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Though considered archaic by the 23rd century, the term was still occasionally used, as when Dr. Ezekiel Fisher accused his colleague Jabilo M'Benga of abandoning him on Vanguard "to be a sawbones on a starship." (VAN novel: Harbinger)
The term also survived in the language of Sigma Iotia II, due to the influence of a 20th century Terran book on their culture. Iotian Makk Vinx once called Dr. Sarjenka "sawbones". (TOS episode: "A Piece of the Action", CoE eBook: Turn the Page)