Many years ago hospital systems employed librarians who acquired articles for medical staff.  Costs associated with maintaining a library were at least partially offset by fees physicians paid to be &quot;on staff&quot; at a hospital (or group of them).  BTW those fees were typically on the order of several hundred dollars&#x2F;year.<p>Of course, among small-medium size hospital systems the libraries are long gone.  Some of the largest or those affiliated with universities may still have access in some form.  It&#x27;s an ironic development that so much more research is going on, yet less available to practitioners on the front lines.