British undergraduate degree classification
In the United Kingdom, medicine is usually taught as an undergraduate course, with graduates being awarded a master's level qualification: normally the conjoined degrees of Bachelor of Medicine, Bachelor of Surgery (MBBS, BM BCh, MB ChB, etc.) although at Queen's University Belfast (and universities in Ireland) Bachelor in the Art of Obstetrics (BAO) is added, and at some universities only the Bachelor of Medicine is awarded - all of these have equal standing. Unlike most undergraduate degrees, the MBBS is not normally considered an honours degree, and thus is not classified into first class honours, etc. Students may be awarded "Merits" and "Distinctions" for parts of the course or the whole course (depending on the institution) and "Honours" may be awarded at some institutions for exceptional performance throughout the course (as a grade above Distinction).
Bachelor's degree
The Bachelor of Integrated Studies (B.I.S.) is an interdisciplinary bachelor's degree offered by several universities in the United States and Canada. It allows students to design a customized and specific course of study to best suit their educational and professional objectives. Generally, this degree is sponsored by two or more departments within the university. Schools which confer the B.I.S. degree include the University of Manitoba, Pittsburg State University, University of South Carolina Upstate, Weber State University, Ferris State University, Arizona State University, University of Minnesota, Miami University (Ohio), the University of Virginia, the University of New Brunswick, and Tallinn University of Technology amongst others.