I have used this textbook for the past year as it was recommended by my medical school. I have since reconsidered their recommendation and purchased the vastly superior Bates' Guide to Physical Examination and History Taking, 10th Edition.
Much of the problem with the book lies within both style and substance. I'm not entirely sure what the authors hope to accomplish with pictures of a street corner that says "West Register Street" in the section on neurological examination, but there it is, plain as day. They do make good use of photos for some aspects of their book but otherwise rely on ham-handed illustrations or crudely edited photo illustrations.
The organization is also questionable. Instead of following a presentation-history-exam-findings format, it starts with history, them moves to findings, then presentation and, finally, to exam techniques. Techniques are rarely illustrated, and the videos are both too short and too cursory to be of much use in demonstrating examination skills. The reader is expected to be able to discern, through prose that is stilted and dull, the actual mechanics of clinical examination from a block of black and white text. There are also problems with the layout - the text will refer to illustrations that are tens of pages away. One example that comes to mind is the discussion of the lobes of the lug, which are described only in text. There is no illustration of where various regions of the lung are in relation to the surface anatomy. That's kind of important, and there really is no excuse especially when the respiratory chapter is filled with pictures of foot and hand ulcers.
The biggest impression I have gotten from this book is that it wasn't written as a manual or as a guide but rather as a textbook. This is what you would study if you only wanted to learn about physical examination but were never actually going to do it. If that is indeed the purpose of this book, and that is certainly the impression I have gotten through reading it, it really has no reason to exist. Reading this book is like reading about western blotting or PCR in a biology textbook; you get a good grounding in the theory but you are still completely incompetent when it comes to the actual execution or design of the protocol. The only reason I think that this textbook is considered a serious candidate for medical students is either due to institutional inertia or (as I'm going to an Australian medical school) because the authors are Australian.