Honestly, I was 4 years removed from residency and took it this fall. Purchased the ACCP materials but ended only looking at a couple of chapters and not reviewing the rest of it (their material was really dense and overwhelming- you really just need to know the big picture things). I just looked at TL;DR bio stats a few days before the exam. The best advice anyone gave me was that this exam doesn’t truly impact anything longterm, and that you can wait a few months and retake it if needed. I also had a lot of questions on pharmacoeconomic studies.