Just to clarify about grades, it's really neither pass fail nor is it ABCD (which I guess doesn't clarify at all haha). We get a percentage grade and that's it. There's a histogram posted after each exam and each module that tells you the overall statistics (mean, median, high, low) but if we're ranked then it's news to me and even if it is true then it's certainly not emphasized.
On our transcript all that shows up is the module grade. For instance our first module was made up of Anatomy, Histology, and cell biology. You'll get individual grades for each course and there will be a histogram posted after each test. When the module is done there will also be a histogram posted for each course and each module, but all that will go on your transcript is your overall module grade.