You mean people actually use paper journals still? Almost all the ones I need are online, and if it isn't, well, it's either too old to be useful or in some weird, obscure journal that neither Duke nor UNC gets.

Funny, though, I was just thinking about how my boss at the NCI had me photocopy journal articles for her, and I'd spend hours at the copy machine after pulling and marking the articles she wanted. Now tables of contents can be sent to your inbox (I get JAMA, NEJM, Annals, and Archives), and if your institution has a subscription, you can click it and read it. Amazing!