Star Trek: The Cantabrian Expeditions Wiki
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The assistant chief medical officer was not only an individual who assisted the chief medical officer discharge her duties but also acted as a replacement for the chief medical officer in cases where she was unable to carry out her duties.

Doctor Geoff Yamaguchi was the assistant chief medical officer aboard the USS Prospect (NCC-60056-A). (Star Trek: The Prospect Chronicles)

Doctor Akeras Pela was the assistant chief medical officer aboard the USS Cantabrian (NCC-24705) between 2369 and 2373 aboard the USS Cantabrian (NCC-24705-A) from 2374 onwards. (Star Trek: The Cantabrian Expeditions)

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