But you'll have to realize that even between top American schools, course load and marking differs. My friend went to Oxford from Cornell, with a bunch of students from other top American schools for some program. I remember him saying how he partied all day while the others were complaining it was so hard. He described it like this: "At Oxford, if you're asked whether you'd rather do a problem set or get beaten by a stick, you'd take the problem set. At Cornell... you'd definitely take a moment to consider." I don't want to get into grade inflations/deflations here though. Feel free to contact me if you'd like to know.
Canadian universities also take 90% as the general A+. When he says he's getting an A+, it means he's getting somewhere between 90 and 100%. I don't think I can emphasize well enough, how easy this is. For one Human Resources exam, I studied 30 minutes the night before after getting drunk, and wrote the exam the next morning hung over. I got a 94%. That's the only reading/studying I ever did for that class. This isn't unique to this university either.
I personally usually just need to read, listen, or work through something once to get it, depending on what the material is. However, his methods make logical sense I guess.