The ATLS (Advanced Trauma Life Support) course, offered by the American College of Surgeons (ACS), evaluates participants using both a written examination and practical skills assessments. Here’s how the scoring typically works:

Written Examination
The written test usually consists of multiple-choice questions.
Score Range: The exam is generally scored on a percentage basis. Participants must achieve a minimum score to pass. While the exact passing score can vary slightly depending on the specific regulations of the administering body, it is commonly set around 75% to 80%.
Practical Skills Assessment
The practical assessment involves demonstrating proficiency in various trauma management skills at different stations.
Scoring: These are often scored on a pass/fail basis, where participants must meet predefined criteria to demonstrate competence in each skill area.
Overall Pass/Fail Decision
Participants need to pass both the written and practical components to successfully complete the course and receive certification.
Some programs might allow participants who fail one component but pass the other to only retake the failed portion, rather than the entire course.
Certification and Recertification
Upon passing, participants receive an ATLS provider card, which is generally valid for four years. After this period, recertification is required, which may involve taking the course again or completing a refresher depending on the institution's policies.
Grading Details
Specific grading schemes or any changes to the passing criteria are typically communicated during the course. It’s advisable to pay close attention to the guidelines provided by the instructors on the first day of the course.