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Multiple realities
(covers information from several alternate timelines)

A medical assistant was a medical position that required a basic level of medical knowledge, less than a nurse but more than an orderly, whose primary role was in assisting a doctor.

During his brief visit to the mirror universe, Dr. Leonard McCoy was appalled by what he found, calling his sickbay a "Chamber of Horrors", further describing that his counterpart's assistants "were betting on the tolerance of an injured man," specifically, "how long it would take him to pass out from the pain." (TOS: "Mirror, Mirror")

Surmak Ren was a Bajoran medical assistant who witnessed and signed the Certificate of Death of Dekon Elig. (DS9: "Babel")

In 2371, USS Voyager's Emergency Medical Hologram got permission from Captain Kathryn Janeway to begin training Kes as his medical assistant. Initially he felt she would be "a backup for Mr. Paris or, possibly, a replacement." (VOY: "Phage", "Projections", "The Swarm") Paris, himself, was described as the ship's field medic. (VOY: "Parallax", "Friendship One") However, following the departure, he functioned on several occasions as the Doctor's assistant. During the Year of Hell, while Paris was fulfilling said role, the Doctor lectured Paris on the first rules of medical triage. (VOY: "Year of Hell") Around the same time, when his body was occupied by the impostor Steth, the con artist sweet talked his way out of assistant duties, stating, "Well, no offence, Doctor, but you were programmed to be a medical genius. Things always come easy to you. Me, I'm just a pilot. A grease monkey. And as hard as I might try to become a better assistant, it's clear to me now that I'll never be half the healer that you are." (VOY: "Vis à Vis")

Several years later, Tom Paris made his own interpretation of the fictional holonovel Photons Be Free, where the role was that of "a Medical Assistant aboard the Starship Voyeur." In the role, the medical assistant's job was "to assist the Chief Medical Officer and learn to tolerate his overbearing behavior and obnoxious bedside manner." (VOY: "Author, Author")

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