The name of the game your first year is SURVIVAL! It is a rough year but you do learn a lot. Most first years spend the majority of their time either in class or studying. Second year is still pretty intense but I don't think you're spread quite as thin. The first two years, you just have to stay on top of things as much as you can (at some points, it won't be possible). Then you take boards and are thankful that you got your butt kicked for the first two years.
Your third year, you will rotate between the DMU Foot & Ankle Institute, VA, Broadlawns Medical Center, and clinics in Greenfield and Pella. In the beginning, most students are nervous to be dealing with actual patients but you spend the year overcoming your fears and becoming more aggressive.
Your fourth year is up to you. You must do 1-four month core and 1 month of private practice. Other than that, you go where you want.
Every year is very challenging and nerve-wracking in its own way. Getting a DPM is extremely difficult but rewarding. I am now at the stage where I am very excited to start residency and continue the learning process. My next big hurdle is part II of the board exams this March. After that, it is smooth sailing until May.