How long does it realistically take to study for the NCCAOM?

For what it's worth — I've taken the NCCAOM twice now. First attempt I underestimated the practice test questions. Second time I focused almost exclusively on applied practice and passed comfortably. The difference is real.

The part about reviewing wrong answers thoroughly is so underrated. Most people (including me, first time around) just move on after getting something wrong. Going back to understand the concept is what actually builds retention for the NCCAOM.

Congrats on passing! Can I ask — how many questions did the actual exam have compared to what the practice tests simulate? I've seen different numbers online and want to calibrate my timing during practice.

Good thread. One thing I'd add: don't try to cram the night before. I did 2 hours the night before my NCCAOM and I think it hurt more than helped. Your brain needs consolidation time. Light review or full rest is better.

Late to this thread but wanted to add — the exam prep section trips up more people than any other part. If you're scoring below 75% there in practice, treat it as your only focus for at least a week before moving on. Breadth at the expense of depth in that area is a common mistake.