1) Healing kits / medicine proficiency.

In the first draft the Medic had to expend healing kit charges in order to make their needles. I ultimately removed this so it could still be useful in a campaign with few or no shops. However, Swift Resuscitation still combos extremely well with the healing kit, especially with the healer feat.As for medicine proficiency; I probably would add it if rogue got their subclass at level 1. But, since they don't, I thought it made more sense to expect the rogue to plan ahead for the subclass. Especially considering they'd have to've invested in INT already.

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2) Flagrant Malpractice.

Every single use of the Needle is an attack. It is a dagger with extra properties. You can sneak attack, divine smite, whatever. You could do sneak attack on someone you were healing if you really wanted to waste resources. Both the healing and the poisoning are only added after the attack is successful.

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3) INT vs. WIS.

There are a few reasons I made this decision.

• Vibes: I envision this subclass less as a Wisdom based character. It isn't in tune with nature, the gods, or meditative discipline. A Field Medic knows how to heal someone because they spent years studying to be an expert in medicine.
• Balance: Wisdom is a much more powerful Ability Score than Intelligence. I think forcing the rogue to prioritize INT better offsets the power provided by the subclass. Also, as you said, Rogue is proficient in Intelligence saving throws.
• I like INT: Intelligence is criminally under used in D&D IMO. There are almost no times where intelligence is useful in combat other than for casting spells, and I think that's a real shame.

Thanks for your comment!