The provision of reference services in medicine

3,952 views

Published on

Published in: Technology, Health & Medicine
  • Be the first to comment

The provision of reference services in medicine

  1. 1. The provision of reference services in medicine: an introduction for library technicians Dean Giustini, UBC health librarian & instructor | dean.giustini@ubc.ca | LIBR 2195 (Winter 2015)
  2. 2. AGENDA Introduction Handout & quiz review What is medical reference? Major user groups in medicine The “Reference interview” in medicine Sources of information Key sources of information in medicine? dictionaries, handbooks, drug books key tools used daily Dean Giustini, UBC health librarian & instructor | LIBR2195
  3. 3. From the introductory quiz & pathfinder Medical libraries What is the name of the largest medical library? Where is it? What is the name of Canada’s largest science library?  Where is it? What subjects does it cover? Sources of information in medicine What is the name of the largest medical database in the world?  What is the name of the nursing index? In groups of 2 from the pathfinder take five (5) minutes:  With your partner, discuss one key source of information in medicine … dictionaries, handbooks, drug books (not website)  Dean to say what sources he uses every day
  4. 4. Sample reference questions I got today at my library: • What is Google scholar? Can I use it to find citations from 1955? • What year did doctors find out that smoking caused lung cancer? • Can you find an address for a physician in Calgary named Dr. Ernst? • What is the difference between CINAHL & MEDLINE searching? • What is the difference between a librarian and a library technician? (A student from the US over e-mail) Dean Giustini, UBC health librarian & instructor | LIBR2195
  5. 5. What does Bill Katz say? “…reference work is viewed in terms of questions and answers. A patron has a question and expects the library to provide an answer, or at least where it can be found.” General reference service . William A. Katz. Introduction to reference work, Vol. 1: Basic information sources. 3e. New York N.Y.: McGraw-Hill Press, 1978.
  6. 6. Broadly defined as: “…any assistance given by the library staff to users seeking health or medical information…from a simple catalog search to extended searches...” Dean Giustini, UBC health librarian & instructor | LIBR2195 What is medical reference? . Nancy Calabretta. General reference services. In: Reference and information services in health sciences libraries. Metuchen, NJ: MLA; Scarecrow Press, 1994.
  7. 7. …“[medical reference] … may be defined as activities that provide information to accomplish the goals of the organization. These include literature and database searches, ready reference, Internet training, document delivery and outreach services.” . Ruth Holst. MLA Guide to Managing Health Libraries. New York: Neal Schuman, 2010 Dean Giustini, UBC health librarian & instructor | LIBR2195 What is medical reference?
  8. 8. Who do library staff serve in medical libraries?  Physicians – medical students, residents, fellows  Nurses  Pharmacists  Therapists  Allied health personnel  Management  Members of the public  Patients  Health consumers! Dean Giustini, UBC health librarian & instructor | LIBR2195 Major users of medical libraries
  9. 9. Where is health reference provided?  Medical libraries in universities and colleges  Community and large hospitals like VGH  Health organizations  Pharmaceutical companies Don’t forget: Public libraries also get questions in patient and consumer health! Dean Giustini, UBC health librarian & instructor | LIBR2195 Types of health organizations
  10. 10. Classic 1992 Rochester Hospital Study found: • 80% of physicians said they definitely or probably would have handled ... a clinical situation differently as a result of information provided by the library . Marshall JG. The impact of the hospital library on clinical decision making: the Rochester study. Bulletin of the Medical Library Association 1992; 80(2):270-309. Dean Giustini, UBC health librarian & instructor | LIBR2195 Value of health information services Joanne Gard Marshall, famous health librarian
  11. 11. Reference interview similar in medicine  What makes a good reference interview? What’s important in health?  Like a good doctor, health information is vital – currency, accuracy a must!  Confidentiality must be respected  Health professionals are very busy & need information assistance Dean Giustini, UBC health librarian & instructor | LIBR2195 The reference interview
  12. 12. What’s different in medical reference?  Medical terminology is complex but terms can be learned using a dictionary  We provide different viewpoints & sometimes contradictory evidence but we don’t interpret!  Providing service to consumers & patients  Library staff does not provide advice  Sometimes patients are upset, and need consoling  Patients and consumers can be demanding Dean Giustini, UBC health librarian & instructor | LIBR2195 The reference interview
  13. 13.  Who? are your users eg. doctors, nurses, etc.  What? sources of health information will you use  Where? do your users work eg. in hospitals?  When? is the information needed today?  Why? do users need the information:  for a literature review?  are they treating a specific critical patient?  for a clinical study they are planning?  because they are writing grant applications? Dean Giustini, UBC health librarian & instructor | LIBR2195 The five Ws of medical reference
  14. 14. Since the rise of the web, medical reference has changed rapidly Many sources now online …. but print still needed  What formats are commonly used?  How have handheld devices changed access?  Print, electronic & other forms of information such as social media What are the key sources of information? See Dean’s wiki for Health Pathfinder for LIBR2195 Dean Giustini, UBC health librarian & instructor | LIBR2195 Sources of medical information
  15. 15. 1. Empathy, respect for and sensitivity to patient & physician needs, confidentiality 2. Knowledge of medical searching, information sources & databases (print & online) 3. Reference skills, interpersonal & “soft skills” (courtesy & respect) 4. Lifelong learning, computer & teaching skills (keeping up with new technology) 5. Knowledge of health care environment (research, education, patient care) Dean Giustini, UBC health librarian & instructor | LIBR2195 Top Five (5) Medical Reference Skills
  16. 16. What are the challenges of so much information?  Information overload  Change is constant  Conflicting “evidence”  Burnout • Medical publishing has a lot of duplication • Collection development can be a challenge • The Internet poses many challenges • Mobile devices & social media Dean Giustini, UBC health librarian & instructor | LIBR2195 So many sources… so little time~

×