Well that's the crazy thing for our evaluations during fourth year, you can't even "honor" those rotations (Sub-I's in ortho). It's either pass/fail. Basically you are evaluated on 18 different points on the 1-5 scale, 5 being excellent. As long as you get above 3 on everything you "pass" otherwise "fail". Even if I got all 5's on a rotation in ortho it would still be a pass. I don't think it's ideal.
I wonder do programs then look at the comments made by the physicians instead? Our school does do a "total tally" of your scores of all of the rotations you've done and compare it to the class and include it in our deans letter, but I just worry that our evaluation at our school doesn't even have an "honors" designation in any rotations other than the core rotations, and that's because we have a shelf examination to help sort out things.