Medical Officer / Yacht Medic
The medical officer is the clinician on board. On big yachts working remote grounds such as Raja Ampat, the Kimberley or Antarctica, the nearest hospital can be days away, so owners hire a qualified medic to deal with whatever happens. You treat crew and guests, run the hospital, keep medical stores in order and train everyone else to cope until help arrives.
The jobWhat fills the day
Most of the job is ordinary clinical work. Cuts from lines and galley knives, sprains, seasickness, sunburn, ear infections from diving, dental pain and the odd chest pain at 0300. You hold the medical log, keep the drug safe and controlled drugs register, check the defibrillators and oxygen, and restock against the flag state scale. You also handle crew medical paperwork, ENG1 expiry dates, vaccination records and the occasional repatriation.
With guests aboard the focus moves to them. You join the pre-trip brief, read any health notes passed through the captain, and plan around diving, jet skis and shore excursions. On some yachts you shadow the watersports team or the tender on long runs. With the owner off, the work turns to training: first aid drills, man overboard and casualty scenarios, and helping officers keep their MCA Medical Care competence current.
Hiring captains want proven emergency experience. Most medics come from ambulance services, emergency departments, intensive care, the military or offshore oil and gas. A UK HCPC paramedic, an NMC registered nurse with emergency or critical care background, or an equivalent registration from Australia, South Africa or the US is the usual baseline. Some yachts want a doctor. A second skill helps: dive medicine, a PADI Divemaster rating, or the ability to cover as a steward or safety officer.
Few yachts carry a dedicated medic, so jobs are scarce and turnover is low. Many people start as a steward or deckhand with a nursing background, prove themselves, and move into a pure medical role on a larger yacht. From there the paths lead to bigger programmes, fleet medical roles with management companies, telemedical services, or shoreside safety and compliance work. Keep your home registration active. Letting it lapse ends the career fast.
Skills captains look for
- Pre-hospital emergency care
- Remote and wilderness medicine
- Medical stores and drug control
- Crew first aid training
- Dive and diving injury awareness
- Clear telemedical reporting
- Discretion with guest health
A day aboardOwner trip, 95m expedition yacht, Raja Ampat, Indonesia
Walk-round of the hospital: check the defib, oxygen levels and fridge temperature log. Note anything used overnight.
Crew clinic in the hospital. A deckhand with a coral cut, a stew with an ear infection, and a dressing change from yesterday.
Join the morning brief with the captain and watersports lead. Agree dive plans, depths and the evacuation route if something goes wrong.
Ride along on the guest dive tender with the oxygen kit and trauma bag. Stay on the surface and watch the clock.
Lunch in the crew mess, then an hour off in your cabin.
Update the medical log, check controlled drug counts with the chief officer and order antibiotics ahead of the next port.
Run a casualty drill on the aft deck with the deck team: spinal immobilisation and a stretcher recovery to the tender.
Dinner and time off, phone and radio on in case a guest needs you.
Called to a guest suite for a dehydrated child. Assess, give oral fluids, brief the captain and log it.
Pay by yacht sizeMonthly, before tips. Estimates. Bars share one scale.
Most medical officers work rotation, so you are paid year round for half the time aboard. Charter tips are shared with crew on yachts that charter, but many medic posts are on private yachts where tips are small. See the Spa, Wellness & Childcare salary guide for figures from live adverts.
Tickets and visas
Must have
- Current professional registration (e.g. HCPC paramedic, NMC nurse, GMC doctor or national equivalent)
- STCW Basic Safety Training
- ENG1 medical certificate
- STCW Proficiency in Designated Security Duties (PDSD)
Gets you hired
- Advanced Life Support (ALS) or equivalent
- PHTLS or ITLS trauma course
- Remote, offshore or expedition medicine course
- Dive medicine course or PADI Divemaster
- MCA Proficiency in Medical Care (STCW A-VI/4-2)
Visas
- US B1/B2 visa
- Schengen visa if you are not an EU citizen
Where it leadsA typical career path
Questions crew ask
Do I need yacht experience to get a medic job?
It helps a lot. Captains like medics who already understand life aboard, so many start as a steward or deckhand with a nursing or paramedic background. Strong emergency or military experience can get you in without it on bigger expedition yachts.
Will I only do medical work?
On the largest yachts, mostly yes. On 70-90m yachts expect to cover something else as well, often interior service, safety officer duties or helping the dive team. Make sure the job description is clear before you sign.
Who do I call when something serious happens?
Nearly all yachts have a contract with a telemedical provider who gives 24-hour advice from shore doctors. You assess, report clearly, and act on their advice while the captain arranges evacuation if needed.
Can I keep my registration while working at sea?
You must. Plan your rotation leave around revalidation, CPD hours and practice requirements set by your regulator. Some medics do agency shifts ashore on leave to keep their clinical hours up.