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You said "doing well in medical school". For me, there is a HUGE difference between "doing well" in medical school (which gives you more options even in "noncompetitive" specialties), and just "passing" medical school. I would say even just passing in med school takes more work (compared to undergrad). It's not at all easy to be in highest segment of your class on your Dean's letter and that is hard. There will be a miniscule minority that this comes easily to them, however.
Doing well is obviously a subjective term. When I say it, I mean that you are #1 learning what you need to, #2 Not closing off doors for the future. And yes, that is not difficult to do.