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This is such a great quality medical notebook . I got this for my daughter, she is getting ready to start medical school . It is a really easy layout and explains its self . All the paper is very think and organized. There is plenty room on each page to explain what needs explained . It is small enough to fit in her scrub pockets so she doesn't have to pack it around in her hand . The notebook is 8.5"x 5.5" and it has a spiral wire bound compact notebook . I received this notebook at a deeply discounted price in exchange for my honest opinion.https://www.amazon.com/dp/B01HU5Y3X2