I am a Pharmacist with a lot of Spanish speaking clientele. I like the cassettes, but the gentleman speaking has such a thick accent, I have to rely on the woman speaking, to hear the enunciation. The CME is a joke. There are 10 chapter exams (3-12 questions each) and you have to send in $30 PER exam for 3 credits each. That will be $300 for 30 CME credit hours, and only for MD's. Book content VERY NICE: greeting, nouns, numbers, symptoms, physical exam, chief complaint, pap smear, well baby, lab tests, ER, pain, derm, opth, herbal, Rx, dental, family, diet, neuro exam, household items; Tomar/comer/cerrar/dormir/hacer/ir a/poner/venir/tener/estar/ decir/ser/ir/traer/salir/oir/pensar/perder/volver/haber. Also a lot of dialogues completely translated. Appendix finds all answers to chapter exams. (not same as CME questions). I recommend this medical intro. It helps me in my practice, it would certainly help an MD, nurse, PA, DDS and OD as well.