The report covers library acquisition plans in journals, books and eBooks, practices on culling print materials, trends in surveying end users preferences on paper vs, digital information access, preferred rates of change in paper/digital access models, and other issues of interest to academic, corporate and government medical and other scientific librarians. The report helps its end users to answer questions such as: are medical and scientific libraries phasing out paper? If so, in what areas and how quickly? Are certain kinds of scientists more supportive of paper-based access? What is the demand for paper-based journals? How comfortable are patrons with eBook access? Billions of dollars are still being spent on paper-based scientific and medical materials for libraries: what is the future of these expenditures?