Each year's Harvard Medical School graduating class includes one doctor who is ranked at the bottom of their class. To be clear, this individual was the absolute worst performer in their four years at this highly esteemed institution. Every other Harvard Medical School graduate that year had performed better than they did. If you lined up those Harvard doctors in order of their performance, this doctor would be at the end of the line.
There is a phrase that’s used to describe that person. They are called ....... a Harvard Medical School doctor. Perhaps ranking people by performance doesn't seem quite so sinister now.