This book is an elaboration of a manual on examination of patients used at the University of Rochester School of Medicine and Dentistry. It is designed to supplement clinical instruction in physical diagnosis. As such it undoubtedly complements the program at the school, rather than serving as a primary teaching device. One might wonder who might use this book other than students at that institution.
Methods are described in explicit detail, with drawings to show how the examiner should stand, bend, sit, etc, by the patient. Every medical school has its own techniques and preferences and they cannot be expected to agree with those of Rochester.
Another question: how effective is such a lengthy book as compared to a more concise and less-explicit manual in teaching students? Do they really read all of it? Certainly live demonstration with discussion and the teacher's observation of student performance would be more efficient