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).
Undergraduate education
In the traditional German system, there is a vocational degree (Diploma FH) that is similar in length, and is also considered an academic degree. Though it is designed as a specialist degree, in contrast to the Diplom degree at "University", which claims to be more generalist. Germany itself, however, is currently abolishing the legal distinction between Fachhochschule and University. They are both translated as university and they both provide bologna-compliant and equivalent postgraduate degrees.