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22 of 23 people found the following review helpful
on May 21, 2014
I tried using this book during my 6 week medicine clerkship in medical school. Here's my take:

Pros:
- very thorough
- can be used as a reference book on the wards; ex. don't know the complications of cirrhosis? flip to the liver section and there is a plethora of high yield info neatly outlined
- a great source of info for when you are getting pimped on a patient of yours; read about your pt's condition before presenting to the attending and you'll do fine

Cons:
- too thorough! there is so much information and the book is so long, that the average medical student cannot get thru this amount of material and be well prepared for the shelf (don't kid yourself, you are an average student too)
- again, too much information! It goes WAY too in depth for what is required to answer questions on the shelf

I started this book at the beginning of my clerkship and calculated I could read 20 pages or so a night and get thru the book with time to spare for my shelf. Sounded reasonable! But the problem is, the book is SO DENSE that it would take AT LEAST 1.5 hrs of reading to get thru those 20 pages. And that doesn't leave time to review other more important resources (like USMLE World Qbank). I ended up giving up on this book only after 1 week of trying to read it.

FYI for the shelf, I stuck to USMLE World questions and MKSAP questions. I did all ~1200 USMLE World questions once (plus most of the ones I missed) and about 1/4 of the MKSAP questions and I did fine on the shelf (89% - my best performance of third year BY FAR).
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39 of 46 people found the following review helpful
on January 29, 2013
Yeah, it's probably the best thing out there for the Medicine shelf and IM portion of Step 2. That said, it could still be better.

Pluses:
-full color
-"quick hits" highlight key points
-Cardio section has notes on specific studies, which are potentially useful for impressing attendings on rounds.
-Ambulatory Care section is great for Family Med
-unlike a lot of other review books, it seems to be well-edited. I found few errors / typos.

Minuses:
**not enough about _management_. The most important aspect of clinical rotations is learning the correct sequence of steps in managing a condition ("What is the next best step?"). This book contains little information about that. There are some flowcharts, but it's really not enough.
--mnemonics are poor / lacking
--too many words. The outline format is good, but I'd prefer it not be in complete sentences.
--Not enough pictures, especially for the Derm section.
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39 of 47 people found the following review helpful
on November 10, 2013
Apparently the publishers of this book took the previous edition (Step-Up to Medicine (Step-Up Series)) and slapped a shiny new cover on it. I don't think there are any actual updates, as this book is terribly outdated. Some examples:
- There is no mention of the interferon gamma release assays (IGRAs) used to test for TB. Although relatively new, they are widely used in clinical practice today, especially to confirm positive PPD results and to test for infection in individuals who have been vaccinated with the BCG vaccine. The authors state that a patient who has received the BCG vaccine for TB will have a positive PPD (true) but should be treated for TB like anyone else with a positive PPD (WRONG!). This may have been the standard of care 5 years ago but this would be malpractice now.
- The authors mention "Ultralente," a long-acting insulin preparation that was discontinued so long ago I had never heard of it! Meanwhile, there is no mention of insulin Detemir, one of the two long-acting insulins that every MS2 learns about.
- In its discussion of treatments for Multiple Sclerosis, the authors mention beta interferons and glatiramer acetate but admit that studies have only been in progress for 5 years. I looked back at the 2008 edition and it says the exact same thing. If it was 5 years in 2008, then it's 10 years in 2013! A lot happens in 5 years (these are now first-line agents for MS backed by very solid evidence).

My other gripes with this book: It isn't clear or detailed enough. I frequently have have to refer to my Pocket Medicine: The Massachusetts General Hospital Handbook of Internal Medicine (Pocket Notebook Series) (a splendid resource) for specific info when studying. It's sad that that that tiny pocket-size book has more depth and clarity than this 500+ page review book. Lastly, Step-Up is full of typos. You know the less-than (<) and greater-than (>) signs? They're backwards about 1/3 of the time. And there are entire tables so ill-formatted that they're incomprehensible. Garbage book. If you must buy it, save some money and get the previous edition.
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17 of 19 people found the following review helpful
on August 21, 2013
I'm a PA student and love this book's origination. It is easy to read, I dont like textbooks and this book is presented to you the way that we are taught in class from definition, etiology, S/S, PE, Dx to Tx. One of my program's graduates said she used this book and some board reviews and passed the board on her first try. Many people from my class also brought this book as study materials.
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14 of 16 people found the following review helpful
on October 7, 2013
Short story: This was the best book I purchased during med school hands down. The format is perfect IMO. It is in an outline-ish format (much faster the full textbook) but not the 1 word sentences of First Aid Step 1. The side is full of good to know facts and tips. I would highly suggest for any 3/4yr med student.
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3 of 3 people found the following review helpful
on December 4, 2012
It's a lot of detail for a 6- or 8-week rotation, and it's kind of boring to read. I ended up using it as a reference rather than as my primary text to study from.
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2 of 2 people found the following review helpful
on September 30, 2014
Great reference to use during clerkship and clinical rotations. Not as useful for Step 2 because it's pretty dense. Great resource. Only concern is that it will become outdated because guidelines are always changing. The vast majority of the information presented is accurate. It's formatting is great and easy to read. Good luck to fellow med nerds who are considering purchasing.
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2 of 2 people found the following review helpful
on October 14, 2013
Definitely goes over the most important details of various disease states. This book is such a time saver especially when you need a quick reference. It also highlights important criteria to help determine a particular diagnosis. Recommend it!
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2 of 2 people found the following review helpful
on February 25, 2015
NP student yet again cannot find appropriate info in NP required texts and goes for the gold with books for medical school. Love this book. Easy to read and use. Well organized.
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2 of 2 people found the following review helpful
on January 29, 2014
The best for the internal medicine shelf exam. Will probably read it again for Step 2. This and Uworld Qbank is all you need to internal clerkship... Cash money
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