[Continuing medical education and biomedical libraries (author's transl)].
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This paper examines the role of the British Library in the provision of medical and health information in the U.K. Medicine--in both the public and private sector--is big business. The British Library is already heavily involved in the provision of information to the medical community but there is little planning for the most cost-effective allocation of resources for medical information across the nation. There is no focus for research and development in medical information policy and medical librarians do not readily identify with the British Library. This paper suggests that the British Library could help to develop a focus for medical information policy in the way the National Library of Medicine does for the USA.
In 1985, the Kansas City Veterans Administration Medical Center began implementation of the Decentralized Hospital Computer Program (DHCP). An integrated library system, a subset of that program, was started by the medical library for acquisitions and an outline catalog. To test the system, staff of the Neurology Service were trained to use the outline catalog and electronic mail to request interlibrary loans and literature searches. In implementing the project with the Neurology Service, the library is paving the way for many types of electronic access and interaction with the library.
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We announce the Residue-based Diagram Editor (RbDe) web service that allows online construction of residue-based diagrams and the creation of stored diagram libraries. The service has been tuned for the construction of snake-like diagrams (for transmembrane proteins) but can be used to render any protein for which defined secondary structure data or hypotheses are available. RbDe is freely available through the Internet from our web site: http://transport.physbio. mssm.edu/rbde/RbDe.html. Licenses for intranet uses can be obtained upon request.
Health sciences librarians at the University of Washington (UW) are partners in the evolution of Internet-based clinical information systems for two medical centers, University of Washington Medical Center and Harborview Medical Center, as well as the UW Primary Care Network clinics. Librarians lead information resource and systems development projects and play a variety of roles including facilitator, publisher, integrator, and educator. These efforts have been coordinated with parallel development efforts by the Integrated Advanced Information Management Systems (IAIMS) clinical informatics group in developing electronic medical record systems and clinical decision support tools. The outcome is MINDscape, a very heavily used Web view of the patient medical record with tightly integrated knowledge resources as well as numerous Web-accessible information resources and tools. The goal of this article is to provide a case study of librarian involvement in institutional information systems development at UW and to illustrate the variety of roles that librarians can assume in hospital settings.
Libraries now have available to them a variety of ways of speeding the flow of information among widely scattered locations. One of the means for the improvement of interlibrary loan service is the use of the teletypewriter, and the use of Teletypewriter Exchange Service (TWX) by medical libraries during the past three years is described. The background of library applications of teletypewriter systems is outlined, and the advantages, types of use, cost factors, and experiences of some groups are discussed, as well as the impact of the "network concept" on library service.
Ways in which the library can become involved in hospital educational programs are discussed. The librarian can set out materials on specific topics for discussion among nurses, and can encourage continuing education among physicians. The need for this is stressed, together with the necessity for adequate hospital library standards to meet this demand.
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