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Searching for answers. Using computers to find the literature you need for patient care.

The medical journal literature is extensive and contains information that can help physicians care for patients. Minnesota physicians are able to tap into a variety of resources to help them locate relevant articles. Literature searches may be run by librarians in a local hospital library, a larger health sciences library, or via various professional associations. Physicians interested in conducting their own searches are able to use local systems or dial into national ones. Innovations in computers will allow easier and faster access to the medical literature in the future.

CD-ROM

A survey of the use of on-line computer-based scientific search services by academic libraries.

To explore their use of on-line computer-based bibliographic search services, a one-page questionnaire was sent to 100 academic libraries in the United States having separate departmental chemistry or science libraries. An attempt was made to determine the background training of the persons performing the searches, who the end users were, the growth trend, the funding, the data bases used, and the value to the users. Of the 73 replies, 49.3% indicated use of such services, while 24.6% were planning to use them primarily by faculty and graduate students. Of those reporting, 83.3% used searchers with a background in library or information science; 47.2% had a background in scientific discipline. Two or more on-line services were used by 72.2%. A majority of respondents stated that the user paid all expenses or a portion of the expenses. The searches met the needs of the user most of the time in 83.3% of the cases, and all of the time in 5.4%.

Information Systems

An intrapreneurial approach to integrating information production services into an academic medical center library.

The many challenges faced by health sciences libraries of all types and sizes often require innovative solutions. When an innovative solution involves calculated risk taking, the approach is called intrapreneurial. At the University of Miami School of Medicine, an intrapreneurial approach solved the fiscal problems of the biomedical communications unit. The Louis Calder Memorial Library inherited these problems when the Department of the Library and Biomedical Communications was created in the early 1980s. In this paper, two intrapreneurial programs are described, and the benefit and suitability of this management style to information services are demonstrated.

Computer Graphics

Library cooperation: wave of the future or ripple?

Little of the literature in library cooperation applies specifically to library service for the health sciences. Based on experience in and observations of the cooperation of health science libraries, this short lecture reviews aspects of general library cooperation, networks, and consortia. The effects on library operation of several cooperative activities are enumerated and cooperation management is discussed briefly.

Cataloging

MEDLINE training within the library school curriculum: quality control and future trends.

In order to assess the current status of MEDLINE training provided by schools of library science, a survey was conducted of those schools having an educational identification code issued by the National Library of Medicine. Information was gathered on such variables as the instructors' background and preparation, the course objectives and content, and the amount of on-line experience provided to students in each of eleven programs. An evaluation of these measures indicates that more opportunities to gain experience in using MEDLINE should be initiated by library schools and that current efforts should be continued and expanded. Specific recommendations for accomplishing these goals are outlined; they are addressed to health sciences librarians, library school educators, the Medical Library Association, and the National Library of Medicine.

Curriculum

An experiment in teaching MEDLINE.

The design and implementation of an experimental MEDLINE module at Case Western Reserve University School of Library Science is described. The module places MEDLINE within the context of multiple data bases and networking operations andis embedded in a course in health science communications. The module consists of eight weeks of lectures, demonstrations, videotapes, and exercises on terminals.

Bibliography of Medicine

Remote access to electronic library services through a campus network.

The Health Science Library at University of Tennessee (UT), Memphis has taken advantage of a campuswide network for the purpose of providing enhanced access to library services. With a terminal or microcomputer, members of the UT Memphis community can use an electronic menu system to complete photocopy, interlibrary loan, and computer literature search request forms; leave messages or sign up for library workshops; use electronic mail to receive citations and abstracts from computer literature searches; use an electronic bulletin board to scan the library's new acquisitions lists, library hours, services, and policies; and use bibliographic retrieval software to search the library's locally mounted databases. Remote access to library services and electronic resources, which is available twenty-four hours a day, could potentially save users time and the institution money. Remote access, however, is intended to supplement, not to supplant or discourage, in-house library use.

Computer Communication Networks

Medical information for Alabama rural physicians.

Physicians practicing outside of Alabama's urban medical centers often have difficulty obtaining medical information for patient care. This article describes how Alabama's rural physicians may gain access to the biomedical literature needed for patient care using personal collections, communications technology, and libraries. A table in the paper lists health sciences libraries in the state which may provide consultative and information services.

Alabama

The contribution of hospital library information services to clinical care: a study in eight hospitals.

Hospital health sciences libraries represent, for the vast majority of health professionals, the most accessible source for library information and services. Most health professionals do not have available the specialized services of a clinical medical librarian, and rely instead upon general information services for their case-related information needs. The ability of the hospital library to meet these needs and the impact of the information on quality patient care have not been previously examined. A study was conducted in eight hospitals in the Chicago area as a quality assurance project. A total of 176 physicians, nurses, and other health professionals requested information from their hospital libraries related to a current case or clinical situation. They then assessed the quality of information received, its cognitive value, its contribution to patient care, and its impact on case management. Nearly two-thirds of the respondents asserted that they would definitely or probably handle their cases differently as a result of the information provided by the library. Almost all rated the libraries' performance and response highly. An overview of the context and purpose of the study, its methods, selected results, limitations, and conclusions are presented here, as is a review of selected earlier research.

Allied Health Personnel

A paradigm for the next millennium: health information science.

Although historically a major concern of both the artist and the scientist was the observation of nature, the two disciplines split when science became more wedded to mathematics and quantification. Today, with visualization, art and science can again together provide a view of the natural world. A prototype curriculum for a new multidisciplinary science--Health Information Science--incorporates aspects of computer science, cognitive psychology, bioengineering, biomedical visualization, medicine, dentistry, anthropology, mathematics, library science, and the visual arts.

Art

Providing library services in a time of fiscal crisis: alternatives.

The nature of the fiscal crisis in health science libraries in the United States is in part due to the style of management in these libraries, in part due to the lack of user identification, in part due to the lack of economically valid fees for service, and in part due to the success of the Biomedical Communications Network. These issues are discussed in terms of how they might be approached. A pragmatic stance is advocated for practitioners, the MLA, the NLM, and library schools to jointly address the questions raised.

Economics

The art of planning for library personnel.

A review of the planning process for personnel at the University of Cincinnati's new Health Sciences Library is discussed. The staff of two libraries were involved in the plan. The final organizational pattern encompassed present staff plus justification for additional staff who would be necessary in the expanded facility.

Information Services

Collaborative development of a uniform graphical interface.

A uniform graphical user interface to informational databases is evolving at the University of Washington through a collaborative development process. The interface, called WILLOW, has grown from model analysis and preliminary design to working prototype. The design replicates a natural flow of search retrieval. Development continues in a spiral of test and linear improvements based on user analysis. WILLOW's internal structure is built on a Unix client-server model communicating over the campus TCP/IP backbone network. Its external structure is an X-Windows/Motif visual presentation emphasizing a simple, consistent, graphical face to disparate information databases. The WILLOW collaborators have grown from an initial group composed of the Health Sciences Library & Information Center and Computing & Communications' Information Systems to the University Libraries, Computing & Communications divisions, Medical Center Information Systems, and departments throughout the health sciences.

Information Systems

A local network for sharing resources and technical support: BACS/PHILNET.

Within the framework of large regional and national networks, local libraries can benefit by working together. We report the establishment of an online health sciences library network to share resources and technical support in the greater St. Louis area. BACS/PHILNET has evolved beyond a local automated interlibrary loan network to pilot off-site integrated library and information management systems in hospitals.

Computer Communication Networks

Management data for collection analysis and development.

Sound management data are needed to evaluate the collections of health sciences libraries. This study reports the utilization of computer data bases to compare the libary collections of The University of Texas Health Science Center at San Antonio. The University of Texas Medical Branch, and the National Library of Medicine's CATLINE data base. The imprint dates of the records of two libraries are compared to measure acquisitions rates. Subject profiles for the Q and W classes demonstrate the similarity of the collections. Reasons for the variances are considered.

Analysis of Variance

Outreach: the western New York Hospital Library Services Program, 1985-1989.

The Hospital Library Services Program (HLSP) in western New York, during the period covered by its first five-year plan, 1984-1989, is recounted and described. This ongoing program is funded annually by a New York State grant and hospital participation fees. It is designed to support access to biomedical information for health care professionals through a grant program for hospitals with staffed libraries and a circuit program for hospitals without library staffing or without libraries. Hospitals participating in the grant program contribute funds and receive grants for collection development. Hospitals participating in the circuit program pay a participation fee and receive regularly scheduled, documented, circuit librarian visits; a collection development grant; and a grant for contract library services. The program contracts with the State University of New York at Buffalo's (UB) Health Sciences Library to provide computerized literature searches; interlibrary loan (ILL) of journal articles, books, and audiovisuals; and ILL referrals.

Fees and Charges

Selected list of books and journals for a small dental library.

This subject list of 109 dental books and 20 dental journals is intended to help the dental book committee and the librarian of a small health sciences library achieve a balanced collection of dental books and journals. Cost of books totals $2,180.00, that of journals is $571,00, making a total of $2,751.00. Cost of starred books totals $927.30, that of starred journals is $109.50, making a total of $1,036.80.

Book Selection