This doesn't work in the medical field. Physicians are the wealthy king's and every layer under asks for permission.

A high school grad may be vaguely aware of this, but the reality is that many people choose to be a nurse and find out later the realities of the job.

There's no research, there is little growth. You don't get to change your job. Your title is exactly what you do.

Same story for the various lab techs.