Third year- grades or mspe comments?

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Phrasing

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My school is one of those unfortunate ones who gives out few honors on Clerkships. I’ve gotten really good narrative evaluations so far but my grades don’t line up with comments. For IM, particularly at the top tier places, will this hurt me that much as long as the rest of my application is up to snuff? Finishing IM now and I think I have a good chance at honors on this one but not sure about most of the rest of them (I’m halfway through). I’m pretty geographically limited otherwise I would not be as concerned.
 
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