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Life Lessons: Medical Mishaps

Medical Mishaps is the medical module for Life Lessons. This mod adds an entire tree of medical proficiencies that will complicate medical treatments of most wounds and surgeries. An unproficient doctor may do more harm than good by attempting to treat wounds they're not qualified to treat, or may be unable to meaningfully help at all.

This sub mod adds a set of new proficiencies centered around medical care and general medical knowledge. Pawns with medical backstories, or backstories that might reasonably include some first aid training, will generate with a subset of these new medical proficiencies.

Most wounds and injuries will now require a set of proficiencies to be effectively tended. If a doctor doesn't have the necessary proficiencies to perform the most effective treatment, they can fall back to a less effective but less risky treatment plan, requiring less advanced proficiencies.

Each doctor has a "Treatment Strategy" option in their health tab. The "Safest" option means that the doctor will always choose the most-effective plan for which they are fully qualified, usually reducing the risk of treatment at the expense of effectiveness.
The "Most effective" option means that the doctor will always choose the most effective plan, even if they are not fully qualified to perform it. This usually comes with increased risk of doing more harm, but is usually more effective, and will also generate XP for the missing proficiencies.

Many surgeries now also require specific proficiencies. Most of these are "soft" requirements, meaning that you can still perform these surgeries with an increased risk of failure. Performing surgeries for which the doctor is not fully qualified will generate XP for the missing proficiencies.

Q: How do I earn the new proficiencies
A: In most cases, using them with the "most effective" treatment strategy will slowly train your doctor at the expense of your patients. Using low-value patients is one strategy. These proficiencies cannot currently (but will eventually) be pioneered. The most cost effective way to train them is to learn from an existing doctor.

Q: Some proficiencies don't seem to be used
A: Some proficiencies were added due to being sensible stepping stones or with the intent of being used for other mods. Notably, there is very little use of "bone setting" or "internal fixation."

Add to an existing save: Yes, but existing pawns may not have the medical proficiencies they would otherwise have on a fresh save.
Remove from an existing save: Likely to cause issues if core mod is still installed.
"Balance": The penalties applied can compound. Testing has been performed to determine correct functionality, but tweaks may be necessary for the systems to "feel" correct. Feel free to complain about non-sensible penalties.

Discord[discord.gg]
Git[gitlab.com]