So I took the course during the summer of 2008 in San Antonio. I thought his handouts were useful, and it forced me to jumpstart my studying and plow through first aid twice in 2 weeks. I wanted to hit the test hard and be done with it, and I was able to do so. Dr. Jenkins doesn't hit pathology that hard, but I had just taken the shelf exam so thankfully everything was fresh. I would recommend taking this course, even though after two weeks of Jenkins you are pretty tired of him. He doesn't teach per se, so if you have questions regarding the content you are on your own. He will set you up well to study hard for two weeks after the exam. I recommend signing up early and doing the weekly question sets. I also used USMLEworld, and I went through the question bank twice but I bought it about 8 months before I took my test. I took 5 weeks to study and scored WELL above average. Take the course, study hard, and then be done with it. There is no other way to do it and excuses only set you back.