The prevalence and structure of journal clubs in family medicine training programs in the southeastern United States was ascertained by a survey of directors of residency training programs and family practice residents in this region. There are journal clubs in 84% of the 74 programs included. The journal club appears to be well attended, and attendance is enhanced by faculty participation and a positive perception of the activity by the program directors. The vast majority of residents and directors agree that the journal club is a positive part of the educational program. In programs with journal clubs, participants reported reading significantly more than nonparticipants.