Medical Library Collections and Services for the 21st Century New resources and new materials

How will medical library collections and services change in the 21st century? What kinds of materials are most important? What formats for information will be most useful? What services will medical libraries be adding or changing?

Collections and materials What are the important types of materials to collect? How are these materials changing?

The journal literature is still the most important resource Where new medical knowledge is published… Now with Internet accessibility personal access to e-formats is desireable Alerting services are important Current Contents™, TACOS services, and Journal Watch-type publications are needed

What e-journals are available? Open access journals are free to all PubMedCentral BiomedCentral Public Library of Science Special programs for developing nations HINARI INASP

Open Access journals access to free, full text, quality controlled scientific and scholarly journals...in all subjects and languages. http://www.doaj.org Medical & health sciences journals http://www.doaj.org/ljbs?cpid=24.org/

PubMed Central “a digital archive of life sciences journal literature at the U.S. National Institutes of Health” http://www.pubmedcentral.nih.gov/about/intro.html http://www.pubmedcentral.nih.gov/front-page/fp.fcgi?cmd=full_view “NLM is taking the lead in preserving and maintaining unrestricted access to the electronic literature, just as it has done for decades with the printed biomedical literature. PubMed Central aims to fill the role of a world class library in the digital age. It is not a journal publisher.”

BioMed Central an independent publishing house committed to providing immediate open access to peer-reviewed biomedical research http://www.biomedcentral.com/info/ http://www.biomedcentral.com/home/ http://www.biomedcentral.com/browse/bysubject/

PLoS- Public Library of Science “a nonprofit scientific and medical publishing venture that provides scientists and physicians with high-quality, high-profile journals in which to publish their most important work” http://www.plos.org/about/index.html PLoS Medicine is an open-access, peer-reviewed medical journal published monthly, online and in print http://medicine.plosjournals.org/perlserv/?request=index-html&issn=1549-1676

HINARI Health InterNetwork Access to Research Initiative Now more than 3503 full text online journals more than 70 publishers are offering their content in HINARI http://www.who.int/hinari/en/

INASP International Network for the Availability of Scientific Publications Vietnam Journals On Line: INASP are working with National Center for Scientific and Technological Information (NACESTI), the Vietnamese Academy of Social Sciences (VASS), and Vietnamese Academy of Science and Technology (VAST) to establish an online platform for Vietnamese journals. It is hoped that the website will be available by the end of 2006 http://www.inasp.info/

Indexing and abstracting tools are still key resources…. IF a journal is indexed, then it will be accessible to users…. The NLM lists of journals indexed for MEDLINE® is an important list

MEDLINE® is first choice

List of Journals Indexed for MEDLINE® It is estimated that there are about 13,000 to 14,000 biomedical titles currently published throughout the world. About 5,000 titles are indexed for the MEDLINE database. List of Journals Indexed for MEDLINE List of Serials Indexed for Online Users 10,582 serial titles, including 4,850 titles currently indexed for MEDLINE http://www.nlm.nih.gov/tsd/serials/terms_cond.html

Other indexes of choice CINAHL® http://www.cinahl.com/prodsvcs/cinahldb.htm covers nursing and allied health literature from 1982 to the present Excerpta Medica/EMBASE a comprehensive pharmacological and biomedical database renowned for extensive indexing of drug information from 4,550 journals published in 70 countries. http://www.info.embase.com/embase_suite/about/

Textbooks remain popular New services and tools provide access to chapter level information Some Internet, CD-ROM and OPAC initiatives are available. Most contain back-of-the-book indexing only there is little access to textbook content from traditional indexing services and library catalogs

Three commercial sources Site licenses and subscriptions are necessary $$$ are needed MDConsult™ StatRef™ McGraw-Hill’s ACCESSMedicine™

MDConsult™ 61 medical textbooks 30 “Clinics” titles In 90% of North American medical schools and by over 1,700 health care organizations in 46 countries http://home.mdconsult.com/offers/standard.html

StatRef™ 126 textbooks and the Stedman’s Medical Dictionary http://www.statref.com/

McGraw-Hill’s ACCESSMedicine™ 11 major medical and surgical texts http://www.accessmedicine.com/

Reference books are still vital tools Drug information/formularies Tables of laboratory values Guides to diagnosis & therapy Directories in-house, telephone, society and association memberships Clinical manuals

eReference Tools are available Use MedlinePlus® from the US National Library of Medicine Dictionary Directories Drug Information

Both Textbooks and Reference Books are changing. Electronic access makes a difference “Palmtop” availability is becoming common Integration into hospital information systems is increasing

Media remain important Audiovisual tools CD-Roms DVDs Software Information management tools Collaborative tools Image collections Models

Other items are also useful Government publications clinical practice guidelines statistical compendia Monographs other than textbooks Autobiographies, histories, etc. Conference proceedings Rare books/history of medicine

Consumer and Patient Education materials are increasing in number Materials in easy-to-read formats Audiovisual & Web materials Materials for patients and families Materials for special populations Workshops & classes

A good list of all the types of materials is available MEDLINE Publication Types definitions labeled in record Searchable http://www.nlm.nih.gov/mesh/pubtypes2002.html

From a list of most widely used reference materials What are the essential 3 print resources that you can't work without in answering Professional Medical reference questions ? DSM-IV-TR Principles of Internal Medicine (Harrison) Physician's Desk Reference (PDR) Dorland's Illustrated Medical Dictionary, Essentials of Medicine (Cecil), Taber's Cyclopedic Medical Dictionary, Merck Manual of Medical Information Stedman's Medical Dictionary http://www.kovacs.com/results/profmedcore.html

Future challenges for collections… Knowledge management systems will acquire, conserve, organize, retrieve, display, and distribute information in a single process….. But we must be able to assure the integrity and maintenance of the knowledge base for the future.….

More challenges… Libraries are becoming knowledge servers. Libraries as archival stores will cease to exist. Librarians and subject experts are coming together more so than in the past.

Will these resources be available in medical libraries in Vietnam? Questions to discuss What technology is necessary to provide these materials? What new skills will be needed to locate, acquire and use these resources? Who are the leaders who can make this change happen?

What about services? If the materials in the collections are changing, the services medical librarians provide to their clients will also change.

Reference services Reference desk E-Reference 24/7 backup Liaison Librarians for Departments Expert Literature Searches Animal welfare Literature Searches History of Medicine

Circulation services Circulation Reserve readings for classes Document delivery & inter-library loan Shelf/stack maintenance

Educational services Classes "Lunch With A Librarian" Series Self-Paced Interactive Educational Programs Customized Instruction for Courses User Guides, and Tutorials Presentations & Workshops

Media & Computer services Hardware Software Technology consultations Computer labs Collaborative & group sessions

Remote services Serving users at a distance Web-based portals to collections and services Ask-a-librarian services

Knowledge creation Library websites Institutional support tools Internet guides Institutional support tools Directories Curriculum-specific materials Portals for users

Consumer health & patient education services Specialized libraries affiliated with large medical and hospital libraries Special sections in public libraries Virtual web-based libraries

First we will see pictures of three patient and consumer health libraries in Pittsburgh. This is the largest patient/family library in Pittsburgh, located in a large medical/surgical hospital..

This is the library for parents and siblings of patients at the Pittsburgh children’s hospital.

Can these new services work in medical libraries in Vietnam? Questions to discuss What technology is necessary to provide these services? What new skills will be needed to provide these services? Who are the leaders who can make this change happen?