This is a complete Career Step course to medical transcription. It is not an online course nor will you receive a certificate. This course is excellent to get yourself ready for a job working from home or in an office. I never finished the course so it's basically brand new. There is a little writing in some of the books, but they are all basically new. Full cost of this course is approx. $800. Everything you see in the picture is what you will get. Please email me if you have ANY questions about this item. Thank you for looking. have a great day!