There is no "MUST's" to honoring during third year. While it is important to pull down clinical honors. . . . .there is no magical combination. Yes, preferentially honors in Surgery and Medicine goes a long way. I know applicants who honored in neither and matched at good programs. Before going into the process last year, I was told to try to pull down 3 or more honors and that honors in Med and Surg are the most important. But if for some crazy reason you didn't honor in Surg or Medicine (or both) don't count yourself out. Try to pull down honors in other clerkships. I honored in Surgery, Peds, and all three of my ortho rotations.