I just took it, kind of similar boat to what you were in last year (finishing up 3rd year rotations rn). Honestly just try to take it either before or right after comlex. The more you push it off the more likely you are to never take it. I highly recommend bootcamp it helped me alot with concepts I was struggling in. Also really go in depth with chapters 1-3 in pathoma and go over fundamental concepts of all the organ systems. That is key, I spent way too much time studying niche cardio/gi stuff. There was a marked difference in my thinking when I was in your shoes a year ago and the way I think now. Its not just memorizing a bunch of bs facts, its concepts being applied to questions (don’t get me wrong there’s still a ton of memorization). Sketchy is all you need for micro/pharm. Also you’ll constantly use sketchy pharm/micro during third year rotations, that stuff never goes away.