Not to be coy, my point is that education is one thing, and contests to see who gets the cherry positions in society are another, and when you combine them you get cheating. Which, of course, undermines the "verify knowledge" function of the tests in the first place, eh?
In my domain (computer programming) I know enough and have enough experience that I can gauge the skill and knowledge of my peers (and they mine.) That is how I get jobs. I go in and talk to the other programmers, and I can demonstrate that I'm "the real deal".
In re: "just [letting] doctors go yolo on their patients" I don't want to get into a long thing here, but I will mention that a strong argument could be made that the current system is not very good at getting positive outcomes. What I mean is, doctors and hospitals kill a lot of people. In other words, the existing systems to train and employ doctors are far from perfect.
(Not to put too fine a point on it, the way to find good doctors is to ask other doctors whom they would let doctor them, ya feel me?)
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edit: I realized I didn't answer your question.
What I propose is that we throw out the whole obviously-broken academic system.
I propose that people go to colleges and schools to learn, at any age, at any time, and they don't get grades or degrees or anything.
You get to be a doctor or architect or whatever by demonstrating to other people who know that you too know, rather than "earning" a proxy (degree or whatever) that can be faked.
If human life were simple enough that it could be covered by a system of tests and grades we wouldn't have these huge brains on the ends of our spines, eh?