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Survey of medical literature borrowed from the national lending library for science and technology.

This paper reports the results of a four-week questionnaire survey carried out at the National Lending Library (N.L.L.), Great Britian, to discover which types of organizations were the principal users of medical literature, what types of literature were used, and which were the main sources of references to medical publications. Industrial organizations and universities accounted for the majority (62 percent) of the loans, most of which were English-language periodicals published since 1960. For the whole sample, citation lists in periodical articles were the principal sources of references, although for literature published in the last fifteen months, abstracting and indexing journals were the main sources. Of the latter, Index Medicus proved to be the most fruitful source of references. By asking whether the item requested was really useful to their work, a measure of the reliability of the different sources of references was obtained. Appendixes include the questionnaire, a list of the most frequently borrowed journals, and a list of abstracting and indexing journals used as sources of references.

Interlibrary Loans↗

From poor farm to medical center: a century of library services to the Los Angeles County/University of Southern California Medical Center.

As its centennial approaches, the history and development of library services to the patients and professional staff of the Los Angeles County/University of Southern California Medical Center is traced from the early days when the library was housed in the cafeteria of the dispensary to its present position of being first point of access to library service for one of the largest teaching hospitals in the country. Its recent affiliation with the Norris Medical Library of the University of Southern California School of Medicine is explained. The change in emphasis from patients' library to health sciences library is illustrated, and the contribution of the library to the Cumulative Index to Nursing Literature is detailed.

California↗

Excellence, promise, vision, and values: reflections on the Janet Doe Lectures, 1967-1997.

As the Medical Library Association prepares to enter its second century of service to society, it can look back with pride on the remarkable record of achievements of the association and its members, both personal and institutional, which are preserved for posterity in the Janet Doe Lectures. Established in 1966 by an anonymous donor, the Janet Doe Lectures on the history or philosophy of medical librarianship trace the development of health sciences libraries and librarianship and the evolution of the Medical Library Association. The major themes which emerge from this comprehensive review of the lectures published between 1967 and 1997 include the changing roles and values of health sciences libraries and librarianship; education and credentialing of health sciences librarians; MLA activities and concerns; and MLA/National Library of Medicine relations.

Certification↗

Innovation and education: unlimited potential for the teaching library.

The information age demands that health sciences librarians take active roles in the educational process. Librarians have traditionally taught users how to access information. Now, with the proliferation of information, librarians must accept new roles and teach the user efficient techniques for evaluating and processing information as well. Innovative roles for librarians at Texas Tech University Health Sciences Center include teaching users to use technology for information management, to appraise literature critically for quality, and to develop skills for lifelong learning. This paper reviews the history of educational activities in health sciences libraries and describes the teaching programs at Texas Tech.

Humans↗

Using the OCLC union listing component for a statewide health sciences union list of serials.

Union lists of serials are critical to the effective operation of interlibrary loan networks. The Michigan Health Sciences Libraries Association used the OCLC union list component to produce the Michigan Statewide Health Sciences Union List of Serials (MISHULS). MISHULS, which includes the serials holdings of ninety-three hospital health sciences libraries, is a subset of a statewide multi-type union list maintained on OCLC. The rationale for a statewide list and the criteria for choosing vendors are discussed. Typical costs are provided. Funding sources are identified and a unique approach to decentralized input is described. The benefits of resource sharing in a larger, multi-type library network are also explored.

Interlibrary Loans↗

Options for the disposal of unwanted donations.

Donations of biomedical books and journals frequently duplicate the holdings of a receiving library. A decision must then be made concerning the distribution of the material to other libraries that may need it. What options are available to the librarian? Are many volumes of valuable material destroyed each year because libraries lack the necessary staff, space, or money to distribute donated materials? Are libraries restricted in choice of methods for distribution or unaware of available options? A survey questionnaire was mailed to 150 health sciences libraries in the spring of 1988 to determine the various methods used to dispose of unwanted gift materials. A total of 113 responses was received (75% return rate). This paper reports the results and discusses some of the creative methods used by receiving libraries to place unneeded materials. Statistical comparisons are included for the methods used by academic, hospital, and other types of health sciences libraries.

Book Collecting↗

The changing role of the library.

This article reviews the extraordinary growth in the scientific literature that has resulted from increased federal expenditures in the past decade or two. The article further notes that the impact of the knowledge explosion has impinged on the Health Sciences Library as well as on the individual scientist who needs access to the information. A strong plea is made for the librarian to assume a more active role in: doing internal research with respect to how best to use the library as a tool in the dissemination of new information; educating newcomers to the field of library science with respect to the management of scientific information; and converting the library from a passive to an active instrument in disseminating the scholarly record to and among those who require access to it. Medical center administrators are reminded that if the librarian succeeds in these ventures then he will fulfill all of the research, teaching, and service requirements ordinarily made of other academic departments and, in turn, should be rewarded with departmental status for the library.

Information Services↗

Clinical medical librarian: the last unicorn?

In the information age of the 1990s, the clinical medical librarian (CML) concept, like many other personalized library services, is often criticized as being too labor-intensive and expensive; others praise its advantages. To determine the attitudes of medical school library directors and clinical department heads toward implementation and feasibility of a CML program, forty randomly selected medical schools were surveyed. A double-blind procedure was used to sample department heads in internal medicine, pediatrics, and surgery, as well as health sciences library directors identified by the Association of Academic Health Sciences Library Directors (AAHSLD) annual statistics. The survey instrument was designed to measure responses to the following attitudinal variables: acceptance and nonacceptance of a CML program; importance to patient care, education, and research; influence on information-seeking patterns of health care professionals; ethical issues; CML extension services; and costs. Seventy-nine usable questionnaires out of a total of 120 (66%) were obtained from clinical medical personnel, and 30 usable questionnaires out of a total of 40 (75%) were obtained from medical school library directors. Survey results indicated significant differences between clinical medical personnel and library personnel regarding attitudes toward CML influence on information-seeking patterns, ethics, alternative CML services, and costs. Survey results also indicated a continuing strong support for CML programs in the medical school setting; however, differences of opinion existed toward defining the role of the CML and determining responsibility for funding.

Attitude of Health Personnel↗

The Twin Cities biomedical consortium.

Twenty-eight health science libraries in the St. Paul-Minneapolis area formed the Twin Cities Biomedical Consortium with the intention of developing a strong network of biomedical libraries in the Twin Cities area. Toward this end, programs were designed to strengthen lines of communication and increase cooperation among local health science libraries; improve access to biomedical information at the local level; and enable the Consortium, as a group, to meet an increasing proportion of its members' needs for biomedical information. Presently, the TCBC comprises libraries in twenty-two hospitals, two county medical societies, one school of nursing, one junior college, and two private corporations.

Information Services↗

Selective use of online literature searching by a drug information service.

The use of online searching in a drug information center on a regular but selective basis is described. Of 90-100 information requests received monthly in a university-affiliated drug information center located within the health sciences library, five to eight computer searches are performed. All other questions are answered using a manual search. The computer searches are conducted by a medical librarian who works closely with the pharmacist. For each search, the library charges the drug information center for at least 12 minutes of connect time; charges cover the library's direct costs only. The drug information center is staffed by a director and assistant director; in addition, Pharm.D. students and clinical pharmacy residents work there. Factors influencing the decision to do an online rather than a manual search include budgetary constraints, how quickly an answer is needed, the success of a preliminary manual search, and the complexity of the request. Considerations for conducting online searches through a library rather than by the staff of the drug information center include requisite search skills, costs, and accessibility to computer search services. The selective use of online searches through a health sciences library is a viable means of accessing online information in a drug information center that cannot support its own online literature-retrieval system.

Budgets↗

The vital few meet the trivial many: unexpected use patterns in a monographs collection.

PURPOSE: To test three related hypotheses about monographs circulation at academic health sciences libraries: (1) Juran's "Vital Few" Principle, sometimes incorrectly referred to as the "Pareto Principle"; (2) most (> 30%) new monographs will not circulate within four years; and, (3) Trueswell's 20/80 rule concerning intensity of monographs circulation. METHODS: Retrospective circulation study conducted at a major academic health sciences library in November 1997 on monographs acquired during 1993, utilizing an online review file. RESULTS: Unexpectedly, most monographs (84%) had circulated at least once in the four years following acquisition. Combining circulation and in-house data revealed that 90.7% of the monographs acquired in 1993 had been used at least once. Small percentages of these monographs produced disproportionately high circulation levels. CONCLUSION: Monographs circulation rates confirm Juran's Vital Few principle. Most monographs circulated at least once in contrast to results reported by the Pittsburgh Study or other studies reported by Hardesty and Fenske. The results do not comply with Trueswell's 20/80 ratio rule. Further research needs to investigate the effects of low students to books ratios and problem-based learning (PBL) curricula upon monographs utilization.

Books↗

The role of the academic medical center library in training public librarians.

PURPOSE: This project enhanced access to and awareness of health information resources on the part of public libraries in western Pennsylvania. SETTING/PARTICIPANTS/RESOURCES: The Health Sciences Library System (HSLS), University of Pittsburgh, conducted a needs assessment and offered a series of workshops to 298 public librarians. BRIEF DESCRIPTION: The National Library of Medicine-funded project "Access to Electronic Health Information" at the HSLS, University of Pittsburgh, provided Internet health information training to public libraries and librarians in sixteen counties in western Pennsylvania. Through this project, this academic medical center library identified the challenges for public librarians in providing health-related reference service, developed a training program to address those challenges, and evaluated the impact of this training on public librarians' ability to provide health information. RESULTS/OUTCOME: The HSLS experience indicates academic medical center libraries can have a positive impact on their communities by providing health information instruction to public librarians. The success of this project--demonstrated by the number of participants, positive course evaluations, increased comfort level with health-related reference questions, and increased use of MEDLINEplus and other quality information resources--has been a catalyst for continuation of this programming, not only for public librarians but also for the public in general. EVALUATION METHOD: A training needs assessment, course evaluation, and impact training survey were used in developing the curriculum and evaluating the impact of this training on public librarians' professional activities.

Academic Medical Centers↗

Biotechnology awareness study, Part 1: Where scientists get their information.

A model study, funded by the National Library of Medicine (NLM) and conducted by the Southeastern/Atlantic Regional Medical Library (RML) and the University of Maryland Health Sciences Library, attempted to assess the information needs of researchers in the developing field of biotechnology and to determine the resources available to meet those needs in major academic health sciences centers. Nine medical schools in RML Region 2 were selected to participate in a biotechnology awareness study. A survey was conducted of the nine medical school libraries to assess their support of biotechnology research. To identify the information needs of scientists engaged in biotechnology-related research at the schools, a written survey was sent to the deans of the nine institutions and selected scientists they had identified. This was followed by individual, in-depth interviews with both the deans and scientists surveyed. In general, scientists obtained information from three major sources: their own experiments, personal communication with other scientists, and textual material (print or electronic). For textual information, most study participants relied on personal journal subscriptions. Tangential journals were scanned in the department's library. Only a few of these scientists came to the health sciences library on a regular basis. Further, the study found that personal computers have had a major impact on how biotechnologists get and use information. Implications of these findings for libraries and librarians are discussed.

Awareness↗

A union catalog of monographs: another approach.

The rationale for and the production of the 1977 TALON Union Catalog of Monographs are described. The 158,859 records include the existing machine-readable records for six health sciences libraries plus the cataloging of six others, converted by matching other data bases and by keypunching. The method and costs of production are discussed. Use of Computer-Output-Microfiche (COM) significantly decreased the cost and time required for publication. The $.076 unit cost per entry, with both author and title access for the COM method, is almost one-half the unit cost for the previous method which offered only main-entry access. The TALON Catalog compares favorably with the Midwest Medical Union Catalog. The addition of the title index significantly increases its usefulness. However, the unique feature of the TALON Catalog may be its machine-readable form which offers the potential for quantitative analyses of health sciences library collections. Such data may be essential for rational management of limited library funds.

Books↗

Improving usage of pediatric information on the Internet: the Virtual Children's Hospital.

OBJECTIVE: Digital health sciences libraries (DHSLs) bring order to the chaos of the Internet by making authoritative medical information easily and conveniently available to patrons. The goal of this project was to perform a baseline usage analysis of the pediatric-related information in a general DHSL and to determine whether reorganization of the pediatric-related information into its own pediatric DHSL could increase the usage of the pediatric-related information. METHODS: From March through August 1997, a baseline analysis of a general DHSL (Virtual Hospital) was conducted using computer server log file analysis programs. The quantity of pediatric-related information in the general DHSL and its baseline usage were determined. In September 1997, the pediatric-related information was reorganized into its own pediatric DHSL (Virtual Children's Hospital), and server log file analyses were conducted of the pediatric DHSL from September 1997 to August 1998. Statistical analysis was performed by time series autoregression. RESULTS: During the baseline, the general DHSL and the pediatric-related information received a monthly average of 2 320 782 and 141 444 qualified hits, respectively. After the intervention, the general DHSL and the pediatric DHSL received a monthly average of 2 765 454 and 256 998 qualified hits, respectively. This is an increase of 19. 2% for the general DHSL and 81.7% for the pediatric DHSL. These changes were statistically significant at the P >.0001 level. The most requested pediatric-related content in the pediatric DHSL did not change substantively from preintervention to postintervention. DISCUSSION: On the Internet, as in real life, children's services must have their own distinct identity and must be differentiated from adult services. Therefore, pediatric-related information will receive increased usage if it is part of a pediatric DHSL rather than part of a general DHSL. Others can use this process and the lessons learned to develop and enhance their own pediatric-related information on the Internet. Internet, pediatrics, digital health sciences libraries, digital library, medical library.

Data Collection↗