A dumb question, and probably best answered by current med students, but since I'm still an MS0 it would probably get moved from allo... Anyway: Why are non-pass/fail grading systems seen as such a big detriment to a medical school and the experience students have there? Almost all of us have been dealing with grading scales more finely divided than that for ~16 years and been fine. Some developed competitive attitudes, some got stressed, some schools developed overall competitive/stressful atmospheres, and some didn't. I get that every level of education is more challenging than the last, so med school is reasonably expected to be harder than undergrad, but does one's ability to cope with being graded really drop off so dramatically at this point?