I am throwing in my advice because I really did not like First Aid for step one. I used only Kaplan review books and took the course (it was offered at my institution - there is no way I would have traveled to have done so). I also used the Qbank as a semi-religious experience. I felt that this was more than adequete. I think that the Qbank is the most important part as the questions, I felt were more difficult than the real deal. Also, they get you in the frame of mind of taking this exam. I did not have shelf exams at my institution, so I can't speak of how these prepare one for the exam. I felt I did great on step one with this method. Step II is much easier. I only used first aid, breazed through crush and did the qbank, and I felt like I blew it out of the water. How much step II realy matters in the grand scale, on the other hand, is up for debate. In any case. I think that the most important thing is not getting too psyched out by the damn thing. I really is a mental endurance test as there is no way that you have had any experience sitting and thinking for seven to eight hours straight. The best advice is to not get psyched out by the thing and just do it. I have some friends who are still studying for the thing (they obviously aren't going to be going into ortho), and the sole reason in my eyes is that they are just completely psyched out by the thing. So, positive attitude is key. And, not everyone is a feaking wonderkid. Take it seriously and prepare accordingly. Vacations are minor in the grand scheme of things. The goal is your career. Good luck!!