Overall, this was well-written and easy to read. The book is designed from a disease based point-of-view rather than a problem-based point-of-view. Thus, it lends itself more easily to learning about diseases, but has the limitation that it is more difficult to learn about general problems such as GI bleed. The granularity of the content is appropriate for medical students and junior residents. The diagrams are outstanding, and there are many excellent pictures. The tables are clear and helpful. The pearls alone make for an excellent quick reference to be used by a student in preparation for rounds or the operating room. They are well thought out and on-target for the needed knowledge. The web site is more than just an electronic copy of the book. It is an educational locus for other published products from Elsevier and is rich in content. In addition, this book also had a chapter addressing professionalism, behavior and dress as a clinical clerk. This added significantly to its value. Overall, this is a very nice edition to the medical student education literature, and I am sure it will be used by students very successfully.

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