You have clearly done a great job, and she will almost certainly continue to have a great life all the way through. Med school is no joke, but I know she'll succeed. How could someone so worthy NOT?
My "middle" step-grand is cut from the same cloth. Honour roll all the way through high school, started uni in second semester of second year because she did the first 1 12 years by extension during Grades 11 and 12. (The others are also killing it, but your d's story is so close to M's, so that's who I'm focused on ATM)
Small surprise that she was also Honour Roll this year. Her mother, my "middle" stepdaughter, was her model. Smart, but ultra-hard working and the two of them never accepted less than excellence. So, please take a bow for everything you've done! 
My wife - the mother and GM of these two, obviously - and I are busting our buttons over all of our grands. ALL are succeeding at life in absolutely grand fashion (no pun intended) and we couldn't be prouder of them and their parents.
PS....she was also voted Kindest, Most Popular and Prom Queen by her fellow graduating class. We have some spectacular humans in our lives, don't we? 
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