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Hello! I'm new on the forums but I have played CMO about 80% of my games for the past few months, I also have a limited knowledge of the system on paradise station.I find paradise station makes medbay more interesting by reliance on surgery, generally the one thing in medbay that requires any semblance of skill. The new brain trauma system is a step in the right direction in this regards, typically only medical staff performs a surgery, rather than the self-service in everything else. Perhaps the addition of broken bones, sprains (for brute) or 3rd degree burns requiring skin grafts (for burns) could be added as surgeries. Also, sterility protocols and the possibility of infection increase the skill curve. I am aware paradise pulls this off by having longer rounds than TG, but currently surgery doesn't take too long on TG.
Another idea would be an increase in the amount of diseases undetectable by the general population or just more disease in general that cannot be cured via sleeper. As CMO I've never had a patient self-serve when they have appendicitis (it's because they can't xD), they come to me, ask me what the heck is wrong, and then I take them into surgery. Perhaps more diseases from poor life choices could be added (diabetes from surgery food, obesity can become a bigger deal, muscular atrophy from sitting around, lung cancer from cigarettes, a more fleshed out liver disease from alcohol). Diabetes could be a unique system of regular bloodwork and balancing insulin with sugar intake, involving regular doctor visits and chemisty. The obesity system in game is decent, but I don't think people have to eat enough currently, making it so people have to eat more often could tempt them to stuff themselves. Staff like the head of personnel could get muscular atrophy from sitting around too much, perhaps doctors can choose whether to suggest more exercise or risk providing steroids. Cigarettes and radiation exposure could perhaps cause cancer (surgery to remove the tumor with a risk of it coming back or damaging healthy tissue), lung surgery should perhaps require a ventilator to be used simultaneously. Perhaps there could be a 1% of someone arriving on a shuttle having the common cold, or a viral infection. Perhaps surgeries or brute damage could result in bacterial infection requiring novel antibiotics to be researched. If we're really ambitious these antibiotics could eventually spawn resistance.
I would also like to see more medbay roles as opposed to less, with a reduced number of MDs. The first that come to mind are EMT (emergency medical tech) and coroner. I think a coroner is necessary in order to update medical records on the deceased, as well as notify security of suspicious findings, perhaps they could find artifacts that other staff could not find, such as perpetrator hairs, bullets, etc... in some ways this would also buff the detective. A psychologist would be an interesting role to consider but unlike paradise it would need an actual mechanic. I'm not sure what that mechanic would be, but I'd like it to be text based, perhaps x person can only say an unintelligible slur of letters and the psychologist has a a guide (like the DSM) that can be used to decode a cure, the problem here is I can see no possible way this mechanic could be unique for more than few rounds. Perhaps looking at screens too long could induce nearsightedness in players to various degrees, and an optometrist (or just an optometry department for normal docs) would be needed to create the right prescription glasses. If the afforementioned diabetes and infection systems are implemented maybe certain players could be lab techs who synthesize antibiotics and run tests. Nurses could ensure sterility before operations, and take care of patients who are quarantined or maybe waiting on a bone to mend. Overall I would like to see more specialization in medbay, perhaps each department doesn't need to be a role per se, but specialties none the less (akin to RnD, xeno, and toxins inside science).
I was going to suggest something else here but forgot. If anything above seems interesting I'd be happy to try to develop the idea in more detail.
EDIT: Part of the reason I would like to see more specialists, as well as disease involving multiple specialists, is because it would require coordination by the CMO. In addition to the problem of MDs not having much to do, I also find that the CMO being little more than an MD with a cloak is also a problem.