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1.  The National Health Service and medical libraries in England. 
This paper provides an overview of the National Health Service in England, including its history, its present structure, and factors that make it different from the U.S. health care system. The NHS libraries and librarians are discussed. The NHS is divided into fourteen regions in England. Three specific NHS libraries in the Wessex region are described--a hospital library, an administrative library, and a patient education library. The problems and accomplishments of NHS librarians are discussed, as well as some similarities between NHS libraries and U.S. medical libraries. Medical librarians are urged to try to understand the medical library scene in England, so that they can Learn from the unique strengths of their counterparts there.
PMCID: PMC227758  PMID: 3947777
2.  Problems of Medical Libraries in Japan 
Reference service in medical libraries should be considered more seriously by the members of the Japan Medical Library Association, as their interest so far has been focused mainly on interlibrary loan service, compilation of union lists and union catalogs, and the business side of library administration. The Association does not have enough funds to be very active, and its membership is limited to the libraries of medical and of some large dental schools. It should open its membership to other medical libraries, such as those of hospitals and medical laboratories, and eventually to individuals.
Many of the member libraries do not have complete control of their own budget, as each department of the school earmarks part of its budget for the library while it still holds the right of deciding which books and journals are to be bought and keeps a large part of them in its departmental library.
Lack of proper library school education among the library staff is one of the major problems. There are some training courses for medical librarians in the library schools and also some workshops held by the Association, but they are limited in their usefulness by the fact that there are not enough library school graduates who can take advantage of them.
PMCID: PMC198228  PMID: 14223739
3.  NERMLS: The First Year * 
The Countway Library, Boston, was the nation's first Regional Medical Library under the Regional Medical Library Program of the NLM. New England Regional Medical Library Service (NERMLS) began in October 1967 and is the outgrowth of traditional extramural services of the Harvard and Boston Medical Libraries (constituents of the Countway). During the first year over 27,000 requests were received of which 84 percent were filled. Some problems of document delivery (and their solution) are recounted. Other activities were: a limited amount of reference work; distribution of a Serials List; and planning for a region-wide medical library service. Proposals call for consultation and education, regional reference service, and improved document delivery service. Emphasis is placed on the role of the Community Hospital as a center for continuing education and the need to strengthen and assist hospital medical libraries. With the Postgraduate Medical Institute, Boston, NERMLS assisted in the compilation of a small physician-selected medical Core Collection which would serve as a minimum standard collection for community hospital libraries.
PMCID: PMC200860  PMID: 5823504
4.  Biomedical periodicals in Nigerian Medical Libraries: the medical librarian's dilemma. 
The Nigerian medical librarian has an uphill task in his effort to satisfy the journal needs of users of his library. His problems stem from difficulties in the selection and acquisition of journals, delay in postal services, budgetary and other administrative controls, and the changing nature of medical education and health-care services in Nigeria. The librarian's attempts to solve these problems include increased subscriptions to journals and use of interlibrary loans, but the absence of union lists of holdings of other libraries, the heavy cost of photocopying services, and poor postal facilities present another dimension to his problems. Eventually his best solution seems to lie in the establishment of a national center for "least used" journals to serve as a source stock for the country's medical libraries.
PMCID: PMC199220  PMID: 938777
5.  Integrating with users is one thing, but living with them? a case study on loss of space from the Medical Center Library, University of California, San Diego 
The University of California, San Diego (UCSD) Medical Center is the primary hospital for the UCSD School of Medicine. The UCSD Medical Center Library (MCL), a branch of the campus's biomedical library, is located on the medical center campus. In 2007, the medical center administration made a request to MCL for space in its facility to relocate pharmacy administration from the hospital tower. The university librarian brought together a team of library managers to deliberate and develop a proposal, which ultimately accommodated the medical center's request and enhanced some of MCL's public services.
doi:10.3163/1536-5050.98.1.012
PMCID: PMC2801983  PMID: 20098651
6.  The medical librarian's views. 
A library should review carefully the complex implications before undertaking to be a Regional Medical Library. Eight important considerations are examined: Possible conflict of interest between local, defined clientele and larger regional clientele; Indirect costs, especially as they relate to administrative and management time; Possible abuse of unlimited cost-free copy service; Region-wide participation in planning efforts; The hazard of depressing the quality of the rank and file of local libraries; Balance between private and public support--the risk of diminished dues support for library extension services; Complexities of territory definition; and Defining the proper recipient (the "qualified individual") of regional library service. Recognition of the problems should not be interpreted as a lack of appreciation of the great opportunity which the regional program affords.
PMCID: PMC232681  PMID: 5212370
7.  The medical libraries of Vietnam--a service in transition. 
The medical libraries of Vietnam maintain high profiles within their institutions and are recognized by health care professionals and administrators as an important part of the health care system. Despite the multitude of problems in providing even a minimal level of medical library services, librarians, clinicians, and researchers nevertheless are determined that enhanced services be made available. Currently, services can be described as basic and unsophisticated, yet viable and surprisingly well organized. The lack of hard western currency required to buy materials and the lack of library technology will be major obstacles to improving information services. Vietnam, like many developing nations, is about to enter a period of technological upheaval, which ultimately will result in a transition from the traditional library limited by walls to a national resource that will rely increasingly on electronic access to international knowledge networks. Technology such as CD-ROM, Integrated Services Digital Network (ISDN), and satellite telecommunication networks such as Internet can provide the technical backbone to provide access to remote and widely distributed electronic databases to support the information needs of the health care community. Over the long term, access to such databases likely will be cost-effective, in contrast to the assuredly astronomical cost of building a comparable domestic print collection. The advent of new, low-cost electronic technologies probably will revolutionize health care information services in developing nations. However, for the immediate future, the medical libraries of Vietnam will require ongoing sustained support from the international community, so that minimal levels of resources will be available to support the information needs of the health care community. It is remarkable, and a credit to the determination of Vietnam's librarians that, in a country with a legacy of war, economic deprivation, and international isolation, they have somehow managed to provide a sound basic level of information services for health care professionals.
PMCID: PMC225670  PMID: 1525617
8.  Employee no-shows: managing library absenteeism. 
Employee absenteeism is a problem faced by all library administrators. This paper describes the development, implementation, and results of a program to discourage absenteeism at the Moody Medical Library of the University of Texas Medical Branch at Galveston. The important role of library administrators and supervisors in controlling absenteeism is emphasized.
PMCID: PMC227109  PMID: 3416094
9.  Supporting Palmtops in the Health Sciences Library 
Medical libraries deliver information in many formats: books, media, computer files, and web pages. As journals from Medical Economics to Annals of Internal Medicine report increased use of palmtop computers, such as Palms and Pocket PCs, we see that palmtops offer a new platform for delivering library services. Determining the best ways to deliver these services poses some problems. Yet the core mission of medical libraries -- accurate and timely delivery of information that enhances the quality of health care, education and research -- provides some pointers. This library is examining several ways of delivering services to palmtops.
PMCID: PMC2243473
10.  The impact of the hospital library on clinical decision making: the Rochester study. 
In these times of economic constraint, libraries of all types are under increasing pressure to evaluate their services. Hospital libraries face a particular challenge because the goals of the health care system demand that the relevance of library services to patient care be determined. The hospital librarians in Rochester, New York, responded to this challenge by developing a research project that explored the impact of library services on clinical decision making. A systematically sampled group of 448 physicians in the Rochester area agreed to participate in the study between September 1990 and March 1991. The physicians were asked to request some information related to a current clinical case and then to evaluate its impact on the care of their patients. Senior medical staff or administrators acted as study facilitators in each of the fifteen participating hospitals. As a result of the information provided by the library, 80% of the 208 physicians who returned their questionnaires said that they probably or definitely handled some aspect of patient care differently than they would have handled it otherwise. Changes in the following specific aspects of care were reported by the physicians: diagnosis (29%), choice of tests (51%), choice of drugs (45%), reduced length of hospital stay (19%), and advice given to the patient (72%). Physicians also said that the information provided by the library contributed to their ability to avoid the following: hospital admission (12%), patient mortality (19%), hospital-acquired infection (8%), surgery (21%), and additional tests or procedures (49%). The physicians rated the information provided by the library more highly than that provided by other information sources such as diagnostic imaging, lab tests, and discussions with colleagues. In addition to confirming earlier research findings that information provided by hospital libraries is perceived by physicians as having a significant impact on clinical decision making, the results increase our store of scientific knowledge about the specific nature and extent of the impact of information provided by the hospital library.
PMCID: PMC225641  PMID: 1600426
11.  Library instruction within the medical record administration curriculum. 
A course for medical record administration (MRA) students has been developed at the University of Tennessee Center for the Health Sciences Library. The course's objectives are: (1) to train students in the use of the resources and services of health sciences libraries and (2) to provide basic instruction in the organization, operation, and management of a small hospital library. These objectives are met by integrating library use instruction within the MRA curriculum and by presenting a five-week hospital library management workshop. Library use instruction includes a library orientation and sessions on the use of major reference sources, writing for publication, and the use and evaluation of the medical record literature. The workshop covers the role of the medical record administrator as manager of the hospital library. Sessions cover basic principles of hospital library administration, technical and public services, and sources of outside assistance. Results are reported of a survey of graduates conducted to determine whether a need for the course still existed and if the changes made as a result of the evaluation process were appropriate. The teaching methods and evaluation techniques used in this course are applicable to library instruction in other disciplines.
PMCID: PMC226796  PMID: 7225659
12.  The implementation of a large-scale self-instructional course in medical information resources. 
The implementation of library orientation and bibliographic instruction in health sciences centers presents some interesting as well as perplexing problems. The Rowland Medical Library at The University of Mississippi Medical Center had to confront and reexamine these problems when faced with the requirement to teach 298 freshman and sophomore medical students in one ten-week quarter. This paper outlines the development and implementation of a large-scale self-instructional approach to library instruction. The package consisted of an audiotape, a videotape, a written program, self-teaching quizzes, a performance test, and a student evaluation. Performance test results and student evaluation data are presented which indicate that this format can successfully be employed to meet course objectives and to be accepted by students.
PMCID: PMC226934  PMID: 89878
13.  Linking the physical past to the program future: new library addition at the Medical College of Georgia. 
Planning the addition to an existing health sciences library building involved problems not normally encountered in planning a totally new structure. Some of the problems in combining the old and new buildings of the Medical College of Georgia Library and their resolution are discussed in this paper. Emphasized in particular is the relationship between institutional goals, library goals, and the library building.
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PMCID: PMC227259  PMID: 6652298
14.  Medical Library Development at the University of Ibadan, Nigeria 
While libraries of all kinds in Nigeria have many problems, some medical libraries are well established and are giving the services expected of such libraries anywhere. In current conditions of restricted finance and distance from metropolitan countries, consultation and cooperation in serials acquisitions together with union catalogs of serials would be of great value. Modern copying methods make this practical. Union catalogs of monographs would also be valuable. Two new major medical libraries are projected—one half-built, the other still at the planning stage. Each must be planned to give area services rather than purely local and internal services.
PMCID: PMC198749  PMID: 4812591
15.  Educational services in health sciences libraries: an analysis of the periodical literature, 1975-1986. 
The periodical literature on group instructional services in health sciences libraries was analyzed to determine the nature of these services, their target audiences, and their institutional settings. Three kinds of reports were identified: descriptions of services (70%), reviews of the literature (10.5%), and future-oriented articles that advocate various group instructional services (19.5%). Five target audiences were identified: library users, staff, librarian peers, library science students, and patients. Instructional services were offered primarily in medical school/center libraries, hospital libraries, and the National Library of Medicine and its Regional Medical Libraries (RMLs). To a lesser extent, health sciences educational services are offered through other professional school libraries, library associations and consortia, and schools of library science. There are gaps in the literature in the areas of library experience with marketing, evaluation, administration of the offered educational services, and continuing education for health sciences librarians.
PMCID: PMC227688  PMID: 3676534
16.  Medical Libraries of the Soviet Union * 
Medical libraries are a part of the Soviet library system. The total number of medical libraries in the country is more than 4,000, with a collection of over 42,000,000 volumes that are used by over a million readers. The State Central Medical Library occupies a special place among these libraries. It carries out the functions of a methodological, bibliographic, and coordinating center. It has a collection of over 1,000,000 units of books and periodicals.
All the bibliographic work of medical libraries as well as any other work is provided to help medical institutions. Libraries prepare special bibliographies of medical literature for publication according to a plan. The libraries also conduct reference and information work.
The methodological work helps to solve the most important problems that arise in libraries with reference to the specific character of their work and tasks. The chief means of rendering methodological guidance are to analyze the work of various libraries, to hold conferences, to exchange visits with libraries, to give both field and correspondence consultations, and to organize qualification courses for librarians and bibliographers.
PMCID: PMC198104  PMID: 14119299
17.  Problems in Planning Medical Libraries * 
In spite of many recent publications dealing with the methods of planning medical libraries, serious problems have been encountered in most of the proposals submitted under the Medical Library Assistance Act of 1965. Problems are viewed as falling into several major categories: administration, personnel, location, space allocation, structural, layout, and undue reliance on generalized formulas. Finally, the role of the librarian as the key integrating force in developing a sound building plan is emphasized.
PMCID: PMC197340  PMID: 5782265
18.  The delivery of continuing education: teleconferencing, an alternative mode. 
An experimental offering of the Medical Library Association's continuing education course CE 46, Library Management/Budgeting, was made available to sixteen health sciences librarians via the University of Wisconsin-Education Telephone Network. Features of the hardware of the teleconference network, a few applications relating to medicine and library science, and administrative considerations are examined. The paper also describes how the experimental course was conducted, course participants, design, problems encountered, and evaluation data obtained from participants. A comparison between the teleconferencing mode of delivery and the traditional face-to-face format is stressed. Recommendations call for continued consideration of teleconferencing as a method of delivering continuing education courses and suggest the possibility of MLA providing its own teleconferencing network.
PMCID: PMC226662  PMID: 7059714
19.  Departmental libraries: why do they exist? 
In response to an increasing concern on the part of the library staff over the role of the departmental libraries at The Milton S. Hershey Medical Center of The Pennsylvania State University, a questionnaire was developed by the George T. Harrel Library and sent to departmental libraries. From the analyzed responses, the authors were able to define the role of departmental libraries in a medical school/hospital situation, to analyze the Hershey Medical Center situation in an objective manner, to outline areas of possible cooperation between the main and departmental libraries, and to delineate some trends which appear to result from inadequate finding of a central library. Overall, the library found that departmental libraries at Hershey are currently maintaining collections consistent with the functional role of a departmental library.
PMCID: PMC199392  PMID: 901953
20.  Medical library services in Kuwait: history and future prospects. 
Despite immense resources and a growing interest in education and libraries, library development in Kuwait has been restricted by the problems common to all developing countries. These include an overdose of bureaucracy, lack of trained librarians, and little perception of the library's importance in the educational system. Medical librarianship is virtually a new field. The only medical library of any significance in the country is the Faculty of Medicine Library established in 1974 to serve the newly organized Faculty of Medicine of Kuwait University. In recent years, the Faculty of Medicine Library has gone through several reassessments and many changes. It has expanded its collection, begun computerized searching, and recruited several professional librarians. Now semiautonomous from the university's Libraries Department and housed in a new, modern building, the library has the potential to become the main medical library in the Persian Gulf area.
PMCID: PMC227336  PMID: 6365225
21.  End-user programs in medical school libraries: a survey. 
A questionnaire was sent to all medical school libraries listed in the Annual Statistics of Medical School Libraries in the United States and Canada (1983-1984) asking librarians to describe their end-user programs. Of the 113 responding libraries, 78 had an end-user program. All provided some kind of formal instruction, 39 made equipment available to end users, and 22 provided and administered passwords. The reasons most cited for starting a program were staff interest and patron requests. The two most frequently taught systems were NLM/MEDLINE and BRS/Colleague. In general, respondents felt positive about the programs and planned to continue them. The most frequently mentioned problem was need for more equipment.
PMCID: PMC227165  PMID: 3285934
22.  Proposed standards for professional health sciences library services in hospitals of New York State. 
Hospital libraries are considered to be the basic unit of the medical information system. A major statewide effort was begun in 1978 to introduce and support legislation in the New York State Legislature which would encourage hospitals to establish and maintain libraries that meet minimum services standards. Included in this legislation is the concept that the Commissioner of Education in consultation with the Commissioner of Health shall have the power to establish standards for hospital libraries. The Ad Hoc Committee for the Promotion of Hospital Library Services, Western New York Library Resources Council, proposes The Standards for Professional Health Sciences Library Services in Hospitals of New York State to clarify and to strengthen existing hospital library standards. These standards differ specifically from the Joint Commission on Accreditation of Hospitals standards in that they place equal and specific emphasis on eleven points: administration, qualifications of library staff, continuing education of library staff, requirement for a library advisory committee, required library services, required library resources, library space requirements, library budget, library network and consortium membership, documentation of library policy, and continued evaluation of the needs of the hospital for library service. Detailed interpretations are provided. An appendix describes the qualifications of a hospital library consultant.
PMCID: PMC226820  PMID: 7248591
23.  Strategic planning with multitype libraries in the community: a model with extra funding as the main goal. 
Medical libraries are discovering that ongoing collaboration in fundraising with other types of community libraries is mutually beneficial. Such partnerships may lead to joint grants, increase library visibility and access to decision makers, allow participation in community information networks, and provide leverage in additional fundraising projects. These partnerships have the potential to raise the profile of libraries. The accompanying community recognition for the parent organization may create a positive image, draw patients to the health center, and position the library and institution for future success in fundraising. Within institutions, development officers may become allies, mentors, and beneficiaries of the medical librarian's efforts. For a planned approach to community outreach with extra funding as the major objective, busy medical library administrators need guidelines. Standard participative techniques were applied to strategic planning by Indianapolis libraries to help achieve successful community outreach and to write joint statements of mission, vision, goals, and objectives.
PMCID: PMC226267  PMID: 9285125
24.  Helping the Smaller Library 
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.
PMCID: PMC198096  PMID: 14119293
25.  Making lemonade from lemons: a case study on loss of space at the Dolph Briscoe, Jr. Library, University of Texas Health Science Center at San Antonio 
The setting for this case study is the Dolph Briscoe, Jr. Library, University of Texas Health Science Center at San Antonio, a health sciences campus with medical, dental, nursing, health professions, and graduate schools. During 2008–2009, major renovations to the library building were completed including office space for a faculty development department, multipurpose classrooms, a 24/7 study area, study rooms, library staff office space, and an information commons. The impetus for changes to the library building was the decreasing need to house collections in an increasingly electronic environment, the need for office space for other departments, and growth of the student body. About 40% of the library building was remodeled or repurposed, with a loss of approximately 25% of the library's original space. Campus administration proposed changes to the library building, and librarians worked with administration, architects, and construction managers to seek renovation solutions that meshed with the library's educational mission.
doi:10.3163/1536-5050.98.1.013
PMCID: PMC2801967  PMID: 20098652

Results 1-25 (251077)