[keeptrying]

The first two years are the scientific part of a medical course.

The next two are more about interacting with a live patient in a variety of settings. Obviously this si useful.

But most of the harm created by the medical system and skewed doctor incentives (only 15 minutes to see you) can be averted by those 2 years. For example: knowing to e able to read a examination report means abiliy to ask questions immediately.