Issues surrounding the administration of a credit course for medical students: survey of US academic health sciences librarians.

OBJECTIVES: For librarians developing a credit course for medical students, the process often involves trial and error. This project identified issues surrounding the administration of a credit course, so that librarians nationally can rely more upon shared knowledge of common practices and less upon trial and error. METHODS: A questionnaire was sent to the education services librarian at each medical school listed in the 2000 AAMC Data Book. A second questionnaire was sent to those librarians who did not return the first one. RESULTS: Of the 125 librarians surveyed, 82 returned the questionnaire. Of those 82, only 11 offered a credit course for medical students, though 19 more were in the process of developing one. Data were gathered on the following aspects of course administration: credit course offerings, course listing, information learned to administer the course, costs associated with the course, relationships with other departments on campus, preparation for teaching and grading, and evaluation of the course. CONCLUSIONS: Because of small number of respondents offering a credit course and institutional variations, making generalizations about issues surrounding the administration of a credit course is difficult. The article closes with a list of recommendations for librarians planning to develop a course.     

Inside outreach: a challenge for health sciences librarians.

OBJECTIVE: Like medical and health sciences libraries throughout the country, the Lamar Soutter Library (LSL) at the University of Massachusetts Medical School is dealing with ever-increasing outreach needs in times of diminishing funding. With the goal of reshaping the library's outreach program to better serve our patron groups, the Outreach Study Group was formed to investigate existing models of outreach. METHODS: The group initially examined the current literature and subsequently conducted a nationwide survey of medical and health sciences libraries to identify trends in outreach. This article details the methods used for the survey, including establishing criteria for selecting participants, determining the focus, and developing and conducting the survey. RESULTS: Of the 40 libraries invited to participate, 63% completed the survey. An analysis of the data revealed successes, problems, and trends. The group's conclusions led to recommendations for the LSL's future outreach efforts. CONCLUSIONS: Analysis of the data revealed key findings in the areas of strategic planning, funding, and evaluation. A thoughtful definition of outreach ensures that outreach activities are expressions of the library's mission. Funding shifts require flexible programs. Evaluation provides data necessary to create new programs, sustain successful ones, and avoid repeating mistakes.     

Electronic publishing: implications for health sciences libraries and librarians

Increasingly we hear of "electronic publishing" in the form of books and journals made available as databases, either through traditional online services or through electronic message services. This paper explores its potential impact on the medical library community and on the relationship between end user and librarian. The librarian's new roles as intermediary, facilitator, and advocate for end users are examined. The question of developing expertise for evaluating information as well as facilitating access is addressed.     

Evidence-Based Practice: a new paradigm brings new opportunities for health sciences librarians

It is questionable whether the Evidence-Based Health Care model, whereby end users appraise all potentially pertinent information, is sustainable. A shift to an Evidence-Based Practice model, featuring a new medical knowledge base infrastructure facilitating rapid translation of clinical research into practice should be embraced. This shift would offer new opportunities for health sciences librarians. In this article, the authors: (1) review milestones in the evolution of the health sciences knowledge base; (2) review the evolution of the Evidence- Based Health Care/Practice model of health information utilization; and (3) discuss the significance and implications for health sciences librarians of trends towards an increasingly digital health information environment. The authors suggest new roles for health sciences librarians: partnering to integrate advanced information management technologies into the clinical enterprise and integration into the processes for developing these technologies.     

Bibliographic research and critical inquiry: a learning module for graduate students in health services administration

Critical to the success of contemporary health administration practice is the ability to identify, access, synthesize, apply, and report information from a diversity of sources. To enhance the critical logic and bibliographic research skills of first-semester graduate students in health services administration, a fifteen-hour learning module was collaboratively developed and integrated into a required course on health care organization. Reference librarians and health administration faculty participate to provide both group and individual instruction.     

A validated search assessment tool: assessing practice-based learning and improvement in a residency program

Objective:

The objective of this study was to validate an assessment instrument for MEDLINE search strategies at an academic medical center.

Method:

Two approaches were used to investigate if the search assessment tool could capture performance differences in search strategy construction. First, data from an evaluation of MEDLINE searches from a pediatric resident''s longitudinal assessment were investigated. Second, a cross-section of search strategies from residents in one incoming class was compared with strategies of residents graduating a year later. MEDLINE search strategies formulated by faculty who had been identified as having search expertise were used as a gold standard comparison. Participants were presented with a clinical scenario and asked to identify the search question and conduct a MEDLINE search. Two librarians rated the blinded search strategies.

Results:

Search strategy scores were significantly higher for residents who received training than the comparison group with no training. There was no significant difference in search strategy scores between senior residents who received training and faculty experts.

Conclusion:

The results provide evidence for the validity of the instrument to evaluate MEDLINE search strategies. This assessment tool can measure improvements in information-seeking skills and provide data to fulfill Accreditation Council for Graduate Medical Education competencies.

Highlights

• The University of Michigan MEDLINE Search Assessment tool can be used to assess search skills in residency education.
• Five elements were identified as critical elements in the development of an effective MEDLINE search strategy: inclusion of all search concepts, appropriate use of Medical Subject Headings, appropriate use of search limits, successful combination of all concepts, and search efficiency.

Implications

• This validated assessment tool can serve as an effective means to measure improvements in residents'' information-seeking skills and provide data to fulfill Accreditation Council for Graduate Medical Education competencies.

     

The health sciences librarian in medical education: a vital pathways project task force

Objectives:

The Medical Education Task Force of the Task Force on Vital Pathways for Hospital Librarians reviewed current and future roles of health sciences librarians in medical education at the graduate and undergraduate levels and worked with national organizations to integrate library services, education, and staff into the requirements for training medical students and residents.

Methods:

Standards for medical education accreditation programs were studied, and a literature search was conducted on the topic of the role of the health sciences librarian in medical education.

Results:

Expectations for library and information services in current standards were documented, and a draft standard prepared. A comprehensive bibliography on the role of the health sciences librarian in medical education was completed, and an analysis of the services provided by health sciences librarians was created.

Conclusion:

An essential role and responsibility of the health sciences librarian will be to provide the health care professional with the skills needed to access, manage, and use library and information resources effectively. Validation and recognition of the health sciences librarian''s contributions to medical education by accrediting agencies will be critical. The opportunity lies in health sciences librarians embracing the diverse roles that can be served in this vital activity, regardless of accrediting agency mandates.In response to reported closings of and staff reductions at hospital libraries, the Medical Library Association (MLA) and the Hospital Libraries Section of MLA agreed to study the state of hospital libraries and librarians under the auspices of the Task Force on Vital Pathways for Hospital Librarians. The task force''s Health Sciences Librarian in Medical Education Task Force (METF)^* was charged with reviewing the accreditation standards regarding libraries for residency programs and with working with national organizations to integrate library services, education, and staff into the requirements for training medical students and residents.     

Information-seeking behavior of nursing students and clinical nurses: implications for health sciences librarians.

OBJECTIVES: This research was conducted to provide new insights on clinical nurses' and nursing students' current use of health resources and libraries and deterrents to their retrieval of electronic clinical information, exploring implications from these findings for health sciences librarians. METHODS: Questionnaires, interviews, and observations were used to collect data from twenty-five nursing students and twenty-five clinical nurses. RESULTS: Nursing students and clinical nurses were most likely to rely on colleagues and books for medical information, while other resources they frequently cited included personal digital assistants, electronic journals and books, and drug representatives. Significantly more nursing students than clinical nurses used online databases, including CINAHL and PubMed, to locate health information, and nursing students were more likely than clinical nurses to report performing a database search at least one to five times a week. CONCLUSIONS AND RECOMMENDATIONS: Nursing students made more use of all available resources and were better trained than clinical nurses, but both groups lacked database-searching skills. Participants were eager for more patient care information, more database training, and better computer skills; therefore, health sciences librarians have the opportunity to meet the nurses' information needs and improve nurses' clinical information-seeking behavior.     

New measures for new roles: defining and measuring the current practices of health sciences librarians

The roles of academic health sciences librarians are continually evolving as librarians initiate new programs and services in response to developments in computer technology and user demands. However, statistics currently collected by libraries do not accurately reflect or measure these new roles. It is essential for librarians to document, measure, and evaluate these new activities to continue to meet the needs of users and to ensure the viability of their professional role. To determine what new measures should be compiled, the authors examined current statistics, user demands, professional literature, and current activities of librarians as reported in abstracts of poster sessions at Medical Library Association annual meetings. Three new categories of services to be measured are proposed. The first, consultation, groups activities such as quality filtering and individual point-of-need instruction. The second, outreach, includes activities such as working as liaisons, participating in grand rounds or morning report, and providing continuing education. The third area, Web authoring, encompasses activities such as designing Web pages, creating online tutorials, and developing new products. Adding these three measures to those already being collected will provide a more accurate and complete depiction of the services offered by academic health sciences librarians.     

The impact of COVID-19 on reference services: a national survey of academic health sciences librarians

Objectives:The aim of this study was to gain a better understanding of the scope and adaptive nature of reference services provided by academic health sciences librarians over a one-year period (between March 2020 and March 2021) during the COVID-19 pandemic.Methods:In March 2021, academic health sciences librarians in the United States were invited to participate in an anonymous online survey about their experiences providing reference services during the COVID-19 pandemic. The online survey was developed, pretested, and distributed to various listservs.Results:A total of 205 academic health sciences librarians and other information professionals with health sciences liaison responsibilities in the US (N=205) responded to the online survey. The scope of reference services provided during the COVID-19 pandemic included email-based reference services (97%), virtual reference (89%), telephone (80%), text-based (33%), and in-person (31%). The most common types of COVID-related reference questions included COVID-19 treatments (53%), safety precautions (46%), vaccines (41%), and prevalence (38%). Additionally, the identification of challenging reference questions and examples of misinformation were provided by respondents.Conclusions:The results of the survey characterize the evolving nature and scope of academic health sciences reference work during the COVID-19 pandemic. Librarians reported an increase in reference questions during the pandemic and are answering them in creative ways despite barriers (e.g., limited time and reduction in resources). There is an opportunity for librarians to continue to address COVID-related misinformation. Overall, these findings provide useful insight for library practitioners and administrators planning reference services during public health crises.     

From UHSL to UHMLG: the evolution of a group for health librarians in higher education

Background: In 2007 the University Health Sciences Librarians Group (UHSL) merged with the University Medical Schools Librarians Group (UMSLG) to form the University Health and Medical Librarians Group (UHMLG). This paper traces the course of health librarianship in the UK which led to this event, from the perspective of the UHSL. Methods: The narrative has been developed from the Executive Committee minutes, newsletters and reports of events organized by the UHSL. Summary: The UHSL evolved from the Council of Polytechnic Librarians (COPOL) Health Sciences Group and the Standing Conference of National and University Librarians (SCONUL) Health Sciences Group. It sought to represent the views of health librarians working in the university sector. It also provided, through newsletters and study days, information, networking opportunities and professional development. UHSL collaborated with other relevant organizations to further its aims. Conclusion: The structure of professional support groups within health librarianship reflects the evolving nature of the health service, higher education and the social changes driven by technological developments.     

Educating instruction librarians: A model for Library and Information Science education

The rise of the librarian's role in teaching information literacy competencies and assessing student learning outcomes requires that instruction librarians be cognizant of and competent in a broad array of teaching and assessment skills. A review of the literature shows that, while instruction librarians are proactive in improving their level of expertise, they also express the need to have training and experience during their graduate programs. This article utilizes a case-study approach to propose a model of instruction librarian education. The authors, recent graduates from the University of Hawai'i Library and Information Science Program, analyze the effect of their experiences in a semester-long teaching practicum and a formal graduate level course in instructional methodology. It is proposed that future instruction librarians be provided opportunities for extended teaching practicums combined with coursework in instructional theory during their Library and Information Science program.     

Data disaggregation: the case of Asian and Pacific Islander data and the role of health sciences librarians

Health disparities within Asian and Pacific Islander (API) communities are often masked due to aggregated data. Lack of adequate data limits required health care services for these communities. While moving forward toward health equity, it is critical that disparities for API communities are acknowledged and addressed. This article focuses on the issues of aggregated data for API communities followed by suggestions on how health sciences librarians can support and promote better practices for data disaggregation.