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).
Postgraduate education
Most of the confusion with Australian postgraduate programmes occurs with the research-based programmes, particularly scientific programmes. Research degrees generally require candidates to have a minimum of a second-class four-year honours undergraduate degree to be considered for admission to a Ph.D. programme (M.Phil. are an uncommon route). In science, a British first class honours (3 years) is not equivalent to an Australian first class honours (1 year research postgraduate programme that requires a completed undergraduate (pass) degree with a high grade-point average). In scientific research, it is commonly accepted that an Australian postgraduate honours is equivalent to a British master's degree (in research). There has been some debate over the acceptance of a three-year honours degree (as in the case of graduates from British universities) as the equivalent entry requirement to graduate research programmes (M.Phil., Ph.D.) in Australian universities. The letters of Honours programmes also added to the confusion. For example: B.Sc. (Hons) are the letters gained for postgraduate research honours at the University of Queensland. B.Sc. (Hons) does not indicate that this honours are postgraduate qualification. The difficulty also arises between different universities in Australia—some universities have followed the UK system.