Im assuming your mid terms are just in term exams or something so I'll try to relate as best as I can. I'm also speaking for a higher education than college, unless us college is our uni, in which case disregard that.
I think (with our system atleast) something needs to be changed with exams. There are people out there who have "issues with exams". Don't get me wrong most take the piss, but some of us are legit.
I'll use myself as an example,
I have two "issues" the first one is dyslexia, I've always been terrible at exams, low grades or failures, and its always been fustrating to shit because I know the syllabus. Anyways long story short, after assessments turns out sometime I write the end of a sentence first then the start, without even noticing it, or sometimes just two words the wrong way around, example for (xD). And my actual hand writing is an abomination no one can read apparently. So as a counter to this, I've been given authorization to use a laptop and grades have shot up.
The other issue is more recent, I suffer with crohns disease, needless to say it isn't pleasant and this exam season has been the worst ever in two years. To the point, my two hardest / most stressful exams I had to leave an hour and a half early from. That is defo going to impact my grades. And frankly that's just not fair. But in fairness next year I'm being allowed to do "take home exams". Basically 2, 3000 word essays in 48 hours.
So yes I think exam alternatives should be offered, and I do think to get permission to do alternatives that are currently in place is a pain in the arse of dancing through loops to be allowed. But replaced with conversations? No, fuck right off