AI-generated content is becoming more common in medical education, and candidates are rightly asking: who actually wrote this? In this post, we give you a full and honest account of how we created every question, viva scenario, and interview case on SmashUrology — and exactly where, and where not, AI plays a role.
All SmashUrology content is written by practising urologists
A urologist wrote every question in the FRCS urology question bank, every viva scenario in the Viva Suite, and every interview case in the ST3 Interview Hub — from scratch, without templates, and without outsourcing. This distinction matters fundamentally, because the content you revise with directly shapes how you perform in a career-defining examination.
We know that a growing number of platforms use AI to generate question banks at scale. We do not do this. The reason is straightforward: the FRCS (Urol) examination tests nuanced clinical reasoning, guideline interpretation, and the ability to apply current evidence to realistic scenarios. Consequently, a urologist must write the questions — not a language model.
Personally, I (Ibrahim, Founder) tried to use ChatGPT and other models to help test me whilst studying or even answering questioning that I wasn’t sure about but I found that the answers were often incorrect and could be misleading if one wasn’t sure.
Mr Ibrahim Ibrahim
FRCS (Urol) — FRCS Part 1 & Part 2 content
Ibrahim sat the FRCS Urology examination in 2025 and personally wrote every FRCS Part 1 question and Part 2 viva scenario. He modelled each question on themes that have genuinely appeared in past sittings and grounded them in current EAU guidelines and NICE guidance.
Mr Rizwan Iqbal
ST3 Urology — Interview content
Rizwan wrote all of the ST3 Urology interview preparation content, including clinical stations, communication scenarios, and mark scheme frameworks. He drew directly on his own experience of the national ST3 selection process to ensure every case reflects real interview conditions.
How we build our FRCS urology revision questions
We ground every question in EAU guidelines and NICE guidance
The FRCS (Urol) Part 1 examination tests candidates against the EAU guidelines — and so does every question in our bank. We map each question to the relevant guideline section and apply NICE guidance where it is exam-relevant and clinically distinct. Furthermore, when a guideline updates, we review and update the question to match. This is not a cosmetic claim — it is part of our standard workflow.
We write questions around past exam patterns and examiners’ known themes
We build questions around themes that have appeared in previous sittings, topics that consistently recur in established question books, and areas where recent guideline changes are likely to generate new questions. As a result, the bank feels current and exam-calibrated — not just factually correct in the abstract.
We write viva scenarios individually, not from templates
Ibrahim handwrote each of the FRCS (Urol) Part 2 viva scenarios in the Viva Bank individually. Each scenario begins with a realistic clinical presentation and follows the mark scheme format that actual FRCS examiners use. In addition, we structured every scenario to reflect the depth and direction of questioning candidates encounter in the real Part 2 examination. The bank currently contains over 80 scenarios, and we add more regularly.
Where AI is used on SmashUrology — and where it is not
Our position: We use AI as a carefully bounded tool, not a content creator. Urologists write and review all clinical content. AI enhances delivery — it does not determine what we teach.
We use AI in two specific, clearly defined ways. We want to be direct about both.
Explanation enhancement
For a subset of questions, we used Claude (Opus 4.6) to refine the written explanations for clarity and depth. However, the urologist author always set the clinical content, the correct answer, and the learning objectives. In other words, AI acted as an editor — improving readability and coverage, not generating clinical knowledge.
Viva and interview simulation assessment
In VivaSuite and InterviewSuite, you practise answering our handwritten scenarios out loud. The scenarios are entirely our own content. Nevertheless, the real-time interpretation of your spoken responses — structured feedback on content, communication, and clinical reasoning — comes from an AI model. This mirrors how real examinations work: the examiner sets the question, and the assessment focuses on how you answer.
How we quality-assure every question
Every question that a user flags — through a thumbs-down, a comment, or a direct report — goes to a urologist for review before we make any change. A clinician reads the question, the explanation, the guideline source, and the user feedback, and then makes a clinical judgement call.
Crucially, this process is not automated. We believe that quality assurance in FRCS urology revision cannot be fully delegated to an algorithm. Therefore, when a question is wrong, unclear, or out of date with current EAU or NICE guidance, a urologist corrects it — not a script.
Frequently asked questions
Is the SmashUrology question bank AI-generated?
No. Mr Ibrahim Ibrahim personally wrote every question in the FRCS urology question bank. Ibrahim sat the FRCS (Urol) examination in 2025, and he has not used AI to write clinical content or determine correct answers.
Who wrote the ST3 urology interview content?
Mr Rizwan Iqbal wrote all of the ST3 interview scenarios and station frameworks. Because Rizwan has direct experience of the national ST3 selection process, every case reflects real interview conditions and mark scheme expectations.
Are the FRCS urology viva scenarios written by a urologist?
Yes. Ibrahim handwrote all 80+ viva scenarios in the SmashUrology Viva Bank. Moreover, he structured each one around the mark scheme format that FRCS Part 2 examiners actually use — not a generic template.
Does SmashUrology use AI for anything?
We use AI in two specific ways: first, to refine the clarity of question explanations (not to write clinical content); and second, to assess and provide structured feedback on spoken responses in VivaSuite and InterviewSuite. In both cases, urologists author and review all clinical content.
Are SmashUrology questions based on EAU guidelines?
Yes. We ground all FRCS Part 1 questions in current EAU guidelines, and we apply NICE guidance where it is exam-relevant. In addition, we review and update questions whenever guidelines change, so the bank stays aligned with the current examination standard.
Who reviews questions that users flag?
A practising urologist reviews every flagged question before we make any change. This applies regardless of whether the feedback relates to clinical accuracy, explanation clarity, or guideline alignment.
SmashUrology exists because the gap in high-quality, guideline-aligned FRCS urology revision resources was real — Ibrahim experienced it firsthand as a candidate. If you want to flag an error, question a specific answer, or understand how a particular explanation was constructed, use the feedback button on any question in the platform or contact us directly at smashurology@gmail.com.
Ready to revise with content you can trust? Explore the FRCS urology question bank, Viva Bank, and ST3 Interview Hub — all written by urologists and grounded in EAU and NICE guidelines.