like stated above, there is no true p/f. all schools internally rank for AOA purposes and overall class standing for that special word on your dean's letter. BCM's first 1.5 yrs are P/F in this way (remember...BCM does 1.5 yrs preclinical and starts clinicals second half of MS2 yr). Say block 5, you've got infectious disease (worth 7 units), neurology (7 units), ethics (3 units), and psych(3 units)....note all units are approimate...i dont remember the examt numbers....and being the good student you are, you went hard at the first two and less so at the latter two getting like a 90%, 90%, 85%, and 75% for each course in that block. good job. those numbers are recorded internally and you can see those numbers. however, when the transcripts are uploaded and sent out to residency programs, they do not see that i got a 75% on psych b/c i hated it/didnt wanna study it etc....they simply see that i got a "P"...a matter of fact, a P for all my preclinical courses. so no one can differentiate between a 99% and a borderline failing grade...they're all pass. now, the transcript DOES show what my clinical grades were....like H in Medicine, HP in surgery, etc. That's how it works here and that's how i think it works most places. when they calculate AOA they use those percents from preclinical (and the weight in units they are worth) as well as the clinical ones (which are worth much more...ie i think our IM is worth 24)...and come up with the to 12-15% being AOA or something
do preclinical grades matter? no not really...except for maybe some minor preparation for clinics and improving your chances for AOA, but residency prgrams dont care. most imprtant things for getting the interview are your step1 score and are you AOA. after that, i'd say it's some combo of your clinical grades and letters of rec. then further down maybe some other random stuff like ECs, leadership...no one really cares much about preclinicals. just dont fail.
there was no prblem with competitiveness in our p/f curriculum. we basically created classwide study guides/notes for everyone to study from...we all pitched in and you just studied as much as you felt necessary/wanted to. so i loved it. i cant comment on a curriculum that is graded since i didnt go to one that had that, but i did consider that when choosing a medical school. is it possible that it could have been the same? yes. do i know for sure? no