Dr. Levine,
Thank you very much for your response.
Unfortunately, my school's fourth year grading process isn't explained anywhere on the transcript. It is mentioned very briefly in an appendix on our MSPE, which can be easily overlooked due to the fact that you'd have to search for it and residency program committees understandably have a ton of work as it is reading through hundreds of applications on top of their already busy schedules.
I did have a couple more questions with regards to this situation I'm very much hoping you could answer:
Do some residency programs screen based on honors earned in orthopaedic surgery electives and sub-internships?
Can strong letters of recommendation help balance out this situation, or will letters hold less weight or possibly not even be looked at because honors listed next to orthopaedic surgery electives and sub-internships is expected by residency committees?
Thank you very much again for taking the time to read and reply to my post. It is very much appreciated.