To the original poster, I'll try to break down to you why I think my first year was harder than I expected.
Concepts
Easy. There is nothing that you can't wrap your mind around.
Volume of Material
When I think about it, the volume of material was on par with what I expected. Besides, our brains can process so much information it's astounding. So it's not volume of material perse.
Relevance
So if it's not the concepts and it's not the volume then what is it you ask? Well, I'll tell you. The last year of my life has been spent memorizing what I consider to be one of the most worthless knowledge bases ever.
Now, some will argue that it's important to memorize that a plasma cell looks like a clock face, the virulence factors for every bacteria known to man, the chemical formula for oxaloacetate, the chemical structures for all 20 amino acids, how to read a pedigree, the Henderson Hasselbach equation, every nuclei in the hypothalamus, the side effects for 300 different pharmacological agents, 8000 random gene names, etc. I would argue that not only is it a complete waste of your time, but it's also irrelevant.
And that's what really killed me about this last year. It wasn't just that the volume of material was high. It was the fact that it was a huge volume of material that was completely uninteresting and mostly irrelevant (I figure about 80%) to what I will be doing.
I did an experiment in the spring semester to confirm my belief that the first year of med school was about as useful as poop flavored oatmeal. One time per week I would find a clinical skills instructor and ask them a basic science question that we were being tested on. I'd say I did this about ten times. The only time I didn't get an "I don't know" I got an answer that was light years away from the correct one.
Teaching
You see, when I got here I thought I was going to be learning a method. Like chess. First you learn how the pieces move. Then you learn how to use them in conjunction with each other. Then you learn opening strategies...etc etc. The key being that you learn them all in context of the game.
Well the first thing you do in any medschool class is learn how the pieces move. Then they put the pieces in a bunch of random ass positions (out of context of the game) and ask you questions about them. And that's fine...if you're good at memorizing (which is a skill I've developed in this past year).
So basically, the teachers believe that if they show you positions and they teach you how the pieces move, you'll just somehow magically figure out to play. I had roughly 15 classes the first year and I guesstimate about 5 teachers per class. If we subtract some for professors who lecture in multiple subjects I'd say I've had about 50 different medschool teachers. I can count on one hand the teachers that don't just read off slides. 90% of my teachers put a slide up and read it. They explain NOTHING. They teach NOTHING. My ten year old nephew (not a joke) could do what 9/10 of my medical school professors do.
I'll give you an example because I just finished pharmacology. I know that acetominophen is processed in your body by a series on conjugation reactions (about 95%). The other 4-5% is processed by your liver through a certain CYP450 enzyme. Should a toxic dose of acetominophen be reached (10g) it will cause failure of the backup glutathione system resulting in sequential failure of said liver mechanism. The ultimate result will be liver failure. Now, that's all fine and dandy, but if you asked me how much tylenol to give a hospitalized kid with diabetes I wouldn't have the first damn clue. Pretty much any practical question (the chess game) I'm toast on. But hey, at least I know digoxin comes from the foxglove plant.
Formula
Poorly taught + irrelevant + uninteresting + massive volumes = HELL.
HELL = progressively falling motivation.
How to Cope
Here's my pseudo sage wisdom.
1. Accept the fact that most of your first year is a giant flaming hoop of BS you have to go through cause someone thought you should and schools want to make money.
2 Ask yourself what you feel the road to being a good doctor is. Personally, I waved goodbye to being a good student a long time ago. For me, P = Perfect. I feel the road to being a good doctor involves careful analysis of what you're learning and grasping on to the pieces of information that will better serve your patients (it's maybe about 20% of the total of what you learn). Like, it's probably important to know that Hashimoto's is the leading cause of hypothyroidism, or that the neurovascular bundle is inferior to the rib of it's corresponding spinal level, or that G6PD deficiency affects 1 out of every 10 Africans.
3. Find a study partner that you can learn with and bitch to. It does wonders.