I thought it wasn't that bad. I was all freaked out, and was reading Swanson's and other Family Practice books. Then I switched and just focused on Boards and Wards and First Aid for Step 1&2. Ultimately, I think that studying for everything was more helpful that any family practice review book. My suggestions, during your first few weeks of family practice, study your patients. Meaning, study the major diseases in outpt medicine, like HTN, DM, osteoporosis, etc. Then during the last part, start studying the review books for Step 2. The shelf is nothing like what you will encounter in the clinic. Its like a mini-step 2. Just my 0.02.