Primary Care Medical Abstracts is a monthly publication that, since 1992, has been providing its subscribers with searchable abstracts and authoritative audio commentary based on key articles selected from the 600 journals we survey monthly. The publication is available in printed (with commentary on CDs or downloadable formats), and internet video and audio versions. Each issue is accompanied by a four-page essay on a primary care- related topic, a bonus 30-minute lecture taken from our series of evidence-based courses, and a CME component. As we enter our 19th year of publication we are providing a number of substantial enhancements and new features to make the program even more worthwhile.