I would say that getting high passes or honors in the majority of your rotations is what you should aim for. I think overall, your clinical grades matter a lot less than other parts of your application such as your USMLE Step 1 and 2 scores, M1/M2 grades (assuming they aren't pass/fail), and your letters of recommendations. As long as you don't have any red flags or received concerning evaluations during your clerkships then you shouldn't have anything to worry about. I would aim to honor the specialty that you are planning to apply to but that won't make or break you either.
Good luck!
- Annette G, MD, MPH - USMLE Tutor and Residency Advisor at Med School Tutors