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Evaluation of a clinical medical librarian program at the Yale Medical Library.

A clinical medical librarian (CML) program in a large university-based teaching hospital setting is viewed by the majority of clinicians as education-oriented, with slightly fewer clinicians viewing it as patient care oriented. The CML service has been utilized for research purposes only when it is clear that case-relevant information can evolve into research intended to have "clinical" impact. This study reports the results of a questionnaire circulated among clinicians receiving CML support by a large medical school library. Results indicate that (1) the CML effected a change in information-seeking behavior by the clinicians--they obtained information that would not have been available to them if the CML had not been present in patient-management conferences; (2) relevancy of information provided by the CML was judged by the clinicians to be very high; (3) the accuracy of the CML's search, coupled with the rapidity of delivery, was found to be highly satisfactory; (4) acceptance of the CML within the patient care setting was acknowledged by the majority of clinicians, who contact the CML in-hospital and overwhelmingly prefer to do so; and (5) there was no statistically significant variation in the manner in which different medical specialties use the services of a CML. These findings justify implementation of a clinical medical librarian program, on a modified basis, as an additional service to already existing reference services offered by a large medical school library.

Connecticut↗

The Association of Academic Health Sciences Libraries' legislative activities and the Joint Medical Library Association/Association of Academic Health Sciences Libraries Legislative Task Force.

The Association of Academic Health Sciences Libraries' (AAHSL's) involvement in national legislative activities and other advocacy initiatives has evolved and matured over the last twenty-five years. Some activities conducted by the Medical Library Association's (MLA's) Legislative Committee from 1976 to 1984 are highlighted to show the evolution of MLA's and AAHSL's interests in collaborating on national legislative issues, which resulted in an agreement to form a joint legislative task force. The history, work, challenges, and accomplishments of the Joint MLA/AAHSL Legislative Task Force, formed in 1985, are discussed.

Advisory Committees↗

A short history of the William H. Welch Medical Library.

The William H. Welch Medical Library was founded in 1929 with the merger of three libraries, namely, the library of the School of Medicine, the library of the School of Hygiene and Public Health, and the library of the Johns Hopkins Hospital. Engendered by the dreams of Johns Hopkins University bibliophiles, such as founding Hopkins physicians William Osler, William Stewart Halsted, Howard Kelly, and William Henry Welch, the library flourished and expanded. At the same time as the founding of the central medical library, the Institute of the History of Medicine collection was established in the Welch Library building, with William H. Welch as its first director. Innovative leadership led to many exciting projects, such as the Welch Indexing Project, which was a prototype for the National Library of Medicine's medical subject headings, and the establishment of a laboratory for research into the application of information technologies to knowledge management. The Welch Library enters the 21st century as a dynamic library committed to the continuing delivery of information services, as well as ongoing research into the development of library services for the coming 100 years.

Academic Medical Centers↗

MyWelch: building an information portal system in a medical library environment.

MyWelch is a medical library portal system that users can use to create customized web sites that reflect their research needs and personal interests. In the MyWelch environment, faculty and students are empowered to take a greater role in identifying their needs and determining their requirements in the electronic environment. The portal system also facilitates interaction among library users and staff.

Baltimore↗

The Medical Library Assistance Act: an analysis of the NLM extramural programs, 1965-1970.

The imbalance between medical library resources and information needs of the health professional led to a reexamination of the mandate for the National Library of Medicine. Legislation known as the Medical Library Assistance Act (MLAA) was passed in 1965 which enabled the NLM to (1) initiate programs to assist the nation's medical libraries and (2) develop a medical library network with the establishment of regional medical libraries to link the NLM with local institutions. The National Library of Medicine, through the MLAA, has made available $40.8 million to the medical library community under a competitive grant and contract mechanism for the period July 1965-June 1970. A total of 604 projects has been executed in resources, research and development, training, construction, regional medical libraries, publications, and special scientific projects. An assessment is given of each of these programs and their impact on both the National Library of Medicine and individual medical libraries. In the aggregate, these programs have significantly improved library and information services to the professional health user. The principal limitation has been inadequate funding to accomplish the level of originally stated objectives.

Financing, Government↗

[Cracow medical chamber in the special collection of the main medical library].

The article on Cracow Medical Chamber in the Special Collection of the Main Medical Library concerns the history of establishing medical chambers and covers the period from 1893 to 1950. It presents in detail the territorial extent of Cracow Medical Chamber, its membership and presidents' functions as well as the composition of its various boards and councils. It also talks about the legal acts regulating the functioning of medical chambers and their sphere of activity. The collection of archived records kept in the Special Collection of Main Medical Library constitutes a small percentage of the preserved records; these being mainly personal files of doctors comprising personal questionnaires, registration cards and photographs.

Archives↗

The Regional Medical Library Grant Program of the National Library of Medicine.

Recognizing the utility of a regional medical library system in improving the availability of existing and future medical library resources in the country, the Congress included provisions for the support of such a system in the Medical Library Assistance Act. Grants will be made to major medical libraries which have the potential to provide supportive services to other libraries within a geographic area encompassing a major fraction of the nation's health professional manpower. Approximately ten of these regional libraries will receive these grants. Support for the system and consequently the extension of the services of the system will of necessity by implemented in a stepwise fashion. The central function of a regional medical library is to provide back-stopping interlibrary loan service and also to provide access to MEDLARS services for the region. Additional services for the region will include traditional reference service, training, surveillance of regional needs, announcement services, support for programs of continuing education for the health professions, and certain central technical processing for the region.

Financing, Government↗

Small medical libraries can help also.

The Regional Medical Library program of the Dana Medical Library (Burlington, Vermont) is described. Practical problems of a regional program are discussed. A plea is made for providing regional service, however little or much, without waiting for surveys and large grants.

Information Services↗

The Association of Academic Health Sciences Libraries' collaboration with the Association of American Medical Colleges, Medical Library Association, and other organizations.

The Association of Academic Health Sciences Libraries has made collaboration with other organizations a fundamental success strategy throughout its twenty-five year history. From the beginning its relationships with Association of American Medical Colleges and with the Medical Library Association have shaped its mission and influenced its success at promoting academic health sciences libraries' roles in their institutions. This article describes and evaluates those relationships. It also describes evolving relationships with other organizations including the National Library of Medicine and the Association of Research Libraries.

Advisory Committees↗

Findings from the most recent Medical Library Association salary survey.

OBJECTIVE: The objective is to provide information on basic issues in library management identified by the Medical Library Association's (MLA's) seventh triennial salary survey. METHODS: The survey was a Web-based questionnaire. A nonrandom sample of persons was obtained by posting messages to MLA's membership and to the MEDLIB-L e-mail discussion list. Employed MLA members and nonmembers employed in medical library settings filled out a Web-based form designed using common gateway interface (CGI) programming. RESULTS: Six hundred forty-five usable responses were analyzed by the Hay Group and presented in the MLA publication, Hay Group/MLA 2001 Compensation and Benefits Survey. Results from the 2001 survey in this article focus on pay and job satisfaction. Salary survey results since 1983 were analyzed to review trends in seniority, diversity, and pay equity. CONCLUSIONS: Given the age progression of respondents from 1983 to 2001, it is clear that succession planning is a core issue for medical libraries. Although efforts to create more diversity in medical libraries in member organizations have started to yield results, pay for white respondents has increased at a higher rate than for other racial categories. The authors found that the pay-for-performance system in the organizations of approximately two-thirds of the respondents is suboptimized and that most of the reasons medical librarians cite for leaving their organization can be addressed and potentially changed by management. Results from the eighth salary survey, slated to be conducted in the fall of 2004, will further track these trends and issues.

Humans↗

Mechanization of library procedures in the medium-sized medical library. XI. Two methods of providing selective dissemination of information to medical scientists.

The purpose of this study was to determine if a computerized commercial selective dissemination of information service could contribute to the services offered to the patrons of a specific medical library who were already participating in a manual selective dissemination of information service. The citations generated by the two services were contrasted on the basis of literature coverage, timeliness of retrieval, and relevancy of output. Eighty-four percent of the discrete citations retrieved were from 664 periodicals subscribed to by both services. Only 16 percent of the total of 1,387 discrete citations were produced by both services. The manual service was more timely; and, although it produced fewer citations, a higher percentage of these were relevant. Numerically, a total of 346 useful citations were recovered by the manual service and 379 from the commercial service. It appears, therefore, that a computerized commercial SDI service could contribute to the services offered to the medical scientists participating in a manual SDI service.

Computers↗

MECHANIZATION OF LIBRARY PROCEDURES IN THE MEDIUMSIZED MEDICAL LIBRARY: 3. ACQUISITIONS AND CATALOGING.

A system is described for producing acquisitions and fiscal records, new book lists, and book catalogs of nonserial works from a single punched card input, manipulated by a computer under the control of programs written for the task. All parts of the system are now in operation except the production of the subject portion of the book catalog, for which the program is now (March 1965) being developed and which is expected to be in operation by summer.

Books↗

[Medical library of "Lijecnicki Vjesnik". The greatest project of Croatian medical editions between two world wars].

Up to 1927 there were few professional-scientific medical editions in Croatia. Croatian Medical Association filled this noticeable gap in 1927 by starting Medical library published by "Lijecnicki vjesnik" (whose editor was in those days Dr. Vladimir Jelovsek). From 1927 to 1942, with a break during war and postwar period, from 1949 to 1952, and from 1958 to 1963, this library issued 49 books of exceptional quality (designated as 91 volumes) on over 4300 pages, written by our most distinguished experts. Our first monographs on endocrinology, hematology, maxillary surgery and other medical fields were published here. With regard to their structure, they were not only manuals for practitioners, but also textobooks for medical students, and in the last years also texts for postgraduate studies. The author considers all 49 published books, gives bibliographic description and main features of the publications, with short information on authors. Medical library of "Lijenicki vjesnik" will rightfully be recorded as the greatest project of Croatian medical editions in the first half of the 20th century.

Croatia↗

An examination of nigerian medical library service and problems.

The history of medical librarianship in Nigeria dates back only two decades. The number of medical libraries can be counted on fingertips in the twinkling of an eye, and those that do exist have sprung up with the medical faculties of Nigerian universities. There is a general tendency to run the medical library as an integral part of the main university library, but where two campuses exist expediency dictates a separate library to serve the medical teachers and researchers. The acquisition problem of the new Nigerian medical libraries in a medical world centuries old is tremendous. Tight budgetary control, nonavailability of the desired literature, and transportation delays are the greatest odds the medical librarian has to battle against.

Journal Article↗