Would you say the common conception in med school (or specifically at WashU) is that Honors = A, High Pass = B, and Pass = C? Or are people generally super happy to get Honors or HP on an exam? That goes for any of the years besides 2nd year. I don't want to go through med school pressured to always aim for Honors
Not even from a competition standpoint, but more from a self-motivation standpoint (i.e. "I'd be super happy to get a HP on this exam and I won't be disappointed if I don't get Honors"). Just curious about your thoughts, ksmi117!
Some thoughts I had. Not directed at anyone in particular.
Preclinical grades are relatively unimportant for residency application. It's less important than clinical grades, Step 1 score, letters, your interview, and many other factors. Preclinical grades are so inflated, so many peer schools do not have preclinical grades, and it has such little perceived connection to performance as a resident that there's little point for program directors to scutinize them.
Preclinical grades are relatively unimportant for class rank/AOA (which matter a little more than preclinical grades to residencies). At WashU, 2nd year grades have half the weight of 3rd year grades in calculating rank/AOA eligibility. Strong 2nd year students are generally going to be strong 3rd year students, so even if the school got rid of 2nd year grades, class rank would not change that much.
Individual preclinical performance correlates with Step 1 performance, but on a school level, having grades vs. P/F does not change Step 1 averages.
Once you realize that your 2nd year grades have little "real" impact on your future, you also realize that the effect of grades is all in your head, and therefore should be in your control. Like you said, this issue is really more about a motivation standpoint than a competition standpoint or even a display of performance standpoint.
You could inflate the importance of grades and rely on that as external motivation to study really hard for that next test. You could also let it get to you and cause you to behave competitively, compare yourself against others, drop most of your extracurriculars, neglect your personal life, feel stressed, and cram cram cram.
Or you could step back, grow up, look at a slightly bigger picture, and not let it get to you. Study as much as you can motivate yourself to study on a day-to-day basis, to learn medicine, to do well on boards. Care enough to work hard, but not so much that you tie your self-worth and plans for the future to 17 little grades. Think about whether you can do that if you wonder whether you can be the happiest and be the best you can be at this school (for the 2nd year at least).