I think the short answer is 'results may vary.' I am not the ACCE/DCE at my univ, but I know that clinics do not want their time wasted for rotations. And comments like 'PT is on the job training' are things that make CIs think their time is being wasted. A lot of 'good' clinical sites are now requiring PT students to submit applications, and yes, grades are part of that. And interview them. Since we just finished rotation placement, I just wrote a bunch of recommendation letters for our students for rotations. Of course, their grades in my course played a role in if I said yes to writing a letter, and for those who I said yes to, if the letter was good to glowing. For those who think you just need to pass the NPTE, you first need to complete a gradate academic program. I know when I am interviewing applicants, my primary question is, 'Will this person succeed in a professional graduate program?' If they cannot, then passing a fairly straight forward exam is not a consideration. Any patient will require more critical thinking than the NPTE (the passing standard is a 'minimally competent entry-level practitioner'...a low bar indeed). Again, I can speak my my univ only, but we have a fairly high standard for the students, and although grades are not the only metric of student success, it certainly is one.