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Current issues in the design of academic health sciences libraries: findings from three recent facility projects.

Planning a new health sciences library at the beginning of the twenty-first century is a tremendous challenge. Technology has radically changed the way libraries function in an academic environment and the services they provide. Some individuals question whether the library as place will continue to exist as information becomes increasingly available electronically. To understand how libraries resolve programming and building design issues, visits were made to three academic health sciences libraries that have had significant renovation or completed new construction. The information gathered will be valuable for planning a new library for the University of Colorado Health Sciences Center and may assist other health sciences librarians as they plan future library buildings.

Colorado↗

Area Health Education as the foundation for a statewide biomedical communications network.

In 1972, the Medical University of South Carolina was awarded a contract to establish four Area Health Education Centers in South Carolina. These centers, based in community hospitals, provide residency programs and clinical instruction for medical, dental, nursing, pharmacy, and allied health students and continuing educational programs for health professionals. A plan for delivering library and other information services to the designated Area Health Education Centers is described.

Allied Health Personnel↗

Production of the next-generation library virtual tour.

While many libraries offer overviews of their services through their Websites, only a small number of health sciences libraries provide Web-based virtual tours. These tours typically feature photographs of major service areas along with textual descriptions. This article describes the process for planning, producing, and implementing a next-generation virtual tour in which a variety of media elements are integrated: photographic images, 360-degree "virtual reality" views, textual descriptions, and contextual floor plans. Hardware and software tools used in the project are detailed, along with a production timeline and budget, tips for streamlining the process, and techniques for improving production. This paper is intended as a starting guide for other libraries considering an investment in such a project.

Computer Communication Networks↗

HELPING THE SMALLER LIBRARY.

On invitation, we approach, as consultants, the problem of helping a smaller library. Once we are certain we are qualified for the assignment, we arrange to visit the library and see its problems of personnel, space, and book collection. Talking with personnel operating the library may indicate appropriate courses of action. We recommend library procedures and systems commensurate with the present needs and future growth of a given institution or organization. We appreciate the quantity and quality of services rendered by small libraries. We learn who the readers are and what material is available locally before making recommendations concerning budgets or purchases. Our suggestions on technical matters include either work samples or references. We do not confuse library personnel with great detail. We tell them about local and nearby resources, services of the National Library of Medicine, and the Medical Library Association. We make them feel free to request further information as needed.

Book Collecting↗

VARIETIES OF INFORMATION REQUESTS IN A MEDICAL LIBRARY.

In an analysis of the information requests received and recorded in the Cleveland Medical Library over a two-year period, the requests were classified in four groups according to whether they were direct inquiries (factual), indirect (subject), biographical and directory, or requests for verification of literature citations. An attempt was made to discover some of the major characteristics and the volume of activity in each class. The results reflect the information services supplied by a single library with its own unique clientele and functions, rather than provide a means of generalizing about information services in all libraries, although they may give us some useful insights. Detailed analyses are made of direct and of biographical and directory questions. The largest number of inquiries received were those in which literature references on a specified subject were requested (indirect inquiries); these represented over 50 percent of the total. Most of the requests in this category called for limited coverage (five articles or less) in the recent literature (not over five years). Requests for verification of citations ranked next with 25 percent of the total, followed by direct (factual) inquiries (12 percent) and biographical and directory inquiries (9 percent), although it is recognized that these last two classes are probably underrepresented in the sample.

Bibliographies as Topic↗

Introducing and implementing on-line bibliographic retrieval services in a scientific research and development organization.

The National Bureau of Standards Library recently implemented on-line bibliographic retrieval services. Methods are given to orient and aid users in availing themselves of the services. Results are presented, based on appraisal of the services by users: value to users; most used data bases; problems requiring search revision; reasons for unsatisfactory results; purposes for request and use of search results; impact on subsequent library use; and future searching requirements. On-line capability impacts on library financing as a whole and on the library role in the community are described.

Humans↗

The Internet: a new instrument in a virtual "doctor's bag".

The Internet is a valuable professional tool, and savvy physicians should understand its strengths and weaknesses. This worldwide network of networks allows doctors to communicate using any of several common Internet tools-electronic mail, mailing lists, newsgroups, telnet, file transfer protocol, gopher, and the World Wide Web. Many sites on the World Wide Web are expressly designed for physicians, although users must be careful to evaluate information for accuracy and currency. In Connecticut, physicians can use CHIME-Net, which provides access to the Internet and easy exchange of financial and patient data. Physicians ready to plunge into the Internet should consult their hospital library or information services department for more information.

Clinical Medicine↗

A proposed higher education institution-based Three Rs advisory service.

The University of Oxford's Ethical Review Process (ERP) is promoting a pilot scheme for a collaborative UK higher education institution-based Three Rs advisory service. It is believed that there is scope for UK academia to make a significant contribution, through the spread of its science base and the availability of high-quality library and IT services. A collaborative approach based on the concept of the critically appraised topic is envisaged, to minimise duplication and to ensure that limited resources are used to good effect. The initial objective is to identify, research, and validate refinement and replacement alternatives, drawing on both the skills of the information professional and the analogy of evidence-based health care. The results would be disseminated among member institutions by way of web-based systems, which could also offer on-line training in search strategies. The service would provide assistance to university-based project licence applicants, and would contribute to achieving the aims of the ERP, as an initiative "leading to the widest possible application of the Three Rs". It is hoped to develop the scheme in partnership with research council initiatives now under way, as the councils play a key role as funders, not only of research, but also of research student training. Universities are uniquely positioned, as centres of scientific education and, through continuing education, of continuing professional development, to provide a base for training in good practice. A successful pilot project could provide a foundation for a similar approach to reduction strategies and experimental design.

Animal Use Alternatives↗

Fees for information services to hospitals: a California experience.

The project was directed toward planning, developing, and implementing a subregional biomedical information network among the forty-three health care facilities (hospitals) of the four-county area served by Loma Linda University's health sciences library. The project coordinator contacted administrators and health care professionals in the forty-three institutions to present a plan for the network. The health care facilities were encouraged to support the continuation of the network through contract fees. The availability of specific information services was assured through contractual agreements. It was anticipated that the subregional network would be self-supporting after the twelve-month project period (December 1, 1976-November 30, 1977). The working territory (40,429 square miles) encompassed Mono, Inyo, Riverside, and San Bernardino counties. The project resulted in nine of the forty-three hospitals signing annual contracts for library services. It is recommended that projects of this kind extend beyond a year's duration in order to educate health professionals concerning the value of access to biomedical literature in improving patient care.

California↗

For parents and children only: a parent-child educational library.

A Parent-Child Education Library was developed at a children's hospital to help fill the gap in communication between staff and families. The written materials supplement the staff's verbal explanations. Materials include both medical and other child-related, educational topics. The library was approved by the medical staff and is funded by donations. Counseling has become an appropriate adjunct to the library, as parents and/or children share their problems and feelings. The library is a service provided by the Child Life Program.

Adult↗

A PILOT PROJECT IN TRAINING FOR MENTAL HEALTH LIBRARIANSHIP.

In an effort to recruit and train competent personnel for its medical library, Central Louisiana State Hospital undertook a pilot project in preprofessional training in mental health librarianship. Students received an introduction to the library as it operates in the hospital setting through a survey of the mental health sciences and the needs for library resources and services with special emphasis upon the librarian as a member of the hospital team.

Education↗

Library instruction within the medical record administration curriculum.

A course for medical record administration (MRA) students has been developed at the University of Tennessee Center for the Health Sciences Library. The course's objectives are: (1) to train students in the use of the resources and services of health sciences libraries and (2) to provide basic instruction in the organization, operation, and management of a small hospital library. These objectives are met by integrating library use instruction within the MRA curriculum and by presenting a five-week hospital library management workshop. Library use instruction includes a library orientation and sessions on the use of major reference sources, writing for publication, and the use and evaluation of the medical record literature. The workshop covers the role of the medical record administrator as manager of the hospital library. Sessions cover basic principles of hospital library administration, technical and public services, and sources of outside assistance. Results are reported of a survey of graduates conducted to determine whether a need for the course still existed and if the changes made as a result of the evaluation process were appropriate. The teaching methods and evaluation techniques used in this course are applicable to library instruction in other disciplines.

Hospitals↗

Centralized automated cataloging of health science materials in the MLC/SUNY/OCLC shared cataloging service.

Since February 1976, The Medical Library Center of New York, with the assistance of the SUNY/OCLC Network, has offered, on a subscription basis, a centralized automated cataloging service to health science libraries in the greater metropolitan New York area. By using workforms and prints of OCLC record (amended by the subscribing participants), technical services personnel at the center have fed cataloging data, via a CRT terminal, into the OCLC system, which provides (1) catalog cards, received in computer filing order; (2) book card, spine, and pocket labels; (3) accessions lists; and (4) data for eventual production of book catalogs and union catalogs. The experience of the center in the development, implementation, operation, and budgeting of its shared cataloging service is discussed.

Book Classification↗

The use of quality benchmarking in assessing web resources for the dermatology virtual branch library of the National electronic Library for Health (NeLH).

BACKGROUND: In 1998, the U.K. National Health Service Information for Health Strategy proposed the implementation of a National electronic Library for Health to provide clinicians, healthcare managers and planners, patients and the public with easy, round the clock access to high quality, up-to-date electronic information on health and healthcare. The Virtual Branch Libraries are among the most important components of the National electronic Library for Health. They aim at creating online knowledge based communities, each concerned with some specific clinical and other health-related topics. OBJECTIVES: This study is about the envisaged Dermatology Virtual Branch Libraries of the National electronic Library for Health. It aims at selecting suitable dermatology Web resources for inclusion in the forthcoming Virtual Branch Libraries after establishing preliminary quality benchmarking rules for this task. Psoriasis, being a common dermatological condition, has been chosen as a starting point. METHODS: Because quality is a principal concern of the National electronic Library for Health, the study includes a review of the major quality benchmarking systems available today for assessing health-related Web sites. The methodology of developing a quality benchmarking system has been also reviewed. Aided by metasearch Web tools, candidate resources were hand-selected in light of the reviewed benchmarking systems and specific criteria set by the authors. RESULTS: Over 90 professional and patient-oriented Web resources on psoriasis and dermatology in general are suggested for inclusion in the forthcoming Dermatology Virtual Branch Libraries. The idea of an all-in knowledge-hallmarking instrument for the National electronic Library for Health is also proposed based on the reviewed quality benchmarking systems. CONCLUSIONS: Skilled, methodical, organized human reviewing, selection and filtering based on well-defined quality appraisal criteria seems likely to be the key ingredient in the envisaged National electronic Library for Health service. Furthermore, by promoting the application of agreed quality guidelines and codes of ethics by all health information providers and not just within the National electronic Library for Health, the overall quality of the Web will improve with time and the Web will ultimately become a reliable and integral part of the care space.

Dermatology↗

Use of information sources at a university hospital drug information service.

The frequency of use of various sources to answer drug information requests in a university hospital drug information service was studied. All of the drug information requests received by the University of Minnesota Drug Information Service (UMDIS) between November 1, 1983, and January 27, 1984, were included in the evaluation. A total of 1448 requests from health-care professionals and consumers were reviewed. The 10 most frequently used information sources in order of most to least often used were Facts and Comparisons, previous knowledge or experience of the UMDIS staff, Drugdex, Martindale: The Extra Pharmacopoeia, USP DI, the UMDIS files, information from pharmaceutical manufacturers, Goodman and Gilman's the Pharmacological Basis of Therapeutics, and Meyler's Side Effects of Drugs. Forty percent of the requests were from consumers. Pharmacists should characterize the type and number of drug information requests they receive and should consider the accessibility of a drug information service and biomedical library when deciding which references to purchase.

Catalogs, Drug as Topic↗

Implications for nursing in the library activities of the Regional Medical Programs.

A consideration of federal support of library facilities, resources and services provided through Regional Medical Programs and the National Library of Medicine's Extramural Programs as they relate to nursing is presented. The position of nurses in policy making and their limited role in the programs are noted. Suggestions are made for greater nursing involvement. It is strongly advised that nurses make greater use of library resources and that administrators and staffs of libraries be more concerned with meeting their needs.

Journal Article↗