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Poster Abstracts

Anatomy of a Chapter: the History and Milestones of MAC, the Mid-Atlantic Chapter.

Presented by: MAC/MLA Centennial Task Force: Diane McKenzie, Co-Chair, Beverly Murphy, Bebbie Rhodes, M.J. Tooey, Janie Trumbull, Co-Chair.

Poster includes: history of MAC; chronology of MAC meetings with dates, locations, chairs and themes; a section on the group's founders: Estelle Brodman, Scott Adams, and Ida Marian Robinson; display of programs from past meetings; samples of early MAC Messages, current membership; and a section honoring a pre-MAC notable of our region: Marcia C. Noyes of the Medical and Chirurgical Faculty of Maryland Library.

Morning Report -- A "Teachable Moment"

Presented by: Connie Schardt, Education Coordinator; Anne Powers, Reference Librarian; Eric Albright, Head, Public Services, Medical Center Library, Duke University

Morning Report for the 8-week General Medicine rotation at Duke University Medical Center requires the residents to identify and present appropriate articles addressing real-life patient care issues. This component of Duke's efforts to incorporate the practice of evidence-based medicine into residency training requires competency in database searching, especially using MEDLINE on the Ovid system. The Information and Education Services staff of the Medical Center Library has developed classes and web pages as part of its Ovid training program, but residents don't always have time to attend the classes. The Education Coordinator for the Library and the Program Director for Resident Training had an unexpected opportunity to discuss this dilemma. Together they came up with a pilot project to incorporate Ovid "mentoring" into the Morning Report. Morning Report is held Monday through Thursday from 9 am to 10 am. The meeting has two parts: the presentation of an "EBM" article relevant to an actual case, and two presentations of interesting or problematic patient cases for discussion. Our project adds 30 minutes to Morning Report on Thursdays. The group meets at 8:30 am with a librarian to discuss Ovid search strategies based on a clinical question decided upon the prior week. The residents present their strategies, and the librarian offers suggestions on improving the quality and efficiency of the search. Tip sheets and additional information about new databases and services are also provided. Feedback has been very positive, and the Library is exploring methods of evaluating the project.

Turning a Library Inside Out and Upside Down

Presented by: Karen Crowell, M.L.I.S., Acting Head of Reference, East Carolina University

The William E. Laupus Health Sciences Library is located on the first and second floors of the Brody Medical Sciences Building at East Carolina University in Greenville, North Carolina. In late 1997, discussions began on the ned to reorganize and relocate departments within the library in order to consolidate services. An architect was called in to draw up plans in which most public service areas would be relocated to the first floor and technical services would move to the second floor where the monographs and serials collections were already located.

The entire focus of the discussions shifted, however, when it was suggested that the entrance to the library, tucked away on the side of the Brody building, be moved to the front of the building next to the main entrance. When it was discovered that plans were already being made to remodel the main entrance to the Brody building, the possibility of combining the two projects made the idea not only feasible but practical as well. The HSL would have to move quickly in order to take advantage of the opportunity to "piggyback" onto the existing project, though, and expenses would have to be kept to a minimum.

This poster describes the process by which the entire library has subsequently been turned inside out and upside down over the last few months. Staging has been critical. Relocating the unbound journals to make room for the new service desk on the first floor, for instance, required shifting the reference collection and moving the printed index collection upstairs to the second floor, which in turn required shifting some of the bound journals and relocating copy machines.

It was hoped that the project would be finished before the beginning of the fall semester but now it remains to be seen whether or not the project will be completed before this poster session is held in October. In the meantime we have had to ask our clients to bear with us as we tear down walls, dismantle shelving, and relocate entire collections, trusting that eventually we will all benefit from a new and more efficient arrangement of our staff and resources.

Physicians and Librarians - Enhancing the Telemedicine Consult

Project Participants - Linda F. Turner and Amanda S. Foss, Laupus Health Sciences Library, East Carolina University, Greenville, NC; Douglas Barnum, Debi Crotts, Gloria L. Jones, Charles W. Kesler, and Lance O. Rogers, Center for Health Sciences Communication, East Carolina University, Greenville, NC

In response to the need for patient-level information within the East Carolina University Telemedicine Program, librarians from the Laupus Health Sciences Library work in conjunction with telemedicine staff and ECU physicians to identify web resources which can be printed, as needed, and given to patients. This poster session illustrates the continuous interaction between librarians, telemedicine professionals, and physicians that is necessary to provide quality health information to patients.

Telemedicine staff begin the process by contacting participating physicians, who list ten or fewer of their most frequent consultation diagnoses. Librarians receive these lists, search for corresponding web sites containing patient-level information, and forward results to telemedicine staff. The results are inserted into a web page template and loaded on the telemedicine server. This offers doctors in each specialty an opportunity to access and review sites prior to formal inclusion on the web page.

Physicians access the index of pre-approved web sites and select appropriate patient information. The selected information is printed out at the rural health facility and distributed to the patient. When physicians require additional information for unusual cases, they may submit an electronic request form accessible from the bottom of each page. This request is forwarded to the Laupus Health Sciences Library's Reference Department. A librarian conducts a search for further relevant Internet sites and e-mails results to the physician for approval and distribution to the patient.

Maintenance is an ongoing process. Indexed web sites are periodically checked by library staff to verify URLs, while server issues are handled by telemedicine staff. As librarians and physicians identify and approve new sites, telemedicine staff update the index, and patients benefit from improved access to information.

When its not Free Anymore: Promoting the Unpopular

Presented by: Beverly Murphy, Head, Marketing and Publications; Julie Garrison, Head, Electronic Resource Services; Derrick Vines, Staff Specialist, Medical Center Library, Duke University, Durham, NC

Recently, the Library has seen the cost of paper and number of printed pages in our recycling bins rise to new levels. With the advent of electronic access to full text and graphics via Ovid and the Web, paper and printing costs were expected to further escalate. After investigating alternatives to our current printing practices, we decided to initiate charging for printing in certain areas of the Library. This decision resulted in the installation of the Lynx-5000 Network Printer Manager. A task force then brainstormed for ways to positively market this transition, focusing specifically on the benefits of the new service. Formulating a slogan that could be adopted to different formats, marketing the implementation as an event, and identifying channels of publicity, were the primary challenges that needed to be addressed. Superb planning allowed us to meet these challenges, and since this service has been implemented, the complaints have been few. This learning experience has further equipped us with the tools necessary to promote future projects, especially those which may be of an unpopular nature.

Partners in Distance Learning

Presented by: Janet G. Bangma, Laupus Health Sciences Library, East Carolina University, Greenville, NC; Russet R. Hambrick, Library and Information Services, Southern Regional AHEC, Fayetteville, NC; Eric D. Albright, Medical Center Library, and Patricia L. Thibodeau, Medical Center Library, Duke University, Durham, NC.

Distance learning or off-campus programs raise unique issues and challenges in the delivery of library services to remote users. However, when three different institutions and library systems become involved in serving an educational program, coordination of services and resources takes on whole new meaning. Service issues quickly arise such as uniform fees for service, remote delivery of materials, passwords to multiple database systems, borrowers cards to three libraries, and document delivery. Add to this the complexity of a computer-based curriculum with students scattered over a larger geographic area, then service issues become even more complicated. The health sciences libraries at East Carolina University, Southern Regional AHEC and Duke University will share how they are dealing with the Duke-ECU Partnerships for Training which is delivering a masters level curriculum to family nurse practitioners, nurse-midwives, and physician assistants in rural eastern North Carolina. The program not only involves private and state universities, but also overlaps with the existing North Carolina Areas Health Education Center program, especially the Southern Regional and Eastern AHEC regions. Library-related issues that had to be considered and resolved will be identified. Examples of Web pages and forms created to assist the students will be exhibited. The ECU, SRAHEC, and Duke libraries will show how they coordinated services and policies to support a curricula designed to allow students to earn a degree without leaving their local community.

Sara Peterson Delaney: A Historic African American Medical Librarian

Presented by: Lavonda Broadnax, Library of Congress

In 1924, Sara Peterson Delaney, an African American librarian, was recruited from the New York Public Library system to establish library service at the Tuskegee Veterans Administration (VA) Hospital. This hospital was constructed specifically for African American veterans as one solution to the racist treatment they received in the VA Hospital System. All though an extremely controversial decision, President Harding decided that the staff of this VA hospital should be African Americans.

For Sara Delaney, participation in the Medical Library Association (MLA), would certainly have been an asset as she developed the library resources at Tuskegee. In 1924, however, she could not "get on board." MLA did not allow participation by African Americans. This second class treatment from MLA fortunately, didn't impugn her from developing a vision for first class library service at Tuskegee.

One major and pioneering component of her vision was bibliotherapy. Her bibliotherapy service was classed as an effective therapeutic measure in the rehabilitation of patients. Her work grew to be very well respected. Even the MLA Bulletin (June 1958) eventually acknowledged her as a pioneer in bibliotherapy. Articles describing her techniques were published in local, national, and international journals. She received numerous citations, honors and awards. VA librarians, library school students and librarians from as far away as Europe traveled to Tuskegee to study directly under Dr. Delaney.

She was an exemplary health sciences librarian who achieved in spite of the racist atmosphere in MLA and America.

The Library's Role in Health Sciences Informatics: A Distance Education Example

Presented by: Catherine Delia and Anne Linton, Himmelfarb Health Sciences Library, The George Washington University Medical Center

In acknowledgement of the importance of information/computer literacy in the curriculum, the AAMC recently issued a set of Medical Informatics Objectives as part of its Medical School Objectives Project. The crucial need for education in this area extends to all types of health sciences education including distance education students. Librarians from the Himmelfarb Health Sciences Library developed and taught Health Sciences 106, Foundations of Information Management Systems, as a distance education class for the George Washington University Health Sciences Program. Taught completely online via the WWW and e-mail, this class is designed to introduce students to the management of information in an automated environment. Activities assigned teach students how to gather, evaluate, organize, present, and manage the information they need to support successful health sciences careers. The class is a one credit, pass/fail course, required for the Clinical Management Leadership program. The class, first taught during the Spring 1998 semester enrolled five students. There are ten separate lessons covering, Introduction to DOS and Windows 95, Internet Basics, Introduction to Word Processing and Microsoft Word, Electronic Mail and Listservs, Ethics and Copyright in the Electronic Environment, Finding What You Need on the Internet, Evaluating Materials Published on the Internet, Doing Professional Research on the Internet: PubMed, Introduction to Microsoft Excel, and Introduction to Presentations and PowerPoint. Each lesson is separate and includes module objectives, an introduction to the topic, the assigned activities, and links to Internet resources about the topic. An online discussion forum provides a place to share ideas with other students in the class. Students are evaluated on the basis of a final project designed to integrate all the lessons and demonstrate skills acquired during the semester.

Providing Internet Access in the Main Reading Room of the National Library of Medicine (NLM)

Presented by: Adam Glazer, Reference Librarian, National Library of Medicine

Internet access for the Main Reading Room was proposed in mid-1997. NLM's Reference Section decided to offer a unique home page for the dedicated Internet workstation that would point individuals to predetermined and medically relevant health-related Web sites. It would also provide information about NLM's facilities, including an HTML slide show, geared toward first-time Library visitors, providing facts and instructions about using the Library's Main Reading Room.

It was also decided to convert the Library's LC Access workstation (which provided DOS access to the Library of Congress and NIH Library card catalogs) to another Internet workstation. A second home page would be designed to provide access to 50 Washington, DC-area libraries' home pages and card catalogs via Web browsers and telnet.

Both workstations were operational in early 1998, and with the success of the first two workstations, two more "virtual workstation" topical pages were commissioned. As a federal depository library, the Government Documents workstation provides access to US Government publications and directories. The Electronic Journals workstation provides access to several government-produced journals and newsletters, as well as a few selective MEDLINE-indexed, electronic-only commercial journals.

All workstations' Web pages were also mounted on NLM's Intranet, providing access to NLM employees from the convenience of their desks.

Getting Faculty on Board for Library Research Instruction

Presented by: Cynthia Phyillaier and Patricia Hinegardner, Health Sciences and Human Services Library, University of Maryland

In the fall of 1997 the library liaisons to the School of Nursing at the University of Maryland developed an information literacy assessment tool for nursing students. This tool documented that there is a need for library research instruction for these students. In cooperation with Nursing's Director of Student Services and a nursing faculty member, the tool was pre-tested on a small group of nursing students. Based upon the results and on suggestions offered by students, the tool was slightly revised to clarify the wording of questions.

The fourteen question assessment was administered at the general orientation sessions of graduate and undergraduate nursing in the fall of 1997 and the spring of 1998. The participation in the questionnaire was voluntary. In the Fall, 47% of the 200 graduate students and 46% of the 320 undergraduate students completed the assessment.

After analyzing the Fall results a meeting was held with the Acting Directors of Graduate and Undergraduate Nursing and the Director of Student Services. Using graphs to illustrate selected areas of concern, a discussion was held in which the members from the School of Nursing agreed that there was a need for information literacy instruction. Several options for alterations in the current library programs were discussed and are being explored.

This poster will highlight the assessment tool and selected results.

Extending the Web: The Northern and Northwestern Virginia AIDS Information Outreach Projects

Presented by: Lorraine Sitler, HIV/AIDS Resource Librarian, Virginia Commonwealth University

In response to increasing needs for access to Internet HIV-related information resources for health care professionals in the state of Virginia, the AIDS Resource Library of University Library Services, Virginia Commonwealth University, undertook a project to supply interested AIDS service organizations in northern Virginia with access to the Internet and relevant training, including a VCU-developed course template called "Web Course in a Box". Funding was granted by the National Library of Medicine. As the project proceeded in northern Virginia, interest developed in extending training and Internet access to the northwest region of the state, with modifications to meet the special needs of rural areas. NLM has funded extension of the project to this northwest Virginia region.

This poster presentation will demonstrate the four main phases of the Internet training process as offered to the participants. Phase 1, "Getting the organizations connected", will show how the participating AIDS service organizations were equipped to access the Internet. Phase 2, "Face- to-face training", will discuss the group and on-site training sessions conducted. Phase 3, "Online seminar", will describe the customized online training made available through "Web Course in a Box". A stand-alone demo of this seminar will be shown on a laptop computer, as part of the poster display. Phase 4, "Outcomes", will show statistics and specific examples of ways in which the participating organizations benefitted. Photographs and brochures relevant to the projects will be included for visual significance.

Centennial Celebration: Capitalizing on Tradition

Presented by: Pascal Calarco; John D. Jones, Jr.; Jodi L. Koste; Phyllis C. Self; Lorraine C. Sitler; Mona H. Thiss; Lynne U. Turman; Barbara A. Wright, Tompkins-McCaw Library, Virginia Commonwealth University

During the 1997-98 academic year, Virginia Commonwealth University's Tompkins-McCaw Library celebrated one hundred years of service to health sciences professionals. This anniversary presented an opportunity to:

A series of special events were held during six months of celebration that culminated in a two- day conference focusing on digital libraries. Various exhibits - from historic realia to a web- based time line- entwined past accomplishments and possibilities of the future. Even the celebration's custom-designed symbol, utilized on a banner, a flag, and the web page, underscored the festive occasion while showing the library's movement into the next millennium.

The poster presentation will feature the celebration's banner, descriptions and pictures of special events and exhibits, and highlights from its digital library conference. A stand-alone computer demonstration will feature some of the special Centennial Celebration web pages.

Portable Computers in a Decentralized Rural Family Medicine Clerkship

Presented by: Gregory A. Doyle, M.D. and Terrance M. Burton, MLIS West Virginia University

In a multidisciplinary approach, the Department of Family Medicine, the Health Sciences Library, and WV CONSULT, a rural health information management system, have been teaching computer skills to third year medical students in preparation for their predominantly four to eight week rural rotations. Since 1993, students have been provided with a laptop computer and access to the WV CONSULT network. As part of their orientation, training is provided in electronic mail, MEDLINE searching using Grateful Med, and word processing. They then travel to a variety of decentralized clinical training sites throughout the state. The computer connectivity allows students to have access to Grateful Med and other information management programs, in addition to e-mail for communication among themselves and with the program administration. In the course of the program, numerous hardware, software, and connectivity problems have been encountered and overcome. The poster will focus on the training program, the challenges of providing rural off-site connectivity, and the solutions we have devised through the five years of the Family Medicine Rural Health Clerkship.

Single Point of Access

Presented by: Terrance M. Burton, Rusty Russell, Laura Roth, Chris Lambert, Michele Kondrla, Kim Rodney, Brian Sinsel, Jean Siebert, West Virginia University

West Virginia University is changing its School of Medicine Curriculum including development of electronic resources. The Single Point of Access group includes key members from Academic Technologies, the Information Systems Operations Department, Health Sciences Library, and WVU Libraries. The first major project of this group was recommending which resources Should be made available for first year medical students and developing web pages for these students. Another goal of the project is to standardize resources between the Health Sciences Library and the Computer Based Learning Center.

Explore samples of our web pages, and look at an example of our standardized library and computer labs computer screen. Learn about strategies for planning and coordination of information sources between many departments though our personal experiences and handout. Discover our future plans for evolving this project.

Age as A Factor in the Informational Needs of Breast Cancer Patients

Presented by: Patricia Greenstein and Gary Greenstein, East Carolina University

Purpose: To determine if the informational needs of, and information supplied by health care providers to breast cancer patients, in Eastern North Carolina, are influenced by the patients age. To identify information needs of these breast cancer patients and develop a brochure of resources to meet the needs of this population.

Methodology: A questionnaire, based on a model first used by Luker et al (1995), and grounded on the work of Thurston (1974) was adopted for use in assessing the information needs of breast cancer patients at the Leo Jenkins Cancer Center, Greenville, NC. Respondents were also asked to identify resources of which they are aware, which have proven helpful in meeting their information needs. The researchers built upon this resource base to develop a brochure suitable for use by these population groups.

Results: The researchers will report the results of the questionnaire on information needs, based on age, in breast cancer patients under/over 50 in Eastern North Carolina. The Researchers will build upon this resource base to develop an annotated list suitable for use by these population groups.

Community Clinics Internet Connection

Presented by: Diana McDuffee and Jill Mayer, NC AHEC Library and Information Services (LIS) Network, University of North Carolina at Chapel Hill

The NC Area Health Education Centers Library and Information Services (AHEC LIS) Network received a $50,000 grant from the National Library of Medicine to extend Internet connections and resources to primary health care providers practicing in the state's rural communities.

Grant money is providing Internet service provider accounts for at least 120 rural community health clinics for one year. The clinics, geographically dispersed across the state, train health students from UNC-CH, Duke University, Wake Forest University, East Carolina University, the University of North Carolina at Greensboro and other colleges and universities.

The NC AHEC Library and Information Services Network librarians are providing training and technical assistance to health professionals in the clinics. Training includes Internet, OVID database searching, email, and evidence-based practice. In addition, grant funds are used to upgrade the speed of the existing Internet connection at Area L AHEC in Rocky Mount.

The poster will show the geographic locations of the sites, describe the training provided by AHEC librarians, and demonstrate how a "virtual clinical campus" is being created.

The coordinator of the AHEC LIS Network, Diana McDuffee, is principal investigator. She and Jill Mayer, Health Sciences Library outreach librarian, along with AHEC librarians, will administer the grant.

Creating a Unified Service Center- Activities and Challenges

Presented by: Martha Bedard, Associate Director, Library Services and Margaret Moore, Users Services Department Head, University of North Carolina at Chapel Hill

The Health Sciences Library at the University of North Carolina Chapel Hill expects to open a new unified service center by the Spring, 1999. The User Services Center will consolidate services currently provided at three service points: Information, Circulation, and Curriculum Support. This new service model aims to minimize the number of places users must go to get the information sought, maximize the number of hours services are available, and optimize the use of library staff. Creation of the vision, guiding principles, departmental organization, definition of new skill sets, training plan, online help, communication with staff and users, and remodeling layouts for the physical facility have all been addressed in the planning process and are highlighted in this poster.

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Last Updated: November 2, 1998
Comments to: Lynn Eades, Poster Session Coordinator