Abstract
This handsomely displayed, softcover volume contains almost 800 pages of large-formatted text prepared by 149 contributors, most of whom are currently associated with the University of Massachusetts Medical School in Worcester. A broad and imaginative format was developed out of years of experience in ward teaching and general medical practice and is intended to meet the needs of medical students as they pass through the chasm between the basic sciences and the wards. The first section of 100 pages, Principles of Clinical Medicine, includes topics such as critically reviewing the medical literature, interacting with other health care professionals, and cost containment. The second section of over 400 pages is a signs-and-symptoms approach to the major disciplines within internal medicine but including neurology, dermatology, and ophthalmology. I read carefully four separate units in different fields and found them to be clear and reasonable for a student. There is also excellent integration
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