The book is super easy to read, with topics broken down into 1- and 2-page sections that hit the high points. Our medicine department listed it as an optional textbook and loaned one out to the ones in my group that wanted it. I kept it in my team room and every time I had 15 minutes downtime I'd read a section on prostate cancer or the management of DVT. Definitely not in-depth enough to substitute for Step-up though, much less Cecil's or some other traditional textbook/reference book.