Ok, look. I didn't mean to come across as harsh. Obviously, different schools place a different meaning on "pass". My school is one that only gives honors to the top 10% of the class. Everyone else gets a pass, which is of course not considered a "red flag" by anyone with any sense at all because, come on, that's 90% of the class. You say that at your school, since there is also a grade of "high pass", a "pass" is generally below average, I guess I can't argue with you. After all, I am not at your school. But I would be really, really surprised if any residency director is going to pay close attention to the difference between a "pass" at school A that has H/P/F vs. a "pass" at school B that has H/HP/P/LP/F. And by the way, I HAVE already gone through match. At interviews the PDs would occasionally comment on honors in certain courses, but not one person ever asked me: "So why only a "pass" in internal med, surgery, etc?" Not one. I had my fair share of "just passes". Incidentally, I got my first choice in the match.
Now let me put to rest your insecurity about what you called your "mediocre" board score. I happened to see in another thread that you said it was 233, is that right? If you use the average board score of 216 (which it was in 2003) and a standard devation of 20, then a score of 233 is calculated to be at the 85th percentile. (This is a percentile, different from the 2 digit score they also give you.) That means that you did better than 85 percent of all the people taking boards that year. That is not "average" or "mediocre", regardless of what a number of misguided people on this board will try to tell you. And it is absolutely, positively not a "red flag"! Especially not when you are applying to internal medicine. So please stop worrying about it.
Peace.