1. Frankie Pasion February 14, 2014 1 Challenges and Opportunities in Health Sciences Librarianship: Health and Medical Information Retrieval

2. Overview 2 Explore the challenges in health sciences librarianship with respect to health/medical information retrieval Explore opportunities created to respond to these challenges: new and emerging roles for health sciences librarians

3. Challenges 3 It is estimated that the doubling of medical knowledge in: 1950 was 50 years 1980 was 7 years 2010 was 3.5 “In 2020 it is projected to be 0.2 years – just 73 days… What was learned in the first 3 years of medical school will be just 6% of what is known at the end of the decade from 2010 to 2020.” - Challenges and Opportunities Facing Medical Education, Denson, 2011

4. Challenges 4 The rapid expansion of knowledge challenges our ability to assimilate and apply it effectively Overwhelming amount of information on the internet and online Google, Google Scholar, PubMed, OPAC, etc… Time constraints for end users to navigate through millions of articles, hundreds of journals and dozens of databases End users are not trained to evaluate sources Recent graduates in MLIS lack expert searching skills in health sciences librarianship

5. 5 SOURCESEARCH TERMS rheumatoid arthritis drug treatments rheumatoid arthritis drug treatment therapy “rheumatoid arthritis” AND (therapy OR therapeutics OR treatment) (“rheumatoid arthritis” OR RA) AND (therapy OR therapeutics OR treatment) # of results Google11 million32.5 million23.5 million258 million Google Scholar 274,000773,0001 million4 million PubMed11,00032,00057,000382,000 UIC library catalog 220,000 (HS 41) 173,000 (HS 33) 342,000 (HS 151) 2 million (1113)

6. A - drug treatments rheumatoid arthritis B - rheumatoid arthritis drug treatment therapy C - “rheumatoid arthritis” AND (therapy OR therapeutics OR treatment) D - (“rheumatoid arthritis” OR RA) AND (therapy OR therapeutics OR treatment) 6

7. 7

8. Challenges 8 Examples of informational needs in evidence based medicine: Medical knowledge Text books, journals, databases, web sources Practice guidelines, drugs, clinical trials, research literature etc. Data (health and sickness in populations) Public health departments Other informational needs: Policies, administrative, legal, local information on doctors for referral, etc.

9. Challenges 9 End users and recent MLIS graduates lack the skills required to be expert searchers The Medical Library Association (MLA) defines 13 skills required to become an expert searcher: Ability to identify and search resources beyond the electronically available published literature, gray literature, unpublished information, and Web documents John Hopkins tragedy in 2001 prompts standards Healthy 24 year old asthma volunteer died from hexamethonium, Researcher failed to find multiple citations that indicated risk (used only PubMed) MLA webpage about standards in expert searching http://www.mlanet.org/resources/expert_search/policy_expert_search.html http://www.mlanet.org/resources/expert_search/policy_expert_search.html

10. Opportunities 10 Traditional health sciences librarian roles remain the same today, but they are doing different things now to keep pace with technology. Health sciences librarians are evolving with technology and trends to facilitate the delivery of information and knowledge to students, faculty, researchers, physicians and other medical professionals and consumers of health information Though roles remain the same new opportunities emerge with changing job descriptions and new twists to old roles

11. Opportunities 11 New roles for health sciences librarians documented in literature from 1990-2012 Embedded Librarian: Liaison Informationist Clinical Informationist Public Informationist Disaster relief information specialist New Activities and Changing Roles of Health Sciences Librarians: A Systematic Review, 1990-2012, Diane Cooper and Janet Crum, 2013

12. Opportunities 12 Systematic review librarian Emerging technologies librarian (user experience librarian) Continuing medical education librarian Grants development librarian Data management librarian (research data librarian, data services librarian) New Activities and Changing Roles of Health Sciences Librarians: A Systematic Review, 1990-2012, Diane Cooper and Janet Crum, 2013

13. Opportunities 13 New roles for health sciences librarians identified by job announcements, 2008- 2012 Metadata librarian Digital content librarian Scholarly communication librarian Translational librarian New Activities and Changing Roles of Health Sciences Librarians: A Systematic Review, 1990-2012, Diane Cooper and Janet Crum, 2013

14. Opportunities 14 New twists on old roles Clinical medical librarian Instruction librarian Outreach librarian Consumer health librarian New Activities and Changing Roles of Health Sciences Librarians: A Systematic Review, 1990-2012, Diane Cooper and Janet Crum, 2013

15. Opportunities 15 Job listings, descriptions… Health sciences librarian (listed under healthcare occupations) Health sciences librarian Consumer health librarian Job 1 Job 2 Information scientist/librarian - pharmaceutical

16. Opportunities 16 Posted on MLA website

17. 17 MLA listing

18. 18 Biomedical/Research Services Liaison (UL306 )

19. Conclusion 19 Challenges in health sciences librarianship: health and medical information retrieval Overload of internet and online information The untrained end user lack the skills to effectively retrieve reliable, relevant, results, and the ability to evaluate those sources. Recent MLIS graduates lack hands on experience and clinical experience. Opportunities in health sciences librarianship: New and emerging roles To respond to these challenges new and emerging have developed where librarians have become information specialists, integral to medical teams and institutions Librarians contribute to emergency preparedness, assist researchers and others in data management, reach out beyond the library to serve hospitals and communities with health/medical information needs, provide access through metadata cataloging, select and implement digital sources, and other new roles related to new technologies. Recent MLIS graduate have opportunities via fellowships

20. Questions 20

21. Bibliography 21 Arnott Smith, Catherine. 2005. “An Evolution of Experts: MEDLINE in the Library School.” Journal of the Medical Library Association 93 (1): 53–60. Cooper, I. Diane, and Janet A Crum. 2013. “New Activities and Changing Roles of Health Sciences Librarians: A Systematic Review, 1990-2012.” Journal of the Medical Library Association: JMLA 101 (4): 268–77. doi:10.3163/1536-5050.101.4.008. Densen, Peter. 2011. “Challenges and Opportunities Facing Medical Education.” Transactions of the American Clinical and Climatological Association 122: 48–58. Detlefsen, Ellen Gay. 2012. “Teaching about Teaching and Instruction on Instruction: A Challenge for Health Sciences Library Education.” Journal of the Medical Library Haines, Laura L., Jeanene Light, Donna O’Malley, and Frances A. Delwiche. 2010. “Information- Seeking Behavior of Basic Science Researchers: Implications for Library Services.” Journal of the Medical Library Association: JMLA 98 (1): 73–81. doi:10.3163/1536-5050.98.1.019. Harrison, Janet, and Sally J. E. Sargeant. 2004. “Clinical Librarianship in the UK: Temporary Trend or Permanent Profession? Part II: Present Challenges and Future Opportunities.” Health Information & Libraries Journal 21 (4): 220–26.

22. Bibliography 22 Martin, Elaine R. 2013. “Shaping Opportunities for the New Health Sciences Librarian.” Journal of the Medical Library Association: JMLA 101 (4): 252–53. McGowan, Julie J. 2012a. “Evolution, Revolution, or Obsolescence: An Examination of Writings on the Future of Health Sciences Libraries.” Journal of the Medical Library Association: JMLA 100 (1): 5–9. doi:10.3163/1536- 5050.100.1.003. ———. 2012b. “Tomorrow’s Academic Health Sciences Library Today.” Journal of the Medical Library Association: JMLA 100 (1): 43–46. doi:10.3163/1536-5050.100.1.008. “mlab_93_112.53_60.tp - zotero://attachment/177/.” 2014a. Accessed February 12. zotero://attachment/177/. Savulescu, J., and M. Spriggs. 2002. “The Hexamethonium Asthma Study and the Death of a Normal Volunteer in Research.” Journal of Medical Ethics 28 (1): 3–4. doi:10.1136/jme.28.1.3. Schulte, Stephanie J. 2011. “Eliminating Traditional Reference Services in an Academic Health Sciences Library: A Case Study.” Journal of the Medical Library Association: JMLA 99 (4): 273–79. doi:10.3163/1536-5050.99.4.004. Tarver, Talicia, Dixie A Jones, Mararia Adams, and Alejandro Garcia. 2013. “The Librarian’s Role in Linking Patients to Their Personal Health Data and Contextual Information.” Medical Reference Services Quarterly 32 (4). doi:10.1080/02763869.2013.837730. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3818718/.