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The National Library of Medicine and interlibrary loan.

The National Library of Medicine was a pioneer in the development of the interlibrary loan system. In 1957, the Library instituted the policy of combining loan and photocopy which it follows to this day. There has been a steady rise in the demand for photocopies from the NLM; hence, the advantage of making fuller use of local resources before approaching NLM is stressed. The criteria the Library observes to strike a balance between the national public interest expressed in the Library's statutory mission, and private interests protected by the Copyright Act, are described; but NLM will always be obliged to provide materials difficult to obtain elsewhere. Developing programs under the Medical Library Assistance Act should have considerable impact on the local availability of medical library resources.

Information Services↗

Planning, implementing, and using a virtual reference service.

Virtual reference (VR) can be a successful vehicle for libraries if there is a demonstrated need by the user base for such a service and if the library staff believes in, accepts, and plans thoroughly for the concept. This article focuses on the experiences of the Duke University Medical Center Library (DUMCL) in planning, implementing, and using a virtual reference service utilizing LSSI's Virtual Reference Desk (VRD) Software.

Computer Communication Networks↗

Budgeting for hospital libraries.

Budgeting is a responsibility faced by all hospital librarians. Hospital administrators expect the librarian to present a financial plan for the year ahead. The budget must predict expenditures for personnel, library materials, purchased services, and equipment. The current and previous year's financial outlay should be coordinated with the budget year. To present a budget effectively, a librarian must relate financial requirements to goals of the institution of which the library is a part.

Economics, Hospital↗

Information-seeking behavior and use of information resources by clinical research coordinators.

PURPOSE: The study sought to understand the literature searching experiences and skills of clinical research coordinators at a large academic medical center. SETTING/PARTICIPANTS/RESOURCES: The Health Sciences Library System, University of Pittsburgh, conducted a survey of clinical research coordinators at the University of Pittsburgh and the University of Pittsburgh Medical Center to solicit their perceived use and knowledge of the library's electronic resources. BRIEF DESCRIPTION: The University of Pittsburgh Institutional Review Board (IRB) is a "high volume IRB" that monitors human subject research at both the University of Pittsburgh and the University of Pittsburgh Medical Center. More than 3,500 human research studies and clinical trials are active at any given time. Many studies entail more than minimal risk to human subjects, with the majority evaluating or including a drug or medical device. Clinical research coordinators are involved in most of these studies or trials. Their roles and responsibilities focus on managing many aspects of the study or clinical trial. As a first step in understanding the literature searching experiences and skills of these research coordinators, baseline data were gathered from this group in November 2004. RESULTS/OUTCOME: The data from this survey indicate that clinical research coordinators are a population who would benefit from training by academic medical center librarians in how to use electronic library resources and services. EVALUATION METHOD: A Web-based survey solicited participants' information (gender, education, job title) and role in the IRB process (job responsibilities, number studies they manage). The majority of the survey questions focused on the use of specific electronic library resources, the type of information wanted, and the types of problems encountered.

Attitude to Health↗

Embedding knowledge management in the NHS south-west: pragmatic first steps for a practical concept.

Knowledge management, like clinical governance, is a practical science. Clinical governance, with its emphasis on creating an environment where clinical quality is monitored and acted upon, is one of the foundation stones of the new National Health Service (NHS). Both knowledge management and clinical governance need to share the same criteria in order to operate. Using these two pragmatic concepts and the premise of a practical approach, this article seeks to identify the drivers for knowledge management in the NHS, highlight national initiatives and focus on the steps libraries in the south-west of England have taken to make knowledge management a reality. In so doing, the central role of the library and information service has been reinforced and embedded and librarians have been recognized for their real worth to their organizations.

Evidence-Based Medicine↗

Allowing for MSD prevention during facilities planning for a public service: an a posteriori analysis of 10 library design projects.

Research was conducted to identify an ergonomics-based intervention model designed to factor in musculoskeletal disorder (MSD) prevention when library projects are being designed. The first stage of the research involved an a posteriori analysis of 10 recent redesign projects. The purpose of the analysis was to document perceptions about the attention given to MSD prevention measures over the course of a project on the part of 2 categories of employees: librarians responsible for such projects and personnel working in the libraries before and after changes. Subjects were interviewed in focus groups. Outcomes of the analysis can guide our ergonomic assessment of current situations and contribute to a better understanding of the way inclusion or improvement of prevention measures can support the workplace design process.

Ergonomics↗

Healthcare librarians and learner support: a review of competences and methods.

OBJECTIVES: London Health Libraries (LHL) are undertaking a project in order to develop the role of their library and knowledge services staff in supporting learners within the NHS in the London area (LHL Learner Support Project). This paper reports on the first phase of the project. METHODOLOGY: A literature analysis was carried out to provide guidance on the skills and competences needed for library and knowledge staff to perform this function. RESULTS: A variety of competences are identified, and structured in a model incorporating both training skills and general professional competencies. Library and knowledge staff will themselves need to have a high-level of information literacy and to be active lifelong learners. CONCLUSIONS: A 'blended learning' approach, involving e-learning together with other methods, is identified as the most appropriate way for skills to be acquired.

Curriculum↗

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↗

Quality management, certification and rating of health information on the Net with MedCERTAIN: using a medPICS/RDF/XML metadata structure for implementing eHealth ethics and creating trust globally.

MedCERTAIN (MedPICS Certification and Rating of Trustworthy Health Information on the Net, http://www.medcertain.org/) is a recently launched international project funded under the European Union's (EU) "Action Plan for safer use of the Internet". It provides a technical infrastructure and a conceptual basis for an international system of "quality seals", ratings and self-labelling of Internet health information, with the final aim to establish a global "trustmark" for networked health information. Digital "quality seals" are evaluative metadata (using standards such as PICS=Platform for Internet Content Selection, now being replaced by RDF/XML) assigned by trusted third-party raters. The project also enables and encourages self-labelling with descriptive metainformation by web authors. Together these measures will help consumers as well as professionals to identify high-quality information on the Internet. MedCERTAIN establishes a fully functional demonstrator for a self- and third-party rating system enabling consumers and professionals to filter harmful health information and to positively identify and select high quality information. We aim to provide a trustmark system which allows citizens to place greater confidence in networked information, to encourage health information providers to follow best practices guidelines such as the Washington eHealth Code of Ethics, to provide effective feedback and law enforcement channels to handle user complaints, and to stimulate medical societies to develop standard for patient information. The project further proposes and identifies standards for interoperability of rating and description services (such as libraries or national health portals) and fosters a worldwide collaboration to guide consumers to high-quality information on the web.

Certification↗

From task force to statute: establishing health sciences libraries in state law as a component of the health care system.

This paper describes how Montana librarians successfully incorporated health sciences libraries into the statewide health care resource management plan being developed under 1993 state law. First, a broad-based Montana Task Force for Biomedical Information was formed with funds from the National Network of Libraries of Medicine/Pacific Northwest Region and the Montana Area Health Education Center. The resulting report reviewed findings from national studies and trends to current state developments and deficiencies. The report was presented to the governor and state legislators in the context of cost-containment measures being considered in the state's health care reform bill. Now Montana law provides that "it is further the policy of the state of Montana that the health care system should ... facilitate universal access to current health sciences information," and "The management plan must include ... identification of the current supply and distribution of ... health sciences library resources and services." This experience highlights the need for health sciences librarians to develop skills in advocacy, lobbying, and networking with other components of the health care industry.

Cost Control↗

[The European Health Information and Library Association--EAHIL/AEIBS].

The authors give a short history of the association, beginning with its establishment (1986) and a survey of its activities up to the summer of 1994, and its organization. They write about conditions and terms of membership, about aims and objectives of the association: to improve co-operation among European medical libraries, to raise standards of library and information services as well as professionality of librarians and information officers and their continuous education, especially in regard to new technologies. The authors also emphasize the European character and principles of tolerance that enable a connection of medical nursing, veterinary and pharmaceutical libraries/librarians in these specializations in various countries. It is necessary for information users to learn modern library methods, including information skills for the learning process (libraries of medical faculties). No less important is the role of libraries for research and evaluation of research. A survey of Czechoslovak and Czech participation in EAHIL is also given here. The course of the Fourth European Conference of Medical and Health Libraries on Oslo (from 28th June to 2nd July, 1994) is shortly described. Further library conference activities are also mentioned: 7th International Congress of Medical Librarianship in Washington, DC, May 10-12, 1995; Fourth Nordic Conference for Medical Libraries, Copenhagen (Denmark), August 21-24, 1995; EAHIL Symposium on Cooperation of Medical Libraries, Prague (Czech Republic), September 21-22, 1995; Fifth European Conference of Medical and Health Libraries, Coimbra (Portugal), September 18-21, 1996.

Czech Republic↗

National Library of Medicine resource grants: application and review.

National Library of Medicine resource grants provide assistance in developing information services or activities, which are then made available to others. The resource grant program was redefined in 1989 to establish information access grants and information systems grants. The preparation of a resource grant proposal is discussed, with examples included for some sections. All applicants must use the PHS 398 application form, which is geared to research grants. The review process and reapplication are described. Problems with National Institutes of Health grant proposals that have been reported in the literature are discussed.

Information Services↗

A two-phased model for library instruction.

This article describes two methods of library orientation and instruction: self-paced audiotapes and computer-assisted instruction (CAI). The tapes are used to orient the user to the libraries' physical facilities, policies, services, and tools, while CAI is used to provide detailed library information in an interactive mode.

Audiovisual Aids↗

Connecting the health sciences community to the Internet: the NLM/NSF grant program.

In 1992, as part of its high-performance computing and communications initiative, the National Library of Medicine decided to provide health sciences institutions with Internet connection grants similar to those offered to universities by the National Science Foundation. Although library involvement is not required, librarian and library uses have been the most common category in the applications received.

Computer Communication Networks↗

An evaluation of EMBASE within the NHS: findings of the Database Access Project working partnership to extend the knowledge base of healthcare.

An earlier article in the Innovations on the Internet Series introduced the Database Access Project (DAPs) at Southmead Health Services NHS Trust, which piloted the introduction and use of EMBASE via the Internet and NHSnet. This follow-up article assesses the results of the Project, and reports on its findings. In particular, it considers the usefulness of EMBASE in terms of coverage and content for different groups of NHS users and aspects of take-up in terms of access arrangements and patterns of usage. It also considers the likely impact on the library and information service in terms of providing training and user support and meeting related demands, for example the acquisition of full-text articles as a result of increased levels of searching. The value of retaining access to EMBASE was recognized by the majority of those who participated in the Project, despite its acknowledged overlap with other databases. The coverage of the database was identified as being relevant by a majority of users; both its expanded European coverage and its coverage of drug-related and mental health literature were identified as important aspects. The project identified a clear preference for remote access to the database, although there was still a need to visit the library for retrieval of full text. Lack of time both for training and for actual database use, and lack of confidence in applying search skills and in appraising research were identified as key challenges to database searching. The authors highlight the special role of information professionals in providing training and support for NHS professionals in the acquisition of search skills and critical appraisal skills in order to encourage effective database use.

Computer User Training↗

State-wide cost recovery for health science audiovisual loan service in Connecticut.

The University of Connecticut Health Center Library has established a successful state-wide cost recovery audiovisual loan service for nurses. Limiting formats to those compatible with the audiovisual playback equipment at the source library and federal support for collection development helped the program to succeed. Connecticut nurses used the service both during the grant period and when a fee-for-service replaced the federal subsidy. The library's collection is now accessed by institutions without libraries.

Audiovisual Aids↗

Survey of library and information use by health-care students.

The study compares and contrasts the usage and views of three groups of health-care students (Pre-Project 2000, Project 2000 and BSc Occupational Therapy) on their library facilities. A literature review is included which underpins the importance of libraries for health-care students. Data was compiled from survey responses. The results demonstrate which libraries the students use, how often they use them, what they do in the libraries, and the stock used. They also show the level of student confidence and the services used. The implications of the study for future provision are considered.

Attitude of Health Personnel↗