[forgetbook]

So, it varies, and is loosely coupled at best, even looking from a macro-level.

The problem I see is that while students have enormous incentive to match a company's standard, companies have very little incentive to be a part of that process.

A student pursuing a degree in a larger pursuit of a career is faced with a founder's dilemma. They shoulder all of the risk of failure, and have no recourse. It isn't a company's problem if they aren't trained properly, nor is it a professor's. When starting a company founders are able to seek funding and declare bankruptcy, but students are expected to take out loans that cannot be defaulted on.

If the macro-level goal is a highly trained, highly effective workforce, then why aren't students supported in pursuing training by any of the institutionsthey interact with on that macro level?

[hilbert42]

The point you raise isn't unique to the medical profession (although it's likely at the sharp edge), but it's endemic in other professions too. It's a much bigger cultural issue involving employees' attitude to work, long term job security and employers' indifference, etc. Huge topic, too complex to make much sense of here.

A related problem is the continuing education issue/ongoing skills etc. It's always been a bit of a joke from a workforce-wide/global perspective. Again, the reason why that's so is also involved and complex.