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Library instruction for medical students during a curriculum elective.

The University of Minnesota Medical School has an innovative curriculum, called Didactic/Selective, which provides third- and fourth-year medical students with multidisciplinary and multispecialty courses. Within this framework, the Bio-Medical Library planned a course to teach the knowledge and skills necessary for library research and information management. It included (1) searching case-related topics in print indexes, (2) formulating and processing MEDLINE searches on BRS Colleague, (3) building a personal file with PC-File or Notebook, and (4) exploring various methods for current awareness. Students' evaluations were positive, with the majority indicating that they found the course interesting and the knowledge gained substantial.

Curriculum↗

[A translation of the Tuhfe-i Aliyye--the Kina Kina (cinchona) essay by Ali Münşi of Bursa].

Ali Münşi (Bursa ? - Istanbul 1733), mostly known as Bursali Ali Münşi, is one of the most eminent physicians in the 18th century. He started education at a Bursa madrasa and attended courses given by many famous Ottoman physicians and scholars in various madrassas in Bursa. After completing his education in madrassa he was employed as a mudarris in Bursa and Istanbul madrassas. He was appointed to the Ottoman Palace and became a member of the royal physicians (etibba-yi hassa), because of his proficiency. Then, he was promoted and was officed as the head physician of the Galatasaray Enderun School. Ali Münşi has many works on medical practice, such as, Bida'at al-mübtedi, Cerrahnâme, Tuhfe-i aliyye and Altznotu Risalesi. Tuhfe-i Aliyye is known as the Kinakina Risalesi (chinchona), that is about how to treat a patient infected with malaria, by administering a drug named chinchona. Besides, it deals with the story of introducing chinchona to the Ottoman world from Europe. It was the first monography written on kinakina. There are several manuscripts of this text; for example, one is in the Bayezid Library, the other is in the Cerrahpaşa Medical School Medical History Department. This article is a Turkish transliteration of the Süleymaniye manuscript.

Cinchona↗

Academic health sciences libraries, then and now.

We have made no attempt to compare academic health science libraries along other criteria. Collections and services are not always congruent with budgets; nor do we imply that bigger is better. It is much more expensive to operate a library today than in 1962. In addition, building backfiles is not usually required for a library that has been collecting, even modestly, for fifty to one hundred years. In summary, the eastern seaboard health science libraries generally declined in rank, whereas those in the midwest, southwest, and west either remained in rank order or increased in rank. Exceptions are in North and South Carolina. Although this socioeconomic shift is interesting, the more relevant finding is the narrowing range. In 1962 the median health science library budget was one-sixth as large as that of top-ranked UC-SF. Whereas UC-SF's budget has shown a six-fold increase over twenty years, the median library's budget has shown a twelve-fold increase. The gap between the annual budgets of the top-ranked schools and those in the bottom half of the range remains substantial but is apparently closing. It is anticipated that during the next two decades relatively few dollars will separate the annual budgets of the top ten or twenty academic health science libraries from those at the other end of the spectrum.

Budgets↗

Ethics and the GMC core curriculum: a survey of resources in UK medical schools.

OBJECTIVES: To study the resources available and resources needed for ethics teaching to medical students in UK medical schools as required by the new GMC core curriculum. DESIGN: A structured questionnaire was piloted and then circulated to deans of medical schools. SETTING: All UK medical schools. RESULTS: Eighteen out of 28 schools completed the questionnaire, the remainder either indicating that their arrangements were "under review" (4) or not responding (6). Among those responding: 1) library resources, including video and information technology were found to be fairly well developed; 2) many schools had a good supply of handouts and sample cases for teaching; 3) most had a written syllabus, and 4) two-thirds examined in the subject. However, many schools indicated that there was an urgent need for: 1) full-time teachers (most ethics teaching is still by part-time and voluntary staff); funding for books and journals, and 3) additional teaching materials (including further case vignettes, handouts and sample exam questions). CONCLUSIONS: There has been a considerable overall improvement in resources for medical ethics teaching since the time of the last national survey (The Pond Report). However, provision varies widely from medical school to medical school. The particular needs identified were for full-time teachers, library resources and teaching materials. Wider use of existing organisations concerned with medical ethics could help to meet these needs.

Curriculum↗

[Informatics in the School of Medicine of the University of Chile. I. Origin and evolution of biomedical computing in Chile].

In the sixties and seventies, the School of Medicine of the University of Chile was the first Chilean institution to incorporate computers into academic endeavors through its own Computer Center. Later, professors were marginated from policy making, which became oriented to administrative goals, but they compensated that situation with the easy access to personal computers brought about by present technology. In 1986, when School authorities were again elected by the faculty staff, professors were able to participate again in a committee designing projects in this area. Current development at the School of Medicine include a proliferation of personal computers, the implementation of a computer network with access to medical data bases, and a growing number of applications in the fields of research and teaching. In the near future, due to the accessibility of telecommunications and computers, these advancements should have an impact on the whole biomedical community, a situation that would restore, after many years, the traditional role of the University of Chile in the life of the country.

Chile↗

Library resources for problem-based learning: the program perspective.

The impact of a problem based curriculum has been the subject of increasing interest, as evidenced by several recent articles on the subject [1-4]. McMaster was able to design its library to serve a problem-based curriculum, but since there had been no prior experience with such a curriculum, the library was designed to meet needs that could only be guessed at [5]. In addition, the library serves the needs of a research intensive faculty. How the curriculum and the library have interacted over the past 25 years may be helpful to other schools considering problem-based learning.

Curriculum↗

Virtual microscopes in podiatric medical education.

In many medical schools, microscopes are being replaced as teaching tools by computers with software that emulates the use of a light microscope. This article chronicles the adoption of "virtual microscopes" by a podiatric medical school and presents the results of educational research on the effectiveness of this adoption in a histology course. If the trend toward virtual microscopy in education continues, many 21st-century physicians will not be trained to operate a light microscope. The replacement of old technologies by new is discussed. The fundamental question is whether all podiatric physicians should be trained in the use of a particular tool or only those who are likely to use it in their own practice.

Computer-Assisted Instruction↗

The commerce of ideas: copyright in the digital era.

Copyright law concerns the rights of an individual to make copies of published works. Changes in technology, be they the introduction of the printing press or the proliferation of photocopy machines, affect how these "copy rights" are interpreted. The transmission of published works over digital networks and the introduction of new and relatively inexpensive ways to conduct commerce over the same networks will have a profound effect on how medical school faculty protect their own published works and how they make use of the published works of others. When copyright law moves from tangible objects such as books and journals to intangible bits carried over a network, many historic notions about the nature of publications and libraries will be called into question. The authors review the history of copyright law and some basic concepts of copyright, particularly "first sale" and "fair use." They also discuss the effects past technological changes have had on the law and on the often-competing concerns of authors, publishers, and readers/users. Finally, they discuss the implications for medical schools of digital publications, digital libraries, and the proposed changes to copyright law.

Commerce↗

Online medical books: their availability and an assessment of how health sciences libraries provide access on their public Websites.

OBJECTIVE: The objective of this study was to determine the number and topical range of available online medical books and to assess how health sciences libraries were providing access to these resources on their public Websites. METHOD: The collection-based evaluative technique of list checking was used to assess the number and topical range of online medical books of the six largest publishers. Publisher inventory lists were downloaded over a two-day period (May 16-17, 2004). Titles were counted and compared with the 2003 Brandon/Hill list. A sample of health sciences libraries was subsequently derived by consulting the 2004 "Top Medical Schools-Research" in U.S. News & World Report. Bibliographic and bibliothecal access methods were evaluated based on an inspection of the publicly available Websites of the sample libraries. RESULTS: Of 318 currently published online medical books, 151 (47%) were Brandon/Hill titles covering 42 of 59 Brandon/Hill topics (71%). These 151 titles represented 22% (N = 672) of the Brandon/Hill list, which further broke down as 52 minimal core, 41 initial purchase, and 58 other recommended Brandon/Hill titles. These numbers represented 50%, 28%, and 12%, respectively, of all Brandon/Hill titles corresponding to those categories. In terms of bibliographic access, 20 of 21 of sampled libraries created catalog records for their online medical books, 1 of which also provided analytical access at the chapter level, and none provided access at the chapter section level. Of the 21 libraries, 19 had library Website search engines that provided title-level access and 4 provided access at the chapter level and none that at the chapter section level. For bibliothecal access, 19 of 21 libraries provided title-level access to medical books, 8 of which provided classified and alphabetic arrangements, 1 provided a classified arrangement only, and 10 provided an alphabetic arrangement only. No library provided a bibliothecal arrangement for medical book chapters or chapter sections. CONCLUSIONS: This study shows that the number and topical range of online medical books is reaching a point where collection-level consideration is warranted to facilitate efficient use and to prevent the problem of split files. However, the results also show that few efforts are underway on the publicly available Websites of the surveyed health sciences libraries to provide the analytical access necessary to meet the structural needs of clinical information seekers.

Access to Information↗

The Twin Cities biomedical consortium.

Twenty-eight health science libraries in the St. Paul-Minneapolis area formed the Twin Cities Biomedical Consortium with the intention of developing a strong network of biomedical libraries in the Twin Cities area. Toward this end, programs were designed to strengthen lines of communication and increase cooperation among local health science libraries; improve access to biomedical information at the local level; and enable the Consortium, as a group, to meet an increasing proportion of its members' needs for biomedical information. Presently, the TCBC comprises libraries in twenty-two hospitals, two county medical societies, one school of nursing, one junior college, and two private corporations.

Information Services↗

Delivering Internet health resources to an underserved health care profession: school nurses.

PURPOSE: This paper reports on a course developed for school nurses. The course focused on locating reliable and high-quality medical information resources on the Internet. SETTING/PARTICIPANTS/RESOURCES: The Health Sciences Library System (HSLS) of the University of Pittsburgh formed a partnership with the Pennsylvania Association of School Nurses and Practitioners (PASNAP). Through this partnership, a hands-on course was offered at the PASNAP annual conference. BRIEF DESCRIPTION: As one component of the Health Information for the Public Project, a subcontract of the National Library of Medicine, HSLS collaborated with PASNAP. This collaboration resulted in HSLS librarians' offering a course titled "Access to Electronic Health Information for School Nurses" at PASNAP's annual conference. This paper describes the school nurse population, their professional information needs, and the development of the course curriculum. RESULTS/OUTCOME: This course provided participants with the skills to effectively utilize the Internet to locate high-quality medical information. EVALUATION METHOD: A course evaluation and impact survey were used to assess the effectiveness of the instruction.

Clinical Competence↗

Evaluating library renovation at the University of Rochester Medical Center.

In 1987, the Edward G. Miner Library of the University of Rochester Medical Center completed the second major renovation in its 62-year history. The goal of the renovation was to provide additional space for the library's 3 main constituencies: its readers, its collections, and its staff. A case study of the renovation is presented, outlining processes and issues that shaped the final outcome. The success of the renovation is assessed in terms of project goals, design, and functionality. Changes made since 1987 to accommodate automation are also summarized. The conclusion suggests that library renovation be viewed as a continuing process, and proposes that principles of interface design are appropriate guidelines for evaluating library design across time.

Facility Design and Construction↗

All for one, one for all: collaboration between NHS and Higher Education in establishing provision of a multi-disciplinary, hospital-based library and information services.

Developing multi-disciplinary library and information services is high on the agenda for many NHS trusts and this brings with it a climate of change for both those who manage and work in services today. The development of such new services needs to be carefully managed and developed, and this presents a challenge for librarians and service managers. In the UK during 1999 and 2000, Aintree Hospital Trust, in conjunction with Edge Hill College of Higher Education, established a truly multi-disciplinary service based at its hospital site and managed by Edge Hill. This paper outlines the key stages in the development of the Library and Information Service with the focus on the management of change, collaboration and the development of a unique partnership between Higher Education and an NHS trust. The case study example will provide an outline of strategic and project planning, with insights into staff management and development, delivering user expectations and developing stakeholder relationships in the health library setting.

Cooperative Behavior↗