# The Clinical Problem Solvers vs MKSAP 19

The clearest difference is price: MKSAP 19 at Free against The Clinical Problem Solvers's $14.99. The Clinical Problem Solvers's advantage is rating (4.8 vs 4.1) and review sentiment (90% vs 71%). On update cadence, ads, in-app purchases and monetization model there is nothing between them.

MKSAP 19 is free to download; The Clinical Problem Solvers costs $14.99 up front. Neither carries in-app purchases, so what you see is what you pay.

The Clinical Problem Solvers holds the better App Store score, 4.8 against 4.1. That said, the two scores are not equally well evidenced: The Clinical Problem Solvers has 204 ratings behind it against 38, so its average is the more settled of the two. Written reviews point the same way: 90% of The Clinical Problem Solvers's written reviews are positive against 71% of MKSAP 19's.

Both ship on a similar rhythm, roughly every 2 months. The most recent releases landed on November 6, 2026 and November 4, 2026 respectively.

## The numbers

| Metric | The Clinical Problem Solvers | MKSAP 19 |
| --- | --- | --- |
| Price | $14.99 | **Free** |
| Rating | **[4.8 (204 ratings)](https://appshunter.io/ios/app/the-clinical-problem-solvers/id1469480431/reviews)** | [4.1 (38 ratings)](https://appshunter.io/ios/app/mksap-19/id1577787036/reviews) |
| Number of ratings | **204** | 38 |
| Positive reviews | **90.1% of reviews** | 70.6% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 2 months | Every 2 months |
| Monetization | Free | Free |
| Best chart rank | **#181** | — |
| Size | 32 MB | 423 MB |
| Requires iOS | **8.0** | 12.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [THE CLINICAL PROBLEM SOLVERS INC.](https://appshunter.io/developer/1469480430) | [American College of Physicians](https://appshunter.io/developer/371090673) |

## What reviewers say

### The Clinical Problem Solvers

[App page](https://appshunter.io/ios/app/the-clinical-problem-solvers/id1469480431)

**Currently charting:** #181 Top Paid · Medical (US App Store)

Access expert diagnostic reasoning tools, including schemas, illness scripts, and practice cases. Save content for offline use, quickly link to explanation videos and podcast episodes, and stay updated with new materials added monthly. Share resources with colleagues.

**Highlights:** Browse schemas and illness scripts, Access practice cases and videos, Save documents for offline access, Link to podcast episodes, Stay updated with new content, Share resources

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 💡 Excellent diagnostic frameworks and schemas
- 🎯 Highly useful for clinical reasoning and differential diagnosis
- 👍 Easy to navigate and user-friendly interface
- 🚀 Quick access to information with minimal clicks
- 📱 Offline functionality without premium paywall

**What reviewers complain about**

- 📉 Limited number of diagnoses and topics covered
- 🔍 Search functionality needs improvement
- ❌ Not updated regularly with new schemas
- 📱 Technical issues on certain devices (iPad compatibility)
- ❓ Schemas sometimes too vague without podcast context

**Reported bugs**

- App doesn't work properly on iPad 5
- Download all feature doesn't function
- Search function not working
- Content not displaying under illness scripts and practice cases sections
- App crashes or freezes on certain devices

**Requested features**

- Expand library with more diagnostic schemas
- Improve search functionality
- Add more content for internal medicine and internists
- Include podcast episodes within the app
- Regular updates with new schemas


### 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 The Clinical Problem Solvers free?

The Clinical Problem Solvers costs $14.99, with no in-app purchases.

### Is MKSAP 19 free?

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

### Which has better reviews, The Clinical Problem Solvers or MKSAP 19?

The Clinical Problem Solvers is rated higher. The Clinical Problem Solvers averages 4.8 out of 5 from 204 ratings, while MKSAP 19 averages 4.1 from 38 ratings.

### Do The Clinical Problem Solvers or MKSAP 19 have ads?

Neither The Clinical Problem Solvers nor MKSAP 19 shows ads.

### Which is updated more often, The Clinical Problem Solvers or MKSAP 19?

The Clinical Problem Solvers ships an update every 2 months, and MKSAP 19 every 2 months. Most recently, The Clinical Problem Solvers was updated on November 6, 2026 and MKSAP 19 on November 4, 2026.

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