What is the most likely source of the following quote: American medical training is attached at the end of a very long and expensive education that keeps the supply of physicians low and their incomes and social backgrounds very high. This formal education appears to have little real practical relevance; most actual training is done on the job in the most informal circumstances, through the few years of internship and residency.

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The quote is discussing the high cost and exclusive nature of medical training, which is a key concept in Randall Collins' book "The Credential Society," which explores how education and credentials are used as a way of maintaining social inequality and status hierarchies.

What Is the Most Likely Source of the Following Quote