Best way to find the most important/landmark papers in medicine?

Although my response may be a little late, I just wanted to reply and say I think a few of our services may be of some help. 
Precision Search is a new, Medline tool that makes it easy for you to find the information you need in just 2-3 steps. It is a simple-to-use search tool to unlock the powerful information that’s inside the Medline® database. Plus, you can get started right away with a free 30-day trial. Simply use the code "dctrial" at medlineprecisionsearch.com. 
Also, MedInfoNow is both an update and instant-answer tool based on Medline. It's the only update service that combines Medline updates with comprehensive news and reviews of print and electronic books in the health sciences from Doody’s Review Service™. However, to get the full articles, you will need a subscription. Or if you are a part of a society, they may have a license and can provide you with a subscription.
I hope one of these can be of some help! 

Anyone have any ideas? I've tried Journalwatch, but it's expensive and doesn't provide access to the original abstracts - it seems like it is just commentary. 
Someone sent me  http://signup.trendmd.com/ but it doesn't allow me access. Anyone used it?