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PubMed1966

Sex education in the schools--the doctor's role.

Physicians may be asked to act as consultants in the development of sex education programs in the schools or to contribute as professional experts. As most medical libraries contain very little material on this subject, the doctor must turn to public libraries, which have books ranging from useless to excellent. These must be examined critically. In his role of healer, the doctor may minimize his roles of teacher and community model, and thereby lose many opportunities to communicate with members of other professions and thus extend health education beyond the limits of his practice.

Humans↗
PubMed1976

A statewide biomedical communications network for South Carolina.

In 1972, the Medical University of South Carolina was awarded a contract to establish 4 Area Health Education Centers in South Carolina. These centers, based in community hospitals, provide residency programs, clinical instruction for students, and continuing education programs for health professionals. In late 1974, contractual agreements between the Medical University of South Carolina's Library/Learning Resource Center and the Area Health Education Centers were negotiated to provide book and nonbook learning materials to all health practitioners in South Carolina. The history and the functions of the resulting network and evaluation of audiovisual and self-instructional learning materials procured and distributed by the network are described.

Area Health Education Centers↗
PubMed1983

Bibliographic control of medical illustrations--a case study in the development of a library subsystem: I. Project planning.

The need to provide bibliographic access to a collection of original medical illustrations led the Library of the University of California, San Francisco, to search for a bibliographic control system and, not finding a satisfactory one, to develop one of its own, Part 1 of the report details the planning for such a development, including the need for bibliographic control of illustrations, the goals of the proposed system, design decisions and changes required, the type of system chosen, special subjects indexing needs, the required output, and staffing and budgetary needs.

Abstracting and Indexing↗
PubMed1993

Information-seeking behavior: a survey of health sciences faculty use of indexes and databases.

This study investigated information-seeking behavior, including use of major bibliographic tools by medical, pharmacy, nursing, and science faculty at the University of Illinois at Chicago. The study assessed the impact of availability of locally mounted databases, determined needs for modification of instructional programs, identified the need for promotional material, and established a baseline for subsequent studies. Results reflected a wide variation in the number and format of secondary services used by faculty. Over 70% of all faculty from the colleges of medicine, pharmacy, and nursing used Index Medicus or MEDLINE. There were statistically significant differences between colleges in their use of mediated and end-user searching of MEDLINE. Colleges exhibited significant differences in use of Current Contents, PsycLIT, ERIC, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Chemical Abstracts, and Science Citation Index. Statistically significant differences also were found among several clinical departments. The study concluded that, as new formats to bibliographic tools become available, traditional formats continue to be used; training sessions must be tailored to the audience; and the availability of local resources and their use by faculty needs to be understood.

CD-ROM↗
PubMed1977

New library buildings: the Augustus Long Health Sciences Library of the College of Physicians and Surgeons, Columbia University.

A brief historical sketch, tracing the development of the College of Physicians and Surgeons and its library from the Royal charter date of 1754, is presented. Little is recorded of library development prior to 1928, when the departmental libraries were united with the Reference Library to form the core of the present library. The planning processes for the new library are discussed, noting the involvement of the entire library staff. Four floors in a twenty-story tower are devoted to library services, and each floor is described. Several of the major compromises made during the planning process are documented. Photographs and floor plans of two of the floors help illustrate the text.

Communication↗
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Hospitals, Pediatric↗
PubMed2003

LISTENing to healthcare students: the impact of new library facilities on the quality of services.

Following a low assessment of 'Learning resources' provision by the Quality Assurance Agency, the librarian of Homerton College, School of Health Studies commenced the LISTEN Project, a long-term study to monitor the effects of planned interventions on the quality of library provision. Surveys of entry-to-register student nurses & midwives were conducted in 1999 and 2001 by extensive questionnaires, inviting Likert-scaled and free text responses. Following a college relocation, students made greater than expected use of a new health studies library in Cambridge, and significantly less use of the local teaching hospital library. Using both a satisfaction index and a non-parametric test of mean scores, student evaluation of library services in Cambridge significantly improved following relocation. The physical accommodation and location of library services remain important to healthcare students. Identifiable improvements to the quality of services, however, will overcome initial resistance to change. Education providers must ensure the best mix of physical and electronic services for students who spend much of their time on clinical placement.

Attitude of Health Personnel↗
PubMed2003

Teaching evidence-based medicine to medical students.

Given the proliferation of published studies and clinical updates, knowing how to use the literature effectively and efficiently is a necessary skill. Many medical schools in the United States are requiring courses in evidence-based medicine (EBM) in an effort to teach medical students how to distinguish high- from low-quality studies, how to interpret results from systematic reviews, and how to recognize flaws in study design or in methodology. The Department of Public Health of the Weill Medical College of Cornell University, in collaboration with the Information Service of the Library, initiated a required EBM course in the first year of medical school. This four-week comprehensive course in the concepts and techniques of EBM focused on methods, study design and statistical analysis in assigned articles as well as on instruction in database-searching techniques. This report reviews the process of implementing such a course and factors needed to ensure the realization of its objectives.

Curriculum↗
PubMed1993

A study of library use in problem-based and traditional medical curricula.

A key question for librarians and medical educators who are planning for curriculum change is whether students and faculty in problem-based learning (PBL) programs use the library and its resources differently than do participants in traditional programs. During 1991, this research question was explored at three medical schools in the province of Ontario, Canada. At the time of the study, McMaster University medical school was totally problem-based, the University of Western Ontario had one PBL day each week for first-year medical students, and the University of Toronto, although planning for medical curriculum change, had not yet initiated PBL. Data collected in the study suggest that more medical students in the problem-based curriculum than in the more traditional programs use the library and that, when the PBL students use the library, they do so more frequently, for longer periods of time, and as a source of a greater proportion of their study materials. PBL students also use the library more than their counterparts as a place to study and meet other students. Students in the problem-based curriculum use the following resources more extensively: end-user MEDLINE searching, library journals, reserve or short-term loan materials, photocopy services, and audiovisual materials. PBL students also report purchasing more textbooks. In contrast to the differences found among medical students, however, patterns of library and resource use by medical faculty at the three schools were quite similar.

Computer-Assisted Instruction↗
PubMed1982

The role of the medical librarian in the use of a MeSH-indexed computerized test question bank.

The University of Missouri-Kansas City School of Medicine utilizes a full-time medical librarian in a non-conventional position as indexer-bibliographer for its computerized Item Library. The responsibilities of the librarian are to edit, index, and reference items for inclusion in the data base; maintain the currency of the Item Library; search the collection; and construct examinations, including a comprehensive quarterly examination, required of all students in this six-year school. Early research in computer-assisted test construction suggested the need for a comprehensive, standard approach to the classification of item content. A professional medical librarian using MeSH descriptors satisfies this need. In existence since 1973, the Item Library is now composed of over 12,000 multiple-choice questions in the basic sciences and clinical medicine. All questions are indexed with up to fifteen MeSH descriptors and referenced to literature sources. The items may be retrieved using any single MeSH term or combination of terms. The collection is available at all times on terminals, and students are encouraged to make use of it for self study. Selected examinations are made available to other institutions by arrangement. Experience has proven both the value of this resource for self study and student evaluation, and the necessity of establishing and continuing the librarian's role.

Abstracting and Indexing↗
PubMed1994

The Medical School at Ravenna.

The existence of the Ravenna School of Medicine can be deduced from a codex in the Ambrosian Library of Milan, which contains Latin translations of 3 Hippocratic works and commentaries on 4 works by Galen. Although it was written in the 9th century, the codex appears to be a copy of an earlier work, probably 7th century. The Ambrosian commentaries follow other commentators on Aristotle, rather than the original Aristotelian works, and contain a number of misinterpretations. Nevertheless, the commentaries make it clear that the earliest literature in Salerno had its roots in the studies of classical medicine at the Ravenna School of Medicine, where the teaching was essentially Galenic in structure.

History, Medieval↗
PubMed1967

Analysis of recorded biomedical book and journal use in the Yale Medical Library. II. Subject and user relations.

Cancelled charge slips collected over a one-year period supply the data for this analysis of circulation in the Yale Medical Library. Full-time teaching faculty are the heaviest users of journal literature, and students, of monograph literature. Faculties of Medical School departments are compared in terms of their use of material in individual subjects. Subject literatures are analyzed in terms of groups of users borrowing from them. The extent to which journal titles used by medical students are also used by Medical School faculty is examined. One of the products of the study is a rank list of journal titles used in the Library. Results are presented in several tables.

Books↗
PubMed1995

Integration of information-seeking skills and activities into a problem-based curriculum.

Recent trends in medical education include a shift from the traditional, didactic, lecture-oriented approach to a more student-driven, problem-based approach to learning. This trend provides librarians with an opportunity to develop programs to teach information-gathering skills that support and are integrated into problem-based learning (PBL). In 1992, the University of Pittsburgh School of Medicine implemented the initial phase of a curriculum revision that emphasizes PBL. Since that time, Falk Library of the Health Sciences has provided a large-scale, intensive program integrating information-seeking skills and activities into the first-year Patient-Doctor Relationship course, a sequence that initiates medical school. A multimodal approach to information seeking and sources is emphasized, utilizing print and audiovisual materials, computerized resources, and subject experts. The Falk Library program emphasizes the gathering and use of information as central to both PBL and student skills development. An informal, post-course evaluation was conducted to gauge which information resources were used and valued most by students. This article presents evaluation results, including data on the use of information sources and services, and student perceptions of the librarian's role in the PBL sessions.

Curriculum↗
PubMed2000

[Problem-based learning, description of a pedagogical method leading to evidence-based medicine].

Problem-Based Learning is an educational method which uses health care scenarios to provide a context for learning and to elaborate knowledge through discussion. Additional expectations are to stimulate critical thinking and problem-solving skills, and to develop clinical reasoning taking into account the patient's psychosocial environment and preferences, the economic requirements as well as the best evidence from biomedical research. Appearing at the end of the 60's, it has been adopted by 10% of medical schools world-wide. PBL follows the same rules as Evidence-Based Medicine but is student-centered and provides the information-seeking skills necessary for self-directed life long learning. In this short article, we review the theoretical basis and process of PBL, emphasizing the teacher-student relationship and discussing the suggested advantages and disadvantages of this curriculum. Students in PBL programs make greater use of self-selected references and online searching. From this point of view, PBL strengthens the role of health libraries in medical education, and prepares the future physician for Evidence-Based Medicine.

Education, Medical↗
PubMed1999

Medical faculty use of the journal literature, publishing productivity and the size of health sciences library journal collections.

OBJECTIVES: This 1990-1991 study explored the relationship between the size of health sciences library journal collections and the number of different journals cited by medical school faculty in departments of biochemistry and medicine. METHODS: Two regression equations, including variables associated with a national stratified sample of 622 faculty who published articles during those two years, were used to explore factors correlated with variations in faculty use of the journal literature and faculty publishing productivity. RESULTS: Results suggest that, after controlling for other variables in the models, neither the number of different journals those faculty cited, nor the number of articles they published, had statistically significant correlations with the number of journals in the health sciences library collection. CONCLUSION: The traditional view that the size of an academic health sciences library's journal collection is a good measure of how well that library is positioned to support faculty research may not be entirely accurate.

Costs and Cost Analysis↗
PubMed2006

[The library of Santa Maria Nuova hospital in Florence. Historical settings and book acquisitions from the foundation to transfer to the Superior Study Institute (1679-1893)].

The library of Santa Maria Nuova hospital in Florence. Historical settings and book acquisitions from the foundation to transfer to the superior study institute (1679-1893)--This study encompasses the development time span for the scientific and structural foundation of Santa Maria Nuova Library in Florence, beginning since 1679--year of its establishment--until 1893, year of its translation to the Istituto di Studi Superiori. The complete title transcription of the over thousand books which in a three year period only (1783/1786) created the foundation for the scientific-medical Library, is instrumental in pointing out the rules that the hospital and its School played inside the scientific debate in the contemporary European environment. So compounded, this paper aims at giving medicine historians valuable documents for an in-depth critical study.

History, 17th Century↗