If you feel that you need to study for the CSA, you probably should think about another career. $1,200 for that garbage. Man, when I think about all the money I wasted at med school, those 1,200 are at the top of the list, right next to TOEFL. I know that these aformentioned tests are designed for the foreign born-foriegn trained. You would think they would make an exception for US born foreign trained, but......