Sources of information on postgraduate medical training programs--update

This is an update of an earlier article listing directories, journal articles, and general books that aid the librarian, resident, or medical student in finding information on residency and fellowship programs. The article also gives suggestions for building a file of program catalogs related to residencies, fellowships, and clerkships and related materials.     

An SDILINE profile oriented to patient care.

Hospital physicians naturally require current medical information in order to treat their patients. An objectively obtained SDILINE storesearch was devised to obtain this information. A rank-ordered list of hospital discharge diagnoses, coded with ICDA terms, was translated into MeSH. The top two Bradford zones of journals defined as useful at the University of Missouri--Kansas City were ANDed to these MeSH terms. Citations retrieved from the storesearch are input into an in-house computerized data base. The method can be easily used by other medical or hospital libraries without access to computers.     

Indexing consistency in MEDLINE

The quality of indexing of periodicals in a bibliographic data base cannot be measured directly, as there is no one "correct" way to index an item. However, consistency can be used to measure the reliability of indexing. To measure consistency in MEDLINE, 760 twice-indexed articles from 42 periodical issues were identified in the data base, and their indexing compared. Consistency, expressed as a percentage, was measured using Hooper's equation. Overall, checktags had the highest consistency. Medical Subject Headings (MeSH) and subheadings were applied more consistently to central concepts than to peripheral points. When subheadings were added to a main heading, consistency was lowered. "Floating" subheadings were more consistent than were attached subheadings. Indexing consistency was not affected by journal indexing priority, language, or length of the article. Terms from MeSH Tree Structure categories A, B, and D appeared more often than expected in the high-consistency articles; whereas terms from categories E, F, H, and N appeared more often than expected in the low-consistency articles. MEDLINE, with its excellent controlled vocabulary, exemplary quality control, and highly trained indexers, probably represents the state of the art in manually indexed data bases.