Since the photoreading stage would be perhaps 6 to 12 minutes depending on how thick the book or how many chapters you choose to cover I'd be inclind to make sure I do that with whatever text I study. And I agree with astrowill do at least one activation step of superreading and dipping.

It's interesting that you refer to the alternative method as 'cave man' though.

If you really want to gain a sense of mastery with photoreading practice it on other books not your text books. Pick a couple of 200 page non fiction books to work with and see how much you can gain from them by doing the 5 steps on them. Once you've done a few of them then you'll be better able to adapt the PhotoReading system to your medical text.

Alex