I guess we have to draw the distinction between "qualification preferred" and "qualification required".
IIRC in many jurisdictions you can sit the exam to become a lawyer without having a degree or anything. The degree more acts as a series of preparation classes for the very very difficult process of passing the bar.
In this situation, cheating in mid terms becomes a bit pointless. As long as the final exam is done with strict security (easier for a one off event), the qualification means something.
So maybe that's what we want for cardiologists and structural engineers.