This is all based on my experience and it could be vastly different for you guys. They change the curriculum A LOT, from year to year since I have been here. First two years are Pass/Fail/Honors for your academic courses. For OMM and Doctor-Patient Relations (think clinical skills) its P/F. We took 1 small test worth 10% of our grade and another worth 90% each month that covered units based on systems. So you would do Cardio then take the cardio small test and a week later take the cardio big test (about 100 questions per big test). The material didn't always fit nicely into one month so sometimes your cardio test would have a few lectures worth of renal on it or the neuro test would have some repro etc. Passing was a 70% average for one semesters worth of tests (so over 3-4 tests you need 70%) and honors meant you had to be in the top 20% of the class. To review tests you have to schedule proctored time with academic advisors who watch you and babysit you while you look at ONLY the test questions you missed to make sure you aren't writing anything down. The advisors don't really have specific knowledge geared towards the material either, just general study tips like study in a group or "be better at managing your time" etc. Idk they rubbed me the wrong way, but the school provides them and others might have a different experience. If you fail a semester you repeat it over the summer, if you fail both semesters of a year you repeat. 3rd year grades are such: Honors/High Pass/Pass/Fail. For honors you need a 6/7 on evaluations and a 115 on the COMAT (shelf exam but from NBOME). 115 translates to 93rd percentile (I am not a fan), and then you have to fulfill all the extra stuff like little lectures and things. High Pass is 6/7 on evals and a 110 on the COMAT, which is 84th percentile and fulfill the extra stuff. Passing is 4/7 on evals, a 90 on COMAT (16th percentile) and all the extra stuff. You don't have to take COMAT for EM, but in order to sit for Step 2/COMLEX 2 you have to pass the OMM and IM COMATs and 4 of the following: Surgery, Psych, Peds, FM and OBGYN. So really you can fail one COMAT and still be alright. COMAT scores are included in class rank and reflected in MSPE letter that goes to residencies.
Oh yea I know about the lottery. Not sure if "gut" is a typo but the lottery I think you are referencing is how during spring of 2nd year you can apply to have all your 3rd year rotations at 1 place. There is a list somewhere and I will see if I can find it, but the locations I can remember they offered to us as regional sites are NUMC, Good Samaritan, Wyckoff Heights, Brookdale, Coney Island, Mt. Sinai South Nassau and maybe one or two more I can't think of right now. Basically everyone applies for the places they want to go and you might have to do a little group interview, I heard they were pretty short, and then the programs essentially pick who they want when you put in your preferences. I think it is kind of like a mini match. I didn't do the lottery but definitely considered it. I can see the benefits of it, since so many of the sites are spread out (like we have rotations in Albany and hours away toward the tip LI) so you could live in one spot 3rd year. But you might not like the hospital you go to. The lottery happens first and you only have to put down the ones you want so if you don't get a certain one you can always just rank them like the rest of the class. Which is basically just ranking preferences and then they do some voodoo and come out with a schedule a couple of months later. I hope that helps! Good questions