Comment by sliken
Dimms are dumb. Not sure, but maybe rambus helped improve this. Dimms are synchronous and each memory channel can have a single request pending. So upon a cache miss on the last level cache (usually L3) you send a row, column, wait 60ns or so, then get a cache line back. Each memory channel can only have a single memory transaction (read or write) in flight. The memory controller (usually sitting between the L3 and ram) can have numerous cache misses pending, each waiting for the right memory channel to free.
There are minor tweaks, I believe you can send a row, column, then on future accesses send only the column. There's also slight differences in memory pages (a dimm page != kernel page) that decrease latency with locality. But the differences are minor and don't really move the needle on main memory latency of 60 ns (not including the L1/l2/l3 latency which have to miss before getting to the memory controller).
There are of course smarter connections, like AMD's hypertransport or more recently infinity fabric (IF) that are async and can have many memory transactions in flight. But sadly the dimms are not connected to HT/IF. IBM's OMI is similar, fast async serial interface, with an OMI connection to each ram stick.