No, but you'll need Thieme's iPublisher Central Reader and Adobe Air in order to download content for offline use.
You can print or download chapters by clicking the PDF link at the top right-hand corner and select from the table of contents.
Yes, you can download individual chapters as pdf files.
You can highlight text, copy it onto a clipboard, search it on Google, and add notes. In order to access Thieme MedOne off-campus, you must create a personal account while you are connected to UofT wi-fi or ethernet. You can also use your personal account to create public and private playlists of titles, and save your highlights and notes. You can download bibliographical data in RIS format.
Once connected to the book through the library catalogue, click the arrows at the bottom right to advance pages or expand the table of contents from the left hand menu to jump to a section.