The only thing that concerned me here is it seems you've spent a lot of time using all those resources and assessments, have you worked on the areas which showed you were weak on? First time UW averages and UWSA seems to have predicted accurate scores more or less. I am stating that based on my experience and those of which I've read here. Borderline passing can be risky for CK. Its better to be in a safer margin than that before giving the exam. If I were you, I'd just use UW and understand inside out the concepts that I am lacking. UW covers pretty much everything needed for the exam if you do it the right way. By that I mean, trying to use less resources but doing them really well. That was the lesson I learnt from step 1 and applying that in CK helped me prepare in a shorter time but more efficiently. Try to understand what mistakes you're making and why you're making them. This exam is totally different to step 1. You need to make a lot of choices based on instincts. You can either develop that with a lot of clinical experience or by understanding the pattern of mistakes you're making. Is it down to the content of the subject? Is it because you overthought? Is it because you considered doing something invasive when a simple bedside procedure would have been a good start.
Just know that clinical practice should be simple, at least on our level. And that's what the board expects from us. They want us to take simple choices, cheaper choices, try to figure out if something is life-threatening and requires immediate intervention. I am not trying to be a lecturer here. From my experience, I felt the exam cannot be prepared just by going through books. You need to develop that instinct to make simple, sensible and common sense choices. You have to imagine yourself in a clinical setting and ask yourself whether you'd really put that patient through. I am sure you already know that, just trying to reinforce it onto you. Those assessments are pretty accurate in telling where our knowledge stands. You just need to know what to work on. I don't think it would be a wise idea to dwell on the borderline. CK can be tricky if you fail to make simple choices or fail to trust your instincts. Only you can teach that to yourself by training your mind using UW the right way.
