SCA Prep generates unlimited AI cases. SCA Revision offers 350+ human-written cases. MedTutor provides 100 GP-trainer-reviewed AI simulations. The question is whether AI generation has reached parity with human curation.
Strengths of AI-Generated Cases
Unlimited volume — you never run out of novel scenarios. Customisable by domain, topic, and complexity. Instant generation — no waiting for new content. Always novel — prevents the false confidence of familiar cases.
Weaknesses of AI-Generated Cases
May miss subtle clinical nuances — the red herring that changes the differential, the cultural context that affects patient engagement, the medication interaction that complicates management. Patient behaviour can feel formulaic — AI patients often respond predictably, without the emotional unpredictability of real patients or well-crafted written cases. Marking calibration against RCGP criteria is less reliable — without GP-trainer editorial review, the AI's assessment of what constitutes a "clear pass" may not match examiner expectations.
Strengths of Human-Written Cases
Expert-crafted consultation traps — designed to test specific reasoning errors. Realistic patient agendas that reflect genuine primary care presentations. Calibrated to actual SCA mark schemes through examiner experience. GP-trainer validated for clinical accuracy and exam relevance.
Weaknesses of Human-Written Cases
Finite pool — SCA Revision's 350 cases, while substantial, can be exhausted. Slower to update — new cases require author time. May not cover niche or emerging presentations.
Recommendation
Human-curated cases for core preparation — build your pattern recognition from expert-crafted scenarios. AI-generated cases for supplementary volume — fill gaps, maintain novelty, and practise under varied conditions. The combination is stronger than either approach alone.
Where iatroX Fits
Whether cases are AI-generated or human-written, your clinical knowledge determines your performance. iatroX ensures the knowledge foundation is solid before you start practising case delivery.