Institutional subscriptions are intended for single-site access at libraries, hospitals, or other health care-related institutions. A single username and password are issued, but simultaneous access is permitted. We do not provide institutional subscribers with IP address access. 

• Depending on when your order was placed, your subscription typically starts with the next issue to be published. Expect your first issue to arrive by the U.S. Postal Service within six weeks.
• Included in your subscription is a topic-specific review of approximately 100 articles published in premier medical journals.
• You receive full-text reprints of 8–12 articles cited in the review for further study.
• Although a self-assessment quiz is contained in each issue, you cannot earn AMA PRA Category 1™ credit with this subscription format nor is an answer key available.
• Cannot be shared or copied for distribution to others outside your institution.