Step-Up to Medicine (Step-Up Series) Kindle Edition

4.4 out of 5 stars 207 customer reviews
ISBN-13: 978-1609133603
ISBN-10: 1609133609
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Product Details

  • File Size: 13200 KB
  • Print Length: 576 pages
  • Simultaneous Device Usage: Up to 4 simultaneous devices, per publisher limits
  • Publisher: Lippincott Williams & Wilkins; 3 edition (August 30, 2012)
  • Publication Date: August 30, 2012
  • Language: English
  • ASIN: B0094480DW
  • Text-to-Speech: Enabled
  • X-Ray:
  • Word Wise: Not Enabled
  • Lending: Not Enabled
  • Enhanced Typesetting: Enabled
  • Amazon Best Sellers Rank: #548,880 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
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Customer Reviews

Top Customer Reviews

Format: Paperback Verified Purchase
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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Format: Paperback Verified Purchase
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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Format: Paperback Verified Purchase
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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Format: Paperback Verified Purchase
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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Format: Paperback
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
...Read more ›
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I am a 4th year medical student, and I have to say that this is probably one of my favorite texts that I used in preparation for shelf exams throughout my 3rd and 4th year. Some people complain that this book is a little too dense for a clerkship exam, but I find its comprehensive nature to be a huge advantage over other texts. I found this text to be extremely helpful when studying for my IM shelf, and I read it again in preparation for step 2. I frequently refer back to this book to touch up on subjects and systems that I am not comfortable with, and I feel that I will continue to use this text for years to come.
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