Hot take: The quality of PassMed is poor and not ideal for exam preparation
I know that PassMed is tried and tested, and still regarded as the gold standard. However, I really struggle to stand it.
At least half of the questions on there belong to one of the following:
- Too niche
- Too unrealistic
- Not something you would do as F1
- Poorly written
- Purely buzzword question
I have developed the habit of going straight to the comment section to see if this question was challenged by other users. Some most commonly seen comments are:
- "It can also be X because of Y" and then someone points out that Z was not given in the stem or W is specifically mentioned
- "I see X I click Y"
- A mnemonic like CNDUISHCNIUEWRNG to remember the complications of a rare genetic disease that affects less than 0.01% of the population
- "Surely you would do X and Y first to rule out Z before doing W"
- "Wouldn't the patient also show symptoms X and Y?"
- "Why is X the right answer", then someone says because the patient has symptom Y (seen in like 5% of all cases), then another person argues this patient is 22 (the disease usually seen in above 50), then something pointing out the obs doesn't fit, then someone says sometimes the obs are normal
- "Yea you would definitely diagnose this condition and start this specialist treatment as an FY1 on the ward or in GP" or "I've never heard of something diagnosing X or prescribing Y lol"
The majority of questions just do not resemble the questions that come up in my med school's AKT. Real exams test the most common stuff while half of PassMed is genetic condition, autoimmune disease, rare cancer, complications with 0.1% likelihood etc.
Of course there are good questions, but considering there are more than 10k questions and each major specialty has like 600 questions on average, it's really difficult to filter out the good ones and make use of them. Even if one has time to finish all 10k questions, half of the time will be wasted on the poor quality stuff.