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Medical librarianship: a systems perspective.

Medical or health sciences librarianship is viewed as a system whose components are the professional school, the professional group, and the professional association. As an open system it imports energy from these components, or subsystems, and transforms this energy into professionally identifiable products. The subsystems, in influencing the character of the medical and health sciences library profession, are interdependent and interrelated. However, linkages between the subsystems are becoming defective due primarily to lack of communication, information, and feedback. Stronger and more vigorous interaction among the subsystems is needed.

Libraries, Medical↗

Departmental libraries: curse or blessing?

Communication patterns and working relationships between large health sciences libraries and departmental libraries are examined and discussed. The results of a telephone survey to obtain information on the experiences of twenty-one large New York metropolitan area health sciences libraries with their departmental libraries are reported. Discussion includes the experiences of Columbia University's Augustus Long Health Sciences Library with departmental libraries within the Columbia/Presbyterian Medical Center (C/PMC). A mediated survey of C/PMC departmental libraries and over thirty years of cooperation with some of these departments are reported. The potential detrimental effects of departmental libraries are acknowledged, but the substantial positive benefits of cooperation and ways to achieve this cooperation are emphasized.

Attitude↗

Facilitating access to consumer health information: a collaborative approach employing applied research.

Responsibility for the provision of consumer health information typically lies within the public library domain or the health sciences library arena. In many communities, both types of libraries provide support for consumer health information services, often with varying levels of expertise. Public library employees may or may not be trained in the use of health and biomedical information resources. Conversely, health sciences library staff may or may not be familiar with information needs of the lay public within their community. To offset these potential differences, a model was developed to assess the health information needs of community members and to provide training for public library staff regarding use of relevant electronic consumer health information resources.

Access to Information↗

National services provided by the Health Sciences Resource Centre of Canada.

The Health Sciences Resource Centre forms part of the National Science Library of Canada, whose collections and services are described. The new Centre coordinates activities of the various provincial medical libraries. Its creation began with increased collections of medical journals, and plans are underway to print out a union list of medical journals from the Union List of Scientific Serials tapes. The first product of the Centre is a medical "proceedings index" to proceedings held by the National Science Library; this is computer-produced, and will appear annually. An analysis was made of the medical items requested for borrowing from the National Science Library according to type of material, service provided, type of user, and geographical location. The results are given.A description is given of the SDI service currently provided by the National Science Library, based on Chemical Titles, Chemical Abstracts Condensates, INSPEC, and the ISI tapes. It is hoped to expand this data base with MEDLARS tapes.

Canada↗

Selection for preservation: considerations for the health sciences.

Just as no health sciences library can afford to collect every work on a subject, neither can any health sciences library afford to preserve every item that is added to its collection. In decision making for collection development, health sciences libraries apply a set of selection criteria. Those same criteria have direct application in selection for preservation decisions. This paper summarizes the literature of selection for preservation, describes the scholarly record of biomedicine, and presents criteria for selection for preservation decisions. The preservation priorities statement for microfilming of monographs and serials in the National Library of Medicine collection is included as an appendix.

Corrosion↗

Profesional medical library education in the United States in relation to the qualifications of medical library manpower in Ohio.

THE PRESENT SYSTEM OF EDUCATION FOR MEDICAL LIBRARY PRACTICE IN THE UNITED STATES CONSISTS OF FOUR MAJOR COMPONENTS: graduate degree programs in library science with specialization in medical librarianship; graduate degree programs in library science with no such specialization; postgraduate internships in medical libraries; continuing education programs. Data are presented illustrating the flow of graduates along these several educational pathways into medical library practice.The relevance of these educational components to the current medical library work force is discussed with reference to manpower data compiled for Ohio. The total number of medical library personnel in Ohio in 1968 is 316. Of this total, only forty-two (approximately 14 percent) have received any formal library training. Seventy persons have only a high school education. From these figures, it is concluded that there is no standard or essential qualification which is universally accepted as educational preparation for work in medical libraries; that the comparative sophistication of the educational programs in medical librarianship has yet to be reflected widely in general medical library practice; that an increasingly large number of non-professional or ancillary personnel are being, and will continue to be, utilized in medical libraries; that large numbers of untrained persons have sole responsibility for medical libraries; and that appropriate educational programs will have to be designed specifically for this type of personnel.

Curriculum↗

A library-based bioinformatics services program.

Support for molecular biology researchers has been limited to traditional library resources and services in most academic health sciences libraries. The University of Washington Health Sciences Libraries have been providing specialized services to this user community since 1995. The library recruited a Ph.D. biologist to assess the molecular biological information needs of researchers and design strategies to enhance library resources and services. A survey of laboratory research groups identified areas of greatest need and led to the development of a three-pronged program: consultation, education, and resource development. Outcomes of this program include bioinformatics consultation services, library-based and graduate level courses, networking of sequence analysis tools, and a biological research Web site. Bioinformatics clients are drawn from diverse departments and include clinical researchers in need of tools that are not readily available outside of basic sciences laboratories. Evaluation and usage statistics indicate that researchers, regardless of departmental affiliation or position, require support to access molecular biology and genetics resources. Centralizing such services in the library is a natural synergy of interests and enhances the provision of traditional library resources. Successful implementation of a library-based bioinformatics program requires both subject-specific and library and information technology expertise.

Computational Biology↗

Development and implementation of a microcomputer-based multi-user MEDLINE system.

The Health Sciences Libraries Consortium, a group of health sciences libraries based in Philadelphia, PA, has implemented a MEDLINE database retrieval system based on the CD Plus PlusNet2 system. The system provides access to the entire MEDLINE database file through three centralized servers and four distributed servers, and is accessible over the HSLC wide-area network linking all of its members. This article describes the implementation process, from selection of the system to future development.

CD-ROM↗

Library services for people with disabilities: results of a survey.

The Americans with Disabilities Act (ADA), enacted in 1990, has had a significant impact on the way many institutions, including libraries, do business. The Association of Research Libraries surveyed its members in 1991 to determine the effect of this legislation, and the author conducted a similar survey in 1995 to learn what progress academic health sciences libraries have made in serving the needs of people with disablities. A questionnaire was mailed to 131 members of the Association of Academic Health Sciences Library Directors. Nearly three-quarters of respondents reported elimination of physical barriers. The most common services provided are retrieval of materials from the stacks and photocopy assistance. Much less attention has been paid to the use of adaptive technology that allows disabled users to search a library's online catalog and databases; special technology is often provided by another unit on campus but there seems to be little coordination with library services Few libraries have assigned responsibility for disability services to a specific staff member and even fewer have done a formal assessment of the need for special services. The issues identified by the survey should challenge academic health sciences libraries to examine their status regarding compliance with ADA legislation.

Architectural Accessibility↗

Preparing tomorrow's health sciences librarians: feasibility and marketing studies.

The University of North Carolina at Chapel Hill is devising and evaluating five curricular models designed to improve education for health sciences librarianship. These models fit into a continual learning process from the initial professional preparation to lifelong learning opportunities. Three of them enhance existing degree and certificate programs in the School of Information and Library Science (SILS) with a health sciences specialization, and two are new programs for working information professionals. The approaches involve partnerships among SILS, the Health Sciences Library, and the program in Medical Informatics. The planning process will study the feasibility of the proposed programs, test the marketability of the models to potential students and employers, and make recommendations about implementation.

Certification↗

Trends in the use of DOCLINE and the OCLC ILL subsystem 1986-1992.

An examination of interlibrary loan statistics from 1986 through 1992 at the Health Sciences Library (HSL), State University of New York at Buffalo, revealed that the numbers of requests received via DOCLINE increased steadily over this period. Meanwhile, the numbers of requests received via OCLC rose from 1986 to 1989 but then declined steadily from 1989 to 1992. To understand and interpret these trends, a survey of various libraries that obtain material from HSL was conducted to collect data on their use of DOCLINE and OCLC. Analysis of the data confirmed that the use of DOCLINE was on the increase, especially in health sciences libraries, and that in some of these libraries requests for documents via OCLC were on the decline. The ratio of requests via DOCLINE versus OCLC ranged from 2:1 to 5:1. In the non-health sciences libraries that request from HSL, use of DOCLINE is minimal compared to that of OCLC.

Costs and Cost Analysis↗

Physician information seeking: improving relevance through research.

Health sciences libraries have considerable potential as resources for both formal continuing professional education, as well as the informal continuing education that results from the professional's efforts to solve problems in daily practice. While there is a growing interest in making the resources of health sciences libraries more accessible to practitioners on a routine, day-to-day basis, there also needs to be more awareness of how, when, where, and why professionals look for information in the context of practical problems. This paper reviews recent research that identifies the context in which physicians seek information and advice from external sources, the information sources that physicians access, and the factors that influence which particular sources are sought. The results indicate that physicians vary in their information needs, preferences, motivations, and strategies for seeking information. This diversity suggests that health sciences libraries, in their efforts to be more accessible, should consider "market research" to determine the needs, preferences, and use patterns of the library's targeted users. Libraries may also benefit from exploring alternative methods of improving access to their resources.

Education, Medical, Continuing↗

Hospital library surveys for management and planning: past and future directions.

Since the survey of health sciences libraries by the American Medical Association in 1969, a number of other hospital library surveys have been conducted. Twelve hospital/health sciences library surveys published since the passage of the Medical Library Assistance Act are reviewed. The use of data from these surveys for management and planning is discussed and directions for future library survey development are suggested.

Libraries, Hospital↗