It is field and institution dependent even when I was a student.
My third year IM site director was known to grade like the way you’ve been graded. So barely anyone comes out with HP/H. I got a pass and called it a day. What would you have thunk, my sub-I for medicine was? I hp it when I took a week off at the end of my 4 week rotation due to family emergency. I am pretty sure I would have honored the rotation if I didn’t. My senior resident loved me.
Anesthesia is a totally different animal. We know you don’t know anything about anesthesia. You just want to learn intubation, (unlikely during a rotation). It’s chill, because after I pimp you on all the pressors and drugs and dosages, I’ve had enough people interaction for the day. Sometimes I don’t even go that far. Be a decent human being, show up when I say you should. Don’t be stupid. If there is a lecture that is mandatory show up. We could careless that if you don’t want to be an anesthesiologist.
Do the best that you can. Any deans or department clinical directors worth anything know how their faculty members assign grades. These are things you cannot control. (You can by switching sites, if you have the option). Things that you can control is how you conduct yourself day to day. Don’t try to get away with things, we see it. We usually let things slide, but when you can’t even bother to show up and then ask for an eval, good luck, bro.
Currently attending anesthesiologist. Was an attending hospitalist. The event I described was when I was doing my anesthesia residency less than five years ago.
If you come from an ivory tower and/or going to one, these grades certainly “may” matter. If you’re going for a “regular” doctor job, you will be just fine. But I understand when you’re “in it”, it feels very different.
Good luck, op. Good luck to you all find something you like and enjoy.