To get the easy stuff out of the way, grading is the same as lecture. Pass/Fail, honors is a bit different since it is a smaller set of students, but not so important. In DPC, we have our Content exams. These are hulking exams consisting of a good portion of multiple choice, short answer (maybe a sentence or two or just a word), fill in the blank or even matching, with short essays. I use the term "essay" very loosely. It can be just listing details or asking for pathways or mechanism of action, but never will it be a nice intro, body, conclusion deal. Since our learning is different, what we get tested on is a bit different too. With our cases, groups choose learning issues pertinent to the case. Between the groups, there is overlap of these issues, if all 4 groups overlap, they get called "Commons" because all the groups have done the same issue. Then sometimes there are only 3 groups, 2 groups or 1 group doing certain issues and these are "Uniques". The bulk of the test is common learning issue which are told to us and what you should focus on for studying. Then you have to gauge yourself what other issues might be tested on. Yes, it makes studying that much harder, but it keeps most things fresh in your mind then. Basically whatever pharmacology is done, even by one group, makes it in the exam. So the common section of the test, all questions must be answered. Then in subsequent sections, you will be presented a number of issues, and get to choose maybe 3 of 5 to answer or out of 25 multiple choice, you answer 15 points worth. I know this sounds insane and borderline psychotic, but it is totally worth it in my opinion. Everyone in med school is crazy, we just raise the bar. Don't hesitate to pm for more DPC craziness.