Referred to mainly as the Doctor or "Doc" by many members of the Star Trek: Voyager cast, Picardo's character was thrust into the role of the position of the ship's Chief Medical Officer, despite being originally installed as a short-term supplement to Voyager's original Sick Bay team. Although Picardo played other Voyager characters, the Doctor was his most prominent role.
Star Trek: Voyager's Emergency Command Hologram Created A Big Problem For Captain Janeway's Crew
The ECH being utilized would have meant the Doctor being absent from Sick Bay during a crisis
The Doctor took his role aboard the USS Voyager very seriously, even when exploring his sentience and burying himself in hobbies not typical of an artificial lifeform. That said, he did also develop professional aspirations that ventured beyond the medical field, as proven in Star Trek: Voyager season 6, episode 4, "Tinker, Tenor, Doctor, Spy."
The episode in question reveals the Doctor's daydreams of taking control of the ship in the event of a dire emergency that incapacitates Voyager's commanding officers. As the Emergency Command Hologram, the Doctor saves the day, and even manages to do so while pretending to fill his made-up role outside his daydreams.
Despite being a hologram, even the Doctor can't be in two places at once.
If the Doctor had been needed to command the ship, he would have been unavailable to treat the crew's injuries that would surely have been caused by the same catastrophe that had thrust him into the captain's chair. Despite being a hologram, even the Doctor can't be in two places at once. His program is incredibly sophisticated and unique, so it can't be easily copied.
Star Trek: Prodigy Finally Proved The Doctor's ECH Idea Had Merit
The Janeway hologram goes on to become the USS Protostar's ECH
The ECH was never officially put into service in Star Trek: Voyager, which is probably for the best. Otherwise, what would have been a terrible scenario would have been made even worse by the absence of the ship's only physician being somewhere other than Sick Bay. Starfleet, however, did end up using the ECH after Voyager.
The holographic Janeway is eventually upgraded to the position of the USS Protostar's Emergency Command Hologram, and the character is perfectly suited for the role.
The holographic Janeway is eventually upgraded to the position of the USS Protostar's Emergency Command Hologram, and the character is perfectly suited for the role. Not only does it have all the same traits as one of Starfleet's most legendary officers, but the ECH becomes her primary role, which is where the Doctor's idea fell short in Star Trek: Voyager.