Hi Timothy, I think academic courses are different from career courses. The main difference is skills, tasks, and applications related to a certain profession have to be demonstrated satisfactorily for the student to pass. EC really has no place in these settings. You've referenced nursing a few times. Of course there are academic and theory courses that occur in these programs. But there are also the skills portions. In some programs, that represents the bulk of whole program. Altering a grade to compensate for missed questions, incorrect understanding, or below par performance shouldn't be an acceptable practice. artificially raising a grade in health or medical courses can lead to poorer worker performance as graduates, and compromising others health is obviously not a good thing. In my courses, I have just maintained no EC. Thats my bias and opinion, and I appreciate that others may differ. Barry Westling