Copyright law concerns the rights of an individual to make copies of p
ublished works. Changes in technology, be they the introduction of the
printing press or the proliferation of photocopy machines, affect how
these ''copy rights'' are interpreted. The transmission of published
works over digital networks and the introduction of new and relatively
inexpensive ways to conduct commerce over the same networks will have
a profound effect on how medical school faculty protect their own pub
lished works and how they make use of the published works of others. W
hen copyright law moves from tangible objects such as books and journa
ls to intangible bits carried over a network, many historic notions ab
out the nature of publications and libraries will be called into quest
ion. The authors review the history of copyright law and some basic co
ncepts of copyright, particularly ''first sale'' and ''fair use.'' The
y also discuss the effects past technological changes have had on the
law and on the often-competing concerns of authors,publishers, and rea
ders/ users. Finally, they discuss the implications for medical school
s of digital publications, digital libraries, and the proposed changes
to copyright law.