I think all the gunner-bashing here is getting out of hand -- UCIPMED is justified in wanting to upgrade his (or her) grade from A to A+. Hey, if you earn an A+, you deserve and A+. At my school, there is a policy in some departments which strongly encourages profs NOT to give "borderline grades" like 79, 84, and 89, because student complaints about such marks are often legitimate, and assigning final grades just 1 point below the next letter grade is viewed a pettiness on the part of the professor. Last year, I took a Roman History course, and all our evaluations throughout the semester were letter grades. However, when it came down to assigning a final mark for the course, the prof gave me an 89. Now, I was pleased with my own accomplishment, but slightly annoyed that the prof didn't round up by just one point. I had all A's and A+'s throughout the term, but somehow, he decided that the mathematical average of these letter grades was 89.
And to those that say it doesn't matter, that A = A+ for all intents and purposes, that's not entirely true. Perhaps on the AMCAS scale A and A+ both = 4.0, but if you want to apply to Ontario schools, be aware that OMSAS (Ontario equivalent to AMCAS) uses a GPA scale where A = 3.9 and A+ = 4.0. Yeah, the difference may be small, but it's still a difference. So my argument is, why accept a lower official grade when you think or know you earned a higher one?
Just my 2.5 CDN cents.