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1.
OBJECTIVE: To evaluate the adequacy of the MEDLINE instruction routinely given to all entering medical students at the University of Miami School of Medicine and the ability of students to search effectively for and retrieve evidence-based information for clinical decision making by the end of their third-year. METHODOLOGY: The authors developed and implemented a strategy for evaluating the search strategies and articles selected by third-year students, who participated in the Objective Structured Clinical Examination (OSCE) in June 1996, 1997, and 1998, and reviewed the literature on evidence-based medicine and evaluation of medical student searches. RESULTS: A mean of 5% of the students' search strategies and a mean of 26% of articles selected were ranked "excellent" or "good"; a mean of 26% of search strategies were ranked "fair" and a mean of 69% were ranked "poor"; and a mean of 22% of articles selected were ranked "fair" and a mean of 52% were ranked "poor" based on the strategy developed to evaluate student searches. CONCLUSIONS: Evaluating medical student searches for evidence-based information is an effective way of evaluating students' searching proficiency, and, in turn, the adequacy of the instruction they receive. Based on the results of the OSCE test, the school of medicine expanded the library's educational role and the library implemented major changes in the training program. Information on evidence-based medicine is now incorporated into the MEDLINE instruction. Library faculty evaluate the required searches performed by students for evidence-based information during their first and second years; 30% of students are identified for follow-up, individualized instruction based on the evaluation; and a new case-based curriculum has been proposed with a fourteen-week problem-based learning (PBL) block. These developments are timely in light of the evidence-based competencies recently published by the Association of American Medical Colleges.  相似文献   

2.
For more than twenty years, the Ruth Lilly Medical Library has been a traditional part of the Indiana University School of Medicine curriculum. Recently, following changes to the curriculum, the Library's role has evolved to include responsibility for developing and teaching a Medical Informatics rotation as part of the senior year clerkships. Heavy emphasis is placed on acquiring life-long learning skills, especially on locating and critically appraising the best clinical evidence in the medical literature. In its first four months, the rotation has been quite favorably received by both students and faculty, but will continue changing to keep pace with future curriculum alterations and new technology.  相似文献   

3.
Librarians worked with faculty in the School of Medicine to integrate iPad tablets into the third-year pediatric clerkship. The use of the technology allowed students instant access to information in the clinical setting and simplified the management of the course. In addition, a variety of tablet and e-reader devices were purchased for patron check-out. Library management of the devices is discussed. Use of the devices is described, and student reactions are presented.  相似文献   

4.
The Health Sciences Library and the Department of Health Informatics & Information Management at the University of Tennessee Health Science Center in Memphis piloted an embedded librarian project in summer 2012. The value and effectiveness of the pilot project was evaluated by analyzing the content of e-mail questions received from the students and the students’ answers to the pre- and post-class surveys. The project received positive feedback from the students and course faculty. Librarians collaborating with teaching faculty and interacting one-on-one with students in health information-intensive courses proved to be helpful for student learning.  相似文献   

5.
Library integration into the medical school curriculum is a crucial aspect of meeting Liaison Committee on Medical Education (LCME) Accreditation Standards and the Association of American Medical Colleges (AAMC) Medical School Objectives Project (MSOP) guidelines. To accomplish this, academic health sciences libraries seek to develop evidence-based medicine (EBM) literature searching classes within the medical school curriculum. Establishing a basic understanding of the fundamental concepts behind health sciences database searching among medical students is a prerequisite for a more demanding evidence-based literature searching curriculum. The George T. Harrell Health Sciences Library, Penn State College of Medicine, sought to incorporate an evidence-based medicine literature searching structure by working within the existing problem-based learning system during the preclinical years. Students in the clinical years will participate in evidence-based assignments during their rotations. A fourth-year EBM elective will be created to reinforce and round out students' exposure to these concepts.  相似文献   

6.
A National Library of Medicine information access grant allowed for a collaborative project to provide computer resources in fourteen clinical practice sites that enabled health care professionals to access medical information via PubMed and the Internet. Health care professionals were taught how to access quality, cost-effective information that was user friendly and would result in improved patient care. Selected sites were located in medically underserved areas and received a computer, a printer, and, during year one, a fax machine. Participants were provided dial-up Internet service or were connected to the affiliated hospital's network. Clinicians were trained in how to search PubMed as a tool for practicing evidence-based medicine and to support clinical decision making. Health care providers were also taught how to find patient-education materials and continuing education programs and how to network with other professionals. Prior to the training, participants completed a questionnaire to assess their computer skills and familiarity with searching the Internet, MEDLINE, and other health-related databases. Responses indicated favorable changes in information-seeking behavior, including an increased frequency in conducting MEDLINE searches and Internet searches for work-related information.  相似文献   

7.
The latest release of GRATEFUL MED offers medical libraries an opportunity to monitor searching patterns of end users searching the databases of the National Library of Medicine (NLM). A GRATEFUL MED use log records information from each search session. Analysis of the log from a recent beta test program at the Welch Medical Library indicates that most NLM searches occur in the MEDLINE database. Moreover, the study reveals that searchers overlook many user-friendly features of the program. Evaluation of the use log suggests changes for future versions of the program.  相似文献   

8.
The Keck School of Medicine of the University of Southern California's newly revised Year I-II curriculum integrates information literacy components based on the AAMC's medical informatics objectives throughout the two-year continuum. Students are required to participate in various components taught by librarians from the Norris Medical Library including (1) an information skills workshop, (2) a yearlong literature search project, and (3) an evidence-based medicine resources workshop. Critical appraisal of literature also is included in the curriculum to ensure that the students are familiar with the various research study designs. Librarians also provide resources to assist students in researching learning issues related to cases presented in the curriculum. To encourage the faculty mentors to serve as good models of information users, librarians offer brief training sessions on information resources to faculty.  相似文献   

9.
In 2009, the Woodruff Health Sciences Center Library started a library instruction dialogue with the medical students and faculty from the Emory School of Medicine. These discussions exposed a gap among faculty, students, and librarians in their perceptions of information processing. Follow-ups with the Associate Deans for Student Affairs and Medical Education led to the decision to administer an online assessment of the incoming student body and a complete redesign of the library orientation program. The aim of using self-assessment methodology in the framework of an orientation program was to set the students' foundation for self-discovery and introduce them to self-learning.  相似文献   

10.
In 2009, the Woodruff Health Sciences Center Library started a library instruction dialogue with the medical students and faculty from the Emory School of Medicine. These discussions exposed a gap among faculty, students, and librarians in their perceptions of information processing. Follow-ups with the Associate Deans for Student Affairs and Medical Education led to the decision to administer an online assessment of the incoming student body and a complete redesign of the library orientation program. The aim of using self-assessment methodology in the framework of an orientation program was to set the students' foundation for self-discovery and introduce them to self-learning.  相似文献   

11.
In August 2009, the Herbert Wertheim College of Medicine Medical Library opened its doors to students, faculty, and staff. One of the many challenges before opening the library was developing a unique and autonomous interlibrary loan service for its patrons. This article examines the decisions in choosing the best document delivery system, the management of funds, and the selection of holdings for a new medical library. Along with these decisions, there is discussion on the significance of costs, turnaround times, and challenges going forward.  相似文献   

12.
Library instruction often involves one-shot sessions where librarians interact with students for a short period of time and are then left wondering what the students thought of the session and if students perceive the session as helpful for their course work. Using two surveys to gather data, this study compared student perceptions of a redesigned library curriculum and of their own information literacy skills immediately after attending a library workshop and six weeks later after completing a research paper. The findings indicate that the library workshop is meeting student needs and has a lasting effect. Additionally, the researchers found that students were better able to articulate gaps in their own knowledge after having the opportunity to apply their skills to a research assignment. The researchers recommend that librarians using surveys to inform one-shot curricular changes gather data after students have applied the skills and knowledge gained in the instruction session.  相似文献   

13.
MEDLINE (MEDLARS-ON-LINE) is the new on-line, interactive bibliographic searching system which was recently developed by the National Library of Medicine. The system provides users with lists of bibliographical citations and other information from a three-year file of over 1,250 biomedical journals. A survey testing user reactions was conducted at the University of Virginia Medical Library. The results of the survey are based on replies by 246 users who requested one or more MEDLINE searches between September 1972 and March 1973. The findings indicate that over 93% believe that MEDLINE is a substantial improvement over the traditional methods of searching through the printed indexes. These respondents also stated that the results of MEDLINE searches had assisted them in their clinical or research work, or both. Asked whether they would continue to use MEDLINE after the imposition of user charges on July 1, 1973, about 75% said that they would. The remaining 25% expressed some reservations and doubts. The survey gives reason to believe that with the imposition of user charges the use of MEDLINE will decline.  相似文献   

14.
ABSTRACT

The geographically, culturally, and academically diverse student population of Southern New Hampshire University encompasses more than 30 time zones and includes students enrolled in bachelors, masters, and doctoral programs. There is a constant challenge to reach out and make them aware that they have at their disposal an academic support resource such as the university's Shapiro Library. Although the Internet is an integral part of how our off-campus students “get to class,” its search engines also remain a means for conducting much if not all of their academic research.

RoboDemo(now Captivate) tutorials are continuing to be developed to attract and inform our students about the library's capabilities to assist them with their academic work. Housed in a Blackboard OCLS Resource space for SNHU Online faculty, these tutorials are available for downloading and insertion in individual classes. The tutorials are also available directly to students for viewing via the Shapiro Library Web page. This session will walk attendees through the deciding factors behind their development and the accompanying “learning curve” of lessons picked up along the way.  相似文献   

15.
The University of Florida Health Science Center Library (UF-HSCL) surveyed MEDLINE end-user activities of the faculty from the six colleges which the UF-HSCL serves. A questionnaire was developed and sent to all faculty members. The Basic SAS program was used to analyze the collected data. This survey was intended to identify the users, the reasons for faculty members not being end users, the purpose for searching MEDLINE, the information retrieval methods, the level of end-user satisfaction, and the librarian's role in information retrieval activities. Many findings from this survey were in agreement with those of the 1988 study by the National Library of Medicine.  相似文献   

16.
The formulation of clinical decisions based on evidence requires the ability to locate information and evaluate it critically. A ten-week critical appraisal course for third-year medical students, taught cooperatively by library and Department of Medicine faculty, integrates education in the selection, evaluation, and application of information to patient care. The course is distinctive in that information management skills are taught by a multidisciplinary team in a problem-based format as part of the compulsory medical curriculum. Medical faculty provided instruction in reading and evaluating research methodology, as well as statistical analyses in published reports, using clinical scenarios and related journal articles at weekly sessions. Library faculty provided instruction in locating pertinent research on a sample clinical problem using standard printed and computerized indexes and local library resources, and presented criteria for selecting the most useful and significant works from those retrieved. Library faculty also met individually with students to provide instruction in online literature searching. Based on formal evaluation and informal feedback, the course was well received; it effectively presents the literature search as an integral part of critical appraisal of the medical literature and of the clinical decision-making process.  相似文献   

17.
Abstract

This article describes a 12-year collaboration between a special collections librarian and history faculty for an undergraduate history writing course at Vanderbilt University. Originally taught as a one-shot session, the final 9 years of the course embedded the class into Special Collections for 10 weeks of primary source research. This article describes the evolution of the course from a one-shot session to full embedding, the mechanics involved in managing the sessions in Special Collections, student support considerations, and tips for other librarians offering such sessions.  相似文献   

18.
This article will describe the New Jersey Medical School (NJMS) Family Medicine clerkship's Information Seminars for thirdyear medical students, conducted by the faculty and staff of the Department of Family Medicine and by librarians at the University of Medicine and Dentistry of New Jersey's (UMDNJ) George F. Smith Library of the Health Sciences. Content of the information seminars will be briefly described, as well as the renewed focus on the library through the incorporation of evidence-based medicine concepts into practice.  相似文献   

19.

Objectives:

The research investigated the extent to which students, residents, and faculty members in Canadian medical faculties use mobile devices, such as smartphones (e.g., iPhone, Android, Blackberry) and tablet computers (e.g., iPad), to answer clinical questions and find medical information. The results of this study will inform how health libraries can effectively support mobile technology and collections.

Methods:

An electronic survey was distributed by medical librarians at four Canadian universities to medical students, residents, and faculty members via departmental email discussion lists, personal contacts, and relevant websites. It investigated the types of information sought, facilitators to mobile device use in medical information seeking, barriers to access, support needs, familiarity with institutionally licensed resources, and most frequently used resources.

Results:

The survey of 1,210 respondents indicated widespread use of smartphones and tablets in clinical settings in 4 Canadian universities. Third- and fourth-year undergraduate students (i.e., those in their clinical clerkships) and medical residents, compared to other graduate students and faculty, used their mobile devices more often, used them for a broader range of activities, and purchased more resources for their devices.

Conclusions:

Technological and intellectual barriers do not seem to prevent medical trainees and faculty from regularly using mobile devices for their medical information searches; however, barriers to access and lack of awareness might keep them from using reliable, library-licensed resources.

Implications:

Libraries should focus on providing access to a smaller number of highly used mobile resources instead of a huge collection until library-licensed mobile resources have streamlined authentication processes.  相似文献   

20.
The purpose of this project was to introduce first-year medical students to electronic resources that are best suited for different types of background questions. Specific questions from a case study were presented, and the students generalized them into a “type” of question. They then identified the best e-resources for that type of question. This is their first introduction to the lifelong learning competency in the Indiana University School of Medicine competency-based curriculum.  相似文献   

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