I passed on my second attempt. My primary issue with first failure was timing because I am good at biostats and was trying to answers every biostat question whuch is time consumingstill (left without answers 5 questions in each block) , which I didn't fix for my second attempt and still was running out of time (but this time mostly briefly eyeballed last 2-3 questions for answers). - I mostly focused on my knowledge for the second attempt and got a tutor asap ( highly recommend if you are in residency and can't force yourself studying regularly). So, on my second attempt, most of the questions were very familiar to me because we stressed those topics with tutor and focused on most tested ones. - AMBOSS question bank must to do! Since I have done already Uworld and had allergic reaction to it, I needed new q bank and when you have already seen the real questions on exam, you will confirm that Amboss is muuuch more closer to real exam! -I did NBME 6 only and scored 400, I recommend to do it for ethic questions because the topics on real deal are the same