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Correct me if I'm wrong.
Many (good) schools do not internally track percentage/letter grades during the preclinical years for rank/AOA purposes. These include UCSF, Columbia, Duke, UVA.
Some schools have grades for a part of the preclinical years (Penn, WashU, U Washington, Vanderbilt, UTSW, UNC) but do not track more discriminating grades for the pass/fail portion. At my institution, first year performance factors as 10% of your eventual class rank (thirds). However, if you pass all your classes, you get all that 10%. If you fail a class, obviously your rank should drop.
To the best of my knowledge, Hopkins, Northwestern, Baylor internally track discriminating grades during the preclinical years (="false" pass/fail).
A minor correction: Vanderbilt for the entering class of 2012 and beyond is unranked pass/fail for preclinical years.