Expanding rural primary care training by employing information technologies: the need for participation by medical reference librarians     

Coggan JM  Crandall LA 《Medical reference services quarterly》1995,14(1):9-16

The use of rural sites to train badly needed primary care providers requires access to sophisticated medical information not traditionally available outside of academic health centers. Medical reference librarians can play a key role in the development of primary care training sites in rural settings. Electronic information technologies, with proactive support from medical reference librarians, can provide current and detailed information without concern for distance from the health science center library. This paper discusses recent developments in technology, describes current challenges to the application of this technology in rural settings, and provides policy recommendations for medical reference librarians to enhance rural primary care training.  相似文献   

Reconciling rising serials costs, the serials budget, and reference needs in a medical library serials retrenchment program: a methodology     

Spang L 《Medical reference services quarterly》1995,14(1):33-44

Devising a coherent serials retrenchment plan while maintaining quality reference service is a dilemma faced by increasing numbers of medical librarians. In 1991, the staff of the Shiffman Medical Library, Wayne State University, began to address increasing serials budget reductions that by 1994 amounted to a projected 20% maximum cut. The resulting retrenchment plan combined an ongoing serials use study, faculty and librarian reviews of cancellation lists, and systematic refinements in interlibrary cooperation and document delivery service. The Shiffman plan provides a constructive framework that can be adapted to other medical libraries facing immediate, major serials retrenchment.  相似文献   

Analysis of the use of reference services in an academic health sciences library     

Sullivan W  Schoppmann LA  Redman PM 《Medical reference services quarterly》1994,13(1):35-55

In 1991, the Reference and Information Services staff of the Alfred Taubman Medical Library at the University of Michigan gathered data on the use of the reference desk, including the frequency and types of assistance requested by different user groups throughout the year. Recommendations based on the results of this study led to improved service as well as more efficient use of staff resources.  相似文献   

Controlling the field of academic economics in Hungary, 1953–1976     

György Péteri 《Minerva》1996,34(4):367-380

Conclusions On the basis of these findings, I suggest that the structure and organisation of the field of Hungarian economics under state socialism should be described as a case of partitioned bureaucracy.⁹ The compromise between research economists and the political elite in the New Course era between 1953 and 1955¹⁰ survived the post-1956 reaction in so far as political economy, with its predominantly legitimatory and ideological functions, remained partitioned from the other sectors in the field through the remainder of the state-socialist period. This secured considerable protection both for Marxist-Leninist political economy—which faced the destabilising effects of exposure to the findings of serious empirical research—and for the other sectors, which were professionally oriented and earnestly interested in the pursuit of unbiased empirical research, free from stifling agitprop interference. Our data concerning the reputational control of the field reflects only one, although very important, aspect of this partitioning. Another and much plainer aspect is that, from the early 1960s, the Agitation and Propaganda Department of the Central Committee no longer exercised control over the field, except in the political economy sector.The proposition about the mechanism paradigm should not be taken seriously as a statement of a Kuhnian type of intellectual organisation of Hungarian economics, with reform economics at its hard theoretical core. But it should certainly be taken seriously as a reflection of the sociopolitical structure which emerged and developed from the mid-1950s onwards. Neither the politicians nor the economists saw as necessary or even contemplated the integration of Hungarian economic research with Western mainstream economic thought. In exchange for the professional expertise and socio-economic intelligence necessary for the exercise of power, Hungary's state-socialist political class offered their economists relative autonomy and freedom from interference. The price the economists had to pay was partly to refrain from openly and systematically challenging the beliefs perpetuated by the political economy of socialism, and partly to accept in their research the paramountcy of policy orientation. But this burden they assumed willingly since it made them the only group within Hungary's academic intelligentsia—indeed, the only group in Hungarian society outside the political class—with the privilege of being coopted to the institutions with power over some restricted domains of policymaking. After 1989, especially under the conservative Antall government, this proved less than advantageous.¹¹ Although the benevolence of many critics is open to question, it could greatly benefit the field if the economists' expulsion from contemporary politics went hand in hand with provision of the material, intellectual and institutional conditions for a new approach where a fundamentally scientific orientation is paramount.  相似文献   

Evidence-based medicine: an opportunity for health sciences librarians   总被引：2，自引：0，他引：2  

McCarthy LH 《Medical reference services quarterly》1996,15(4):63-71

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The literature of women and the acquired immunodeficiency syndrome (AIDS): implications for collection development and information retrieval     

Gillaspy ML  Huber JT 《Medical reference services quarterly》1996,15(4):21-39

The purpose of the study was to identify the pattern of publication about women and AIDS in scientific journals. Bradford zones were identified in each of six databases. The study determined that journal scatter for this subset of AIDS literature differed from the scatter in the general literature; further, the information indexed in the six electronic sources demonstrated little overlap. Consequently, key journal and newsletter titles identified by this study should form the core of any collection focusing on women and AIDS. The assurance of quality patient care management demands that librarians consult multiple resources for information retrieval that can assist health care providers, patients, and caregivers to enhance quality of life as well as to provide optimum care.  相似文献   

Teaching medical computing skills to internal medicine residents     

Schwartz DG  Nolan L  Schlicht MP 《Medical reference services quarterly》1997,16(2):55-60

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Horizontal wires replace the vertical files     

Colburn JL 《Medical reference services quarterly》1997,16(3):19-25

Traditionally, clippings of newspaper articles, pictures from magazines, pamphlets, charts, graphs, posters, proceedings, or copies thereof, and other miscellaneous information sources have been stored in vertical files in libraries. The practice of creating and maintaining vertical files is extremely time consuming. In a medical library, in particular, old information about diagnosis, treatment, and prognosis can quickly become incorrect, misleading, and possibly harmful. Adequately tending to the vertical files can require a librarian to create a balancing act between properly maintaining vertical files and meeting the needs of the users in other areas of the library. The maintenance of vertical files is, by nature, highly consumptive of paper and space consuming. A reasonable alternative to the traditional vertical files is the World-Wide Web. Search engines exist for locating specific information, and bookmarks and/or links which point users to particularly useful sites can be set in search software. Some methods for searching are discussed, and a variety of World-Wide Web information sources are offered.  相似文献   

Sources of information on postgraduate medical training programs--update     

Brazin LR 《Medical reference services quarterly》1993,12(3):13-27

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.  相似文献   

President's Page     

Colaianni LA 《Bulletin of the Medical Library Association》1980,68(1):74-75

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