Okay, so since the last wipe, you couldn't use First Aid or Doctor in turn-based combat, for obvious reason that the cooldown should have only applied to real-time, etc.
But, of course, there are alternatives to First Aid you can use now. Stimpaks and Super Stimpaks are great to use now in Turn-based. But there isn't any alternative for Doctor. If you get your limp torn off in Turn-based, there is no way to fix it until combat ends, which, by then, it might not matter because you are dead.
My suggestion is to make some sort of way to use Doctor in Turn-based, or, and this would make more sense, have a way to use an item, just like First-Aid items, that have the chance to fix a body part based on your Doctor skill.
This item could be crafted with the Doctor profession, and it could allow Doctor to be available the same way First Aid now is in combat, but it wouldn't get rid of the Doctor skill for those who could just afford these items, because it would still require your Doctor skill to use correctly, maybe with a little boost. These things could be adjusted, but the basic concept still could be implemented in some way, I hope.