Depends, if the Dermatologist is a young enthusiastic professional versus the ER Doc who is a grumpy old Dr who is still in the ER as his skills can’t afford him any other role then maybe the Dermatologist. The point is, if a pilot is seriously saying they have to fly multiple manually flown approaches every week because if they don’t they won’t be able to do it ‘when it really matters’ then maybe they shouldn’t be on the flight deck. I said it before, the manual flying I do in the sim keeps me more than current to fly manual approaches (ATHR ON) on line, yes I still fly the odd one here and there but I don’t have too from a skill point of view. My Airline doesn’t allow Manual Thrust approaches, I don’t care, I know I still can do one if required. I worry that some out there might think that when not allowed by SOPs to practice manual thrust online the inevitable outcome would be a pilot who is incapable of flying one should it be required.