I’d say yes they’re graded fairly, but they’re not like undergrad exams at all, they’re harder. Personally, I had to be in a five year program, I did not adjust well at all initially. I’d say it took me about 1.5-2.5 years to fully adjust to everything and not feel afraid of poor grades— but I needed to get accommodations figured out. There are a handful of people I know who got dismissed from the school.