The Toronto Notes is a concise and comprehensive 1400-page review of 29 medical specialties. The University of Toronto graduating medical class, under the guidance of faculty specialists, revises each chapter of the book annually. The original goal of the book was to prepare graduating medical students for the Medical Council of Canada Qualifying Examination. Over the past 24 years, however, it has become an essential study guide for medical students at all levels, as well as a guide for the American licensing exam, the USMLE Step 2.