Just a quick stroll down "amnesia lane",
For the 1st years, adaptation is *key*, as you are all finding out. Once you find your "groove", things will seem to fit into place - Don't expect things to get easier, necessarily, just that you will be better prepared for the insertion of the cold hard steel as you bend over the OMT table. For those who have not found that groove yet - find it fast.
Another key element is identifying "diminishing returns". Identify when you have hit the wall, and take a break, go do something fun. Hell, just sit in the corner of Dukeum, and watch the townies for a while - That'll make you feel better...(Suddenly life doesn't seem so bad - Hey at least you got yer teeth...)
But seriously, find a groove, try and relax a bit, and enjoy the education if you can. Although our class had tons of turmoil(2002 - the *bad seed*), I look back on the first 2 years, and think: Amidst all the BS, I actually got a good knowledge base, and can run with it. Have a little faith, and before you know it you'll be freaking out about other things(boards, residency)
If anyone needs advice - Just MSG me.
Keep your chin up and the coffee pot brewing.