Systems based 2-pass style.
Year 1 is “normal” with each block/system covering anatomy/phys/biochem for that system, there is a little pathology mixed in.
Year 2 is “abnormal” with each block/system having a brief review of normal followed by pathology and pharmacology.
Your clinical medicine (physical exams, standardized patients) and osteopathic principles classes run the full year with on avg 1 lecture and 2-hour lab per week for each.
RVU is pass/fail with pass >70%. Each course is scaled to a class avg of 83% if needed (i.e. class avg is 79%, class is scaled up 4%; class avg 86% no scale occurs). Honors is passing a course and achieving >90% of total course points. Yes, your grade is reported as a “number” for class ranking purposes, but there is no A/B/C designation.
Your pre-clinical grades matter little so long as your passing. Sure “honors” and class rank can be “nice” but look at the NRMP program director’s survey data - for most specalities and realistic residency programs they don’t care.