Does something take too many key strokes? Too much repetition? Do you need auto-complete for languages, projects, etc.? Do you have trouble navigating? Changing surrounding syntax? Give a bit more detail and I'd be happy to point out stuff you could/should be doing.
Most people will just throw out a laundry list of cheat sheets and useful plugins; while there are many of these, you should concentrate on efficiencies that will gain you the most productivity for your specific tasks.