alright well i've studied the cardio and respiratory sections with both books now so i have some more observations. in general it's maddening when you study with the two books at the same time. that's the only real conclusion - it's maddening. both have significant strengths AND significant weaknesses. hopefully the new BRS coming out this November will solve that but it's not going to help the class of 2007 much.
sometimes BRS will emphasize something i think is very important, and goljan will emphasize something different. for example rheumatic fever. BRS is great for rheumatic fever buzzwords. ASO titer. aschoff body. both are featured very prominently in BRS. in goljan it's there, but hidden with all the other text. compare:
BRS: "Aschoff body - classic lesion of rhuematic fever. definition. characterization."
Goljan: "Aschoff bodies are present"
BRS: ASO mentioned as the 3rd bullet point.
Goljan: ASO mentioned LAST under "diagnosis"
another example: stable/unstable angina. BRS bolds "stable angina, precitated by exercion", "unstable angina, prolonged or recurrent pain at rest". Boom, clear as day distinguishing stable vs unstable. now let's see how goljan does it: starts by talking about pathogenesis, says something about which is more common (his pet topic of discussion btw, every page in the book is riddled with x is most common in y, p is most common q of r, blah blah blah). exercised induced is listed along with how long it lasts, blah blah blah, the part about ST depression is the only part bolded.
so a student who reads BRS will go away thinking "unstable is pain at rest", the goljan student gets "unstable has ST elevation plus some other crap". a difference in emphasis. BRS is big on defining and buzzwords. goljan de-emphasizes definition and key points in favor of organizational consistency, pathophys, and clinical stuff. depends on what you think is more important. i personally think the ideal book includes a combination - i want to know what the pathology is, i want to know the important points first, and then i want to know clinical presentation.
other times goljan explains something really well that BRS glosses over. for example hypertrophic cardiomyopathy. BRS mentions jumbled fibers leading to sudden death. Goljan spells it out, mentioning jumbled fibers resulting in conduction problems leading to sudden death. another example: stable/unstable angina. BRS defines. goljan tells you EKG findings, e.g. stable angina ST depression. unstable angina ST elevation. another example: enzyme findings in MI. BRS gives you some weird chart. goljan spells it out: "troponin is the gold standard."
BRS is very good at discussing broad topics succinctly before going into detail, whereas Goljan seems to just dive right in. an example of this is COPD and cardiomyopathy. both times BRS says "COPD is... exemplified by..." then lists asthma, emphysema, etc. goljan doesn't even use the term COPD and just starts describing astha, emphysema, etc separately. same thing for cardiomyopathy. BRS starts out saying cardiomyopathy is disease of heart muscle without inflammation, HTN, CHD, CAD, or valvular disease, etc. goljan again just dives right in. no intro, no broad overview.
so in summary i think both books could be improved. i think goljan is too rigid in his presentation order, and that hurts him on emphasizing key points. BRS is good at summarizing broad topics like COPD early on. BRS is good for a quick hit of key facts, goljan is better for a more complete understanding but at the risk of getting lost on peripheral info and not going away with knowing what are the real key points of a certain pathology.
that is just my opinion.