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Changing medical student grading from Honors, pass, or fail to pass or fail did not change performance on the USMLE Step 1 examination. BMC Med Educ. 2014 Jun 30;14:127.    (retrieved Feb, 2015). There are currently 1090 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2024 by the Internet Medical Association. Click Here to view more medical pearls.