This article is from the Medical Education FAQ, by eric@wilkinson.com (Eric P. Wilkinson, M.D.)with numerous contributions by others.
Again, depends on the school. Many schools still have the standard
A/B/C/D/F scale of grading. The rest go on the pass/fail scale or
some variation of it. Many schools have an "honors" grade which
reflects performance in an upper percentile of the class for that
course.
The grading scale can change as you advance in your studies. For
example, some schools have letter grades the first two years and
then pass/fail grades the last two (or letter grades the first three
and pass/fail the last year only).
The grades themselves are objective the first two years - based
almost entirely on written exams, oral exams, and practical (or lab)
exams. In the third and fourth years, grades depend in large part
on evaluations by other members of your hospital team - the
attending physician(s), the resident(s) and/or the intern(s). There
are also written/oral exams in the last two years, and the relative
importance of exams vs. evaluations varies greatly from rotation to
rotation.
 
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