Dana now has 3 rollable whiteboards in the public areas for patron use within the Library. The Access Services desk has sets of markers and erasers on reserve to check out.
The Dana Medical Library is currently displaying “American Women in Medicine and Health Care Sciences” in celebration of UVM Women’s HERStory Month. The exhibit highlights some of the extraordinary achievements and famous firsts by women, and is on view throughout the month of March 2014. The exhibit is also on display at the College of Medicine Hoehl Gallery in the Given Medical building.
Over the winter break many technological upgrades were made to the projector, screen and podium in the Library Classroom in order to improve the teaching and learning experience. Students will now have a larger screen that is clearer and easier to read, and instructors will be able to project content from their favorite devices, including tablets and laptops. All technological changes were made with a focus on flexibility. Good teaching and learning happens in a variety of modalities and environments, so having spaces that are flexible enough to accommodate those differences was a priority in planning the upgrades.
Most noticeable is the now very large screen. A new Eiki screen, 87 X 139 inches, or 164 inches diagonally, was installed. The larger screen is more visible from the back of the room and displays a clearer image.
The old projector was replaced with a new, significantly brighter projector, making the images projected onto the screen crisper and more detailed than before. The new projector can also project HD 1080p quality video in wide screen format, which makes it compatible with DVD movies and wide-screen PowerPoint presentations. It is also much more flexible than the old projector, and can accommodate other devices, such as tablets.
The electronics in the podium, except for the computer, have been completely upgraded. The VCR has been removed and a new DVD player that is capable of reading multiple formats (DVD Video/MP3/WMA/WAV, etc.) has been added. In addition, instructors can now plug in devices that are HDMI compatible (such as the iPad) in addition to just the standard VGA. Finally, there is a new Crestron touch screen control panel to run all of the technology in the podium. The new electronics in the podium can also be expanded to adapt to new technology, which will give instructors greater flexibility going forward.
Dana also obtained a new Sharp 55″ High Definition flat panel monitor mounted on a movable cart so that it can be moved from room to room as needed. Instructors and students can plug their laptops into the panel and display what is on their laptop on the monitor. Dana librarians foresee using this set up with smaller groups of people when the big screen would be too overwhelming.
As classes settle into this new space, Dana education librarian, Gary Atwood, who oversaw the project, will be surveying instructors and students alike for feedback on these technological improvements.
Marie McGarry, Interlibrary Loan (ILL) Specialist, retires on February 28, 2014 after 29 years of service for the University of Vermont. Marie came to the Dana Medical Library in January of 1985. Initially working in cataloging, Marie then moved to ILL Borrowing, where she filled requests from UVM and Fletcher Allen patrons for materials to be borrowed from other libraries or institutions. Marie has borrowed books and other materials from as far away as Hong Kong and Australia, and is known for filling requests at lightning speed. ILL regularly receives requested journal articles as quickly as 4 hours after the request has been placed. Marie has been particularly good at meeting patron needs for high quality materials delivered quickly, and she does so while saving the Library money but never sacrificing quality patron service.
Many health sciences area patrons appreciate her work. In a recent survey of Dana ILL users, 87% indicated that being able to borrow materials for patient care, research or academic work was “essential”, with 13% rating it “very important.” Many respondents commented positively on Interlibrary Loan. “Being able to… request articles from the [Interlibrary Loan] service is absolutely critical to the teaching mission,” said one respondent. Another noted, “This [Interlibrary Loan] service is so efficient and reliable, I really depend on it to keep me up to date on related research, etc.” Speed of delivery was also rated as important and commented on by survey respondents. One respondent said, “I have been amazed that many of my ILL requests are filled the same day.”
Judging by patron feedback, Interlibrary Loan is an important service for all kinds of work: from student assignments to clinical practice. Dana Library is committed to continuing this high level of service, but there can be no denying that Marie has been a key member of the Interlibrary Loan team. She will be missed by colleagues and patrons alike. Dana Library faculty and staff wish her the very best in her new adventure of retirement!
In April 2013 the Dana Medical Library and Bailey-Howe Library made the LIbQual+ Survey available to UVM and Fletcher Allen faculty, staff, and students. Thank you to the 942 individuals who completed the survey.
The Dana Medical Library is committed to providing high quality medical and health sciences information and services to our patrons. One tool available to libraries for assessing service quality is the LibQual+ Survey. The U.S. Association for Research Libraries developed and rigorously tested this web-based survey. It has been used by more than 1,200 libraries, including University of Massachusetts, Northeastern University, University of Connecticut, University of Rhode Island, and SUNY Stony Brook.
The survey asked for patrons to indicate their minimum acceptable service level, their desired service level, and the level of service they perceive for 22 attributes.
The three attributes that Dana Library patrons were most satisfied with were:
- Employees who are consistently courteous
- Willingness to help users
- Readiness to respond to users’ questions.
Dana Library patrons indicated that their three most desired service attributes are:
- Print and/or electronic journal collections I require for my work
- The electronic information resources I need
- Making electronic resources accessible from my home or office
Mean scores for Dana Library services exceeded the minimum acceptable service level for all 22 attributes, including the three most desired attributes listed above.
Dana Medical Library also has data from its 2009 LibQual+ survey. Almost all scores were higher in 2013, but two specific changes stand out. First, survey results from 2013 indicated an increased score for “Employees who have the knowledge to answer user questions.” Second, the scores for “Community space for group learning and group study,” while not large in 2009 or 2013, were higher in 2013.
Stay tuned for Dana Library’s plans to use the data from the 2013 LibQual+ Survey, including information gleaned from survey comments.
Donna O’Malley, MLS
Health care providers are incorporating more evidence-based practice skills and information sources into their patient care. When providers recognize an uncertainty in determining a diagnosis or treatment plan, they frequently turn to available knowledge sources. At University of Vermont/Fletcher Allen Health Care many providers and professionals turn to Library–licensed sources such as UpToDate, DynaMed, and Nursing Reference Center as their first stop in finding the evidence to answer a patient care question. These sources helpfully provide the “strength of recommendation” based on accepted standards of appraisal of research studies. The typical duration of a search session on DynaMed or UpToDate is less than five minutes, which is manageable at or near the point of care. When those sources do not answer the question adequately either because the latest findings are too new, or because the patient situation and values are too complex, clinicians often seek the primary literature through PubMed. In doing so, some find the search frustrating and time-consuming. If you are among those who need a potentially time-consuming and complex search of the primary literature, consider requesting a literature search from Dana Library medical librarians.
In a randomized trial, information retrieval searches performed by a medical librarian for complex clinical questions were faster and retrieved more favorable results when compared to physician self-searches. The librarians answered the question in 13 minutes compared to 20 minutes for physicians searching on their own. The physicians reported that the librarian results contained a higher level of evidence and had a greater impact on patient care than physician self-searches.1
In a controlled study, patient cases were presented at morning report with a medical librarian in attendance. The librarian performed a literature search on questions that arose and disseminated the findings to the attending physician and presenting resident. The control patients were drawn from patient records and matched for age and primary and secondary diagnoses. The study results included association with reduced hospital length of stay (LOS) for the case group. LOS differed by 2 days between matched cases and controls (3 days vs. 5 days, P < 0.024). Median total hospital charges were $7,045 for the intervention group, and $10,663 for the control group. 2
In these studies, the librarian-conducted literature search saved physician time, reduced hospital costs, and may have improved patient outcomes. UVM and Fletcher Allen physicians, residents, nurses, therapists, and others may receive help finding the literature to answer clinical questions, develop guidelines, and do background research for presentations. To request a literature search or consultation, go to Ask a Librarian on the Dana website to get help by phone, email, or in person.
1. McGowan J, Hogg W, Campbell C, Rowan M. Just-in-time information improved decision-making in primary care: a randomized controlled trial. PLoS ONE. 2008;3(11):e3785.
2. Banks DE, Shi R, Timm DF, et al. Decreased hospital length of stay associated with presentation of cases at morning report with librarian support. J Med Libr Assoc. Oct 2007;95(4):381-387.
Marianne Burke, MLS AHIP
Director, Dana Medical Library
The Dana Medical Library is currently displaying an exhibit that honors multi-generation physician families in Vermont. “Multi-Generation Vermont Physician Families: Graduates of the UVM College of Medicine” highlights the Bove, Irwin, Terrien, and Upton families and is on view until April. Stop by the Library to view this informative exhibit.
Dana Medical Library now provides access to ClinicalKey. Replacing MDConsult and Procedures Consult, this new Clinical Insight Engine is designed to provide clinicians with fast, clinically-relevant answers from Elsevier’s library of proprietary medical and surgical content. ClinicalKey offers access to:
- over 1,000 Elsevier medical and surgical reference books*
- over 500 Elsevier medical and surgical journals
- all medical and surgical clinics of North America
- Procedures Consult procedural videos
- First Consult point-of-care clinical monographs
- patient education handouts
- additional videos and images, practice guidelines, patient handouts, and drug information.
It also supports researchers and instructors with the included presentation builder for use with ClinicalKey’s multimedia collection-export to PowerPoint. User guides are available at http://www.elsevier-data.de/ClinicalKey/ClinicalKey_user_guide.pdf.
*HTML version of chapters provided. To view PDF files you must create a FREE “User Profile” and login.
The UVM Libraries/FAHC-licensed UpToDate goes anywhere and everywhere!
This new version, called UpToDate Anywhere, allows full access to UpToDate at UVM, Fletcher Allen Health Care, all FAHC practice sites… and from anywhere with an Internet connection.
To take advantage of UpToDate Anywhere, users must first register an individual account from within the UVM or FAHC networks. These networks include accessing UpToDate:
- while at UVM;
- while at FAHC;
- remotely with EZ Proxy or VPN;
- through FAHC’s Remote Access Gateway;
- on the UVM wireless network;
- or on FAHC’s employee wireless network (NOT the FAHC guest wireless network).
With this account, UpToDate can then be accessed anywhere just by logging in with the registered user name and password. The account also enables users to accrue CME credits for reading UpToDate articles, and to download an UpToDate app to a mobile device.
Directions for downloading and installing the iPhone/iPad/iPod Touch and Android versions of the mobile app are available at http://danaguides.uvm.edu/mobile. A more detailed description of UpToDate Anywhere can be found here: http://danaguides.uvm.edu/uptodate.
As usual, if you have any questions or concerns, please do not hesitate to contact the Library at 802-656-2201 or firstname.lastname@example.org.
Which of the links on the Dana Medical Library home page are the most popular? Preliminary annualized data indicate that patrons visiting the Dana home page are most likely to click on links for PubMed, UpToDate, and the link to the page that lists all health sciences Articles & Databases. See the table below for more of the most popular databases and web pages.
On the flip side, the following pages received fewer than 100 clicks: Renew a Book, Recommend a Purchase, For Users with Special Needs, and most of the links under UVM Libraries & Collections. The data are tentative at this point and based on combination of estimates and extrapolations. We will continue to gather this data to help us focus the web site on the needs of our patrons.