Crash Course: Self-Assessment in Medicine and Surgery
By Neel Sharma, MBChB, BSc(Hons), Foundation Year One Doctor, Barts and the Royal London NHS Trust, London, UK

ISBN: 9780723435105
Published July 2009
Paperback
192 pages /
Mosby
Shah Ali,
University of East Anglia
I wish I had this book last year for finals. This is the only book currently available that is based on the UMAP bank, so although great for all medical schools it is really useful for finals students from Birmingham, Cork, Hull, Keele, Leeds, Leicester, Liverpool, Manchester, Newcastle, Peninsula, Sheffield, Southampton, UEA, and Warwick, there is a strong possibility of more schools joining too. The book is based on the common MCQ and EMQ/EMI styles. The answers are concise and well explained, some of the best I have ever seen. As it is based and closely resembles UMAP questions I have sat, it is better than all the other revision books and websites before 2010.
This is a brilliant evolution of the Crash Course series, which has gone from strength to strength. To give some advice, although it is a brilliant book it should ideally be used to ‘supplement’ revision in the final months before the exams and not as a crash course to the whole exam, that’s if you want to make sure you not only pass but are a good Foundation Doctor.
The book is a must have on your wish-list if you do not already own it or have access to it. Good luck with your exams!
Posted 29th Oct 2009
At the beginning of the medical career, there is still a lot of learning to do. Undergraduate medical education prepares one for one's first job as a doctor. The foundation years are designed to prepare doctors for specialty training. Being in your first year as a doctor could well be seen as a weakness. You will have less clinical experience than other doctors and you will not yet have sat any post-graduate exams. However, having just completed your medical finals means you will remember best exactly how they were, and what helped study for this. It is clear Dr Neel Sharma was in this situation when he authored this book.
In 2003, a network of UK medical schools launched the Universities Medical Assessment Partnership. This established a common bank of questions that are used by 14 different medical school. These are reviewed regularly by a board of clinicians and academics, to ensure they are accurate and up-to-date. This means that the medical schools will more consistently be testing knowledge relevant to foundation year jobs, it also means that questions for finals are more predicable, so it is easier to focus revision.
When revising, it's really easy to read over a chapter, take notes and decide that you know it. This theory will only then be tested when the student comes to the definitive examination. This isn't an ideal situation to be in. Self-Assessment in Medicine and Surgery is designed to be used in conjunction with a combination of your own revision material: textbooks, your own notes, your friends, or any other revision methods you happen to use.
This text isn't designed to be used as primary revision material. Learning the questions first is a back-to-front approach, it makes sense to take to revision as a scientific question. Consider the theory: I am prepared to pass this exam. This is a testable hypothesis. Undertake the required amount of preparation for the subject area to be tested on then go through the questions. Don't stop after each one to mark it, this is less like real exam conditions. It's also possible you may consciously or subconsciously see the answers to other questions, which may jeopardise the utility of your revision. Learning is to some extent context-dependent, so it is good to imitate exam conditions. Sit at a desk, and time yourself to have the same number of questions per unit time as the actual examination.
At the end of the questions you elected to do, go through the answers. Don't just at what the answers were, it's worth taking time to work out why they were what they were, even with the ones you answered correctly, as you may have just been lucky. Having scored yourself, you will have gone some way towards knowing just how prepared you really are, and therefore how much more work you have to do. So no longer when someone asks if you're prepared for the exam can you say, "I think so", now you reply, "The chances are: yes". Witness the introduction of evidence-based scales into revision: the scientific method always wins in the end.
Posted 22nd Sep 2009
Finally, a MCQ / EMQ book based upon the UMAP method of assessment (used by Liverpool, Manchester, Birmingham, Hull York, Keele, Leeds, Newcastle, Peninsula, Queens, Sheffield, Southampton, UEA, and Warwick). Having just sat my finals (of which the majority of questions were from the UMAP bank), I see in this book questions that well reflect those making up the written exams. Its just a shame this book wasn't published until a month after I had sat my finals! A really good book which gives explanations for the correct answers. A perfect score for a must-buy book!
Posted 1st Sep 2009