In the complex world of medical education, numerous institutions across the United States have adopted a pass/fail grading system. This system offers a uniquely stress-free learning experience for students, significantly reducing anxiety levels and fostering a less competitive academic environment. As such, this method is gaining increasing recognition as an effective way to improve the overall well-being of medical students.
There is no shortage of prospective students asking, “If I attend a pass/fail medical school, will it benefit or hinder me?” To answer this important question, let’s delve into the origin of this grading system and examine its role in various medical schools today.
Tracing the Origin of the Pass/Fail Grading System
The concept of a pass/fail grading system in medical education was first adopted at the Mayo Medical School, Rochester, with the class of 2006. The grading system for first-year courses transitioned from a 5-interval grading system to a pass/fail grading system.
This innovative approach was further cemented in 2012 when the American Medical Association (AMA) approved a policy titled “Supporting Two-Interval Grading Systems for Medical Education,” which includes both the 5-interval grading system and the pass/fail grading system. The medical schools that have since embraced the pass/fail system, primarily those affiliated with the Association of American Medical Colleges (AAMC) and MD medical schools, acknowledge the benefits it provides for non-clinical curricula.
The Scope of Pass/Fail Medical Schools in the US
An exact count of medical schools using the pass/fail grading system remains elusive, but it’s estimated that over 79 institutions use this system for pre-clinical years, the majority being AAMC and MD medical schools. This makes it highly likely for students applying to any AAMC or MD medical school to encounter the pass/fail grading system.
A Glimpse into Pass/Fail Medical Schools
Several notable medical schools across the United States have adopted the pass/fail grading system, including:
- UCLA Medical School: In their first two years, students are not ranked but graded on a pass or fail basis.
- Harvard Medical School: No internal grading or ranking scales are used at HMS. Residency programs are informed if a student passed or failed a course and are then given faculty recommendations.
- Stanford Medical School: Stanford also applies a pass or fail grading system during students’ pre-clerkship years (Year one and two).
- Baylor Medical School: No internal grading or ranking scales are used for the first and second years.
- UCSF Medical School: The school has a pass/fail/honors grading system for most clinical courses. Those graded on a pass/fail basis-only are usually indicated.
Full List
- UCLA medical school
- Harvard Medical School
- Stanford Medical School
- Baylor Medical School
- UCSF Medical School
- Vanderbilt medical school
- Emory medical school
- UPenn medical school
- Tufts medical school
- Northwestern Medical School
- Boston University Medical School
- Central Michigan University Medical School
- Dartmouth (Geisel) Medical School
- Drexel University Medical School
- Florida Atlantic University University Medical School
- George Washington University University Medical School
- Hofstra University Medical School
- Johns Hopkins University University Medical School
- Michigan State University Medical School
- New York Medical College
- Oakland University Medical School
- Pitt University Medical School
- Rosalind Franklin University Medical School
- Rutgers Robert Wood Johnson Medical School
- Louis University Medical School
- The Commonwealth Medical College
- Tulane University Medical School
- UCSD Medical School
- University of Virginia Medical School
- University of Wisconsin Medical School
- USC – Keck Medical School
- VCU Medical School
- Wake Forest University Medical School
- Wayne State University Medical School
- Western Michigan University Medical School
- Yale University Medical School
The Modus Operandi of Pass/Fail Grading System in Medical Schools
When the pass/fail grading system was first implemented, performances of students graded using the traditional 5-interval grading system were compared with those under the pass/fail system. Comparisons were made at the end of students’ first and second years, revealing nearly identical performance levels between the two groups.
The pass/fail grading system is used to measure a student’s achievement based on their established learning objectives, with a defined threshold for passing grades.
The Rising Popularity of Pass/Fail Grading
The pass/fail grading system has become remarkably common, especially during the preclinical years of medical education. However, after these initial years, the grading system often transitions to other methods such as honors/high pass/pass/fail, honors/pass/fail, letter grades, or numerical grades.
The Advantage of Pass/Fail MedicalSchools
Opting for a pass/fail medical school brings with it numerous benefits. This grading system has been proven to significantly enhance student well-being due to its positive impact on mental health. It reduces stress and anxiety levels among students, creating a less competitive and more supportive learning atmosphere.
Here are five reasons why choosing a pass/fail medical school is recommendable:
- Reduction in stress and anxiety: The pressure to attain high grades is alleviated, allowing students to focus more on understanding and retaining medical knowledge rather than chasing grades.
- Fosters a less competitive environment: Unlike traditional grading systems that rank students based on their scores, pass/fail promotes learning over competition.
- Improved overall well-being: By reducing stress and competition, students often report better mental health and overall satisfaction with their educational experience.
- Supportive learning: With less competition, students are encouraged to collaborate and learn from one another, fostering a more community-oriented educational experience.
- Promotion of teamwork: In a field where collaboration is key, pass/fail grading removes barriers and encourages students to work together.
It’s important to note that while this article lists several schools that implement a pass/fail grading system, there are many others not included here. Interested students are encouraged to research further, check admission portals, and make informed decisions based on their individual learning preferences and needs.
Medical School Grades and Rankings: What You Need to Know
Every medical school in the United States uses some form of grading policy to measure student performance. These grading systems can vary widely from school to school, making it important for prospective medical students to understand the grading policies of the schools they are considering. Additionally, medical schools may or may not rank their students based on their performance. In this article, we will explore the different grading policies used by medical schools and discuss student ranking systems.
Historically, the most widely used grading policy in U.S. medical schools has been the numeric system. Under this system, each letter grade is assigned a numeric value, and grade point averages (GPAs) are calculated by averaging these values. The advantage of the numeric system is that it allows for easy comparison between students. However, it does not take into account factors such as class difficulty or improvement over time.
In recent years, there has been a shift towards more holistic approaches to grading in medical schools. Many schools are adopting pass/fail grading policies, especially for preclinical courses. These policies focus on mastery of the material rather than assigning letter grades. Pass/fail grades typically do not contribute to a student’s overall GPA. Instead, students are required to achieve a certain percentage grade to pass the course. If a student fails a course, they may be required to retake it before advancing. After retaking the course, they may earn a “remediated pass” grade.
Some medical schools have implemented a three-tier pass/fail grading policy, which includes an “honors” grade in addition to pass and fail. This adds a layer of motivation for students to excel, and those who achieve honors may be ranked in the top 20-25% of their class. However, this system can also create a more competitive environment among students.
During clinical clerkships, which provide practical experience in patient care, the pass/fail grading policy is less common. Instead, most schools use a four-tier pass/fail grading system that includes honors, high pass, pass, and fail. These grades help distinguish mastery of material during rotations. Honors is typically awarded to students who achieve a high cumulative grade average, while high pass signifies above-average performance. These grades may also contribute to the students’ overall GPA, with honors receiving the highest numeric value.
In terms of student ranking, medical schools vary in their approaches. Some schools rank their students based on their performance, while others do not. Rankings are often based on a combination of factors, including grades, exams, extracurricular activities, and residency placement. Schools that use a pass/fail system without numeric assignments may delay ranking until the last two years of medical school or not rank students at all. The ranking information is typically disclosed during the fourth year when students apply for residencies.
It is important for prospective medical students to research and understand the grading policies and student ranking systems of the schools they are interested in. By familiarizing themselves with these policies, students can make informed decisions about which schools align with their learning preferences and goals.
Allopathic (MD) Medical Schools: Grading and Ranking
Medical School | City, State | MD/DO | Grading Policy | Student Ranking |
---|---|---|---|---|
University of Alabama School of Medicine | Birmingham, Alabama Huntsville, Alabama Montgomery, Alabama Tuscaloosa, Alabama | MD | Pre-clinical: Pass/Fail Clinical: Honors/ High Pass/ Pass/ Fail | No |
University of South Alabama College of Medicine | Mobile, Alabama | MD | Pass/Fail with a student ranking numeric system | Yes |
Mayo Clinic Alix School of Medicine | Rochester, Minnesota Scottsdale, Arizona Phoenix, Arizona Jacksonville, Florida | MD | Year 1-2: Pass/Fail Year 3-4: Honors/High Pass/Pass/Fail | No |
University of Arizona College of Medicine – Tucson | Tucson, Arizona | MD | Pass/Fail | Yes |
University of Arizona College of Medicine – Phoenix | Phoenix, Arizona | MD | Year 1-2: Pass/Fail Year 3-4: Honors/High Pass/Pass/Fail | No |
University of Arkansas for Medical Sciences College of Medicine | Little Rock, Arkansas Fayetteville, Arkansas | MD | Pass/Fail | Yes |
California Northstate University College of Medicine | Elk Grove, California | MD | Honors/Pass/Fail | Yes, but ranking is only released in Dean’s letter and residency applications. Otherwise, it is not available. |
California University of Science and Medicine | San Bernardino, California | MD | Honors/Pass/Fail | No |
Charles R. Drew, University of Medicine and Science | Willowbrook, California | MD | Honors/Pass/Pass/Fail | Not available |
Kaiser Permanente Bernard J. Tyson School of Medicine | Pasadena, California | MD | Year 1 and 2 : Pass/Conditional Pass/Fail Year 3 and 4: Honors/Pass/Fail or Pass/Fail (varies by selectives) | Not available |
Keck School of Medicine of University of Southern California | Los Angeles, California | MD | Year 1-2: Pass/Fail Year 3: Honors/High Pass/Pass/Fail Year 4: Credit/No Credit | No |
Loma Linda University School of Medicine | Loma Linda, California | MD | Pass/Fail Clerkships: Honors/High Pass/Pass Fail | No |
Stanford University School of Medicine | Palo Alto, California | MD | Pre-clerkship courses and non-required clerkships: Pass/Fail Required Clerkships: Pass with Distinction can be earned based on Stanford’s Criterion Based Evaluation System (CBES) | No |
University of California, Davis School of Medicine | Sacramento, California | MD | Pass/Fail | No |
University of California, Irvine School of Medicine | Irvine, California | MD | Year 1: Pass/Fail Year 2-4: Honors/Pass/Fail | No |
David Geffen School of Medicine at UCLA | Los Angeles, California | MD | Pre-clinical years: Pass/Fail Clinical years: Honors, High Pass, Pass, and Fail | Not available |
California University of Science and Medicine – School of Medicine | Colton, California | MD | Year 1-2: Pass/Fail Year 3-4: Honors/High Pass/ Pass/Fail | No |
University of California, Riverside School of Medicine | Riverside, California | MD | Pre-clinical years: Pass/Fail Clinical years: Honors/ High Pass/Pass/Fail | No |
University of California, San Diego School of Medicine | San Diego, California | MD | Year 1-2: Pass/Fail Year 3: Honors/High Pass/Pass/Fail Year 4: Honors/Pass/Fail | No |
University of California, San Francisco, School of Medicine | San Francisco, California Fresno, California | MD | Pass/Fail | No |
University of Colorado School of Medicine | Aurora, Colorado | MD | Phase 1 and 2: Pass/Fail Phase 3: Honors/High Pass/Pass/Fail | No |
Frank H. Netter M.D. School of Medicine at Quinnipiac University | North Haven, Connecticut | MD | Year 1-2: Pass/Fail Year 3-4: Honors/High Pass/Pass/Fail | No |
University of Connecticut School of Medicine | Farmington, Connecticut | MD | Pass/Fail | No |
Yale School of Medicine | New Haven, Connecticut | MD | Pre-clinical years: Pass/Fail Clinical years: Honors, High Pass, Pass, and Fail | No |
George Washington University School of Medicine and Health Sciences | Washington, District of Columbia | MD | Pre-clinical years: Pass/Fail Clinical years: Honors, High Pass, Pass, and Fail | No |
Georgetown University School of Medicine | Washington, District of Columbia | MD | Pre-clinical years: Pass/Fail Clinical years: Honors, High Pass, Pass, and Fail | Not available |
Howard University College of Medicine | Washington, District of Columbia | MD | Honors/Satisfactory/Unsatisfactory Year 3 clerkships have an additional ranking: HP (High Pass) | Not available |
Florida Atlantic University Charles E. Schmidt College of Medicine | Boca Raton, Florida | MD | Year 1-2: Pass/Fail Year 3: Honors/High Pass/Pass/Fail Year 4: Pass/Fail | No |
Florida International University Hebert Wertheim College of Medicine | Miami, Florida | MD | Year 1-2: Pass/Fail Year 3: Honors/High Pass/Pass/Fail Year 4: Pass/Fail | Ranking is used to identify the top 10% and report quartiles in the Medical Student Performance Evaluation (MSPE). |
Florida State University College of Medicine | Tallahassee, Florida | MD | Year 1-2: Pass/Fail Year 3-4: Honors/Pass/Fail | No |
Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine | Davie, Florida | MD | Pre-clinical years: Pass/Fail Clinical years: A, B, C, F | Not available |
University of Central Florida College of Medicine | Orlando, Florida | MD | Hybrid system, includes: A/B/C/F, Honors/Pass/Fail and Pass/Fail | No, other than what is required for the Medical Student Performance Evaluation (Dean’s Letter) for residency applications |
University of Florida College of Medicine | Gainesville, Florida Jacksonville, Florida | MD | Pre-clinical years: Pass/Fail Clinical years: Numerical grading policy | Students are ranked in third and fourth year clerkships |
University of Miami Leonard M. Miller School of Medicine | Miami, Florida | MD | Pre-clinical years: Pass/Fail Clinical years: Numerical grading policy | Yes |
USF Health Morsani College of Medicine | Tampa, Florida | MD | Not available | Not available |
Emory University School of Medicine | Atlanta, Georgia | MD | First 18 months: Pass/Fail The rest of the curriculum: letter-graded | No |
Medical College of Georgia at Augusta University | Augusta, Georgia Athens, Georgia Albany, Georgia Rome, Georgia Savannah, Georgia Brunswick, Georgia | MD | First 18 months: Pass/Fail Grading policy thereafter vary by campus | Not available |
Mercer University School of Medicine | Macon, Georgia Columbus, Georgia Savannah, Georgia | MD | Final course and program evaluations are reported as Satisfactory/Unsatisfactory | Yes, but ranking is only released in MSPE (Dean’s letter). Otherwise, it is not available. |
Morehouse School of Medicine | Atlanta, Georgia | MD | Mostly letter grades, except 6 senior electives are Pass/Fail | No |
University of Hawaii at Manoa John A. Burns School of Medicine | Honolulu, Hawaii | MD | Honors/Pass/Fail | No |
Carle Illinois College of Medicine | Champaign, Illinois | MD | Phase 1: Pass/Fail Phase 2-3: Honors/Pass/Fail | Not available |
Loyola University of Chicago Stritch School of Medicine | Maywood, Illinois | MD | Pass/Fail | Not available |
Northwestern University Feinberg School of Medicine | Chicago, Illinois | MD | Pass/pass after remediation in phase 1. Honors/High Pass/Pass in clerkships. | No |
Chicago Medical School of Rosalind Franklin University of Medicine and Science | North Chicago, Illinois | MD | Year 1-2: Pass/Fail Year 3: Honors/High Pass/Pass/Fail Year 4: Variable | No |
Rush Medical College | Chicago, Illinois | MD | Year 1-2: Pass/Fail Year 3-4: Honors/High Pass/Pass/Fail | After M3, students are provided quartile rankings in preparation for MSPE |
Southern Illinois University School of Medicine | Springfield, Illinois | MD | Pre-clerkship: Pass/Fail Clerkship: Honors, Pass, and Fail | No |
University of Chicago Pritzker School of Medicine | Chicago, Illinois | MD | Pass/Fail | Only during third year |
University of Illinois College of Medicine | Chicago, Illinois Peoria, Illinois Rockford, Illinois | MD | Phase 1: Pass/Fail Phase 2-3: Outstanding/Proficient/Advanced/Proficient | No, other than what is required for the Medical Student Performance Evaluation (Dean’s Letter) for residency applications |
Indiana University School of Medicine | Indianapolis, Indiana | MD | Pre-clerkship: Pass/Fail Clerkship: Honors, Pass, and Fail | No |
University of Iowa Roy J. And Lucille A. Carver College of Medicine | Iowa City, Iowa | MD | Pre-clinical years: Pass/Fail Clinical years: Honors, Near Honors, Pass, and Fail | No |
University of Kansas School of Medicine | Kansas City, Kansas Wichita, Kansas Salina, Kansas | MD | Year 1-2: Pass/Fail Year 3: Pass with Distinction/Pass/Fail Year 4: Not Available | Yes |
University of Kentucky College of Medicine | Lexington, Kentucky | MD | Pass/Fail | Student quartile reported on MSPE |
University of Louisville School of Medicine | Louisville, Kentucky | MD | Honors/Pass/Fail | Yes |
Louisiana State University School of Medicine in New Orleans | New Orleans, Louisiana | MD | Honors/High Pass/Pass/Fail | Yes, by quartile |
Louisiana State University School of Medicine in Shreveport | Shreveport, Louisiana | MD | Pass/Fail | Not available |
Tulane University School of Medicine | New Orleans, Louisiana | MD | Pass/Fail | Not available |
Johns Hopkins University School of Medicine | Baltimore, Maryland | MD | Year 1-2: Pass/Fail Year 3-4: 4 tier grading policy | Not available |
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine | Bethesda, Maryland | MD | Honors/Pass/Fail | No |
University of Maryland School of Medicine | Baltimore, Maryland | MD | Honors/High Pass/Pass/Fail | For the MSPE, third year students are informed of their ranking in the upper, middle, or lower third of the class. |
Boston University School of Medicine | Boston, Massachusetts | MD | Year 1-2: Pass/Fail Year 3-4: Honors/High Pass/Pass/Fail | No |
Harvard Medical School | Boston, Massachusetts | MD | Satisfactory/ Unsatisfactory | No |
Tufts University School of Medicine | Boston, Massachusetts | MD | Year 1-2: Pass/Fail Year 3-4: Honors/High Pass/Pass/Low Pass/Fail | No |
University of Massachusetts Medical School | Worcester, Massachusetts | MD | Pre-clinical years: Pass/Fail Clinical years: High Honors, Honors, Pass, and Fail | No |
Central Michigan University College of Medicine | Mount Pleasant, Michigan | MD | Pass/Fail | No |
Michigan State University College of Human Medicine | East Lansing, Michigan Grand Rapids, Michigan Flint, Michigan | MD | Pass/Fail | No |
University of Michigan Medical School | Ann Arbor, Michigan | MD | Pre-clerkship: Satisfactory/fail Clerkship: Honors/High Pass/Pass/Fail | No |
Oakland University William Beaumont School of Medicine | Rochester, Michigan | MD | Year 1-2: Honors/Pass/Pass with Remediation/Fail Year 3-4: Honors/High Pass/Pass/Pass with Remediation/Fail | Students are ranked in quartiles for Medical Student Performance Evaluation (MSPE) |
Wayne State University School of Medicine | Detroit, Michigan | MD | Pass/Fail with honors | Participate in AOA |
Western Michigan University Homer Stryker M.D. School of Medicine | Kalamazoo, Michigan | MD | Year 1-2: Pass/Fail Year 3-4: Honors/High Pass/Pass/Fail | No |
University of Minnesota Medical School | Minneapolis, Minnesota Duluth, Minnesota | MD | Year 1-2: Pass/No Pass Year 3-4: Honors/Excellent/Satisfactory/No Pass | No |
University of Mississippi School of Medicine | Jacksonville, Mississippi | MD | 4 point scale | No |
Saint Louis University School of Medicine | St. Louis, Missouri | MD | Year 1-2: Pass/Fail Year 3-4: Honors/Near-Honors/Pass/Fail | No |
University of Missouri- Columbia School of Medicine | Columbia, Missouri | MD | Year 1: Satisfactory/ Unsatisfactory Year 2: Honors/ Satisfactory/ Unsatisfactory Year 3-4: Honors/ Letters of Commendation/ Satisfactory/ Unsatisfactory | Graduates are ranked into 1 of 5 groups: Exemplary, Superior, Very Strong, Strong, and Satisfactory |
University of Missouri-Kansas City School of Medicine | Kansas City, Missouri | MD | Not Available | No |
Washington University in St. Louis School of Medicine | St. Louis, Missouri | MD | Phase 1: Pass/Fail Phase 2-3: Variable | No |
Creighton University School of Medicine | Omaha, Nebraska | MD | Honors/Pass/Fail | No |
University of Nebraska College of Medicine | Omaha, Nebraska | MD | Pass/Fail | Students are ranked according to their performance under the Pass/Fail grading policy. |
University of Nevada, Las Vegas School of Medicine | Las Vegas, Nevada | MD | Pre-clinical years: Pass/Fail Clinical years: Honors, High Pass, Pass, and Fail | No |
University of Nevada, Reno School of Medicine | Reno, Nevada | MD | Year 1-2: Pass/Fail Year 3-4: Honors/High Pass/Pass/Fail | Not available |
Geisel School of Medicine at Dartmouth | Hanover, New Hampshire | MD | Pre-clerkship: Pass/Fail Clerkship: Honors, High Pass, Pass, and Fail | No |
Cooper Medical School of Rowan University | Camden, New Jersey | MD | Year 1-2: Pass/ Unsatisfactory Year 3-4: Pass/ High Pass/ Honors/ Unsatisfactory | No |
Hackensack Meridian School of Medicine | Nutley, New Jersey | MD | Pre-clerkship: Pass/Fail Clerkship: Honors, High Pass, Pass, and Fail | No |
Rutgers New Jersey Medical School | Newark, New Jersey | MD | Year 1-2: Pass/Conditional Pass/Fail Year 3-4: Honors/High Pass/Pass/Fail/Incomplete | No |
Rutgers Robert Wood Johnson Medical School | Piscataway, New Jersey New Brunswick, New Jersey | MD | Pre-clerkship: Pass/Fail Clerkship: Honors, High Pass, Pass, and Fail | No |
University of New Mexico School of Medicine | Albuquerque, New Mexico | MD | Phase 1: Credit/No Credit Phase 2-3: Letter Grade | Students are ranked in Phase 2 only. |
Albany Medical College | Albany, New York | MD | Excellent with Honors/Excellent/Good/Marginal/Unsatisfactory | Yes, but student ranking is not shared outside of the university. |
Albert Einstein College of Medicine | The Bronx, New York | MD | Pre-clinical years: Pass/ Fail Clinical years: Honors/High Pass/Pass/Low Pass/Fail | No |
Columbia University Vagelos College of Physicians and Surgeons | Manhattan, New York | MD | Fundamentals: Pass/Fail Clinical: Honors/High Pass/Pass/Fail | Not available |
CUNY School of Medicine | New York, New York | MD | Year 1-3: A, B, C, F Year 4-5: Pass/Fail Year 6-7: Honors/High Pass/Pass/Fail | No |
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell | Hempstead, New York | MD | Core Courses: Pass/Fail Clinical Clerkship first 100 weeks: Pass/Fail Clinical Clerkship second100 weeks: Honors/High Pass/Pass/Fail/Conditional Pass | No |
Icahn School of Medicine at Mount Sinai | Manhattan, New York | MD | Year 1-2: Pass/Fail Year 3-4: Honors/High Pass/Pass/Fail | No |
New York Medical College | Valhalla, New York | MD | Pre-clerkship courses: Pass/Fail Required clerkships: Honors/High Pass/Pass/Fail Elective clerkships: Credit/No Credit | Students are ranked in quartiles for Medical Student Performance Evaluation (MSPE) |
New York Grossman University School of Medicine | Manhattan, New York | MD | Pre-clerkship courses and non-required clerkships: Pass/ Fail Required Clerkships: Honors/ High Pass/Pass/ Fail | No |
New York University Long Island School of Medicine | Mineola, New York | MD | Phase I (Pre-Clerkship): Pass/Fail Phase II (Clerkship): Honors/ High Pass/Pass/ Fail | Not available |
Renaissance School of Medicine at Stony Brook University | Stony Brook, New York | MD | In Phase 1, Biomedical Building Blocks, ICM, TiME, and MCS are graded Pass/Fail. The integrated pathophysiology courses in Phase 1 are graded High Pass/Pass/Fail. Phase 2 and Phase 3 clinical courses are graded Honors/High Pass/Pass/Low Pass/Fail | No |
State University of New York Upstate Medical University | Syracuse, New York | MD | Year 1-2: Pass/Fail Year 3-4: Honors/High Pass/Pass/Fail | Yes, at the end of third year |
State University of New York Downstate Medical Center College of Medicine | Brooklyn, New York | MD | Pre-clinical: Pass/Fail Clinical: 5-tier grading policy | Yes |
Jacobs School of Medicine and Biomedical Sciences, University at Buffalo | Buffalo, New York | MD | Year 1-2: Pass/Fail Year 3-4: Honors/High Satisfactory/Satisfactory/Unsatisfactory | No |
University of Rochester School of Medicine and Dentistry | Rochester, New York | MD | Pre-clerkship courses: Pass/ Fail Required clerkships: Honors, High Pass, Pass, and Fail | Students are ranked in the MSPE into 1 of 4 groups: Outstanding (20%), Excellent (20%), Very Good (55%) and Good (5%) |
Weill Cornell Medical College | Manhattan, New York | MD | Pre-clerkship courses: Pass/ Fail Clerkships: Honors, High Pass, Pass, and Fail | No |
Brody School of Medicine at East Carolina University | Greenville, North Carolina | MD | Letter grading for all years: A, B, C, F | No |
Duke University School of Medicine | Durham, North Carolina | MD | Year 1: Pass/ Fail Year 2-4: Honors/Pass/Fail | No |
University of North Carolina School of Medicine | Chapel Hill, North Carolina | MD | Year 1-2: Pass/Fail Year 3-4: Honors/High Pass/Pass/Fail | Not available |
Wake Forest School of Medicine | Winston-Salem, North Carolina | MD | Foundations courses: Pass/ Fail All other courses: Honors/High Pass/Pass/Low Pass/Fail | Not available |
University of North Dakota School of Medicine and Health Sciences | Grand Forks, North Dakota Bismarck, North Dakota Fargo, North Dakota Minot, North Dakota | MD | Satisfactory/ S- (pass with reexamination)/ Unsatisfactory | Ranking is used for MSPE |
Boonshoft School of Medicine at Wright State University | Dayton, Ohio | MD | Foundations phase: Pass/Fail Core clerkships: Honors/Pass/Fail Advanced doctoring phase: Pass/Fail | Not available |
Case Western Reserve University School of Medicine | Cleveland, Ohio | MD | Pass/Fail | No |
Northeast Ohio Medical University College of Medicine | Rootstown, Ohio | MD | Honors/High Pass/Pass//Fail | Ranking is used for MSPE |
The Ohio State University College of Medicine | Columbus, Ohio | MD | SatisfactoryUnsatisfactory/Progress Honors is only used internally (not on transcript) | Students are ranked in quartiles |
University of Cincinnati College of Medicine | Cincinnati, Ohio | MD | Year 1-2: Pass/ Fail Year 3-4: Honors/ High Pass/ Pass/ Fail | In third and fourth year, students are ranked in quartiles |
University of Toledo College of Medicine | Toledo, Ohio | MD | Year 1-2: Pass/ Fail Year 3-4: Honors/ High Pass/ Pass/ Fail | Students are ranked for AOA selection |
University of Oklahoma College of Medicine | Oklahoma City, Oklahoma | MD | Year 1-2: Pass/ Fail Year 3-4: A, B, C, D, F | Students are ranked in quartiles |
Oregon Health & Science University School of Medicine | Portland, Oregon | MD | Foundations: Pass/ No Pass Clinical Experiences: A, B, C, D, F or Pass/ No Pass | Not available |
Geisinger Commonwealth School of Medicine | Scranton, Pennsylvania Danville, Pennsylvania Sayre, Pennsylvania Wilkes-Barre, Pennsylvania | MD | Year 1-2: Pass/ Fail Year 3-4: Honors/ High Pass/ Pass/ Fail | Ranking is used in third year for MSPE |
Drexel University College of Medicine | Philadelphia, Pennsylvania | MD | Pre-clinical years: Pass/ Fail Clinical years: Honors/Highly Satisfactory/Satisfactory/Unsatisfactory | No |
Pennsylvania State University College of Medicine | Hershey, Pennsylvania | MD | Pre-clinical years: Pass/Fail Clinical years: May be graded | No |
Perelman School of Medicine at the University of Pennsylvania | Philadelphia, Pennsylvania | MD | Module 1 and 2: Pass/Fail Module 3 and 4: Honors/High Pass/Pass/Low Pass/Unsatisfactory | No |
Sidney Kimmel Medical College at Thomas Jefferson University | Philadelphia, Pennsylvania | MD | Pre-clinical: Pass/Fail Clinical: Honors/High Pass/Pass/Fail | By upper, middle, and lower third |
Lewis Katz School of Medicine, Temple University | Philadelphia, Pennsylvania Bethlehem, Pennsylvania | MD | Year 1-2: Pass/ Fail Year 3-4: Honors/ High Pass/ Pass/ Fail | No |
University of Pittsburgh School of Medicine | Pittsburgh, Pennsylvania | MD | Year 1-2: Satisfactory/Unsatisfactory Year 3-4: Honors/High Pass/Pass/ Low Pass/ Unsatisfactory | No |
Universidad Central del Caribe School of Medicine | Bayamón, Puerto Rico | MD | Letter grading: A, B, C Some courses are Honors/ Pass/ Fail | No |
Ponce School of Medicine | Ponce, Puerto Rico | MD | Pass/Fail | Not available |
San Juan Bautista School of Medicine | Caguas, Puerto Rico | MD | Numeric | No |
University of Puerto Rico School of Medicine | San Juan, Puerto Rico | MD | Superior/High Satisfactory/Satisfactory/Unsatisfactory | Not available |
Alpert Medical School at Brown University | Providence, Rhode Island | MD | Pre-clerkship: Satisfactory/ No Credit Clerkship: Honors/ Satisfactory/ No Credit | Not available |
Medical University of South Carolina College of Medicine | Charleston, South Carolina | MD | Pass/ Fail | Not available |
University of South Carolina School of Medicine | Columbia, South Carolina | MD | Numeric (A, B+, B, C+, C, D, F) | Yes |
University of South Carolina School of Medicine Greensville | Greensville, South Carolina | MD | Year 1-2: Pass/ Fail Year 3-4: Letter grading policy | Yes |
University of South Dakota, Sanford School of Medicine | Vermillion, South Dakota Rapid City, South Dakota Yankton, South Dakota | MD | A, B, C, D, F | No |
East Tennessee State University James H. Quillen College of Medicine | Johnson City, Tennessee | MD | Mixed | Yes |
Meharry Medical College School of Medicine | Nashville, Tennessee | MD | Not available | Not available |
University of Tennessee Health Sciences Center College of Medicine | Memphis, Tennessee Chattanooga, Tennessee Knoxville, Tennesse | MD | A, B, C, D, F | Yes |
Vanderbilt University School of Medicine | Nashville, Tennessee | MD | Foundations courses: Pass/ Fail All other courses: Honors/ High Pass/ Pass/ Fail | Students are ranked in quartiles |
Baylor College of Medicine | Houston, Texas | MD | Foundational Science Courses: Pass/ Fail Clinical Years: Honors/ High Pass/MarginalPass/ Fail | No |
Texas A&M Health Science Center College of Medicine | College Station, Texas Bryan, Texas Dallas, Texas Houston, Texas Round Rock, Texas Temple, Texas | MD | Honors/ Pass/ Fail | Yes |
TCU and UNTHSC School of Medicine | Fort Worth, Texas | MD | Phase 1: Pass/ Fail Phase 2-3: Honors/ High Pass/ Pass/ Fail | Not available |
Texas Tech University Health Sciences Center Paul L. Foster School of Medicine | El Paso, Texas | MD | Year 1-2: Pass/ Fail Year 3-4: Honors/ Pass/ fail | No |
Texas Tech University Health Sciences Center School of Medicine | Lubbock, Texas Amarillo, Texas Odessa, Texas | MD | Honors/ High Pass/ Pass/ Fail | No |
University of Houston, College of Medicine | Houston, Texas | MD | Not available | Not available |
University of Texas Medical Branch School of Medicine | Galveston, Texas | MD | Pass/Fail | No |
McGovern Medical School at the University of Texas Health Science Center at Houston | Houston, Texas | MD | Honors/ High Pass/ Pass/ Below Pass/ Fail | No |
The University of Texas Health Science Center at San Antonio Joe R. and Teresa Lozano Long School of Medicine | San Antonio, Texas | MD | Honors/ High Pass/ Pass/ Fail | Internal rankings for pre-clerkship courses. Quartile rankings for MSPE |
University of Texas Rio Grande Valley School of Medicine | Edinburg, Texas | MD | Pass/Fail | Internal rankings |
University of Texas Southwestern Medical School of Dallas | Dallas, Texas | MD | Pre-clerkship: Pass/ Fail Core clerkship: Honors/ High Pass/ Pass/ Fail Elective clerkship: Honors/ Pass/ Fail | Quartile rankings |
University of Texas at Austin Dell Medical School | Austin, Texas | MD | Pass/ Fail | Not available |
University of Utah School of Medicine | Salt Lake City, Utah | MD | Year 1-2: Pass/ Fail Year 3-4: Honors/ High Pass/ Pass/ Fail | No |
University of Vermont College of Medicine | Burlington, Vermont | MD | Pass/ Fail | No |
Eastern Virginia Medical School | Norfolk, Virginia | MD | Year 1-2: Pass/ Fail Year 3-4: Honors/ High Pass/ Pass/ Fail | No |
University of Virginia School of Medicine | Charlottesville, Virginia Falls Church, Virginia | MD | Pre-clerkship: Pass/ Fail Clerkship: Graded | No |
Virginia Commonwealth University School of Medicine | Richmond, Virginia | MD | First 3 semesters and 4th year electives are Pass/ Fail. Third year clerkships and required fourth year classes are Honors/ High Pass/ Pass/ Fail | Not available |
Virginia Tech Carilion School of Medicine and Research Institute | Roanoke, Virigina | MD | Pass/ Fail | No |
University of Washington School of Medicine | Seattle, Washington | MD | Pass/ Fail during the first 18 months | No |
Washington State University Elson S. Floyd College of Medicine | Spokane, Washington | MD | Pass/ Fail | Not available |
Joan C. Edwards School of Medicine at Marshall University | Huntington, West Virginia | MD | Year 1-2: Pass/ Fail Year 3-4: Honors/ Pass/ fail | No |
West Virginia University School of Medicine | Morgantown, West Virginia Charleston, West Virginia Martinsburg, West Virginia | MD | Honors (only available to the top 15% of the class)/ Pass/ Fail | Students are ranked in quartiles during the third year |
Medical College of Wisconsin | Milwaukee, Wisconsin Green Bay, Wisconsin Wausau, Wisconsin | MD | Pass/ Fail | No |
University of Wisconsin School of Medicine and Public Health | Madison, Wisconsin | MD | Satisfactory/ Unsatisfactory | Ranking is used for MSPE |