This is an excellent source for physicians working with Spanish-speaking patients. It is very accurate and thorough. At times I have to look a little deeper or come at it from different angles to get the answer Im looking for but I usually find it. This is superb for medical terminology but just like working with anything else it helps to use other sources to supplement this text. I personally use this text along with Google translate to compose my own statements to use in the office. I have customized over 100 pages of information that has been very useful in my practice. It took a fair amount of work but its been absolutely worth it in the quality of my interaction with patients and in the speed it adds to the office visits. I highly recommend this text.