The Sports Medicine Digest is available in traditional paper format from Lippincott-Raven publishers. Macromedia is a complex and powerful authoring tool for electronic publications. In many aspects this is far superior to books for learning. Think how much more vivid a video of the pivot shift examination is, rather than a textbook description of the same. The textbook of Operative Arthroscopy is available on a CD-ROM with video of arthroscopic ACL reconstruction techniques.
Electronic publishing is certainly much easier and faster than the traditional methods.
Instead of the text and prints having to be submitted separately, you can edit the layout on your own desktop publishing program such as Microsoft Publisher or Adobe PageMaker. This is then immediately available to print or to change to html and put on the web site. Many of these programs are expensive, and beyond the reach of the busy practitioner to become proficient . Vivatexte is an alternate program, based on a windows help file. This can be read by any computer running windows.