. As such, both enlisted and officers must continuously update
their certifications. Medical Officers must attend refresher classes and retake certain
medical exams every two (2) years. These classes are given at the medical schools at the
various Star Fleet Academy Annexes located throughout the Federation. Enlisted
Medical Technicians, Nurses, and Medical Specialists must refresh their certifications
by attending refresher or advanced classes, and by taking the Proficiency Examinations
of their specific medical specialty. The courses and exams must be taken no more than
every three (3) years at one of the specific Fleet Schools that specialize in medical
practice. Section 3.2 of this volume contains a list of the various Fleet Schools
specializing in Star Fleet medical practice.
FLEET MEDICAL SCHOOLS
As stated above, Star Fleet has many training facilities specializing in medical practice
located throughout the Federation as listed in Table 10a32.1 in Section 3.2 of this
manual. It will be at these schools where Star Fleet medical personnel will become
recertified. In general, enlisted Medical Technicians will attend a Fleet School in order
to advance within their particular field, while Medical Officers and Nurse-Officers will
usually attend a local Star Fleet Academy Annex for advanced training. However,
medical officers might also attend a Fleet School as well – usually to train on a specific
medical procedure. In most cases, Star Fleet medical personnel will attend a Star Fleet
school in order to enhance their medical knowledge, and where their licensing and
recertification will take place. The following subsection describes what takes place during
certification examinations.
EXAMINATIONS AND CERTIFICATIONS
As stated above, most recertification examinations will take place at a Fleet School,
usually during refresher or advanced medical training. This applies to both enlisted
Medical Technicians as well as Nurse-Officers and Medical Officers. However,
Medical Officers and Nurse-Officers will usually take their recertification exams at a
local Star Fleet Academy Annex, but unlike initial medical training, Medical Officers
and Nurse-Officers will not be required to go before the Star Fleet Board of Medical
Certification for certification, and the Board will only review the officer’s record and exam
results before re-issuing a license.
On the other hand, enlisted Medical Technicians must satisfactorily pass a Medical
Proficiency Exam in order to retain their certification. The exam will be specific to their
particular medical field of specialty, and they will be required to pass this exam with a
grade of 75% or better.

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RECORDS OF EXAMINATIONS AND CERTIFICATIONS
In accordance with Star Fleet Regulation 8311, a record of all training, schooling and
certifications completed by members of the Star Fleet Service must be placed in their
Service Record. This is to ensure that individuals assigned to commands are qualified to
perform their jobs and a record of such exists to provide evidence of such certifications.
Such records of certifications will be kept by the command’s Personnel Officer, as well
as the command’s Chief Medical Officer.
In order to ensure medical personnel maintain their training and certifications up to date,
the Chief Medical Officer will assign an individual on his or her staff to function as
Medical Training Officer for the medical command. On large medical facilities, there will
already exist a Medical Training Officer billet. As such, the function of the Medical
Training Officer is to ensure the training, education and certification of the medical
personnel assigned to the facility. As such, the Medical Training Officer will be
responsible for maintaining the training records and certifications of the doctors, surgeons,
specialists, nurses, and medical technicians working at the facility. Therefore, a Medical
Qualification Program will be set up to outline and record the necessary functions and
requirements in order for the medical person to maintain his or her medical certification at
the command. The Medical Qualification Program is a formal certification program that
records and maintains the individual’s required medical duties and functions. Maintenance
is performed through the use of a Medical Qualification Manual. The Qualification
Manual is basically an electronic clipboard that the medical person maintains, which is
submitted to is then submitted to the Medical Training Officer whenever the individual
completes a specific function or process. The Medical Training Officer then downloads
the manual into the command’s Training Database and the individual’s Service
Record.
CIVILIAN RECERTIFCATIONS
As required by Star Fleet regulations, all civilian medical personnel must be licensed to
practice medicine within the Star Fleet, and their license must be active and current. By
Federation law, all civilian physicians, doctors, surgeons and medical specialists must
have their license renewed every three years. As such, it is illegal to practice medicine with
an expired license within the United Federation of Planets. When renewing, each
licensee must disclose whether they have had any license disciplined by a Federation
government agency or other disciplinary body, or, have been convicted of any crime on
any planet within Federation territory, by a military or Star Fleet court, or by any alien
government.

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9.6 GENERAL QUARTERS

General Quarters (GQ) or Battle Stations, also known as a Red Alert, is the same as
Alert Condition 1 of the condition watches. In general, when a command goes to “Battle
Stations”, all personnel will go to their “Battle Stations” according to the command’s
Watch, Quarter and Station Bill (WQSB) as outlined in the facility’s Organization
and Regulations Manual or SORM. General Quarters is sounded whenever the
command is attacked, about to be attacked, or for any other emergency. The officer in
command of the facility will immediately, or according to orders, sound General Quarters
whenever the command’s sensors indicate the presence of a belligerent or unknown force,
when there is an increased chance of enemy attack, or under a condition that affects the
material condition of the command, such as a collision with an object, meteor shower, an
ion storm, or some other natural or unnatural disaster. During such situations, the medical
staff of the command will spring into action and assemble at their designated areas to
await further instruction.
MEDICAL FACILITY ALERTS
Aside from command-wide alerts, Star Fleet medical facilities also have their own internal
alert system, with specific categories indicating the level of emergency within the medical
facility. These alerts are classified by color and are listed below:
Table 10b96.1
TABLE OF MEDICAL ALERTS
Classification Code
Definition
Emergency Color
Fire in the Fire in the medical facility. Requires a command-wide alert.
Red
Facility
Emergency Medical facility has activated its Emergency Operations Plan.
Brown
Operations
Urgent Medical Someone is experiencing a medical emergency
Blue
Emergency
Security Medical facility is experiencing a security issue.
Black
Emergency
Security A call for security personnel in case someone, including a
Gray patient, is being violent, or displaying threatening behavior.
Alert
Facility A call for medical decontamination, usually due to a
Orange hazardous fluids spill.
Contamination
Child Missing A child is missing or has been abducted from the hospital.
Purple
or Abducted
Medical Alert Codes are a quick way to tell medical facility staff members who needs to
attend to an emergency situation, what they need to bring, and what they should expect.
The alert code will be announced throughout the medical facility using the code color
along with the location of the emergency or alert. For example, a cardiac arrest in the
Emergency Room will be announced as follows: “Code Blue - Emergency Room.” All
medical staff members must be trained in these codes as part of their initial training and
indoctrination.

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MEDICAL BATTLE STATIONS
In general, a Battle Station is a specific condition of General Quarters where personnel

will go to a particular duty station when the command goes to GQ1 or is under a Red
Alert. In such conditions all medical personnel will assemble at their duty stations in
preparation to receive casualties. Aboard Star Fleet ships, the assembly point will be
Sickbay; on Star Fleet stations it will be the Station Infirmary or Sickbay, in the case
of an Outpost. However, on ground bases the assembly point will usually be a special
underground medical facility. This is because ground-based structures will normally be
targets of attack and therefore, the injured will need to be treated in a protected location.
The command will remain at Battle Stations until the order to "Secure from Battle
Stations" or "Secure from General Quarters" is announced. However, even if the order to
secure from battle stations is given, medical personnel will remain on station until all the
wounded have been treated and are in a stable condition. It will be the command’s Chief
Medical Officer who decides at what point the medical staff may stand down.
GENERAL QUARTERS AT A STAR FLEET GROUND FACILITY
For Star Fleet medical personnel stationed at a ground base, such as a Starbase or Star
Fleet Headquarters, going to General Quarters is a complex process. To begin with,
all patients must be evacuated from the above-ground structures and transported to the
underground medical bunkers. Most of these bunkers are many meters below the medical
facility, and are working hospitals. Therefore, medical work can continue while the base is
on General Quarters. As such, after all the patients have been moved, the entire medical
staff will muster in a predetermined area for a head count and duty assignments. Such
assignments will either be handed out by the Duty Medical Officer, the Base Medical
Officer, or the Hospital Commander, whomever is present. Because the base will
effectively be in a state of war, most of the medical staff will be involved in caring for the
wounded.
GENERAL QUARTERS AT A STARFLEET STATION OR OUTPOST
Going to General Quarters on a Star Fleet space station or Outpost will mean that the
command will be placed in a particular Material Condition as specified by the nature of
the alert, and that all personnel on the station must go to their assigned General
Quarters Duty Station. A further explanation of the actions taken during General
Quarters aboard ship may be found in Section 5.8 in Part 2 of Volume VI of the Star
Fleet Command Manual. Medical personnel stationed aboard a Star Fleet space station
or an Outpost will report directly to their medical duty station, which will normally be the
Infirmary. At that time a roll call will be made and the Duty Medical Officer, or the
Station Medical Officer, will hand out duty assignments to the staff. However, during
other material conditions medical personnel will not be required to muster in the
Infirmary when the station goes to either GQ2 (Yellow Alert) or GQ3 (Standby
Alert). During these times medical personnel will be placed on standby in their quarters or
will continue their normal work assignments at their stations.

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GENERAL QUARTERS ABOARD A STAR FLEET VESSEL
Going to General Quarters aboard a Star Fleet ship will mean that the ship will be
placed in a particular Material Condition as specified by the nature of the alert and that
all personnel aboard the ship must go to their assigned General Quarters Duty Station.
A further explanation of the actions taken during General Quarters aboard ship may be
found in Section 5.8 in Part 2 of Volume IV of the Star Fleet Command Manual. When
the ship goes to General Quarters, or GQ1, all medical personnel will muster in
Sickbay. As with General Quarters on a space station, a roll call will be made and the
Duty Medical Officer, or the Chief Medical Officer, will hand out duty assignments to
the staff. However, during other material conditions medical personnel will not be required
to muster in Sickbay when the ship goes to either GQ2 (Yellow Alert) or GQ3
(Standby Alert). During these times medical personnel will be placed on standby in their
quarters or will continue their normal work assignments at their stations.
GENERAL MEDICAL EMERGENCIES
General Emergencies are conditions that affect the command, but that are not as a
result of battle. These emergencies will also require the command to go to General
Quarters or GQ1 and will also require that Service members and medical personnel go to
their action stations in accordance with the command’s Watch, Quarter and Station
Bill. In most cases, the majority of the medical staff will remain on station and that
specific medical teams will be assembled and dispatched to the emergency. However,
major accidents that may result in serious injury will not result in the command going to
General Quarters. In such cases, the medical command may issue a Code Blue to alert
all medical personnel that a medical emergency has occurred and to report to their medical
duty station for further instruction.
GLOBAL MEDICAL EMERGENCIES
A Global Medical Emergency is one that affects an entire area of space – usually the
space nearest to a medical or operational command. In such situations, the command
nearest to the global emergency will institute the processes and procedures as outlined in
the Federation Galactic Emergency Procedures. As such, the medical command will
muster its staff and organize Emergency Medical Teams to handle the emergency. For
an explanation of Global Medical Emergencies, review the information contained in

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MEDICAL DUTIES AFTER COMMAND ABANDONMENT
Should it become necessary to abandon the command each person will immediately go to
their assigned Evacuation Station, as specified in Section 9 of the Watch, Quarter and
Station Bill. Aboard Star Fleet ships, this will be the person’s Abandon Ship Station.
On Star Fleet bases, space stations and Outposts, this will be a person’s Evacuation
Station. As such, during the evacuation process the medical staff will be split into two
sections: one which will go with the crew in the first phase of the evacuation, and the
second section will stay to tend the injured and support the evacuation. The first section
will assemble and setup a temporary medical area in order to support the individuals that
have evacuated. The second section will remain to treat the injured currently in the facility
and to help move the patients to the evacuation assembly area. This section will normally
evacuate with the Commanding Officer.

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STAR FLEET MEDICAL OFFICER’S

HANDBOOK
Star Fleet Executive Order 10.0, pursuant to ARTICLES 11, 12, 43, and 47 of the Star
Fleet Charter, established the Star Fleet Division of Medicine for the purpose of
maintaining the health and fitness of all members of the Star Fleet Service, their families
and to provide medical attention to anyone needing such medical attention out in space.
As part of this mandate, the Star Fleet Medical Service was created to train, certify and
administer the officers and technicians necessary to fulfill this responsibility, and with it,
the processes and procedures needed to function within the confines of Federation
medical practice. As such, the Star Fleet Medical Officer’s Manual, also known as the
BUMED-004, is one of the manuals used by Star Fleet Medical Officers in the
fulfillment of their military and medical duties.
The Star Fleet Medical Officer’s Manual was created by the Star Fleet Division of
Medicine to guide Star Fleet Medical Officers in the military aspects of medical
practice within the Star Fleet Service. However, the manual does not specify any
medical procedure or the application of medicine, but merely to guide the medical officer
in his or her responsibility as a Star Fleet officer within the medical service.
The responsibility for the development and maintenance of the Star Fleet Medical
Officer’s Manual, as well as the proper and strict compliance with the manual, rests with
the Chief of Star Fleet Medicine and along with this responsibility, establish the
requirements for the preservation of medical professionalism throughout the Star Fleet.
Throughout the manual the term “he”, “him”, or “his” may be used. This is generically
meant to indicate possession and is not meant to imply the gender of the individual. The
manual is presented in this Appendix in its entirety.
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BUMED-004
REVISION 13.3
STAR FLEET COMMAND

STAR FLEET DIVISION OF MEDICINE
STAR FLEET MEDICAL OFFICER’S

HANDBOOK
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COPYRIGHT © 2215 STAR FLEET PRINTING OFFICE

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STAR FLEET MEDICAL REFERENCE

MANUAL[*]
In the early days of the Confederation of Planets, before the creation of the United
Federation of Planets and the Star Fleet, vessels of the United Earth Space Probe
Agency (UESPA) may not have carried a doctor or medical officer as part of the crew. As
such, the officers of such vessels had to perform first aid and medical procedures on their
own in the depths of space. To help the officers in their duty to perform medical
procedures, a manual was created to serve as a reference to officers known as the Space
Medicine Reference Manual. When the Star Fleet Division of Medicine was initially
created, a manual for use by Star Fleet Medical Officers was needed in order to handle
medical issues aboard Star Fleet vessels. It was decided that the old Space Medicine
Reference Manual be temporarily used until a more permanent Star Fleet manual could
be produced and issues. As such, the Space Medicine Reference Manual was renamed
the Star Fleet Medical Reference Manual and was installed on all vessels of the early
Star Fleet. However, it has since been replaced with the Star Fleet Medical Officer’s
Handbook (Appendix A). The old manual is presented here as a historical reference.
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1.0 INTRODUCTION
The function of the Star Fleet Guide is to provide a background explanation of the
reasons why the Star Fleet, as well as the United Federation of Planets, was created in
the manner presented in Star Fleet Command Manual.
The history of the Star Fleet Command Manual goes back to 1973 after the book “The
Making of Star Trek” came out. At the time this author was in the U.S. Navy Submarine
Service. Being on a nuclear submarine is very close to being in a space craft. In fact, it is
the closest thing to a Starship than anything else on the planet. Living on a submarine
one gets to understand what is needed in terms of systems and resources required to
maintain operations within a closed space for an extended period of time.
The timeframe for the Star Fleet Command Manual is sometime in the year 2277. This is
after the original television series (TOS), but before the first movie. This timeframe was
selected because I wanted to take a “snapshot” of Star Fleet at a particular point in time.
The reason being is that I wanted to create a detailed description of the Star Fleet, and
to move too much through time would have diluted this effort. As such the manual would
form a basis for future expansion in order to cover the periods of the movies and the
later television versions.
The Star Fleet Command Manual is organized into volumes. We start by laying out the
foundation for the world of the Federation and of Star Fleet in Volume I. Volume II gets
into the details of fleet operations. Volume III will be all about Star Fleet personnel, their
pay, uniforms, etc. This particular volume, Volume X, is a special administrative and
functional volume as it describes the medical functions and personnel in the Star Fleet.
As such, any of the notes or ideas that may have come from the TOS episodes
concerning Star Fleet medicine will be noted here.
One last point I wish to make is that I believe that the Star Fleet of the TOS era was a
military organization. As such, the structure set forth in the Star Fleet Command Manual
will be based upon this belief. Many may not agree with this assessment and they are
entitled to their opinion. But all evidence in the TOS fully suggests that it is. Perhaps the
later Star Fleet of the Next Generation series may suggest otherwise, the fact remains
that in the TOS era the Star Fleet was a military organization. However, to those that
think otherwise, you can rest in comfort with the belief that all organizations change over
time and that the original Star Fleet may evolve into a different organization.
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2.0 CHAPTER NOTATIONS

CHAPTER 1
1. The symbol for the Star Fleet Division of Medicine was derived from several sources.
A similar and rudimentary version of the symbol was first used for and on the cover
of the Star Fleet Medical Reference Manual (Reference 2) in 1976, and later
illustrated on pages TO:01:03:05:20.01 and TO:01:03:07:20.01 in Book 2 of the
Federation Reference Series (Reference 10.) This symbol was also displayed on Dr.
McCoy’s medical uniform in the movie Star Trek: The Motion Picture and throughout
the later TV series.
2. The Star Fleet Bureau of Medicine and Surgery was created as an independent
agency since the entire Star Fleet medicine infrastructure was too large, unlike the
U.S. Navy medical organization. Therefore, the Star Fleet Division of Medicine was
broken-up into several bureaus, each under the command of a bureau commander.
3. See Note 1 above.
4. This refers to the Pressure/Decompression chamber set used in the TOS episodes
Space Seed, and The Lights of Zetar.
5. The symbol for Star Fleet nurses is the red cross, as seen throughout the TOS
episodes. However, the design of the red cross changed during the seasons. Early
episodes showed the red cross with relatively short extensions as shown in
illustration 10a13.1, and in some early cases, such as in the TOS episode The Naked
Time, the cross was placed over a black circle. However, in the later seasons the
extensions of the cross were extended and did not look as good as the early cross.
Therefore, I chose the early design for the symbol of the Nurse Corps.
6. It was this office, the Office of Patient Mobility, that provided Captain Christopher
Pike the mobility unit shown in the TOS episode The Menagerie, Parts 1 and 2.
7. The creature or entity that existed on negative emotional energy was shown to exist
in the TOS episode Day of the Dove.
8. An example of one such empathy, Gem, was illustrated in the TOS episode The
Empath.
9. Although we saw a number of medical instruments used throughout the series, many
of them were not called by any name. The name for one such device, created by
Franz Joseph in his famous Star Fleet Technical Manual TM379260 (Reference 6),
was the Anabolic Protoplaser. However, this same device was called the Skin-
Grafting Laser by Eileen Palestine and Geoffrey Mandel in the Star Fleet Medical
Reference Manual (Reference 2.) I kept the first referenced name, but described it as
a skin-grafting device.
10. The Neural Neutralizer device was first referenced in the TOS episode Dagger of the
Mind. The device was later used to stabilize Captain Garth at Elba II in the TOS
episode Whom Gods Destroy.
11. Dr. Leonard McCoy, the Chief Medical Officer aboard the Starship Enterprise, has the
certification and privilege of being a Fleet Medical Officer.

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12. An Extraordinary Competency Hearing, which is a form of medical board, was

convened by order of Commodore Stocker to relieve Captain Kirk under Star Fleet
regulations in the TOS episode The Deadly Years. The primary professional evidence
on the mental capacity of Captain Kirk used in this hearing was provided by Dr.
McCoy as required by Star Fleet Regulations 4210 and 4211.
13. An example of such required proof of unfitness of a commander was illustrated in the
TOS episode The Doomsday Machine when Spock reminded Dr. McCoy that he had
to produce the medical records of Commodore Decker in order to provide proof that
Commodore Decker was unfit to command. The regulation sited was Star Fleet Order
104, specifically Section b Paragraph 1a. If such medical evidence was available,
Spock could relieve Commodore Decker under Section c. Basically, this is an order
and not a regulation. Therefore, I will establish that Star Fleet Order 104 is an
operational order issued by Star Fleet Operations as a procedure for relieving a
Commanding Officer based upon the specific regulation I developed in Volume I,
which is Star Fleet Regulation 4210.
CHAPTER 2
1. The Chief of Star Fleet Medicine is equivalent to the Surgeon General of the Navy,
who is also the Chief of the Navy’s Bureau of Medicine and Surgery and the Chief of
the Medical Corps. However, the Star Fleet Division of Medicine is much larger than
the U.S. Navy’s as stated in Note 2 of Chapter 1. As such, the CMED has a rank of
Vice Admiral versus a Rear Admiral as the Surgeon General of the Navy.
2. The Deputy Chief: Bureau of Medicine and Surgery has a similar role as the U.S.
Navy’s Chief of the Navy’s Bureau of Medicine and Surgery as stated above.
3. We see medical technicians in the various TOS episodes. For example, one such
medical technician can be seen in the TOS episode The Naked Time. This was the
person who moved the examination platform up and down in the beginning of the
episode after Spock and Joe Tormolen came back from their investigation of the
research installation on the planet Psi 2000. Other medical technicians can be seen in
the TOS episodes: The Man Trap, Space Seed, Amok Time, The Changeling, Journey
to Babel, The Deadly Years, A Private Little War, Return to Tomorrow, Day of the
Dove, The Tholian Web, The Lights of Zetar, and The Way to Eden.
4. Nurse Chapel on the Enterprise was qualified as a surgical nurse. She assisted Dr.
McCoy during surgery on several occasions in the TOS seasons. For example, when
she assisted Dr. McCoy in the surgery of Joe Tormolen in the TOS episode The
Naked Time.
5. An example of an operator of psycho-therapeutic equipment, specifically the Neural
Neutralizer, can be seen in the TOS episode Dagger of the Mind. This particular
operator, Eli, played by actor Eli Behar, was the person at the control panel of the
Neural Neutralizer and who explained to Kirk how the unit is controlled.
6. The use of the term “beam neutralizing equipment” was introduced by Dr. Helen
Noel in the TOS episode Dagger of the Mind. She mentioned this technology during
the conversation between Kirk and Dr. Adams at the Neural Neutralizer station in the
scene described in the above Note 5.

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CHAPTER 3
Most of the items covered in this Chapter have already been covered in Chapter 3 of
Volume III of the Star Fleet Command Manual, such as service numbers, ID cards, etc.
However, there is a little more detail regarding the personnel within the Division of
Representatives.
1. The Service Number for Dr. McCoy, as shown, is based upon the standard and
format established in Chapter 3 of Volume III of the Star Fleet Command Manual.
However, it must be noted that some of the references have Dr. McCoy with Service
Numbers MD 398-1214 (Reference 16) and SM 357-977 (Reference 15).
2. The color “Science Blue” refers to the color of the tunic we see Spock and other
science personnel wearing. Science Blue is sort of a blue-gray color.
3. The color “Medical Blue” refers to the color of the wide-collar tunic that McCoy wears
while on medical duty and the wide-collar dress that Nurse Chapel wears. Medical
Blue appears to have some aqua in it and shimmers in the light.
4. It should be noted that some of the medical personnel seen on the Enterprise in the
TOS episodes display the science symbol and not the Star Fleet Caduceus. This is
probably since some medical personnel may also have scientific duties as well. The
same can be said of Spock. Although Spock is second in command and a part of the
Command Department, he still wears the science uniform instead of the command
uniform. However, in my universe all medical personnel display the Star Fleet
Caduceus on their uniforms.
5. Some form of special pay was added in order to compensate for fleet and special
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CHAPTER 4
1. We have seen some evidence of such medical duty rotation in the Star Trek: The
Next Generation series. Initially, the Chief Medical Officer of the Enterprise-D was Dr.
Beverly Crusher, followed by Dr. Katherine Pulaski, and later replaced with the return
of Dr. Crusher, who came back after a short (perhaps unsuccessful) stint as the
Deputy Chief: Bureau of Medicine and Surgery – though in TNG they represented it
as being the head of Star Fleet Medical (Reference 9.)
2. Retnax V was introduced in the Star Trek movie: Star Trek II: The Wrath of Khan,
and referenced in the Star Trek Encyclopedia – A Reference Guide to the Future
Updated and Expanded Edition (Reference 9.)
3. The health certification requirement of colonies and expeditions was established
early in the Star Trek universe with the very first episode that was aired: The Man
Trap. In this case, it was a requirement that Star Fleet perform a yearly medical
examination of the members. As Dr. McCoy stated: “All research personnel on alien
planets are required to have their health certified by a Starship surgeon at one year
intervals.” This regulation was stated again in the TOS episode The Deadly Years
when Spock stated that “The annual check of every scientific expedition is routine.”
4. The Federation Galactic Emergency Procedures were first introduced in the TOS
episode The Galileo Seven. In that episode Galactic (Federation) High Commissioner
Ferris had to remind Kirk of his authority under Title 15 of the procedures relating to
the overseeing of the delivery of medical supplies to Makus 3. Later on (Stardate
2823.8) Ferris had to actually invoke Title 15.
5. The plague at the New Paris colony was presented in the TOS episode The Galileo
Seven.
6. I named the plague on the New Paris colonies the Crawford Plague in honor of the
writer of the episode Oliver Crawford.
7. The infestation of the Deneva colony and research station by the single celled
creature was presented in the TOS episode Operation Annihilate.
8. The bacterial infection described was presented in the TOS episode Let That Be Your
Last Battlefield.
9. The botanical plague described Was presented in the TOS episode The Cloud
Minders.
10. The destruction of the Malurian system was attributed to Nomad in the TOS episode
The Changeling.
11. The destruction of systems L-370 and L-374 was presented in the TOS episode The
Doomsday Machine.
12. The giant amoeba was from the TOS episode The Immunity Syndrome.
13. The requirement for the Commanding Officer to respond to an entry in the Medical
Log came from the TOS episode Dagger of the Mind. In that episode Dr. McCoy had
his doubts about the cause of Dr. Simon Van Gelder’s condition and stated so in his
Medical Log. While Capt. Kirk was talking to Dr. Adams, McCoy stated that “I’m
required to enter any reasonable doubts into my Medical Log, that requires you to
answer in your log.”

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CHAPTER 5
1. This authority was demonstrated on several occasions within the series. For example,
it was expressly stated in the TOS episode The Doomsday Machine when Spock said
to Dr. McCoy that “If you can certify Commodore Decker medically or psychologically
unfit for command, I can relieve him under Section c.”. In the TOS episode Journey
to Babel, Dr. McCoy had both Kirk and Spock confined to Sickbay, which is, in effect,
a medical relief from duty.
2. This a representation of the placard that is mounted outside Dr. McCoy’s quarters. It
was drawn based on the placard as shown in the TOS episode The Man Trap.
3. The oath presented here is a modification of the Osteopathic Oath.
4. We learned from the TOS episode Court-Martial that Dr. McCoy, as a Fleet Medical
Officer, was also an expert in psychology. As stated by Lt. Areel Shaw in court:
“Doctor, you are on record an expert in psychology, especially space psychology –
patterns which develop in the close quarters of a ship during long voyages into
space.”
5. We see this authority in Sickbay when Dr. McCoy orders Captain Kirk, Spock and
Ambassador Sarek to “shush” while in recovery in the TOS episode Journey to Babel.
6. There was never a mention of dental officers, dentists or of any dental work
throughout the Star Trek universe. Therefore, I had to create it.
7. See Note 4 above.
CHAPTER 6
1. We see Nurse Chapel give blood transfusions to Ensign Rizzo in the TOS episode
Obsession. In that episode we see Nurse Chapel remove the transfusion device off of
Rizzo’s left arm.
2. We see such a device used in the TOS episode The Menagerie (Parts 1 & 2). Though
we cannot call it a wheelchair, it is similar in its purpose. We also must assume that
the user, in this case Christopher Pike, does not exist in this device at all times, and
that he is often removed from it for cleanliness and for sleeping. Thus, the Nurse’s
Aide will be used to help remove and install him to and from the device.
3. We see Nurse Chapel give aid and comfort to crew members in their quarters such
as when she went to Spock’s quarters to give him Plomeek Soup in the TOS episode
Amok Time, or when she went to comfort Ensign Garrovick in his quarters in the TOS
episode Obsession.
CHAPTER 7
1. See Note 3 in Chapter 2 of this Guide.

STAR FLEET GUIDE
VOLUME X
STAR FLEET MEDICINE
CHAPTER 8
1. As mentioned in Note 6 in Chapter 2, the Neural Neutralizer was the central device in
the TOS episode Dagger of the Mind.
2. I chose Planet Q as one of the major pharmaceutical laboratories because of Kirk’s
old acquaintance Dr. Thomas Leighton in the TOS episode The Conscience of the
King. In that episode, the Enterprise was diverted from its scheduled course and was
called to Planet Q to investigate and confirm the discovery of a new synthetic food
concentrate (perhaps a drug) which would end the threat of famine at the nearby
colony on Signia Minor. Therefore, we can assume that Dr. Leighton worked as a
researcher at a pharmaceutical laboratory.
3. The asylum described here was the facility presented in the TOS episode Whom
Gods Destroy. However, we could also include in this paragraph the penal colony on
Tantalus V, from the TOS episode Dagger of the Mind, as well. And as mentioned in
the TOS episode Whom Gods Destroy, Governor Cory was the administrator of the
asylum on Elba II.
4. An example of this can be illustrated in the TOS episodes The Naked Time and Miri,
where the landing party on the planet contracted a disease and had to identify and
produce a cure for it. Another example was in the TOS episode The Deadly Years
where the medical staff had to identify a disease which caused rapid aging of the
senior officers.
5. We see this throughout the original series. Both Federation citizens and aliens were
treated for sickness or injury in the Enterprise’s Sickbay.
6. On some of the TOS series episodes the Enterprise functioned as a transporter of
needed medical supplies and drugs. For example, in the TOS episode The Galileo
Seven, the Enterprise was ordered to ship needed medical supplies to Makus 3 for
the plague at the New Paris colonies.
7. The location of Sickbay was specified to be on Deck 7. This is according to Stephen
E. Whitfield and Gene Roddenberry as stated on page 175 of The Making of Star
Trek (Reference 11.) Now one can argue where Deck 7 is located, but using a
standard deck height of about 10 feet, Deck 7 would be located on the underside of
the Primary Hull. As stated in Reference 11: “The central section of the seventh deck
level includes the office of the ship’s Surgeon, the entire sick bay complex, and all
labs and related functions falling under the jurisdiction of the medical department.”
8. Most of the sets on the TOS series were dedicated to Sickbay, though most of the
scenes took place on the Bridge. As seen in the TOS episodes, Sickbay is a relatively
large complex containing examination rooms, offices and labs. I created the basic
deck plan of Sickbay using the TOS set blueprints I had. This can also be seen on
pages 144-145 of The Making of Star Trek (Reference 11) and of the full-sized set
blueprints I have, one being of the entire set (Reference 17.) Just by coincidence,
the radius of the set plan that incorporated Sickbay happened to match the general
radial dimensions of Deck 7 in the Primary Hull per the Sinclair drawings of the
Enterprise. As such, everything seemed to fall into place. The deck design also
incorporates the central computer core. As stated in Reference 11; “At the very
center of the seventh deck, and extending down to the eight deck, is the core of the
ship’s main computer system, its memory banks and primary controls.”

STAR FLEET GUIDE
VOLUME X
STAR FLEET MEDICINE
9. The Robbiani Dermal-optic test was used on Janice Lester posing as James Kirk by
Dr. McCoy in order to determine any psychological issues with the [faux] captain in
the TOS episode Turnabout Intruder. A description of this test may be found in both
the Star Trek Concordance (Reference 7), as well as in the Star Trek Encyclopedia
(Reference 9.)
10. The Standard Scientific Examination Chair was named that way based upon the chair
used in the TOS episode Operation Annihilate. In that episode Spock was sitting in
this chair in the area Dr. McCoy called a “Test Cubicle” where he was subjected to
one million candlelight per square inch of bright light. The Test Cubicle, I believe, is a
science lab area and not necessarily a medical space.
11. I called these chairs “Therapeutic Chairs” since they were specifically used for
therapeutic functions. In this case, the chair was used as a psycho-therapeutic
platform as shown in the TOS episodes Dagger of the Mind and Whom Gods Destroy.
12. See Note 10 in Chapter 1 above.
13. The Type I bed was only used in the TOS episode Where No Man Has Gone Before.
This is the bed that Lt. Commander Gary Mitchell was lying in after he passed-out.
For the rest of the TOS episodes the Type II was used.
14. In the TOS world Irving Feinberg was the property master for the series. Many of the
items shown on the series were designed and fabricated by Irving Feinberg for the
show.
15. The psycho-tricorder was first introduced in the TOS episode Wolf in the Fold. It was
stated that this tricorder can provide a detailed account on what happened to a
person for the last 24 hours.
16. We see the portable computer used on several occasions, and not only for medical
use. It was first seen and used as a medical computer in the TOS episode Miri. The
computer was later used in the TOS episodes Tomorrow is Yesterday, The
Changeling, Journey to Babel, Obsession, The Trouble with Tribbles, The Immunity
Syndrome, Return to Tomorrow, By Any Other Name, The Omega Glory, Wink of an
Eye, and Elaan of Troyius.
17. As with the portable computer, we first see the portable electronic microscope used
in the TOS episode Miri. However, unlike the portable computer, the microscope was
not used much afterwards, but only in the episodes: The Menagerie, during Spock’s
court-martial, and in The Omega Glory. The term “electronic microscope” was
introduced by Dr. McCoy in the episode Miri when he called the Enterprise’s Sickbay
to “beam down a bio-computer and a portable electronic microscope…”
18. The portable heartbeat reader was first introduced as a device in the TOS episode
Court-Martial. As one can see, it is basically a standard microphone modified to look
special. However, the reader was also shown, but not used, in other TOS episodes as
well, such as: The Deadly Years, Day of the Dove,
19. The masking of heartbeats was used in the TOS episode Court-Martial to locate Lt.
Commander Finney, thus clearing Kirk of the charge of culpable negligence.

STAR FLEET GUIDE
VOLUME X
STAR FLEET MEDICINE
20. The Spray Hypo was first introduced in the TOS episode Where No Man Has Gone
Before , which was the Type 1-0. In the TOS episodes there were several types or
models of the Spray Hypo. The Type 1 was used in the TOS episodes: The Naked
Time, Miri, Dagger of the Mind, Arena, Space Seed, Operation Annihilate; the Type 2
in the TOS episodes: The Enemy Within, The City on the Edge of Forever, Amok
Time, The Apple, The Doomsday Machine, Metamorphosis, Journey to Babel, The
Deadly Years, Wolf in the Fold, The Immunity Syndrome, A Private Little War, Return
to Tomorrow, Patterns of Force, By Any Other Name, The Tholian Web, Plato’s
Stepchildren, The Empath, That Which Survives, The Lights of Zetar, and Turnabout
Intruder. The Type 3 hypo was used in the TOS episodes: Mirror, Mirror, Return to
Tomorrow, and Let That Be Your Last Battlefield.
21. We don’t see the spray applicator used very often, but the pump version of the
sprayer seemed to be used in the TOS episode Friday’s Child.
22. In the TOS episodes we see Dr. McCoy carry several types of medical kits, two were
attached to the utility belt, while the large kitbag was hand carried. The large kitbag
was rarely shown, only in the TOS episodes: Operation Annihilate, Arena, Catspaw,
and The Paradise Syndrome.
23. The term “Medikit” was first introduced in the TOS episode Dagger of the Mind when
Dr. Adams said to Kirk that “I know you people feel as naked without a weapon as
we do without a Medikit.”
24. In the TOS episode Journey to Babel, Dr. McCoy gave Nurse Chapel the order to
“Initialize Sterile Field.” Nurse Chapel then turned on the field using the small switch
near the bottom of the enclosure and the green light came on. In addition, the field
appears as a bright light within the enclosure opening where McCoy was performing
the operation.
25. We see this unit used in several episodes. It was a device added in the second
season and was first seen and used in the TOS episode Journey to Babel. I guess
that they had to add it in order to make the story work. It was inconsistently shown
in some of the episodes after Journey to Babel, but was next seen in the TOS
episode The Immunity Syndrome. From that point forward it was a part of the
Sickbay’s equipment. It was used again in the TOS episodes A Private Little War, and
Spock’s Brain.
26. The top button on the control pendant was used to turn on and off the overhead
sterilization beam as illustrated in the TOS episode A Private Little War. In that
episode Dr. McCoy ordered nurse Chapel to turn it off by saying: “Sterilight Off”.
Nurse Chapel then pressed the top button and the red sterilization beam went off.
27. This device was introduced and was used only once in the TOS episode Obsession.
We know that it is for transfusions since nurse Chapel removed the device from Ens.
Rizzo and said “Transfusion completed, sir” to Dr. McCoy.
28. Throughout the TOS series we see the Model 204 used frequently. However, it was
not always used as a medical device. For instance, it was used as an engineering tool
in the TOS episode Charlie X, and Kirk was found playing with one on the Bridge in
the TOS episode What Are Little Girls Made Of. The Model 108 is listed because it
was a Star Trek prop that was on auction. The prop was made of wood painted black
with an aluminum nose.

STAR FLEET GUIDE
VOLUME X
STAR FLEET MEDICINE
29. The laser scalpels presented here are enhanced drawings of the versions created by
Franz Joseph and published in Star Fleet Technical Manual (TM379260). See
Reference 6.
30. We see Dr. McCoy using such a laser in the TOS episode The Naked Time. Near the
end of the surgery being performed on Joe Tormolen, Dr. McCoy says to Nurse
Chapel “Standby to Close.” At which point Nurse Chapel hands him a sealing laser
with a green grip. The final step in the surgery was the use of the Anabolic
Protoplaser when Dr. McCoy orders “Closing.”
31. The Anabolic Protoplaser was a term coined by Franz Joseph in his book Star Fleet
Technical Manual (Reference 6). The device illustrated in Figure 10a86.48 is my
drawing of the version printed in Reference 6. The device illustrated in Figure
10a86.47 is my interpretation of the unit displayed in the TOS episode Mirror, Mirror.
This is the device that was always displayed on the surgical tray as in the TOS
episodes Dagger of the Mind, Operation Annihilate, and Mirror, Mirror. The other
device, called the Wound Healer, the device with the angled tube, was used only in
the TOS episodes The Naked Time and The Enemy Within.
32. The Portable Cardiac Stimulator was used on only a couple of episodes, and was
shown or displayed in others as well. It was used during the operation on
Ambassador Sarek in the TOS episode Journey to Babel when power to the Surgical
Enclosure was interrupted. As seen in that episode, the jolting the Enterprise was
receiving from the attack by Orion raiders caused Sarek’s heart to stop. Dr. McCoy
ordered for the cardiac stimulator to be activated (see Figure 10a86.36.) However,
when power was lost and the built-in cardiac stimulator was deactivated, McCoy
ordered “Get me that old portable cardiac stimulator.” The Portable Cardiac
Stimulator was also used in the TOS episodes The Enterprise Incident and Wink of an
Eye, and was briefly seen in the TOS episodes Obsession and The Lights of Zetar.
However, in the episode The Enterprise Incident it was referred to as a “Physio-
stimulator.”
33. We don’t see any indication of a medical laboratory aboard the Enterprise until the
TOS episode Operation Annihilate when we see Spock analyzing one of the parasites.
It seems from that point forward the Medical Laboratory was part of the Enterprise
set.
34. The Medical Sample Analyzer we see in the Medical Laboratory was originally the
control for the Neural Neutralizer in the TOS episode Dagger of the Mind. The unit
was later used to control the charging of the Dilithium crystals in the TOS episode
The Alternative Factor. From the TOS episode Operation Annihilate forward, the unit
became a permanent piece of equipment in the Medical Laboratory.
35. The Scanning Microscope, as I call it, was first introduced in the TOS episode
Operation Annihilate.
36. This piece of equipment we see often in the laboratory looks sort of like an electron
microscope so that is why I called it such.
37. The device shown in Figure 10a86.58 looks like one of those portable air purifiers,
with the fins, etc. The object in Figure 10a86.60 didn’t seem to have any purpose. It
just looked like a tube with aluminum foil crumpled up in it. So, in order to make it
function, I thought it might be a device to release ions into the atmosphere.

STAR FLEET GUIDE
VOLUME X
STAR FLEET MEDICINE
38. The device in the corner of the lab, as shown in Figure 10a86.60, didn’t mean to
have a function, but it looked like it could be a unit to dispose of medical and
laboratory waste.
39. The Decompression Chamber was used in only two episodes in the TOS: Space Seed
and The Lights of Zetar, though a glimpse of it can be seen in the TOS episode
Operation Annihilate.
40. The original controller for the Decompression Chamber, as seen in the TOS episode
Space Seed, can bee seen in Figures 10a86.62 and 10a86.63. It was modified in the
TOS episode The Lights of Zetar with an adjusting knob added to the bottom right of
the panel as illustrated. In addition, the units of pressure of the gauge on the panel
was changed from inches mercury (In Hg) to atmospheres, which makes a big
difference in the maximum pressure within the chamber.
MISCELLANEOUS CHAPTER 8 NOTES
M1. The Reader Tube was first named as such in the book The Making of Star Trek
(Reference 11.) However, throughout the TOS series, the look and use of this device
changed. For example, in the TOS episode For the World is Hollow and I have Touched
the Sky, it was used to extract the mind control device from Natira, and it appeared to be
the only time this device was used.
CHAPTER 9
1. As seen in the movie Star Trek: The Motion Picture Dr. McCoy was reactivated into
Medical Service at the behest of Admiral Kirk.
2. This is a minor rewording of the regulation stated by Dr. McCoy in the TOS episode
The Man Trap. The original wording can be found in Note 3 of Chapter 4 in this
manual. As such, I changed Regulation 6621 to reflect the new wording.
APPENDIX A
 RESERVED FOR FUTURE USE
APPENDIX B
 The Star Fleet Medical Reference Manual presented here is the complete work of
Geoffrey Mandel and Eileen Palestine as illustrated in Reference 2 listed in the next
section.

STAR FLEET GUIDE
VOLUME X
STAR FLEET MEDICINE
3.0 REFERENCES
1. “The Star Trek Guide Third Edition,” Gene Roddenberry, Paramount
Studios, © April 17, 1967.
2. “Star Fleet Medical Reference Manual,” Eileen Palestine and Geoffrey
Mandel, Ballantine Books, © October, 1977.
3. “Manual of the Medical Department, U. S. Navy (NAVMED P-117),” U. S.
Navy Bureau of Medicine and Surgery, © March 29, 2016.
4. “Line Officer Requirements,” D. Schmidt, Starfleet Training Command,
©1987.
5. “Line Officer Requirements Supplement,” D. Schmidt, Starfleet Training
Command, ©1987.
6. “Star Fleet Technical Manual TM379260,” Franz Joseph, Ballantine Books,
Random House, ©1975.
7. “Star Trek Concordance,” Bjo Trimble, Ballantine Books, © October, 1976.
8. “Star Trek Chronology – The History of the Future,” Michael & Denise
Okuda, Pocket Books, Simon & Schuster Inc., ©1996.
9. “Star Trek Encyclopedia – A Reference Guide to the Future Updated and
Expanded Edition,” Michael & Denise Okuda and Debbie Mirek, Pocket
Books, Simon & Schuster Inc., ©1999.
10. “Federation Reference Series #2 RS480371,” David John Nielsen, Star Fleet
Printing Office, ©1985.
11. “The Making of Star Trek,” Stephen E. Whitfield & Gene Roddenberry,
Ballantine Books, Random House, Inc., ©1968.
12. “U. S. S. Enterprise Officer’s Manual,” Geoffrey Mandel, Interstellar
Associates, ©1980.
13. “The World of Star Trek,” David Gerrold, Ballantine Books, ©1973.
14. “Star Fleet Uniform Recognition Manual,” Shane Johnson and Kathy
Johnson, NORON Group, ©1985.
15. “U.S.S. Enterprise Officer’s Manual OM 1701-CEC,” Geoffrey Mandel and

Doug Drexler, Interstellar Associates, ©1980.
16. “Star Trek II Biographies,” William Rotsler, Wanderer Books, ©1982.
17. Blueprint: “Journey to Babel Stage 9 Master Plan,” Matt Jefferies,

Paramount Studios, ©1967.

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STAR FLEET COMMAND

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Dr. Phillip J. Boyce, Vice Admiral, MED

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STAR FLEET COMMAND MANUALS

VOLUME I STAR FLEET COMMAND

VOLUME V STAR FLEET SHIPS

VOLUME VI STAR BASE COMMAND

VOLUME VII STAR FLEET BASES

VOLUME VIII STAR FLEET JUSTICE

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VOLUME X TABLE OF CONTENTS

1.0 Star Fleet Division of Medicine 10a10

4.0 Star Fleet Medical Operations 10a40

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VOLUME X TABLE OF CONTENTS - CONTINUED

6.0 Star Fleet Nurses 10a60

7.0 Star Fleet Medical Technicians 10a70

8.0 Star Fleet Medical Facilities 10a80

9.0 Star Fleet Medical Duty 10a90

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Throughout the manual the following typographic standards will be used:

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1.0 STAR FLEET DIVISION OF MEDICINE

STAR FLEET MEDICAL DIVISION

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DIRECTOR: STAR FLEET COMMAND

STAR FLEET EXECUTIVE ORDER 10.0: STAR FLEET MEDICINE

Director: Star Fleet Command

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STAR FLEET DIVISION OF MEDICINE SYMBOL[1]

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Division Number Division or Office

4000 Star Fleet

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4000 Star Fleet

4010 Star Fleet 4020 Star Fleet

4500 Star Fleet 4600 Star Fleet 4700 Office of

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1.1 STAR FLEET BUREAU OF MEDICINE

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STAR FLEET MEDICAL CORPS

Individuals who wish to enter medical service can do so in several ways:

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STAR FLEET BUREAU OF MEDICINE AND SURGERY

Formal Symbol of the Division of Medicine Symbol used on Medical Facilities

Symbol used on all Medical Uniforms Symbol used on Medical Documents

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 Star Fleet Office of Medical Personnel

Each of these offices will be described in the subsequent sections below.

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STAR FLEET OFFICE OF MEDICAL PERSONNEL

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The function of the Office of Medical Personnel Certification is to establish the