Even the best and the brightest 18-19 year olds who have aced every test and sim should have a *long* period oof supervision by others of greater experience.
not to overdo my medical alonolgy but .... say I aced the MCAT and kicked ... on my medical certification exams!.......didn't mean I was ready to practice medicine unsupervised at age 25 ........I still had 6 years of supervised work to go.