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Originally Posted by vicky_molokh
Players commonly decrease Per for their IQ-oriented characters.
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They do? This hasn't been at all common in my groups.
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Making Diagnosis Per-based while keeping Physician IQ-based might do well to emphasise the importance of both.
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I think asking for Per-based Diagnosis is quite often reasonable, if GM and player have a similar understanding of medicine. Large imbalances in that understanding can easily cause confusion.
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(Now, making DX important for Surgery without either nerfing surgeons nor making IQ meh for surgeons - that's trickier.)
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Yeah, that's one's hard. The nearest thing to a solution I have is lifted from the 3e Guns rules. Give +1 to surgery rolls for DX11 or +2 for DX 12, for actual practical surgery. High Manual Dexterity applies.