Why would you want to need to command medical dwarves to do their jobs?
As for goblins:
[ETHIC:TORTURE_AS_EXAMPLE:UNTHINKABLE]
[ETHIC:TORTURE_FOR_INFORMATION:UNTHINKABLE]
[ETHIC:TORTURE_FOR_FUN:UNTHINKABLE]
[ETHIC:TORTURE_ANIMALS:UNTHINKABLE]
That sounds like torture for fun (unthinkable), or maybe for (medical) information (unthinkable). Dwarves aren't into that stuff.
The one fortress where I had a Chief Medical Dwarf that actually did his job was the one with the worst medical system. Why? Whenever a military dwarf got injured, the Chief Medical Dwarf would clean, dress, and suture them all in one go, which resulted in them bleeding to death more often than not. If I could tell the moronic dwarf to just suture the wounds one at a time, maybe the poor soldier wouldn't have bled so much.
Then suggest that medics gain the intelligence to do things intelligently. Don't make us all do more micromanagement.
As in for ethics, Toady could just change them if he wants. Problem solved.
Those are the ethics Toady wants dwarves to have, so he DOESN'T want to. Problem NOT solved.
Are you being sarcastic? I can't tell.
Anyways, big issues. Dwarves die when cut in half and horses die when decapitated. So, those would need to be completely different things from normal medical work, or at least would have absolutely no concievable purpose that doesn't violate dwarven ethics until such mad science is implemented.
Dwarf Fortress isn't totally realistic. It has werebeasts, vampires, and necromancers. Frankensteins wouldn't be that much out of place.
First off, "some magical elements" doesn't mean "bye-bye, common sense!" Second off, I was describing current behavior in DF. Third off, I was just saying that stuff like that would be more than normal surgery. Fourth off, FRANKENSTEIN WAS THE GUY WHO CREATED THE MONSTER. Fifth off, AS I MENTIONED ABOVE, IT WAS NOT MADE FROM DEAD BODY PARTS.
...
INITIALLY.
We already HAVE doctor Frankensteins. See basically every dwarf doctor ever. "Your toe is broken? OUT WITH THAT LUNG!". You can see the desperate frustration in their enthusiasm to cause bloodloss.
That was due to stupidity, not bloodthirst. Once dwarves learn enough anatomy to tell the difference between a broken toe and a rotten lung, they do their jobs a lot better.