I'd say your Step 1 score is more important than any clerkships. As long as you make pass or As and Bs, interviewers dont care that much. Because the way the ERAS information packet is set up, figuring out grades and performance for all the different medical schools are different. Pretty much everyone just zips down to the thing thats the same for everyone, the USMLE page. It may not sound fair, but most attendings dont have time to read everything in that big pdf file and they just look at your scores, gloss over your personal statement, skim through your letters for red flags, and judge most of what they think of you by your interview with them. Also more important than clerkships are pathology electives. Having a bit of experience and maybe a couple path letters is much better than making an A rather than a B in surgery, which really doesnt help that much for pathology IMO. We just want normal, nice, teamplayers. Most everyone is trainable, no matter what pathology department you match. We want hardworkers who won't rock the boat, bonus if they are a genius.