Very astute, roo. Besides being very accurate, your post gave me a little chuckle.
You've also inspired a question for me, though (for you or whoever knows). What impact do you think grades or class rank has on residency applications? We've been flogging this question to death here at UCC lately. Here we get the standard Irish Dean's letter which I believe lists class rank in every year (and possibly every course) through the whole five-year saga. Of course N. American directors won't know how to interpret the marks themselves but can look at class rank. Everyone seems to think that even class rank in years 1-3 doesn't really matter and that 4th and final med (and perhaps only final med) really matters. Perhaps it's wishful thinking for us lower years so we can reconcile our 60-something averages but it can have a big impact on one's approach to the angst of the foundation years. I'm a second med and many fourth and final meds I talk to tell me they just wish they'd stressed less in the early years, trying to get a 1H in everything when it clearly doesn't matter.
At residency application time there are four groups of things that go in:
(A) Your residency application form.
(B) Your transcripts, which in Ireland often has a standard letter as part of it.
(C) Hopefully, a bona fide dean's letter, not just the form letter.
(D) Letters of recommendations from physicians. Probably one or more from a service in US/Canada where you did an elective.
My personal advice on things you can do:
(1) On your application for residencies to US, Canada, or wherever, there will be a section to list awards, achievements or whatever. Fill that with awards, scholarships, prizes first (if any), then if you did well in some years, or in certain courses, use the rest to fill in like this:
Biochemistry: Summa Cum Laude
3rd year overall: Summa Cum Laude
Surgery I: Cum Laude
Medical Informatics: Magna Cum Laude
This is what people that do the application revew universally understand as what these mean. Don't bother with H1, H2.1 or H2.2, use Magna Cum Laude, Summa Cum Laude, and Cum Laude. These are the equivalent terms in meaning for people who aren't familiar with UK/Ireland terms for class rank.
(2) On dean's letters, they can use the Cum Laude, or even better just write sentences that include the following as they apply:
"You were in the top 25% [or whatever] of your class throughout medical school"
"You were in the top 25% [or whatever] of your class in your graduating year"
"You were in the top 25% [or whatever] of your class in the majority of your class years"
"You were in the top 25% [or whatever] in the majority of your classes in graduating year"
"Performed well, including scoring in the top 25% [or whatever] in Physiology, Surgery, Pediatrics [or whatever].
I don't know the dean at UCC. If he/she isn't familiar with US/Canadian letters, then as a group of US/Canadian students, it would be worthwhile for yourselves as a group to provide him with a sample of what a US/Canada reference letter looks like. As well, if the dean doesn't already ask, provide the details of awards, etc so that dean can be sure that they are detailed correctly. The UCD dean when I was in school went through the US/Canadian system so knew how to make a proper, personalized letter highlighting strengths for those that performed well. It really was done well, and we appreciated the time that it took on his part to get to know us, and really spend time to convey his opinion in a proper letter.
The reason is that recommendation letters are different in Ireland vs. US/Canada.
Ireland letters can be as short as a sentence:
"Dear colleague,
Bobby Joe Smith was on my service and performed his duties well.
Sincerely,
Prof. The-Fact-That-I-Am-A-Full-Prof-In-Dublin-And-Signed-This-Letter-And-You-Know-Me-Because-This-Is-A-Small-Island"
In US/Canada that same letter would be a kiss of death since here it is a taken as a doctor-to-doctor between-the-lines "this guy sucks" letter. You will need a 1-2 pager, properly personalized and highlighting strengths.
Hope that helps,
roo