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The Medical Library of University of Peradeniya serves the staff, students and the researchers of the Faculty of Medicine. The library has a good collection of text books, monographs, journals and other information resources in print and electronic forms. The library provides services such as lending, reference, photocopy, inquiry, literature survey and user education programmes.The main objective of carrying out this study was to determine the usage of library facilities by first year medical undergraduates. The specific objectives are to find out the usage of print and electronic resources and the usefulness of user education programmes. A structured questionnaire was distributed among 50% of the total first year student population.A structured questionnaire was used as the data collection instrument. Descriptive statistical methods were sued for data analysis. About 80% of the students visit the library at least once a week. Majority of students visit the library to borrow books. The highest usage of print resources is Text books . Usage of electronic journals and databases was low. 53.77 % undergraduates use the library catalogue to find books. Only 9.4 % of the students use electronic journals and databases provided through the library web page. The majority of the students use Pubmed database. The undergraduates were positive about the user education parogrammes. The responses for the usefulness of the library orientation programme and IL programme were 88.67% and 61.32% respectively.