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On invitation, we approach, as consultants, the problem of helping a smaller library. Once we are certain we are qualified for the assignment, we arrange to visit the library and see its problems of personnel, space, and book collection. Talking with personnel operating the library may indicate appropriate courses of action. We recommend library procedures and systems commensurate with the present needs and future growth of a given institution or organization. We appreciate the quantity and quality of services rendered by small libraries. We learn who the readers are and what material is available locally before making recommendations concerning budgets or purchases. Our suggestions on technical matters include either work samples or references. We do not confuse library personnel with great detail. We tell them about local and nearby resources, services of the National Library of Medicine, and the Medical Library Association. We make them feel free to request further information as needed.