# SMP vs MKSAP 19

The clearest difference is rating: SMP at 5.0 against MKSAP 19's 4.1. SMP also leads on update cadence (every 3 weeks vs every 2 months) and iOS requirement (10.0 vs 12.0). MKSAP 19's advantage is ratings volume (38 vs 3). On price, ads, in-app purchases and monetization model there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

SMP holds the better App Store score, 5.0 against 4.1. That said, the two scores are not equally well evidenced: MKSAP 19 has 38 ratings behind it against 3, so its average is the more settled of the two.

SMP ships an update every 3 weeks, MKSAP 19 every 2 months. The most recent releases landed on November 2, 2026 and October 21, 2026 respectively.

## The numbers

| Metric | SMP | MKSAP 19 |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (3 ratings)](https://appshunter.io/ios/app/smp-imed/id1457342201/reviews)** | [4.1 (38 ratings)](https://appshunter.io/ios/app/mksap-19/id1577787036/reviews) |
| Number of ratings | 3 | **38** |
| Positive reviews | — | 70.6% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 3 weeks** | Every 2 months |
| Monetization | Free | Free |
| Size | 69 MB | 423 MB |
| Requires iOS | **10.0** | 12.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Spectrum Medical Partners, Inc](https://appshunter.io/developer/1591238704) | [American College of Physicians](https://appshunter.io/developer/371090673) |

## What reviewers say

### SMP

[App page](https://appshunter.io/ios/app/smp-imed/id1457342201)

This app facilitates seamless communication and real-time patient management across healthcare networks. It connects providers, ensuring patients receive timely and appropriate care by bridging communication gaps between hospitals and post-acute facilities.

**Highlights:** Real-time patient updates, Provider network access, Streamlined patient management, Improved workflow, Transparent communication, Data for process improvement

**In-app purchases:** none


### MKSAP 19

[App page](https://appshunter.io/ios/app/mksap-19/id1577787036)

This medical education app provides access to current information in internal medicine and subspecialties. It includes exam-like questions and patient-based clinical scenarios to help physicians assess and update their knowledge. Offline access to content is available for subscribers.

**Highlights:** Current internal medicine information, 1,200 exam-like multiple-choice questions, Patient-based clinical scenarios, Offline content access, Syncs with online version, Enhances learning with figures, charts, and tables

**Features:** Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is SMP free?

SMP is free to download, with no in-app purchases.

### Is MKSAP 19 free?

MKSAP 19 is free to download, with no in-app purchases.

### Which has better reviews, SMP or MKSAP 19?

SMP is rated higher. SMP averages 5.0 out of 5 from 3 ratings, while MKSAP 19 averages 4.1 from 38 ratings.

### Do SMP or MKSAP 19 have ads?

Neither SMP nor MKSAP 19 shows ads.

### Which is updated more often, SMP or MKSAP 19?

SMP ships an update every 3 weeks, and MKSAP 19 every 2 months. Most recently, SMP was updated on November 2, 2026 and MKSAP 19 on October 21, 2026.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*