NEJM has free on-line registration for an e-mail update of topics being published in new articles. I get that, and if I'm interested in reading something beyond the abstract and conclusions, I can just go to my library to get the actual article. JAMA is for free for 4 years when you sign up for AMA as a med student. In the front of JAMA, they usually have a brief summary of important articles being published in other journals as well. uptodate.com is really good, but it costs something like 160 dollars. The downsides of it are that I've found in the past that it's not completely "uptodate" sometimes, and if you are doing a presentation, you will ultimately need original articles. It's a good starting place for presentations and making decisions about patient management though. I've always wondered if quoting uptodate would stand up in a malpractice case. Would a jury accept it if you testified "I did this because it was written in uptodate.com"? Little did we realize that uptodate could be written by college students or something.