Earlier quoted context omitted.
Wait... You think someone should be allowed to self-study, take a test, and be a medical doctor? You can do this with some professions, but I'd like to think my medical doctor has had actual experience with living people and cadavers.
Read my post again. Someone should be able to circumvent the academic complex's monopoly on credentials, as long as they can demonstrate the same aptitude and proficiency. At that point, as I said, the hospital training is just a formality with some exceptions. Surgeons obviously need to demonstrate dexterity and composure. Candidates need to show up to work on time, etc.
Except that instead of checking in awful, unmaintainable spaghetti, they'll be making life or death decisions.
I wouldn't let an unsupervised zero-work-experience fresh grad be solely responsible for a product. Doctors make important decisions - without any supervision or 'code review' on a daily basis.