ALF Checklist vs MKSAP 19
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
ALF Checklist
This medical app provides a standardized checklist for healthcare professionals managing patients with acute liver failure. It aims to improve clinical management, diagnostic accuracy, and patient survival through task lists, diagnostic tests, and evaluation guides.
- Admission and daily task lists
- Diagnostic test checklist
- Recommended therapies guide
- System-categorized evaluation checklists
- Instructional video
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The Acute Liver Failure Checklist app was developed by the Acute Liver Failure Study Group, a NIH-funded cooperative network formed to study this rare and devastating disease, which has enrolled over 2000 patients since 1998. It is designed for use by medical professionals caring for patients in the intensive care unit with acute liver failure, which is a short-term hepatic illness associated with coagulopathy and hepatic encephalopathy (mental status changes associated with liver failure). The goals of this checklist: 1) improve and standardize clinical management, 2) improve diagnostic acumen, and 3) improve patient survival. Features: Task list to be done on admission and daily in all cases of acute liver failure Diagnostic test checklist and recommended therapies Admission and daily evaluation checklist, categorized by systems Instructional video More information can be found at the Acute Liver Failure Study Group website: http://www.utsouthwestern.edu/labs/acute-liver/
MKSAP 19
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.
- 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
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This app supplements the online version and is included with the MKSAP 19 Digital, MKSAP 19 Complete Green, and MKSAP 19 Complete subscriptions. Simply log in with your ACP or MKSAP 19 username and password. If you need assistance setting up your account, visit ACP Online. Some functionality within the app requires an active internet connection. Your suggestions for future updates and enhanced features are welcome at mksap_editors@acponline.org. The new Medical Knowledge Self-Assessment Program® (MKSAP® 19) provides you with the most current and critical information in the core of internal medicine and its subspecialties so you can stay aware of what you need to know as a practicing physician in internal medicine today. MKSAP 19 consists of well-researched text sections and 1,200 exam-like multiple-choice questions along with hundreds of figures, charts, and tables to enhance your learning experience. MKSAP 19's original, high-quality questions comprise patient-based clinical scenarios based on the latest evidence. Each question will challenge your decision-making, help you discover areas of strength, and target areas for you to update or acquire new knowledge. This app enables subscribers to MKSAP 19 Digital, MKSAP 19 Complete Green, or MKSAP 19 Complete to read all of the text and answer all of the questions offline. When you are connected to the Internet, answers will sync automatically with the online version. The publisher of this app, the American College of Physicians, is the largest medical specialty organization in the United States with members in more than 145 countries worldwide. ACP membership includes 161,000 internal medicine physicians (internists), related subspecialists, and medical students. Internal medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness.
Screenshots
Verdict
The clearest difference is rating: ALF Checklist at 4.5 against MKSAP 19's 4.1. ALF Checklist also leads on review sentiment (100% vs 71%). MKSAP 19's advantage is update cadence (every 2 months vs every 108 months) and ratings volume (38 vs 2). On price, ads, in-app purchases and monetization model there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Neither carries in-app purchases, so what you see is what you pay.
ALF Checklist holds the better App Store score, 4.5 against 4.1. That said, the two scores are not equally well evidenced: MKSAP 19 has 38 ratings behind it against 2, so its average is the more settled of the two. Written reviews point the same way: 100% of ALF Checklist's written reviews are positive against 71% of MKSAP 19's.
ALF Checklist ships an update every 108 months, MKSAP 19 every 2 months. The most recent releases landed on November 1, 2026 and November 4, 2026 respectively.
| Parameter | ALF Checklist | MKSAP 19 |
|---|---|---|
| Price | Free | Free |
| Rating | 4.5 (2 ratings) — better | 4.1 (38 ratings) |
| Positive reviews | 100.0% of reviews — better | 70.6% of reviews |
| Number of ratings | 2 | 38 — better |
| Update frequency | Every 108 months | Every 2 months — better |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Free | Free |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Requires iOS | 15.0 | 12.0 — better |
| Further details — not scored | ||
| Size | 1 MB | 423 MB |
| Age rating | 12+ | 17+ |
| Developer | Tung Tree LLC | American College of Physicians |
Customer experience
ALF Checklist
MKSAP 19
In-app purchases
ALF Checklist
No in-app purchases
MKSAP 19
No in-app purchases









