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The Cochrane Medal was a prestigious honor that was awarded by members of the United Federation of Planets.
Created on Stardate 2/0001 by the Alpha Centauri Academy of Science and Technology, it was presented to a scientist who, in the spirit of Zefram Cochrane, had contributed to the Federation by their outstanding performance in the physical sciences or advanced engineering application or some other technological achievement. It appeared as a silver filigree with precious stones which detonated the atomic structure of a Dilithium nucleus. In addition to this, a parchment inscribed in gold ink described the individual's scientific accomplishment.
Doctor Caroline Ravenwood was one such recipient of the medal which she recieved on Stardate 2/29.16 for her breakthroughs in psychotherapuetic engineering which was one of the factors that was responsible for the invention of the Holodeck. This allowed Holodecks to be used throughout the Federation as a therapeutic tool in the treatment of mental disorders as well as for instructional and even entertainment purposes. (FASA RPG module: Star Trek: The Next Generation Officer's Manual)