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1.

Key points

  • Our collective authorship and publishing practices do not always end up ensuring that scholarly content is discoverable by readers.
  • Readers of all kinds rely on a variety of ‘discovery pathways’, such as search engines, library systems, and various electronic links, some of which are blind to the content they desire.
  • Efforts over the years to improve content discoverability have made great progress, but an increasing amount of freely available content brings up new issues.
  • The National Information Standards Organization (NISO)’s Discovery to Delivery (D2D) Topic Committee has developed a grid comparing various ways in which content is shared with various ways in which users discover such content.
  • This article brings to light a few of the current obstacles and opportunities for innovation by publishers, aggregators, search engines, and library systems, and invites Learned Publishing readers to step up and identify others.
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2.
3.

Objective:

The research sought to establish a rubric for evaluating evidence-based medicine (EBM) point-of-care tools in a health sciences library.

Methods:

The authors searched the literature for EBM tool evaluations and found that most previous reviews were designed to evaluate the ability of an EBM tool to answer a clinical question. The researchers'' goal was to develop and complete rubrics for assessing these tools based on criteria for a general evaluation of tools (reviewing content, search options, quality control, and grading) and criteria for an evaluation of clinical summaries (searching tools for treatments of common diagnoses and evaluating summaries for quality control).

Results:

Differences between EBM tools'' options, content coverage, and usability were minimal. However, the products'' methods for locating and grading evidence varied widely in transparency and process.

Conclusions:

As EBM tools are constantly updating and evolving, evaluation of these tools needs to be conducted frequently. Standards for evaluating EBM tools need to be established, with one method being the use of objective rubrics. In addition, EBM tools need to provide more information about authorship, reviewers, methods for evidence collection, and grading system employed.

Highlights

  • Eleven of the fourteen previous evidence-based medicine (EBM) tool evaluations were based on clinicians evaluating tools based on their perception of the products'' ability to answer a clinical question.
  • EBM tools'' evidence summaries are not updated as often as products claim.
  • Although many EBM tools claim to be evidence based, only 74% of the 70 evaluated treatment summaries included graded evidence.

Implications

  • To offer the best tools for users, medical libraries should evaluate EBM resources regularly, including the quality of the evidence provided.
  • Medical librarians have a role to play in evaluating the quality of EBM products and can develop assessment tools to aid in this evaluation.
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4.

Objectives:

Standards for evaluating evidence-based medicine (EBM) point-of-care (POC) summaries of research are lacking. The authors developed a “Critical Appraisal for Summaries of Evidence” (CASE) worksheet to help assess the evidence in these tools. The authors then evaluated the reliability of the worksheet.

Methods:

The CASE worksheet was developed with 10 questions covering specificity, authorship, reviewers, methods, grading, clarity, citations, currency, bias, and relevancy. Two reviewers independently assessed a random selection of 384 EBM POC summaries using the worksheet. The responses of the raters were then compared using a kappa score.

Results:

The kappa statistic demonstrated an overall moderate agreement (κ = 0.44) between the reviewers using the CASE worksheet for the 384 summaries. The 3 categories of evaluation questions in which the reviewers disagreed most often were citations (κ =  0), bias (κ = 0.11), and currency (κ = −0.18).

Conclusions:

The CASE worksheet provided an effective checklist for critically analyzing a treatment summary. While the reviewers agreed on worksheet responses for most questions, variation occurred in how the raters navigated the tool and interpreted some of the questions. Further validation of the form by other groups of users should be investigated.

Highlights

  • Few critical appraisal tools have been evaluated with inter-rater reliability testing.
  • The ways that users of evidence-based medicine (EBM) point-of-care (POC) tools interpret how to appraise an evidence summary—particularly when defining the grading of evidence, currency, and bias—may vary even when a standard evaluation sheet is used.
  • The Critical Appraisal for Summaries of Evidence (CASE) worksheet had a moderate level of inter-rater reliability, similar to previous evaluative studies of critical appraisals tools.

Implications

  • Medical librarians can develop tools useful for librarians, students, and clinicians to guide them in appraising clinical evidence summaries.
  • The CASE worksheet can be a valuable tool to consider the quality of individual evidence summaries and to see patterns of overall quality in EBM POC tools.
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5.
  • Plain language summaries (PLS) are accessible, short, peer-reviewed summaries of scholarly journal articles written in non-technical language.
  • The aim of PLS is to enable a broader audience of experts and non-experts to understand the original article.
  • Here, we outline the evidence base for the value and impact of PLS and how they can enable diversity, equity, inclusion and accessibility in scholarly publishing.
  • PLS can diversify readership and authorship, address information inequity, include typically under-represented stakeholders and provide an accessible route into scholarly literature.
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6.

Key points

  • The number of printed book reviews in the social sciences is currently declining.
  • The number of online book reviews is currently increasing.
  • There are ways of measuring the impact of book reviews so that they can be included in research assessment exercises.
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7.

Key points

  • Discoverability is no longer just about technology.
  • There is a shift towards a culture of discovery.
  • Coordinated efforts successfully create impact resonance.
  • The author is the conductor of impact.
  • Today, everybody needs to take responsibility for creating impact.
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8.

Objectives:

By the mid 2000s, reports of hospital librarians losing jobs and hospital libraries closing were rife. In 2005, Vital Pathways: The Hospital Libraries Project was established by 2005/06 MLA President M.J. Tooey, AHIP, FMLA, to assess the truth of these reports and to study and develop strategies to support hospital librarians. Throughout this long-term project, opportunities were sought to understand the issues more clearly.

Methods:

A steering committee, along with three task forces, was established to carry out the work of the project. The steering committee provided oversight and had responsibility for promoting and marketing the project. The three task forces were responsible for conducting a survey on the status of hospital librarians, determining the involvement of librarians in medical education and accreditation, and researching and writing a document reviewing current and future roles for hospital librarians. Along the way, these responsibilities grew and evolved.

Results:

After a little more than three years, the Task Force on Vital Pathways for Hospital Librarians Steering Committee presented a final report regarding its accomplishments to the MLA Board of Directors. A sampling of these accomplishments includes the status of hospital librarians survey, a website, a position document with an accompanying executive summary, a short promotional brochure, and a final culminating activity, this symposium.

Conclusions:

Although these are difficult times for all libraries, hospital librarians and libraries seem particularly affected. In a competitive health care environment that is driven by the bottom line, influenced by real estate hunger, and affected by the belief of hospital administrators that access to health information comes from the Internet and is free, the hospital librarian seems doomed. However, even in these difficult times, there are hospital librarians who are not only surviving, but thriving. Is it because they are entrepreneurial? Opportunistic? Innovative? Flexible? All of the above? None of the above? There are no clear predictors of success or of failure. However, the Vital Pathways Project has shed light on some of the issues and identified opportunities and strategies for the future.

Highlights

  • This introduction serves as overview of the MLA Vital Pathways Project and its accomplishments, outcomes, and recommendations.

Implications

  • This symposium will lead to increased focus on hospital librarians'' issues and future.
  • Increased focus will result in conversations and actions regarding new and emerging roles for hospital librarians.
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9.

Purpose:

A systematic literature review was conducted to synthesize what is known about informationists, highlight program models, and suggest areas for future research.

Methods:

Articles retrieved through database searching were reviewed for relevance. Informationist case reports were identified and coded according to an attributes checklist. Data from other retained publications were synthesized under broad themes. The few research studies found were reviewed for level of evidence.

Results:

Of 113 papers reviewed, the study identified 7 classic and 8 emerging informationist programs. Two major models are apparent, clinical and research, with priorities differing according to program maturity. The literature synthesis also brought together current thinking about informationist qualifications; practice roles; setting characteristics; education and training; organizational, programmatic, and service provider success factors; and challenges and barriers. Program outcomes to date are reported, and future research topics suggested. Specific findings will assist informationist program planners.

Conclusions:

While the informationist concept remains in the early adopter stage, it appears that domain knowledge, continuous learning, and embedding (working in context) are essential to success. The need for librarians to transition to greater specialization and libraries to emphasize customized service was underscored. A research agenda focused on information management, dissemination, behaviors, and economics is proposed.

Highlights

  • After years of emphasizing the generalist librarian, health sciences librarians must become more specialized, paralleling the health care environment in which they work.
  • An embedded informationist is more likely to achieve credibility, acceptance, and sustainability than an impersonal information service provided at a distance.
  • Subject expertise is essential for the informationist.
  • Model informationist programs with the greatest stability are library funded.
  • Because informationist programs are inherently targeted to small groups, multisite studies are necessary to achieve robust evaluation.

Implications

  • A library starting an informationist program should review existing models, identify local needs, set program objectives, and then select the most appropriate approaches for its users.
  • Programmatic emphasis should be placed on both technical and service excellence.
  • Organizational commitment is needed for knowledge integration into practice and for the informationists'' lifelong learning.
  相似文献   

10.
11.

Purpose:

This lecture discusses a philosophy of educating health information professionals in a rapidly changing health care and information environment.

Discussion:

Education for health information professionals must be based upon a solid foundation of the changing paradigms and trends in health care and health information, as well as technological advances, to produce a well-prepared information workforce to meet the demands of health-related environments. Educational programs should begin with the core principles of library and information sciences and expand in interdisciplinary collaborations. A model of the health care environment is presented to serve as a framework for developing educational programs for health information professionals.

Conclusion:

Interdisciplinary and collaborative relationships—which merge health care, library and information sciences, and other information-related disciplines—should form the basis of education for health information professionals.

Highlights

  • Educational pathways for the creation of future health information professionals are charted through the discussion of four major roads.
  • A model of the health care environment sets the framework for building educational programs for health information professionals.

Implications

  • The presented pathways can inform educational decision making at all levels, including the need to revisit the accreditation bodies of programs educating health information professionals.
  • The National Library of Medicine is encouraged to create a workforce center to identify the needs of the profession.
  • Interdisciplinary and collaborative partnerships are vital to produce quality graduates who are prepared to handle the complexities of the health care and information environment.
  相似文献   

12.

Key points

  • Publishing is fixated on the format of the scholarly article, and this is stifling innovation.
  • Content should be presented in a way that adapts dynamically to the reader's needs.
  • A lot of interdisciplinary research is needed to transform reading, writing, and publishing processes.
  相似文献   

13.

Objective:

A survey was conducted of health sciences libraries to obtain information about newer buildings, additions, remodeling, and renovations.

Method:

An online survey was developed, and announcements of survey availability posted to three major email discussion lists: Medical Library Association (MLA), Association of Academic Health Sciences Libraries (AAHSL), and MEDLIB-L. Previous discussions of library building projects on email discussion lists, a literature review, personal communications, and the author''s consulting experiences identified additional projects.

Results:

Seventy-eight health sciences library building projects at seventy-three institutions are reported. Twenty-two are newer facilities built within the last ten years; two are space expansions; forty-five are renovation projects; and nine are combinations of new and renovated space. Six institutions report multiple or ongoing renovation projects during the last ten years.

Conclusions:

The survey results confirm a continuing migration from print-based to digitally based collections and reveal trends in library space design. Some health sciences libraries report loss of space as they move toward creating space for “community” building. Libraries are becoming more proactive in using or retooling space for concentration, collaboration, contemplation, communication, and socialization. All are moving toward a clearer operational vision of the library as the institution''s information nexus and not merely as a physical location with print collections.

Highlights

  • Seventy-eight health sciences library building projects at seventy-three institutions were reported as completed in the last ten years.
  • Five health sciences library projects illustrate the diversity of projects reported.
  • Eleven trends in health sciences library buildings are identified.
  • Numerous challenges are briefly discussed.

Implications

  • Changing services and usage patterns demand innovative ways to use library space.
  • Libraries are making more proactive efforts to retool library physical space.
  • Migration from print to digital collections is continuing at an accelerated pace.
  • More library space is now dedicated for “community” building.
  相似文献   

14.

Objectives:

The Medical Library Association (MLA)/National Library of Medicine (NLM) Joint Electronic Personal Health Record Task Force examined the current state of personal health records (PHRs).

Methods:

A working definition of PHRs was formulated, and a database was built with fields for specified PHR characteristics. PHRs were identified and listed. Each task force member was assigned a portion of the list for data gathering. Findings were recorded in the database.

Results:

Of the 117 PHRs identified, 91 were viable. Almost half were standalone products. A number used national standards for nomenclature and/or record structure. Less than half were mobile device enabled. Some were publicly available, and others were offered only to enrollees of particular health plans or employees at particular institutions. A few were targeted to special health conditions.

Conclusions:

The PHR field is very dynamic. While most PHR products have some common elements, their features can vary. PHRs can link their users with librarians and information resources. MLA and NLM have taken an active role in making this connection and in encouraging librarians to assume this assistance role with PHRs.

Highlights

  • A variety of personal health records (PHRs) exist with some tied to medical health records and others offered as standalone products.
  • Librarians can be connected to PHR users through inclusion of an assistance statement in PHRs.
  • PHRs offer librarians another means of providing consumers with quality health information.

Implications

  • PHR user support is a new role for medical librarians.
  • Medical librarians need to be proactive in their communities to educate consumers about PHRs.
  • Given the dynamic nature of this market, medical librarians should make a concerted effort to stay abreast of trends in this area.
  相似文献   

15.
16.

Objective:

This paper examines the development and evaluation of an automatic summarization system in the domain of molecular genetics. The system is a potential component of an advanced biomedical information management application called Semantic MEDLINE and could assist librarians in developing secondary databases of genetic information extracted from the primary literature.

Methods:

An existing summarization system was modified for identifying biomedical text relevant to the genetic etiology of disease. The summarization system was evaluated on the task of identifying data describing genes associated with bladder cancer in MEDLINE citations. A gold standard was produced using records from Genetics Home Reference and Online Mendelian Inheritance in Man. Genes in text found by the system were compared to the gold standard. Recall, precision, and F-measure were calculated.

Results:

The system achieved recall of 46%, and precision of 88% (F-measure = 0.61) by taking Gene References into Function (GeneRIFs) into account.

Conclusion:

The new summarization schema for genetic etiology has potential as a component in Semantic MEDLINE to support the work of data curators.

Highlights

  • Semantic MEDLINE streamlines information retrieval by succinctly expressing the meaning of sometimes complicated text and summarizing output according to a user''s needs.
  • Semantic MEDLINE identifies genes noted in biomedical text as associated with a disease process.
  • Semantic MEDLINE can potentially simplify secondary database curation.

Implications

  • Library information retrieval services can potentially benefit from automated applications such as Semantic MEDLINE.
  • Use of such automated applications can facilitate the library''s work in interdepartmental collaborative endeavors, thus reinforcing the library''s core value in its parent institution.
  相似文献   

17.

Key points

  • Accessibility of publications in academia is a non‐negotiable legal requirement.
  • The accessibility of your journal or other scholarly publication is the most important design consideration in your workflow.
  • EPUB Accessibility 1.0 and Web Content Accessibility Guidelines 2.0 provide a clear publishing pathway.
  • Consider the readability chain: Any link can result in accessibility failure but an unbroken chain will benefit all readers.
  相似文献   

18.

Objective:

This research measures the effectiveness of the practice of correction and republication of invalidated articles in the biomedical literature by analyzing the rate of citation of the flawed and corrected versions of scholarly articles over time. If the practice of correction and republication is effective, then the incidence of citation of flawed versions should diminish over time and increased incidence of citation of the republication should be observed.

Methods:

This is a bibliometric study using citation analysis and statistical analysis of pairs of flawed and corrected articles in MEDLINE and Web of Science.

Results:

The difference between citation levels of flawed originals and corrected republications does not approach statistical significance until eight to twelve years post-republication. Results showed substantial variability among bibliographic sources in their provision of authoritative bibliographic information.

Conclusions:

Correction and republication is a marginally effective biblioremediative practice. The data suggest that inappropriate citation behavior may be partly attributable to author ignorance.

Highlights

  • The citation of flawed articles occurs at a rate nearly equal to that of corrected versions.
  • The practice of correction and republication is only marginally effective and does not prevent the continued citation of flawed articles post-correction, with the analysis finding only a slight reduction in the citation of flawed articles after publication of the corrected version.
  • Neither MEDLINE nor Web of Science consistently alert users when dealing with corrected and republished literature.

Implications

  • The practice of correction and republication would be more effective if prominent sources of bibliographic information were more consistent in providing users with information about the status of corrected and republished articles and the existence of post-publication modifications to the literature.
  • It is incumbent upon the scientific community to raise the profile of post-publication changes to the literature to prevent the wasteful and potentially tragic consequences of scientists and medical professionals applying flawed information. Failure to do so will surely result in a reduction of public trust in the reliability of the scientific literature and its users.
  相似文献   

19.
20.

Key points

  • U.S. university OA policies are far less mandatory than those in the U.K.
  • The waiver clauses in U.S. university policies make it easy for authors to decline making their articles OA.
  • The relative autonomy – and competitiveness – of U.S. universities may be the reason for weaker OA policies.
  • OA in the U.S. is likely to be driven by government funding agency policies rather than by academia.
  相似文献   

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