Overview <ul><li>Eskind Biomedical Library and Vanderbilt University Medical Center </li></ul><ul><li>Library Training Pro...
Vanderbilt University Medical Center <ul><li>600 beds, 150 to be added in 2009 </li></ul><ul><li>The only level-I trauma c...
<ul><li>Eskind Biomedical Library   </li></ul><ul><ul><li>An information and consultation unit in the Vanderbilt Universit...
Overview: IC Knowledge Management at EBL <ul><li>Knowledge management:  beyond standard library services  </li></ul><ul><l...
EBL Training Program
EBL Training Program <ul><li>Opportunity for entry-level librarians to receive first-hand training in information support ...
<ul><ul><li>Customized learning plan  </li></ul></ul><ul><ul><ul><li>Builds on an individual’s skills to meet EBL and indi...
EBL Training Program <ul><li>Formal curriculum units, covering 50+ topics </li></ul><ul><li>Draws on: </li></ul><ul><ul><l...
EBL Training Program <ul><li>Training program seeks to guide librarians to see beyond “Fish is Fish” </li></ul>Images cour...
EBL Training Program Introductory Units <ul><ul><li>Introduction to Internet and Web Resources </li></ul></ul><ul><ul><ul>...
EBL Training Program Intermediate Units <ul><ul><li>Train-The-Trainer </li></ul></ul><ul><ul><ul><li>6-week course, develo...
EBL Training Program Advanced Units <ul><li>Filtering: </li></ul><ul><ul><li>In-depth training in study design and quality...
<ul><ul><li>Training opportunity – participated on AHRQ-funded systematic review group </li></ul></ul><ul><ul><ul><li>Deve...
EBL Training Program Additional Learning Opportunities <ul><li>In-house knowledge-development sessions </li></ul><ul><ul><...
EBL Training Program Additional Learning Opportunities <ul><li>Rounding  </li></ul><ul><ul><li>Vital to understand unique ...
EBL Training Program <ul><li>Individualized learn plan topics: </li></ul><ul><ul><li>Acorn (library catalog and related re...
Independent Study:  The American Healthcare System
Independent Study:  The American Healthcare System <ul><li>Under direction of Dr. Nancy Lorenzi,  </li></ul><ul><ul><li>As...
Independent Study:  The American Healthcare System <ul><li>Goal: Develop core knowledge  management system analysis techni...
Independent Study:  The American Healthcare System <ul><ul><li>Process: </li></ul></ul><ul><ul><li>1. Gain understanding o...
Independent Study: The American Healthcare System <ul><ul><li>Gain an understanding of types of resources available and ba...
Independent Study:  The American Healthcare System <ul><li>3.  Gain an improved understanding of Learning Management Syste...
Independent Study:  The American Healthcare System <ul><li>Learn to apply familiarity with these factors to analyze the im...
Independent Study:  The American Healthcare System <ul><ul><li>Knowledge Map/Learning Portfolio </li></ul></ul><ul><ul><ul...
Independent Study:  The American Healthcare System <ul><ul><li>Case study process: </li></ul></ul><ul><ul><ul><li>Intervie...
Additional Projects/Activities <ul><li>Developed and coded a web page of publishers’ resources for developing countries </...
Additional Projects/Activities <ul><li>Attended Informatics and Geriatrics Department seminars </li></ul><ul><li>Observed ...
Closing Comments <ul><li>Deeply clinical experience </li></ul><ul><li>Increased awareness of what goes in to providing inf...
<ul><li>Thank you! </li></ul><ul><li>Joanna L. Karpinski </li></ul><ul><li>[email_address] </li></ul><ul><li>Slides: www.s...
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Afp Presentation 6 8 09

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Afp Presentation 6 8 09

  1. 2. Overview <ul><li>Eskind Biomedical Library and Vanderbilt University Medical Center </li></ul><ul><li>Library Training Program </li></ul><ul><li>Independent Study: The American Healthcare System </li></ul><ul><li>Additional Projects/Activities </li></ul><ul><li>Conclusion / Questions </li></ul>
  2. 3. Vanderbilt University Medical Center <ul><li>600 beds, 150 to be added in 2009 </li></ul><ul><li>The only level-I trauma center in middle Tennesse </li></ul><ul><li>Hopsitals: </li></ul><ul><ul><li>Vanderbilt University Adult Hospital </li></ul></ul><ul><ul><li>Monroe Carell Jr. Children’s Hospital </li></ul></ul><ul><ul><li>Stallworth Rehabilitation Hospital </li></ul></ul><ul><ul><li>Vanderbilt Psychiatric Hospital </li></ul></ul><ul><li>Medical School </li></ul><ul><li>School of Nursing </li></ul>Photos courtesy of www.mc.vanderbilt.edu
  3. 4. <ul><li>Eskind Biomedical Library </li></ul><ul><ul><li>An information and consultation unit in the Vanderbilt University Medical Center Informatics Center (IC) </li></ul></ul><ul><ul><li>40+ Staff </li></ul></ul><ul><ul><li>6,000 electronic resources </li></ul></ul><ul><ul><li>Home grown Main Digital Library, including 11 user-specific digital libraries www.mc.vanderbilt.edu/diglib </li></ul></ul><ul><ul><li>GoLocal Provider www.golocalTN.com </li></ul></ul><ul><ul><li>Historical Collection & Archives–an NLM Turning The Pages™ site </li></ul></ul><ul><ul><ul><ul><ul><li>www.mc.vanderbilt.edu/sc_diglib/ttp / </li></ul></ul></ul></ul></ul>
  4. 5. Overview: IC Knowledge Management at EBL <ul><li>Knowledge management: beyond standard library services </li></ul><ul><li>Provides value-added information and resources to the </li></ul><ul><li>Vanderbilt University Medical Center </li></ul>
  5. 6. EBL Training Program
  6. 7. EBL Training Program <ul><li>Opportunity for entry-level librarians to receive first-hand training in information support of evidence-based practice </li></ul>
  7. 8. <ul><ul><li>Customized learning plan </li></ul></ul><ul><ul><ul><li>Builds on an individual’s skills to meet EBL and individual skill development goals </li></ul></ul></ul><ul><ul><li>First-hand training: </li></ul></ul><ul><ul><ul><li>Live questions </li></ul></ul></ul><ul><ul><ul><li>Shadowing clinical </li></ul></ul></ul><ul><ul><ul><li>librarians on rounds </li></ul></ul></ul><ul><ul><ul><li>Assisting with digital resource projects </li></ul></ul></ul>EBL Training Program
  8. 9. EBL Training Program <ul><li>Formal curriculum units, covering 50+ topics </li></ul><ul><li>Draws on: </li></ul><ul><ul><li>Library expertise </li></ul></ul><ul><ul><li>University-wide education and training opportunities (lectures, courses, workshops, seminars, etc.) </li></ul></ul><ul><li>Guided, self-motivated, adult learning approach </li></ul><ul><li>Web-based tutorial and practical components </li></ul><ul><li>Verification sessions confirm knowledge acquisition </li></ul><ul><li>Training activities moderated and monitored by training staff </li></ul>Giuse NB, Kafantaris SR, Huber JT, Lynch F, Epelbaum M, Pfeiffer J. Developing a culture of lifelong learning in a library environment. Bull Med Libr Assoc. 1999 Jan;87(1):26-36.
  9. 10. EBL Training Program <ul><li>Training program seeks to guide librarians to see beyond “Fish is Fish” </li></ul>Images courtesy of www.pbs.org , www.nas.org ,and www.blogs.psu.edu
  10. 11. EBL Training Program Introductory Units <ul><ul><li>Introduction to Internet and Web Resources </li></ul></ul><ul><ul><ul><li>Learn from EBL librarians to develop knowledge of internet sources of medical information, quality evaluation </li></ul></ul></ul><ul><ul><li>Searching in the Health Sciences and Reference </li></ul></ul><ul><ul><ul><li>Focus on broadening familiarity w/ resources </li></ul></ul></ul><ul><ul><li>Clinical Knowledge Base Development: </li></ul></ul><ul><ul><ul><li>Anatomy and Physiology and Medical Terminology </li></ul></ul></ul>
  11. 12. EBL Training Program Intermediate Units <ul><ul><li>Train-The-Trainer </li></ul></ul><ul><ul><ul><li>6-week course, develops good presentation and teaching skills </li></ul></ul></ul><ul><ul><ul><li>Increased awareness of learning styles and educational styles </li></ul></ul></ul><ul><ul><ul><li>Presented a diagnostic test segment of the “Teaching Clinical Skills to Medical Librarians” an MLA-sponsored CE event at the University of Maryland HSHSL </li></ul></ul></ul><ul><ul><li>Train-The-Trainer: Molecular Biology </li></ul></ul><ul><ul><ul><li>14-week course, introduction to molecular biology and related resources </li></ul></ul></ul><ul><ul><ul><li>Practice presentations with EBL librarians </li></ul></ul></ul><ul><ul><ul><li>Goal: Info Hubs and single resource presentation to research students this summer </li></ul></ul></ul>Lyon J, Giuse NB, Williams A, Koonce T, Walden R. A model for training the new bioinformationist . J Med Libr Assoc. 2004 Apr;92(2):188-95.
  12. 13. EBL Training Program Advanced Units <ul><li>Filtering: </li></ul><ul><ul><li>In-depth training in study design and quality appraisal </li></ul></ul><ul><ul><li>Key resources: active clinical questions and resources of prior questions – CICS database </li></ul></ul><ul><ul><li>Evidence Summary Packet development for Geriatrics, Trauma, and Emergency Departments </li></ul></ul>
  13. 14. <ul><ul><li>Training opportunity – participated on AHRQ-funded systematic review group </li></ul></ul><ul><ul><ul><li>Developed search strategies for systematic evidence retrieval </li></ul></ul></ul><ul><ul><ul><li>Evaluated 200 abstracts for quality and relevance to systematic inclusion criteria </li></ul></ul></ul>EBL Training Program Advanced Units
  14. 15. EBL Training Program Additional Learning Opportunities <ul><li>In-house knowledge-development sessions </li></ul><ul><ul><li>Filtering / Training Sessions (FTC) </li></ul></ul><ul><ul><ul><li>Experienced librarians pass on their knowledge of skills for critical appraisal and search design </li></ul></ul></ul><ul><ul><li>Search Talk </li></ul></ul><ul><ul><ul><li>Experienced librarians pass on their knowledge of resources, searching methodology </li></ul></ul></ul><ul><ul><li>Knowledge Building </li></ul></ul><ul><ul><ul><li>IC/EBL-affiliated physician guides basic learning of medical topics to inform filtering knowledge base </li></ul></ul></ul>
  15. 16. EBL Training Program Additional Learning Opportunities <ul><li>Rounding </li></ul><ul><ul><li>Vital to understand unique information needs of clinicians </li></ul></ul><ul><ul><li>Attended rounds with Trauma, MICU, NICU, Emergency Department, Geriatrics </li></ul></ul><ul><ul><ul><li>Key observation goals: </li></ul></ul></ul><ul><ul><ul><ul><li>Unique workflow for each group </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Substantial differences in types of information required and timeframe </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Depth of understanding of medicine required to be a quality information provider – lifelong learning commitment </li></ul></ul></ul></ul>
  16. 17. EBL Training Program <ul><li>Individualized learn plan topics: </li></ul><ul><ul><li>Acorn (library catalog and related resources) </li></ul></ul><ul><ul><li>Building and Equipment Issues </li></ul></ul><ul><ul><li>Circulation Activities </li></ul></ul><ul><ul><li>Coaching </li></ul></ul><ul><ul><li>Collection Arrangement </li></ul></ul><ul><ul><li>Document Delivery Services </li></ul></ul><ul><ul><li>Filtering and Evaluating Information </li></ul></ul><ul><ul><li>Internet Searching and Medical Resources </li></ul></ul><ul><ul><li>Library Computing Environment </li></ul></ul><ul><ul><li>Library Privileges </li></ul></ul><ul><ul><li>Medical Terminology </li></ul></ul><ul><ul><li>Overview of Reference and Research Services </li></ul></ul><ul><ul><li>Reference </li></ul></ul><ul><ul><li>Searching in the Health Sciences </li></ul></ul><ul><ul><li>Special Collections Overview </li></ul></ul><ul><ul><li>Technical Services Overview </li></ul></ul><ul><ul><li>Train-The-Trainer </li></ul></ul><ul><ul><li>Train-The-Trainer: Molecular Biology </li></ul></ul><ul><ul><li>Graphic Design </li></ul></ul><ul><ul><li>Foundations of Bioinformatics (audit) </li></ul></ul><ul><ul><li>Computer Science 101 (audit) </li></ul></ul><ul><ul><li>Clinical Trials (MPH course) </li></ul></ul>
  17. 18. Independent Study: The American Healthcare System
  18. 19. Independent Study: The American Healthcare System <ul><li>Under direction of Dr. Nancy Lorenzi, </li></ul><ul><ul><li>Assistant Vice-Chancellor for Health Affairs and Professor of Biomedical Informatics </li></ul></ul><ul><ul><li>Curriculum: </li></ul></ul><ul><ul><ul><li>Readings and discussion of current issues in healthcare </li></ul></ul></ul><ul><ul><li>Opportunities to directly observe an active healthcare environment </li></ul></ul><ul><ul><ul><li>Orthopedics wing EMR demo w/ nurse informaticist </li></ul></ul></ul><ul><ul><ul><li>VU Children’s Hospital EMR procedure change rounds w/ nurse informaticist </li></ul></ul></ul><ul><ul><ul><li>CPOE use by pharmacists – main hospital demo w/ PharmD. and pharmacy technicians </li></ul></ul></ul>
  19. 20. Independent Study: The American Healthcare System <ul><li>Goal: Develop core knowledge management system analysis techniques through a case study </li></ul><ul><li>Focus: Organizational needs for successful learning management system implementation and subsequent knowledge transfer </li></ul>
  20. 21. Independent Study: The American Healthcare System <ul><ul><li>Process: </li></ul></ul><ul><ul><li>1. Gain understanding of knowledge needs in an academic medical center </li></ul></ul><ul><ul><ul><li>Interviews with those involved in major Learning Management System/Knowledge Management systems </li></ul></ul></ul><ul><ul><ul><ul><li>Library web team </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Office of Institutional Learning </li></ul></ul></ul></ul><ul><ul><ul><li>Literature scan </li></ul></ul></ul>
  21. 22. Independent Study: The American Healthcare System <ul><ul><li>Gain an understanding of types of resources available and barriers to facilitating knowledge transmission via case study readings </li></ul></ul><ul><ul><li>Financial </li></ul></ul><ul><ul><li>Human Resources </li></ul></ul><ul><ul><li>IT infrastructure </li></ul></ul><ul><ul><li>Organizational support </li></ul></ul>
  22. 23. Independent Study: The American Healthcare System <ul><li>3. Gain an improved understanding of Learning Management System capabilities and requirements </li></ul><ul><ul><li>Systematic review of commercially-available and home-grown LMSes for </li></ul></ul><ul><ul><ul><li>Start-up/infrastructure requirements </li></ul></ul></ul><ul><ul><ul><li>Maintenance requirements </li></ul></ul></ul><ul><ul><ul><li>Customizability </li></ul></ul></ul><ul><ul><ul><li>Applicability to particular user groups (corporate, academic, etc.) </li></ul></ul></ul><ul><ul><ul><li>Suitability for particular types of information (i.e. patient data; procedural videos, point-of-care or mobile access, etc.) </li></ul></ul></ul><ul><ul><ul><li>Aspects of library involvement </li></ul></ul></ul>
  23. 24. Independent Study: The American Healthcare System <ul><li>Learn to apply familiarity with these factors to analyze the implementation of a LMS in a healthcare context </li></ul><ul><ul><li>Case study: Implementation of the Knowledge Map/Learning Portfolio System for Geriatrics Education and Curricular Support at Vanderbilt University Hospital </li></ul></ul><ul><ul><li>(Reynolds Foundation Geriatrics Education Grant) </li></ul></ul><ul><ul><ul><li>How has an advanced level of organizational, technological, and institutional support for an LMS aided or been a barrier to the development, implementation, and maintenance of a LMS? </li></ul></ul></ul>
  24. 25. Independent Study: The American Healthcare System <ul><ul><li>Knowledge Map/Learning Portfolio </li></ul></ul><ul><ul><ul><li>A home-grown learning and content management system that uses natural language processing tools and information from learner’s clinical notes and the medical school curriculum </li></ul></ul></ul><ul><ul><ul><li>Helps students, residents, fellows, and faculty analyze the comprehensiveness of the curriculum and their clinical education and identify gaps </li></ul></ul></ul>
  25. 26. Independent Study: The American Healthcare System <ul><ul><li>Case study process: </li></ul></ul><ul><ul><ul><li>Interviewed key players in implementation of Knowledge Map/Learning Portfolio for geriatrics education </li></ul></ul></ul><ul><ul><ul><li>Currently interviewing the system designers </li></ul></ul></ul><ul><ul><li>Initial observations: </li></ul></ul><ul><ul><ul><li>High-level learning management systems require substantial levels of infrastructure and organizational support uncommon at most institutions </li></ul></ul></ul><ul><ul><ul><li>Facilitates LMS customization </li></ul></ul></ul><ul><ul><ul><li>Negatively affects the level of transferability of the LMS to other institutions </li></ul></ul></ul><ul><ul><ul><li>Intermediate-level solutions may be required to advance the field </li></ul></ul></ul>
  26. 27. Additional Projects/Activities <ul><li>Developed and coded a web page of publishers’ resources for developing countries </li></ul><ul><li>Audited Java and Introduction to Bioinformatics classes </li></ul><ul><li>Development of personal EBM resource and clinical knowledge base </li></ul><ul><li>Created five new health topics for the MyHealthAtVanderbilt patient/provider portal </li></ul>
  27. 28. Additional Projects/Activities <ul><li>Attended Informatics and Geriatrics Department seminars </li></ul><ul><li>Observed outreach training sessions </li></ul><ul><li>Taught training sessions to new house staff (end of June) </li></ul><ul><li>Attended AMIA Annual Symposium and MLA Annual Meeting </li></ul><ul><li>Volunteered at the adult hospital – acute care unit </li></ul>
  28. 29. Closing Comments <ul><li>Deeply clinical experience </li></ul><ul><li>Increased awareness of what goes in to providing information in a clinical setting </li></ul><ul><li>Have the proper tools to always be working effectively towards improving patient care through information </li></ul><ul><li>Are my eyes bigger than my stomach? </li></ul><ul><li>PA, NP, MD? </li></ul>Questions?
  29. 30. <ul><li>Thank you! </li></ul><ul><li>Joanna L. Karpinski </li></ul><ul><li>[email_address] </li></ul><ul><li>Slides: www.slideshare.net/karpinsJL </li></ul>

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