The Consumer Health Information Library in the Hospital Setting

Consumer health information has become an accepted and fast-growing facet of the consumer movement. The questions now center on the feasibility of providing such information and the best way of offering this service in the hospital setting. This paper examines one hospital-based lay health library and discusses staffing, services, administration, physical facilities, accessibility, and librarian liability.     

Making Generic Tutorials Content Specific: Recycling Evidence-based Practice (EBP) Tutorials for Two Disciplines

Librarians at the Boston University Medical Center constructed two interactive online tutorials, “Introduction to EBM” and “Formulating a Clinical Question (PICO),” for a Family Medicine Clerkship and then quickly repurposed the existing tutorials to support an Evidence-based Dentistry course. Adobe's ColdFusion software was used to populate the tutorials with course-specific content based on the URL used to enter each tutorial, and a MySQL database was used to collect student input. Student responses were viewable immediately by course faculty on a password-protected Web site. The tutorials ensured that all students received the same baseline training and allowed librarians to tailor a subsequent library skills workshop to student tutorial answers. The tutorials were well-received by the medical and dental schools and have been added to mandatory first-year Evidence-based Medicine (EBM) and Evidence-based Dentistry (EBD) courses, meaning that every medical and dental student at BUMC will be expected to complete these tutorials.     

Thinking Outside the Classroom: Providing Student-centered Informatics Instruction to First- and Second-year Medical Students

With the increasing amount of health information available, the Association of American Medical Colleges recommends that medical students be proficient in information management. Librarians can and should play a role in teaching students these skills. Medical information management instruction is most effective if integrated into the curriculum. However, if options are limited for librarians to teach within courses, there are ways to reach students outside the classroom. This article describes strategies librarians are implementing, outside the curriculum, to teach Texas A & M Health Science Center's first- and second-year medical students how to use library resources.     

对医学情报专业教育改革的几点建议

简要介绍医学情报专业教育的发展,分析新时代医学情报研究机构、卫生信息中心、数字图书馆的特点和发展要求,探讨医学情报专业教育的教学内容及方法,提出增加卫生信息化、卫生统计学教学内容、转变思想观念———由信息服务向知识服务转化等几点建议。     

Online Searching on Selected Business Databases for Management Aspects of Health Care

Reference librarians developed an assessment tool to determine if formal classroom instruction on the use of PDAs benefits medical students. The questionnaire on PDA concepts and skills, designed to assess both comfort level and self-described skill level, was administered to students before and after a mandatory hands-on PDA class. Of 105 students surveyed, 90 (85.7%) felt the class was immediately beneficial. Mean scores on all questions increased from pre-session to post-session. Score increases were statistically significant (p < .05) for almost all questions, demonstrating to faculty, students, and instructors that the PDA class is beneficial, necessary, and should remain mandatory.     

Using the ADDIE Model in Designing Library Instruction

Librarians are increasingly placed in the role of instructor and are required to design and deliver effective instruction. This article highlights ADDIE, an instructional design model that librarians at Weill Cornell Medical College used to redesign an evidence-based medicine course taken by first-year medical students. The ADDIE model incorporates the five phases of analysis, design, development, implementation, and evaluation. It was found that the application of ADDIE can result in instruction that focuses on learning outcomes relevant to students, meets students' needs, and facilitates active learning.     

Creating an Evidence-Based Culture Within the Schools of Public Health and Medicine

Information technology is having a huge influence on health care. With ease of access and an abundance of information, today's health care personnel are expected to practice and develop policies or programs based upon evidence in order to avoid inefficiency and ineffectiveness. Our library has the responsibility to serve the needs of students, faculty, and practitioners of medicine and public health and strives to create an information literate workforce. In this article, the authors reflect on the library's instruction program and evaluate and plan for the future order to determine if the library's instruction program is properly developing an evidence-based medical and public health workforce.     

中美医学信息学本硕教育现状对比分析与启示

[目的/意义]对比分析中美高校医学信息学本科、硕士教育概况，为我国未来医学信息学教育提供参考和借鉴。[方法/过程]以院校开设时间、院校层次为筛选标准，从中美开展医学信息学教育的高校中各选取10所代表性高校为研究对象，通过网络调研，从基本要求、课程设置、师资力量、教育教学方式、就业前景等方面对中美医学信息学本科、硕士教育概况进行综合分析。[结果/结论]我国医学信息学本硕教育虽经历几十年的探索和实践并取得一定成就，但与美国相比，我国还存在一些不足，如在入学基本要求方面，注重本科教育，高层次人才培养体系不完善；在课程设置方面，课程内容设置单调，非医学基础课程占比过高，学科交叉融合不明显；在师资力量方面，教师学科背景单一，职称结构分布不平衡；在教育教学方式方面，教师教学方式简单，学生实践机会较少；在就业前景方面，学生知识体系不系统，就业前景局限。未来我国应顺应大数据科学研究范式发展要求，加快培养高层次医学信息学人才；改善课程体系和内容设置，拓宽学科知识体系；优化师资力量配置，吸引多学科背景人才；丰富培养方式，注重理论与实践相结合。     

Evidence-Based Medicine and the Development of Medical Libraries in China

This article elaborates on the opportunities and challenges that evidence-based medicine (EBM) has posed to the development of medical libraries and summarizes the research in the field of evidence-based medicine and achievements of EBM practice in Chinese medical libraries. Issues such as building collections of information resources, transformation of information services models, human resources management, and training of medical librarians, clinicians, and EBM users are addressed. In view of problems encountered in EBM research and practice, several suggestions are made about important roles medical libraries can play in the future development of EBM in China.     

大学生读者心理健康调查及分析

从读者心理学角度出发,围绕图书馆开展心理健康教育的各个环节,以读者的感受为中心,周密设计调查内容,全面系统地展开客观分析,具有较强的实践指导作用。参考文献8。     

Integrating Information Literacy and Evidence-Based Medicine Content within a New School of Medicine Curriculum: Process and Outcome

This column describes a process for integrating information literacy (IL) and evidence-based medicine (EBM) content within a new school of medicine curriculum. The project was a collaborative effort among health sciences librarians, curriculum deans, directors, and faculty. The health sciences librarians became members of the curriculum committees, developed a successful proposal for IL and EBM content within the curriculum, and were invited to become course instructors for Analytics in Medicine. As course instructors, the librarians worked with the other faculty instructors to design and deliver active learning class sessions based on a flipped classroom approach using a proprietary Information Mastery curriculum. Results of this collaboration may add to the knowledge base of attitudes and skills needed to practice as full faculty partners in curricular design and instruction.     

The Policy and Procedure Manual

This article outlines the differences between policies and procedures and why a manual for both is essential for the smooth and effective management of an information services department. A sample outline of typical areas covered in such a manual is also presented.     

Preliminary comparison of the performance of the National Library of Medicine's systematic review publication type and the sensitive clinical queries filter for systematic reviews in PubMed

Objective:The National Library of Medicine (NLM) inaugurated a “publication type” concept to facilitate searches for systematic reviews (SRs). On the other hand, clinical queries (CQs) are validated search strategies designed to retrieve scientifically sound, clinically relevant original and review articles from biomedical literature databases. We compared the retrieval performance of the SR publication type (SR[pt]) against the most sensitive CQ for systematic review articles (CQrs) in PubMed.Methods:We ran date-limited searches of SR[pt] and CQrs to compare the relative yield of articles and SRs, focusing on the differences in retrieval of SRs by SR[pt] but not CQrs (SR[pt] NOT CQrs) and CQrs NOT SR[pt]. Random samples of articles retrieved in each of these comparisons were examined for SRs until a consistent pattern became evident.Results:For SR[pt] NOT CQrs, the yield was relatively low in quantity but rich in quality, with 79% of the articles being SRs. For CQrs NOT SR[pt], the yield was high in quantity but low in quality, with only 8% being SRs. For CQrs AND SR[pt], the quality was highest, with 92% being SRs.Conclusions:We found that SR[pt] had high precision and specificity for SRs but low recall (sensitivity), whereas CQrs had much higher recall. SR[pt] OR CQrs added valid SRs to the CQrs yield at low cost (i.e., added few non-SRs). For searches that are intended to be exhaustive for SRs, SR[pt] can be added to existing sensitive search filters.     

The NICE OECD countries’ geographic search filters: Part 1—methodology for developing the draft MEDLINE and Embase (Ovid) filters

Objective:There are no existing validated search filters for the group of 37 Organisation for Economic Co-operation and Development (OECD) countries. This study describes how information specialists from the United Kingdom''s National Institute for Health and Care Excellence (NICE) developed and evaluated novel OECD countries’ geographic search filters for MEDLINE and Embase (Ovid) to improve literature search effectiveness for evidence about OECD countries.Methods:We created the draft filters using an alternative approach to standard filter construction. They are composed entirely of geographic subject headings and are designed to retain OECD country evidence by excluding non-OECD country evidence using the NOT Boolean operator. To evaluate the draft filters’ effectiveness, we used MEDLINE and Embase literature searches for three NICE guidelines that retrieved >5,000 search results. A 10% sample of the excluded references was screened to check that OECD country evidence was not inadvertently excluded.Results:The draft MEDLINE filter reduced results for each NICE guideline by 9.5% to 12.9%. In Embase, search results were reduced by 10.7% to 14%. Of the sample references, 7 of 910 (0.8%) were excluded inadvertently. These references were from a guideline about looked-after minors that concerns both OECD and non-OECD countries.Conclusion:The draft filters look promising—they reduced search result volumes while retaining most OECD country evidence from MEDLINE and Embase. However, we advise caution when using them in topics about both non-OECD and OECD countries. We have created final versions of the search filters and will validate them in a future study.     

Teaching Evidence-Based Practice in the Hospital and the Library: Two Different Groups,One Course

Key roles in teaching evidence-based practice (EBP) are of interest to many hospital and academic librarians. This article describes how three academic librarians, in collaboration with the academic medical center's EBP Nursing Council, developed a seminar consisting of three credit hours of instruction in the basics of evidence-based practice. The seminar consists of three core elements: basic principles of EBP and finding literature, clinical experience and integration of knowledge into the hospital setting, and patient education and participation. Emphasis is placed upon analysis of the literature, institutional models of practice change, and the importance of patient roles in guideline development.     

中美医学图书馆员继续教育历史、现状与区域化CME模式探讨

在回顾中美医学图书馆员继续教育的基础上，对网络环境下医学图书馆员继续教育的必要性、内容、实施形式进行分析和探讨，提出粤港澳地区区域化CME新模式，探讨组织结构、特点和实施办法，给出医学图书馆员继续教育模式图，虚拟网状分层模型。     

《中国图书馆分类法》(第五版)医药卫生类目评析

新修订的《中国图书馆分类法》(第五版)医药卫生类目在类名、注释以及新增类目方面,都有不少的改进,但其在类目的设置、注释以及新增类目等方面仍存在不足。     

Planning for the Integration of the Digital Library,Clinical Decision Support,and Evidence at the Point of Care

ABSTRACT

Integrating knowledge-based resources at the point of care is an important opportunity for hospital library involvement. In the progression of an IAIMS planning grant, the digital library is recognized as pivotal to the success of information domain integration throughout the institution. The planning process, data collection, and evolution of the planning project are discussed.     

医学信息学专业教育十年回顾与未来展望

医学信息学作为信息时代一门新兴的交叉学科,是现代信息科学和计算机技术渗透到医学应用各个方面的结果,其教育与研究已在国内外取得了巨大的成果,同时在新的发展环境下也存在一些亟待解决的问题。本文从医学信息学专业的发展起源出发,回顾了10年来我国医学信息学专业教育的发展历程,总结了中南大学医学信息学专业10年的教育成果,并针对当前的现实问题,提出了医学信息学专业教育与科学研究的发展建议。     

医药、卫生文献归类问题探讨

从医药、卫生新兴学科文献归类问题、类目的设置问题、类目的注释问题、多学科交叉文献归类问题等几方面进行研究探讨,提出相应的建议及解决办法,力求科学准确归类。