“Studying medicine” is such a vague term that it’s not really useful in this context. If I’m reading from a book to learn the key features of HSP as well as its treatment, how is that any different than learning from flash cards or a Q bank? Sure, it will be different when I see it in real life, and it will likely cement it in a different fashion in my mind, but if I could recognize it the first time I see it by having studied, should I not then study to prepare? Are you suggesting that people should give up efficient and effective methods of long-term retention over some idealistic belief of what “learning medicine” should look like? Because I promise you, that even if we got rid of all the tests, you (you as a general term, I definitely would) would still have to study books or do notecards or question banks to learn all the facts necessary to understand medicine.