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Hospital library service and the changes in national standards.

Two important sets of standards affecting hospital libraries were significantly revised in 1994, those of the Medical Library Association (MLA) and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). As part of its continuing efforts to monitor library services within its region, the University of California, Los Angeles Biomedical Library, Regional Medical Library for the Pacific Southwest Region of the National Network of Libraries of Medicine (NN/LM) conducted a survey in late 1994, in part to determine the effects of these revised standards on regional hospital libraries. Data from the survey were also used to provide a view of hospital libraries in the Pacific Southwest region, and to make comparisons with similar data collected in 1989. Results showed that while libraries remained stable in overall number, size, and staffing, services, especially those associated with end-user searching and interlibrary loan, increased enormously. With respect to the MLA standards, results show a high compliance level. Interesting differences were seen between the perceptions of library staff concerning their rate of compliance with the JCAHO standards and their actual compliance as measured by the MLA criteria. While some libraries appear to measure up better than their own perceptions would indicate, others may be fully aware of their actual compliance level.

Data Collection↗

Standards for the academic veterinary medical library.

The Standards Committee of the Veterinary Medical Libraries Section was appointed in May 2000 and charged to create standards for the ideal academic veterinary medical library, written from the perspective of veterinary medical librarians. The resulting Standards for the Academic Veterinary Medical Library were approved by members of the Veterinary Medical Libraries Section during MLA '03 in San Diego, California. The standards were approved by Section Council in April 2005 and received final approval from the Board of Directors of the Medical Library Association during MLA '04 in Washington, DC.

Education, Veterinary↗

Mapping the literature of occupational therapy.

Occupational therapy, formally organized in the United States in 1917, is considered an allied health field. Mapping occupational therapy literature is part of a bibliometric project of the Medical Library Association's Nursing and Allied Health Resources Section's project for mapping the literature of allied health. Three core journals were selected from the years 1995 and 1996 and a determination was made of the extent to which the cited journal references were covered by standard indexing sources. Using Bradford's Law of Scattering three zones were created, each containing approximately one-third of the cited journal references. The results showed that three journals made up the first zone, 117 journals the second, and 657 the third. The most cited journal was the American Journal of Occupational Therapy. In the second zone, journals from twelve disciplines were identified. While MEDLINE provided the best overall indexing, the Cumulative Index to Nursing and Allied Health Literature (CINAHL) was the only database that indexed the three most cited journals plus nine of the currently active titles in occupational therapy. MEDLINE could improve its coverage of occupational therapy by indexing the journals of the British, Canadian, and Australian national associations.

Abstracting and Indexing↗

Medical librarians and the White House Conference: from complacency, to concern, to commitment.

The evolution of a National Program for Library and Information Services has been a long and involved process. A major landmark in this evolution was the White House Conference held in November 1979. The participation of medical librarians was also slow to evolve from initial complacency to strong commitment. A description of this evolution and participation by medical librarians and the Medical Library Association in White House Conference activities is reported.

Congresses as Topic↗

The nursing interest subgroup: beginning the organization of nursing librarians.

The Nursing Interest Subgroup (NISG) was established in 1980 to act as a focus for librarians providing services to nurses and to encourage understanding between the two professions. The NISG held social events, study days and produced regular newsletters for members. Relationships were developed with NHS Regional Librarians, where they existed, and links made with overseas colleagues. As a subgroup of the Medical, Health and Welfare Libraries Group of the Library Association, the NISG was called to comment upon developments in nurse training and education. Particular concerns were the generally inadequate level of resourcing for library provision, especially for qualified nurses, and the salary scales of nursing librarians. The NISG facilitated the sharing of experience, provided opportunities for professional and educational development and served to raise the profile of nurses' libraries. In 1986 the group was renamed and lives on today as 'Libraries for Nursing'.

Education, Nursing↗

Educational services in health sciences libraries: an analysis of the periodical literature, 1975-1986.

The periodical literature on group instructional services in health sciences libraries was analyzed to determine the nature of these services, their target audiences, and their institutional settings. Three kinds of reports were identified: descriptions of services (70%), reviews of the literature (10.5%), and future-oriented articles that advocate various group instructional services (19.5%). Five target audiences were identified: library users, staff, librarian peers, library science students, and patients. Instructional services were offered primarily in medical school/center libraries, hospital libraries, and the National Library of Medicine and its Regional Medical Libraries (RMLs). To a lesser extent, health sciences educational services are offered through other professional school libraries, library associations and consortia, and schools of library science. There are gaps in the literature in the areas of library experience with marketing, evaluation, administration of the offered educational services, and continuing education for health sciences librarians.

Education↗

The view behind and ahead: implications of certification.

The Medical Library Association's certification plan, never of real significance in employment and promotion practices in health sciences librarianship, does not reflect the many changes which have occurred in swift progression since adoption of the code in 1949. Solutions to the problems which have accumulated since then are sought in a brief examination of trends in credentialing and certification in the health professions and in the library field, both general and special. Emphasis is given to the historical development of provisions in the MLA Code for the Training and Certification of Medical Librarians, the limited opportunity for practical implementation of most of the provisions, the importance of the code in stimulating the Association's educational programs, the impact of the Medical Library Assistance Act, Regional Medical Programs, and increases in demand for health information on manpower requirements for health science libraries, the specific dissatisfactions MLA members have expressed over certification, and the role of the Ad Hoc Committee to Develop a New Certification Code.

Accreditation↗

MLA certification: the certification program and education for medical librarianship.

The certification program was formally adopted by the Medical Library Association in 1948 in an attempt to establish standards for medical librarians. The program is reviewed, and some of its effects on education for medical librarians are discussed. At the time of its adoption the program defined the kind of education librarians in the field thought necessary for work in medical libraries. New techniques and a shortage of personnel demand consideration of new educational programs, and the Medical Library Assistance Act will provide the means for their establishment. The Association should assume leadership in determining what and where these programs should be and should evaluate its certification and standards programs as often as current needs require.

Libraries, Medical↗

MLA committee membership: retrospect and prospect.

MLA committee membership by category (medical school, society and hospital) for the past three years is examined revealing a heavy reliance upon medical school librarians for committee members. A ten-year examination of committee membership and turnover in individual committee membership rosters points out those committees whose rate of turnover is greatest. Opportunities for service by new MLA members is examined as is committee tenure as experienced during the last decade. Turnover, tenure, and frequency of leadership is examined for the ten-year period. Pointing out that only 360 individuals have served MLA in committee positions listed in the Bulletin, the Ad Hoc Committee to Review the Goals and Structure of the Medical Library Association is urged to more actively seek the opinions of the membership and to consider the service patterns of the past in recommending a course for the future.

Libraries, Hospital↗

"June is 'Boston' out all over...".

The 1966 meeting of the Medical Library Association will take place June 6-9 in Boston. Members are cordially invited to be present and to share the many enjoyable features of New England in the spring.

Libraries, Medical↗

Efficient web-based navigation of the Foundational Model of Anatomy.

The University of Washington's Foundational Model of Anatomy (FMA)1 is a complex, frame-based model composed of over 170,000 frames collectively specified by more than 1.4 million slot values. The Foundational Model Explorer (FME) was designed to provide simple and intuitive web access to this complex knowledge base. The Foundational Model Explorer (FME) (Figure 1) is built upon the Protégé 2000 knowledge base access library [http://protege.stanford.edu/]. The FME application, associated libraries, and the FMA database all reside on remote servers. Users of the FME are not required to download, install, or set-up any of these components. The FME application, in response to a query, retrieves the appropriate information from the FMA, formats these data into html documents, and transmits them, via the Internet, back to the client where they can be viewed from any standard web browser

Anatomy↗

Health science libraries of national, state, and local medical organizations.

This second survey of medical society-sponsored libraries has been expanded to include national association libraries in allied medical fields, as well as special libraries which do not fall into categories established for the MLA survey of health science libraries. A total of fifty-eight libraries in this subset have been identified, and selected characteristics have been measured. Observations are made concerning methodology, user population, and services.

Library Surveys↗

Understanding the foundation: the state of generalist search education in library schools as related to the needs of expert searchers in medical libraries.

PURPOSE: The paper explores the current state of generalist search education in library schools and considers that foundation in respect to the Medical Library Association's statement on expert searching. SETTING/SUBJECTS: Syllabi from courses with significant searching components were examined from ten of the top library schools, as determined by the U.S. News & World Report rankings. METHODOLOGY: Mixed methods were used, but primarily quantitative bibliometric methods were used. RESULTS: The educational focus in these searching components was on understanding the generalist searching resources and typical users and on performing a reflective search through application of search strategies, controlled vocabulary, and logic appropriate to the search tool. There is a growing emphasis on Web-based search tools and a movement away from traditional set-based searching and toward free-text search strategies. While a core set of authors is used in these courses, no core set of readings is used. DISCUSSION/CONCLUSION: While library schools provide a strong foundation, future medical librarians still need to take courses that introduce them to the resources, settings, and users associated with medical libraries. In addition, as more emphasis is placed on Web-based search tools and free-text searching, instructors of the specialist medical informatics courses will need to focus on teaching traditional search methods appropriate for common tools in the medical domain.

Curriculum↗

Mapping the literature of dietetics.

Research on the literature of dietetics, apart from the broader field of nutrition, has not been reported in the literature. The purpose of this bibliometric study was to identify the core journals of dietetics and to determine the extent of indexing coverage for these journals. The study was conducted as part of a larger project, the Project for Mapping the Literature of Allied Health, sponsored by the Nursing and Allied Health Resources Section of the Medical Library Association. Citations appearing in three journals between 1995 and 1997 were analyzed by the methodology common to studies in the project. Results revealed that dietetic literature relies heavily on journal literature and on those journals that are from associated health sciences fields. Of the indexing services examined, EMBASE/Excerpta Medica and MEDLINE provided the most complete coverage of the literature. The study's findings have implications for those involved with the literature of dietetics.

Abstracting and Indexing↗

Past presidents I have known.

This paper is an account of the accomplishments of some of the early past presidents of the Medical Library Association known personally to the author in his career as a medical librarian. It demonstrates the qualities that made these librarians leaders of our profession and also indicates their personal attributes that contributed to the advancement of medical librarianship. It is hoped that the historical presentation of some of the giants of our profession will inspire present and future presidents and other medical librarians with an understanding of some of the qualities necessary to the continuing success of our profession. Sir William Osler, who was a great believer in libraries and librarians and himself a Past President of MLA, summed up four qualities in his advice to medical students equally applicable to past and present leadership in the library profession-(1) the art of detachment, (2) the virtue of method, (3) the quality of thoroughness, (4) the grace of humility (Osler, Sir William. Teacher and Student. In his Aequanimitas: with Other Addresses to Medical Students. 3d ed. Philadelphia, Blakiston Company, 1904. p. 27-31.). It is thought that our past presidents possessed all of these qualities.

Book Classification↗

Past presidents I have known.

This paper is an account of the accomplishments of some of the early past presidents of the Medical Library Association known personally to the author in his career as a medical librarian. It demonstrates the qualities that made these librarians leaders of our profession and also indicates their personal attributes that contributed to the advancement of medical librarianship. It is hoped that the historical presentation of some of the giants of our profession will inspire present and future presidents and other medical librarians with an understanding of some of the qualities necessary to the continuing success of our profession. Sir William Osler, who was a great believer in libraries and librarians and himself a past president of MLA, summed up four qualities in his advice to medical students equally applicable to past and present leadership in the library profession--(1) the art of detachment, (2) the virtue of method, (3) the quality of thoroughness, and (4) the grace of humility (Osler, Sir William. Teacher and Student. In his Aequanimitas: with Other Addresses to Medical Students. 3d ed. Philadelphia, Blakiston Company, 1904. p. 27-31). It is thought that our past presidents possessed all of these qualities.

History, 19th Century↗

Public empowerment through accessible health information.

The Public Library Association (PLA) is developing plans for cooperative consumer health information services. Foremost for developing this program is the need for partnerships with health agencies and mechanisms to attract grant funding. The proposed project will expand the role of public librarians to address the health information queries they receive effectively. The project plans include the use of new technologies for delivery of health information, and the provision of tools, training, and resources.

Cooperative Behavior↗

The bright thread: the Bulletin's 75th anniversary.

This chronological review of the Bulletin of the Medical Library Association deals with the years 1911 through 1985. The Bulletin has had nineteen editors, from Marcia C. Noyes and John Ruhräh, M.D. (1911-26), through Susan Crawford, Ph.D. (1983-1986). This paper describes the Bulletin's gradual expansion in size and contents, the initiation of various departments and sections, and some of the pioneering articles. Major steps in expenses, income, and subscription price are given. Important changes in the format and the growth of the administrative and advisory structures are covered.

History, 20th Century↗