To clarify, every single MD school internally ranks their students at one point or another, whether or not that ranking is known to the students. Several of our deans/administrators have told us that they would prefer not to rank us at all but they are required to for the dean's letter for residency applications.
See the very bottom of page 3
here:
"Graphic representations of students’
comparative performance should be incorporated within the body of the MSPE, not as appendices. Doing so allows the narrative comments from the courses to provide context to the graphical representation"