Laryngospasm said:
Top med school + 249 step + going into IM = crapload of interviews.
That's pretty much true, except that the OP appears to be planning to apply to only 5 schools, and several of them are among the most competitive in the field, where it's a crapshoot no matter how strong one's numbers look.
smid, you are an awesome applicant for IM and should have no problem going to a top program. Your board score and school will definitely help with this. However, IM clerkship grades tend to be a big deal from what I've heard/experienced. For example, I had a slightly higher board score than you and honors in my medicine sub-I but not my 3rd year clerkship. I got rejected w/o interview at Columbia, UCSF, and Stanford. Of course, I didn't have strong ties to Cali and my med school was maybe only top 30 or so...if you are at UCSF or Hopkins you will likely have a very different response from some of those places.
Anyway, I agree with other posters that no one can predict the future for you and you should apply to as many great programs as you want no matter what anybody says. But I would suggest casting a somewhat wider net, unless you have great advice that people from your school w/your clerkship grades match into those places consistently. I'd also suggest checking out the IM forum, which has a sticky where we've all posted our "stats" and where we got interviews, where we matched, etc. It helps to get an idea of how competitive you are (and also underscores how random the whole process is!).
Best of luck!
-BBB