Augmel...
okay first of all, we both need to go to bed! 🙂
My gut feeling is that a program director would like to take someone they know over someone they don't know, if they think you are interested and would do a decent job. I would (because that tends to be my personality) make my interest known to the PD, become familiar with members of the department, and demonstrate willingness to participate whenever possible. I don't think you need the stellar record that you implied, because pathology is not as competitive as other fields yet. (Although this may be changing.)
Are you a third or fourth year? If you are a third year, see if you can get in on a research project. I think being academically productive during medical school is an enhancement to anyone's application. Ask the PD, or other source, who may need a hand with a project, and go ask that person.
I think that you have a big edge if you are a UW student. Use it to familiarize yourself with the department.
Mindy