Medical Reference Services Quarterly最新文献

Evidence-Based Medicine (EBM) instruction is required for physician Assistant (PA) students. This pilot study surveyed didactic PA students at three geographically diverse PA programs at the end of their didactic EBM course to understand which attributes of EBM resources they find most and least useful, and their self-efficacy in searching and appraising medical literature. Thematic analysis identified the most important student-reported attributes of a resource. PA students in this sample preferred UpToDate and PubMed as their top EBM tools based on attribute ratings. However, each database included in this pilot study received positive feedback, despite a low usage rate across institutions. The most important attributes were ease of use/search, information presentation, and conclusion/critical appraisal skill. After one EBM course, on average, students rated their self-efficacy searching the literature and appraising the literature as "moderately confident." This suggests that instructors and librarians have an opportunity to expose students to more tools as well as encourage "the right tool for the right job."

The Accreditation Council for Graduate Medical Education (ACGME) sets standards known as Milestones and monitors the progress of medical residents as they advance toward medical practice in their specialties. Health sciences librarians need to train medical residents in certain competency areas to help reach the Milestone standards. This project analyzed the Milestones related to informatics, library, and evidence-based practice (EBP) skills to identify core and optional library-related curricular elements that can be integrated into different medical specialty residencies. The authors collected key competency documents from ACGME and from those specialties representing 2% or more of the residencies in the United States. Then, they compared and contrasted those Milestones related to informatics, library, and EBP competency skills. Most relevant Milestones were categorized under the fifth broad ACGME competency area of "Practice Based Learning and Improvement." The Milestones followed developmental patterns, reflecting residents' increased sophistication in meeting these competencies as they advanced in their specialties. The curriculum was designed to meet the residents' learning needs at each progressive Milestone.

"Community Conversations About COVID-19" was a multi-group program designed to address the need for culturally sensitive health information about COVID-19 for Latinx and Native American communities. Three medical librarians worked closely with Latinx and/or Spanish-speaking promotores, also known as community health workers (CHWs), and native patient navigators (NPNs) from Native American communities in Tucson, Arizona. In addition, the librarians collaborated with second-year medical students from the University of Arizona College of Medicine - Phoenix. The focus was to train the CHWs, NPNs, and students on how to access health information resources from the National Library of Medicine, National Institutes of Health, Centers for Disease Control and Prevention, and other reliable agencies. The second segment of the program provided the opportunity for the groups to learn from each other's experiences working with health information through this pandemic, which is especially important given the fact the CHWs and NPNs live in, care for, and were brought up in these communities.

Hospital libraries have a long and storied history in the United States. Since the 1700 s, they have provided vital resources to the medical community. Over time, hospital libraries have evolved regarding staffing, resources, and access, yet their mission has remained the same-they are expected to provide the best possible medical information to support patient care. Hospital librarians need to appreciate the history of their profession and the services they have provided in the past in order to sustain the value of their contributions well into the future. Looking at the history, as well as the present state of hospital libraries, helps hospital librarians shape their future. Advocacy is vital in a time when hospitals stretch their budgets as far as possible, hospitals consolidate and hospital libraries close.

This manuscript describes the ongoing efforts to meet ever-changing patron needs by modernizing operations, infrastructure, workforce, and customer service at the National Library of Medicine (NLM). Charged with collecting, organizing, preserving, and disseminating biomedical and life sciences information to the public, the NLM constantly adapts to evolving technologies and scientific advancements in order to better fulfill its mission. Historical context and an overview of operational decision-making offer a window into the workings of our nation's medical library.

Choosing and using health insurance is a complicated task for anyone, and there are limited resources available to assist users during this process. Insuring Good Health is an online resource that was developed out of a community-based participatory research partnership to address this need. This column will provide an overview of the resources available from Insuring Good Health and outline how the website and videos can support patrons' health insurance-related information needs.

Since 2006, the University of Tennessee's Preston Medical Library has collected survey feedback from exiting residents through targeted emails or at the required exit process in the library. Questions ask residents which types of articles or sources they use to find information and address the resident's use of the library's physical space. Survey results from 2006 to 2021 were examined for trends and changes in resident utilization of resources to better inform future library decisions on instruction and marketing. Resident resource usage varied over time and demonstrated an encouraging increase in attention to evidence-based tools. UpToDate's consistent popularity shows the durability of the product. A reported increase in use of reviews, randomized controlled trials, case reports, and practice guidelines reflects greater employment of more in-depth resources than merely expert opinion. At the same time, residents clearly valued the library's physical space. Survey results will inform future outreach focus.

This column reviews publications in this column from 2019 through 2022. It identifies key themes and provides resources for informatics instructors.

Using survey methodology, this study aimed to explore and describe health sciences library users' subject guide expectations and preferences. Respondents showed an overwhelming lack of familiarity with the guides and expressed a preference for quick and easy access links as the most important feature. Most respondents also appeared to want some guidance about which resources to use within the guides, but less extensive learning or instructional content. The results of this study will inform both future guide development and research on best practices.