Hi. I was in the same boat and everyone around me was surprised because I have always performed very well in school. I just Passed and I will say I have never had so much confidence and energy taking an exam. My biggest help was tutoring. When doing a search because I had already tried so many different programs I found Precipio learning on one of the PANCE forums and the tutors name is Dr. John Athas. He has a lot of experience, he provides a strong foundation so that you don't have to memorize INFORMATION, you just know your stuff and you answer questions the way that you would provide care for a patient. I totally recommend the investment... or atleast contact him and let him talk to you to answer your questions about it because it was the best thing I could have done for my family and myself.