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I understand that clinical grading is inherently subjective, as far as rating a student for various competencies on a scale from 1-4 or whatever but I've noticed that clerkship directors don't even seem to be objective as far as how the math goes. I've found that I always end up with the same final clinical grade in terms of percentage no matter what the grading rubric says. For instance, I could get 3 out of 4 pts for 3 grading criteria and still get the same clinical grade as if I were to only get 3/4 for 1 grading criteria. I think this is just to show that clerkship directors already have a grade in mind for you (usually high pass) and if you're close, they'll give it to you. The real difference maker seems to be the shelf; do really well, you'll honor; do really poorly beyond salvageable: they'll give you pass.