I high passed clinically and was eligible for HP based on my shelf grade (there are minimum grades). I dropped the ball on the shelf and was at the class average. I loved my rotation, but it was a bit disjointed. I only had 2 weeks inpatient and the senior resident was absent for most of that time. We also have a hospitalist service, so I never worked with attendings for more than a a few day. For my outpatient service, I was assigned to the resident clinic where they only let me shadow (the interns were fighting for patients), while other students went to offices in the community or the faculty practice clinic, where they worked with the same physician every day and easily obtained evals. In retrospect, I should have had my selective preceptor (in peds Endo) do an eval, but I did not know I was allowed.
This will be purely theoretical advice, since I don't know you and can't predict how strong your letters will be or how well you will interview. It seems like you have a pretty good range of programs on your preliminary list. A couple of them are fairly competitive, but there isn't anything wrong with including some "reach" programs on your list (but be careful what you wish for..). My advice would be to meet with your faculty advisor or equivalent to talk candidly about your application, programs in which you are interested, etc. The residency program director at your own institution should be a good resource for you as well. These people should have some institutional memory regarding how previous students from your school with similar scores, grades, etc. have fared. But I would not be reluctant to meet with these people- that is (or should be) an important part of their duties.
