Toronto Notes is a concise and comprehensive medical review revised 
annually by the University of Toronto graduating medical class under the
 guidance of leading experts within the Faculty of Medicine. This 
reference text started as a compilation of notes written by and shared 
among University of Toronto students to study for their medical 
licensing exams. After 27 years, it has become a reputable study guide 
used by medical students across Canada and around the world. This 
transformation could not have happened without the dedication of 
students who ensure that each edition contains the latest evidence-based
 information on 29 subspecialties of Medicine. This yearhas been no 
different: over 100 staff worked tirelessly to complete this edition.
Since its inception, Toronto Notes has been a non-profit organization
 where revenue is used to fund University of Toronto medical student 
initiatives including community outreach, international health projects,
 charitable performances, and graduating class scholarships and 
bursaries. On behalf of the Toronto Notes production team, wewould like 
to thank the support from thousands of medical students around the world
 by purchasing our book.
The 27th edition of Toronto Notes offers exciting new changes to 
further enhance your exam preparation. We have included over 20 new 
original medical illustrations, updated our online colour atlas with new
 images and annotations, and revised our evidence-based medicine 
reviews. We also have a new learning module: the Approach to Ultrasound 
in the Emergency Department, created to help medical students understand
 the basics of ultrasound imaging in trauma and other emergencies. In 
addition, we have included over 50 Objective Structured Clinical 
Examination (OSCE) scenarios with history and physical exam checklists 
for practice purposes that can befound online. We have also separated 
our popular Clinical Handbook into three pocket reference guides for 
easy portability.
As readers, we appreciate your feedback. This year, we have spent 
considerable time improving the scientific and writing accuracy of our 
publications. Many of those changes originated from your comments 
submitted online onour website. Having travelled across the country for 
electives, we appreciate how so many medical students value Toronto 
Notes for studying during clinical rotations and exam preparation. We 
therefore understand the trust placedin our publication and realize our 
crucial task in upholding the accuracy of our content
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