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Step-Up to Medicine (Step-Up Series) Review

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If you are nervous about the internal medicine shelf, you are just like I was and rightfully so. It is a very difficult exam that covers an enormous amount of material. For a 3rd year medical student, this is a great source to start internal medicine. The text is all written in bullet points, but isn’t nearly as rigged is its grammatical delivery as other books written in similar formats. It has “quick hit” items in the side that allow for understanding key points, and it leaves plenty of margin room to take notes. However, this book has some major down points that really keep it from being truly grand. For starters, it is lengthy! Although I did read the entire book, I found most of my friends stopping it and using it as a reference because they were just too busy to get through it. Even going through it once will take at least half of the clerkship. Some might consider it advantageous to have such a long book because it covers more for the test, but I myself would have been happier with a book that minimized the information that I already knew from 2nd year and maximized what I really needed to focus on (i.e. managing patients and working up conditions). Unfortunately that is where this book just misses the parade! All conditions are well described, but there is a complete lack of how to work up the condition. It gives clinical signs/symptoms, but totally lacks in its ability to approach a problem by crossing off conditions from differential diagnosis. Essentially, your ability to work up conditions will be impaired. The other kicker is that its formal lack of algorithmic approaches to treating conditions. Some conditions have good explanations, not great, on how to treat and others have pitting lack information. Often times the treatment section of a disease is list of drugs that might potentially be used in a condition. It gives no approach on how to use these drugs effectively or any kind of algorithm on how to treat the condition with the possible therapies. The mishaps in this book, unfortunately, paid there toll on my shelf examination, and I ended up just shy of what I really needed. Overall, it is an excellent source, but if you think that you can function as a intern with this book, think again! As a side note, to remedy the lack of treatment information in this book, I would recommend going through the pocket medicine book by Mass. General. It really picks up where this book lacks, but it may be to complicated for some. In retrospect, I wish that I would have read through the Washington Manuel, which really isn’t any longer than this book, and I would have felt like I was a real intern and more prepared for the shelf.

Step-Up to Medicine (Step-Up Series) Overview

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