grading is fair (not curved, unless it is to everyone's favor), and students do well. there is not a strong emphasis on "honoring" everything, as we like people who are involved in the community and are "complete people." i hope that makes some sense.
to answer your question, honoring certain classes does require a great deal of commitment and perserverence. it is, in my opinion, a question of willpower rather than ability. my classmates are incredibly smart and i believe that they could honor everything if they wanted to. most don't want or care to. if that is important to you, than it is possible. i do happen to know a number of students who have honored everything thus far (into their second years).
this is a great place to be. you can actually "develop as a person" here, if that's your thing.
serving the poor of new orleans is incredibly humbling and refreshing. and we have some GREAT coaches here who will teach you what a great physician truly is.