I am AFHL and also not terribly familiar with the Medic. But usually if you're not seeing a new tab from a recently-added Configurable, all you need to do is reload the game system with CTL-R (or, occasionally, restart Hero Lab entirely).
That said, if all you're trying to accomplish is a discipline swap then you don't need to set up a whole new maneuver tab. Discipline swaps are already handled by adding/removing discipline tags in a script. The Steelfist Commando is a good example.
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