Hello all, I am asking for any words of wisdom, advice, whatever to help. I have taken and failed the part 1 exam 4 times. I'm in the group that takes Part 1 and 2 not the Basic and Advanced. I took Jensen for the first exam, used old exam questions and ACE questions and failed. Since then I have continued using ACE questions, attended the Cleveland Clinic Review Course, used Pass Machine, used M5 along with your basic review books, question books and Miller, etc. I took a test taking course, thinking that was the issue. The last exam I walked out thinking I could not have studied any more and nothing on the test was new to me. I worked the questions thoughtfully and really thought I did the absolute best I could, yet I still failed. I know some people will say I'm not studying enough, but I am and this exam has been hanging over my head for too long. I work as an attending and am good at my job. I have great working relationships and do a variety of cases at my hospital. I am a qualified anesthesiologist, but this test eludes me. Can anyone shed some light on what else I can do or how I can approach this differently? I need to move on with my life once and for all. I don't want to quit medicine but I may have no choice if this keeps up. Any advice would be appreciated.