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medical situations as required. Flight surgeons are traditionally terrestrially based and a model has evolved whereby designated crew medical officers are provided with additional training to assist the flight surgeon to provide care in orbit. While the crew medical officer may be a physician, this is not always the case. One limiting factor for the care provision by flight surgeons in the current paradigm is the lack of a complete clinical encounter, including the physical examination. Flight surgeons are constrained by the same limitations as terrestrial physicians