Is Rosh Review good for the FACEM Written?
Short answer: Rosh Review is a very good question bank. It is also built for a different exam. If you are sitting the ACEM Fellowship Written, that gap matters more than the polish does.
What Rosh does well
Rosh earned its reputation. The explanations are thorough, the teaching images are some of the best you will find anywhere, and the app is a pleasure to use. If you want to know what a well-made qbank feels like, it is the benchmark, and we will happily say so.
Where it stops working for FACEM
Rosh is a US product, written for US boards. Every question assumes American practice: American guidelines, American drug choices, American systems of care. There is no ACEM or FACEM version, and nothing has been localised for Australasia.
You can still use it to drill pattern recognition and core physiology. But the moment local practice diverges, you pick up a second job on top of studying. You are translating each answer back into how we actually work here. Antibiotics tuned to a different resistance picture. Resuscitation referenced to AHA instead of ANZCOR. Toxicology built around a different set of exposures. A retrieval and trauma-system model that looks nothing like ours.
That translation is invisible, and it costs you quietly. You do not notice the answers you are half-learning wrong until the exam asks for the local one.
What actually carries over
- Core physiology and pathophysiology.
- Broad clinical reasoning and pattern recognition.
- The habit of reading the whole explanation instead of just checking the key.
What does not
- Guideline-specific management.
- Drug and dose choices that hang on local formularies and resistance.
- Systems-of-care questions: retrieval, trauma networks, referral pathways.
The honest recommendation
If Rosh is already what you own, it is not a waste. Keep using it for the material that travels. But the parts of the Written that turn on Australasian practice need a bank written to that practice from the first draft, with every question cited to a local source. That is the gap MedQVault exists to close. Try the free samples and put one of our explanations next to what you are used to.