Its a shame "Chief Medical Dwarf" wasn't called something more fitting, like "Chief Surgeon."
An easy thing to mod, by the look of the RAWs, just like I'll be having a Quartermaster rather than an Arsenal Dwarf.
There are a lot of interesting implications in there, and I already have some ideas. It just depends on how things work out. Mayors, for example, have the 'Elected' tag, which presumably can be removed so that they are no longer elected. If so, what's the method for replacing one
when if one dies? I'm curious as to how that would work out.
Related to that, it seems that you can mod in your own nobles, so it might be fun to mod in Fortress Favourite as an Elected position. I don't know how the first one would be chosen, but it could be a title passed around each year, with no duties or requirements, just conferring an immunity to the economy and to punishments. Has potential, especially since elections seem to be largely based on friends, thus your most idle dwarf is the most likely to pick this one up.
My biggest question would be about the appointment of landed nobility. Although Toady has said that we'd be able to appoint them - which I assume also means that we can depose them whenever we want to - according to this page, they are appointed by the monarch, which strongly suggests that we can't actually choose our own until a monarch arrives. Until then, who knows.
Funstuff.