This outstanding text begins with reasonable, practial study preparation and then goes on to the reasonable, practical study methods [and] the practical management of the wide range of illness that a prudent Board Certified Internist might well be reasonably expected to recognize and then provide reasonable and prudent primary healthcare ... I plan to reasonably recommend this outstanding text to all of my/our student candidates for our our U.S.M.L.E. Step 3 as well as all of my/our resident candidates for Certification/Recertification by our American Board of Internal Medicine {our A.B.I.M.}. With humility and with respect I will further reasonably recommend this outstanding text to our candidates for Certification-Recertification by our American Board of Emergency Medicine, our American Board of Family Medicine, and our American Board of Psychiatry & Neurology.