I've only been really studying for 4 weeks. My last two tests were 172. This is my first 175+.

For high scorers trying to break through a plateau: I guess my biggest tip here is voice record yourself (with a transcript - apple voice memos also makes one automatically for free if you have an apple device) while taking sections and PTs and try to verbalize every piece of reasoning out loud. If this means you have to take it untimed, do that. Then upload the transcript to an AI (perhaps with the test if it isn't 7sage ai - warning u will run out of 7sage ai if you use it for this a lot) and have it analyze where your reasoning breaks down or when your process stops being applied every time. Mine then gives me a list of reminders I need to read out loud before each test.

Another tip that's worked for me is READ THE STIMULUS FIRST every time! I've gotten to the point where I can predict the question type on at least 1/3 stimuli and successfully prephrase the answer without looking at the question stem or answer choices.

Also MAKE ANKI FLASHCARDS and do them daily! It’s free and it’s not just for med students. There are a lot of things that should just be automatic when you want to enter a flow state and score really high. Identifying question stems, sufficient and necessary indicator words, diagrams, understanding the answer choices, etc, are only a few things in my anki deck. This is a highly personalized thing though - making your own will give you a lot more yield than using someone else’s.

My last tip is join a good study group! I'm in a great one on discord, and we are taking new members!