I was really looking forward to this new edition but very little has changed since it was nearly perfect last time. There are very minor insertions such as a PEG case and each case generally has a list of investigations - when i say list i mean list e.g. ABG, spirometry. Thats good though; it would be a disaster if the book was cluttered with standard medical textbook stuff instead of focusing on its core which is the coherent case records that can be articulated as read; very useful for becoming slick in the exam.
However, the major change with this book is that the endocrinology, rheumatology, skin, eye sections have been axed. i.e half the book. These have apparently been relocated in the now two companion volumes which haven't actually been published yet. Thus for the complete set you now need to buy three books instead of two which seems like profiteering to me under the pretense that a change in the exam format somehow mandates three volumes. Nonsense.
Overall, I think this book represents poor value for money since the book it replaces; silver ryder had really good sections on skin, rheum endo and eyes which even if they don't precisely fit the format of the current exam were nevertheless absolutely classic representations of medical information which are largely timeless and can be universally applied in exams and real life.
Fortunately all this was discernable by spending half an hour reading it in the bookshop and not parting with £42 nuggets. Unless you really need a case on PEGs I suggest buying silver/gold ryder and combining with the new format oxford PACES books, whilst waiting to see what the other companion volumes in the ryder set are like once they are published.
Globally the information contained in these ryder books, whichever edition is fantastic and was definitely the key factor in my PACES success. I strongly recommend the Ryder and Oxford books over the longwinded irrelevant Hall book
Very good book, and essential reading for PACES. I bought it to update the older edition I had been initially using, but I was very disappointed to find it didn't include any station 5. Be aware, this book only covers stations 1 and 3 (I know it says that in the title!). It seems they have taken out more information with each successive edition, my cynical side would probably say that is to cash in on separate books for each station - which is in fact what they have done.
Nonetheless, It's an excellent book and I would advise anyone to get it if sitting PACES, on the understanding that you'll have to buy all their other books as well.
Be careful if you decide to save some money and go for the older version, a fair amount is out of date.
We bought all 3 and both passed MRCP PACES first attempt- please don't neglect the other two books the format is completely different to this one and they are both invaluable we didn't notice until quite late on