Year‐1 performance and stress outcomes in study cohorts of medical students tasked with achieving 67% and 100% of Year‐1 credits, respectively. A, Year‐1 pass rates in the total 67%‐credit (n = 410) and 100%‐credit (n = 413) cohorts, and separately in each cohort for female (n = 270 and n = 275, respectively) and male (n = 140 and n = 138, respectively) students. B, Mean ± standard error (SE) scores on the Perceived Stress Scale (PSS) for all participants in the 67%‐credit (n = 234) and 100%‐credit (n = 244) cohorts, and for female (n = 166 and n = 169, respectively) and male (n = 68 and n = 75, respectively) students. C, Mean ± SE untransformed hair cortisol concentration (HCC) in all participants in the 67%‐credit (n = 181) and 100%‐credit (n = 162) cohorts, and in female (n = 114 and n = 96, respectively) and male (n = 67 and n = 66, respectively) students. Statistical analyses were performed to show differences between cohorts (total or subgroup) or between male and female students within a cohort. *P < .05