If your question concern the synchronisation of menu between websites, JMS Multisites does not provide that.
What you can do with the "Multisites Menu Item" is to create a bridge between websites.
This does not syncrhonise but compute dynamically the link with current values.
If your question is relative to the update of content then you have to enumerate which content.
The word content is generic.
With JMS Multisites, you can share a limited number of extension and therefore a limited number of content.
See the list of extensions that can be shared.
www.jms2win.com/component/content/article/135
If you want to share the articles, you have the "Article Sharing for JMS" that allow reading any article coming from any websites defined in JMS Multisites.