I got scammed. They told me it was pass-fail but in your dean’s letter you were either “excellent,” “great,” “good,” etc. Everyone else knew about the adjectives me but me!
More than a decade ago, the trend led by top medical schools was 2-tier (pass/fail) grading for preclinical courses. The story of the last decade is pass/fail for core clinical clerkships (now at 12 of the top 25 schools). As a result, residency programs have more difficulty differentiating students from these schools, and students are increasingly driven to pursue extracurriculars (chiefly research/publications) and max their Step 2 score to distinguish themselves.