What is your suggestion to replace that? As some careers demand a certain level of competency and skill (Doctors, Nurses, Civil Engineers, et cetera)?

Are you saying the confidence we give doctors based on their years of studying and research just might be too much faith in the Government standard? Interesting question that brings up as well, how do we accurately gauge a persons skill in a profession like this if we were to try to "free" up the institutional thought process? Maybe an apprentice/master system? Seems to work well for skill trades, why not for doctors?