Most are in better shape than I’d be. At least through the mid-2300s, most Star Fleet admirals were the captains that encountered the least explained and weirdest stuff the alpha quadrant has to offer. And they probably only became captain after seeing their old cap turned into an incubator in a alien zoo or something.
The reverse would suggest that Spock serves as the ship’s Chief Pointeer or Head of Pointeering.
Which is now my head canon.