Okay so I've been lurking here for months and figured I owe it to this community to share my experience since you all helped me so much. I failed my first attempt at the CIIP back in February — scored a 68 when I needed a 75. Honestly thought I'd prepared enough but the clinical informatics workflow questions wrecked me. I spent way too much time on the conceptual stuff and not enough on the implementation scenarios.
For my second attempt I completely changed my approach. I used a CIIP practice test every single weekend for six weeks and tracked which domains I kept missing. Change management and interoperability standards were my weak spots. I also found a solid CIIP study guide that organized the AMIA domain breakdown in a way that actually made sense — previous materials I used were just walls of text.
Passed with an 81 last week. If you're in the middle of prep right now, drop your questions below. Happy to share exactly which topics showed up most heavily and what exam tips made the difference for me.