EndNote X2/X3 automatically finds and downloads article PDFs for you. With RefWorks and older version of EndNote you still need to download the PDF before creating a link to your library record.
PubGet is a biomedicine search engine that allows users to gain access to PDF journal content right away. It permits direct links to open access content when published in open access journals, and to subscription content - available to specific institutions such as UCSF:
Unlike PubMed, in addition to the citation, PubGet automatically loads and displays the PDF, which you can then download:
If you aren't affiliated with UCSF, or any other institution, you only have access to the free stuff: 
However, you may find this a useful supplemental tool for grabbing PDFs.
July 23, 2009
PubGet: another tool for grabbing PDFs
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