A challenging first semester in university is a common experience, especially for those transitioning from high school or returning after a break. Concerns about how a poor start might affect med school applications are valid but should not overshadow the importance of improving current academic performance. Focusing on achieving good grades in subsequent semesters is crucial, alongside engaging in extracurricular activities like research and volunteering to enhance a resume. The transition to college can be tough, but it often gets easier as students adapt to the workload. Acknowledging the difficulties faced by peers can provide reassurance, and it's essential to commit to hard work and preparation for the demands of medical school.