When I was District Advancement Chairman, I went to a lot of Eagle Courts of Honor. I bought one of the poly/wool uniforms just for that and didn't put any knots on it. I wore my two medals, Eagle Scout and Scouters Training Award, pinned to the shirt. I'd occasionally break it out for a council annual banquet or something like that. For pretty much everything else, I wore other shirts with knots but no medals.
I like the idea of medals sized - uniformly - so that five will fit neatly above the pocket. But I don't have enough to worry about it.
Not telling anyone else what to do, but i