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
In the Netherlands, the Bachelor of Arts and Master of Arts degrees were introduced in 2002. Until that time, a single program that led to the doctorandus degree was in effect, which comprised the same course load as the bachelor's and Master's programs put together. (The doctorandus title was in use for almost all fields of study; other titles were used for legal studies (meester) and engineering (ingenieur).) Those who had already started the doctorandus program could, upon completing it, opt for the doctorandus degree (before their name, abbreviated to 'drs.'), or simply use the master's degree (behind their name) in accordance with the new standard. Since these graduates do not have a separate bachelor's degree (which is in fact—in retrospect—incorporated into the program), the master's degree is their first academic degree.