diff --git a/rust/crates/rusty-claude-cli/src/main.rs b/rust/crates/rusty-claude-cli/src/main.rs
index 52915f0..97bda78 100644
--- a/rust/crates/rusty-claude-cli/src/main.rs
+++ b/rust/crates/rusty-claude-cli/src/main.rs
@@ -417,7 +417,10 @@ fn run() -> Result<(), Box<dyn std::error::Error>> {
             cli.set_reasoning_effort(reasoning_effort);
             cli.run_turn_with_output(&effective_prompt, output_format, compact)?;
         }
-        CliAction::Doctor { output_format } => run_doctor(output_format)?,
+        CliAction::Doctor { output_format } => {
+            run_stale_base_preflight(None);
+            run_doctor(output_format)?
+        }
         CliAction::Acp { output_format } => print_acp_status(output_format)?,
         CliAction::State { output_format } => run_worker_state(output_format)?,
         CliAction::Init { output_format } => run_init(output_format)?,