Medical school is four years, anesthesia residency is 3 years, but you typically have to do a year (traditionally of medicine or surgery) residency or more recently a transitional year before entering anesthesia OR you do four years of anesthesia, so it is really 8 years of training. Most nurses will not have completed all of the pre-med curriculum, so for a nurse to complete all the the premed, go to med school, and do anesthesia would likely take 9 or 10 years. I think a shorter and alternate path for others in the medical field makes a lot of sense. Yeah, I meant to say something about anesthesia just being one example. I think the basic idea should be true for others as well (nurse practitioners and PAs), but didn’t mention that. It is certainly true that there is a wide range of skill and ability amongst bookkeepers and tax preparers. I have talked and worked with some who were more knowledgeable than a lot of the accountants that I have encountered. I have also interacted with some who couldn’t tell you the difference between a deduction, an exemption, and a credit. But, I think your criticism missed the point. I forget the school, but there is a university that has been mentioned here that will admit people to its masters degree in tax who have passed the Special Examination for Enrollment (EA Exam) without a bachelor’s degree. Why shouldn’t this be more common. I am not saying that every person who has done a 2-night a week tax course for a few months at H&R Block to become a “tax pro” could cut earn an MAcc. But there are plenty of people out there, I am sure, who have worked and learned who absolutely could. My point, as I said, is that we would be better served with a system that would let people build ability and credentials as they go. Why is sitting for 3 hours/week for 30 weeks per year, for 4 years in accounting classes, spending other hours doing other classes, and most of your time NOT doing school better than working full-time actually doing accounting. Sure, there will be gaps in your on-the-job learning. But, it’s not like have an accounting degree gives you complete knowledge. My work is basically related to Forms 940, 941, and 1120S. During my accounting degree I never learned about the 940 and 941 and spent about a week on 1120S returns. Arguably, someone who had worked as a payroll clerk for a couple of years with no degree would have been better suited for my job than I am, but the job requires an accounting degree so they wouldn’t pass the initial review. Two final notes: the universities in the UK have had admissions standards for many years that allow experienced people without undergraduate degrees to pursue graduate degrees. If it was a total failure, they likely would have done away with these programs years ago. Also, in the UK as in the US there are master’s programs that are built for people with subject area knowledge to further that subject area knowledge. There are also masters degrees that don’t require specific subject area knowledge. Many MBA programs are like this (as, indeed, are a goodly number of MAcc programs). If you have someone who is fairly smart, can read and write well, who has successfully operated a business for 10 or 15 years, why are they unqualified for an MBA program, but someone who has a degree in fine arts who has not taken any business courses IS qualified for an MBA by virtue of their fine arts BA? Objectively, they aren’t. But that’s not how it works in the US. I think that is dumb.