The only thing I remember hearing that the medic was good for, was if you have a wounded man and then put the medic in the same compartment with him (I assume bow or stern quarters would be best), he is more likely to recover and/or recover more quickly and/or get back up to a higher "Health" status than he would have without "medical attention."
Since I've never had wounded crew during a patrol I've never been able to see if it makes any difference having a medic sit with them in their quarters to recuperate.
If I have a medic, he's a PO, and I prefer to have medic as his primary qualification, if he's otherwise qualified then it's only in something I'm already covered for by other crewmembers and the medic has it as a backup in case those guys are lost/unavailable.
I wouldn't have a WO who doubled as my medic, if I do have wounded I wouldn't want to have to send a WO to their quarters until they get better, lol. He can't be nursing wounded crew and function as a WO as well.
Edit: And no I certainly wouldn't consider using the No Fatigue model as cheating, in fact IMO it's completely unrealistic to expect a commanding officer to be personally responsible for seeing to crew "shift changes," that's just ridiculous. Ideally you'd be able to configure your crew into the necessary watches and then have them rotate on their own unless you specifically made a change to something during the patrol for whatever reason. THAT would be realistic. Unfortunately SH3 doesn't work that way, so the "No Fatigue" model removes it as an issue entirely.
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