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MEDICAL INFORMATION MEDICAL INFORMATION SPECIALISTS IN THE SPECIALISTS IN THE
NETHERLANDSNETHERLANDSHeleen Dyserinck, Faridi van Etten, Hans KetHeleen Dyserinck, Faridi van Etten, Hans Ket
Academic Medical Centre, University of AmsterdamAcademic Medical Centre, University of AmsterdamVU University, AmsterdamVU University, Amsterdam
York, June 2007York, June 2007
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THE NETHERLANDSTHE NETHERLANDS
8 University Medical8 University Medical
CentresCentres
19 Top Clinical Hospitals19 Top Clinical Hospitals
109 Regional Hospitals109 Regional Hospitals
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MEDICAL LIBRARIESMEDICAL LIBRARIES
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ON BEHALF OF COLLEAGUESON BEHALF OF COLLEAGUES
Faridi van Etten, Clinical Faridi van Etten, Clinical librarian AMC, librarian AMC, AmsterdamAmsterdam
Hans Ket, Medical Hans Ket, Medical Information Specialist, VU Information Specialist, VU Medical Centre, Medical Centre, AmsterdamAmsterdam
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AMSTERDAMAMSTERDAM
University of University of AmsterdamAmsterdam
VU UniversityVU University
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AMCAMC
Academic Medical CentreAcademic Medical Centre University of AmsterdamUniversity of Amsterdam 1002 beds1002 beds Advanced specialist functions including Advanced specialist functions including
traumatology, pediatric and neonatal traumatology, pediatric and neonatal intensive care, neurosurgeryintensive care, neurosurgery
General careGeneral care Medical educationMedical education
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VUmcVUmc
VU University Medical VU University Medical Center AmsterdamCenter Amsterdam
733 beds733 beds VU UniversityVU University Scientific reseachScientific reseach Intensive cooperation Intensive cooperation
with the AMCwith the AMC
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PURPOSE PURPOSE
Survey of the profession of medical Survey of the profession of medical information specialists.information specialists.
QuestionnaireQuestionnaire MeetingMeeting
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QUESTIONNAIREQUESTIONNAIRE
80 medical librarians were consulted by80 medical librarians were consulted by e-mail-lists of professional societies e-mail-lists of professional societies
25 questions25 questions
41 librarians responded to the 41 librarians responded to the questionnaire questionnaire
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Themes of the questionnaireThemes of the questionnaire
OrganizationsOrganizations Training, background and experienceTraining, background and experience CustomersCustomers CoursesCourses Quality careQuality care Search filtersSearch filters ProductsProducts Communication and public relationsCommunication and public relations
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Examples of questionsExamples of questions
What is your profession called?What is your profession called? What is your background, training, knowledge and What is your background, training, knowledge and
experience?experience? Who are your customers and who are not?Who are your customers and who are not? What kind of courses do you give?What kind of courses do you give? Do you use a reference interview?Do you use a reference interview? Do you develop search filters?Do you develop search filters? Do you develop educational materials, websites or Do you develop educational materials, websites or
tutorials?tutorials? How do you communicate with your customers?How do you communicate with your customers?
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Results of the questionnaireResults of the questionnaire
Different hospitalsDifferent hospitals Different trainingDifferent training Different functionsDifferent functions Different tasksDifferent tasks
It is very hard to draw conclusions!!!It is very hard to draw conclusions!!!
Diversity in the NetherlandsDiversity in the Netherlands
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HIGHLIGHTSHIGHLIGHTS
But we present some highlightsBut we present some highlights
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What’s in a name?What’s in a name?
Medical information specialists (16)Medical information specialists (16) Librarians (13)Librarians (13) Clinical librarians (12)Clinical librarians (12) Medical librariansMedical librarians Literature researchersLiterature researchers Head Medical LibraryHead Medical Library
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TRAINING AND EXPERIENCETRAINING AND EXPERIENCE
Basic education in librarianship (college Basic education in librarianship (college level) (33)level) (33)
University education (mostly biomedical) University education (mostly biomedical) (20)(20)
Medical terminology by experience (25)Medical terminology by experience (25) Courses: (presentation skills, primary Courses: (presentation skills, primary
medical knowledge, database skills) (41)medical knowledge, database skills) (41)
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CLIENTSCLIENTS
StudentsStudents DoctorsDoctors NursesNurses ResearchersResearchers Paramedical personnelParamedical personnel No patientsNo patients
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CLINICAL LIBRARIANSHIP IN CLINICAL LIBRARIANSHIP IN THE NETHERLANDSTHE NETHERLANDS
No clinical questions and answer servicesNo clinical questions and answer services
1991 CL project in the AMC1991 CL project in the AMC1992 publication in the Dutch Medical 1992 publication in the Dutch Medical JournalJournal
In UMC’s and topclinical hospitals medical In UMC’s and topclinical hospitals medical information specialists offer special information specialists offer special services for the clinicsservices for the clinics
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COMMUNICATIONCOMMUNICATION
Presentations for clients (24)Presentations for clients (24) Instructions to departments (17)Instructions to departments (17) Present at meetings (12)Present at meetings (12) Column in hospital magazines (16)Column in hospital magazines (16)
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COURSESCOURSES
PubmedPubmed Cochrane LibraryCochrane Library Evidence based sourcesEvidence based sources OVID databases: EMBASE, CINAHLOVID databases: EMBASE, CINAHL Reference Manager, EndnoteReference Manager, Endnote
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LITERATURE SEARCHESLITERATURE SEARCHES
Reference interview – often PICO!Reference interview – often PICO!
Search protocol (20%)Search protocol (20%)
Reporting of search strategiesReporting of search strategies
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MEDICAL LIBRARY AMCMEDICAL LIBRARY AMC
9 divisions 9 divisions Each division has its own CLEach division has its own CL AMC first evidence based hospital in the AMC first evidence based hospital in the
NetherlandsNetherlands Medical Library joins in Evidence Based Medical Library joins in Evidence Based
Medicine courses together with DCCMedicine courses together with DCC
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AMC DCC AMSTERDAMAMC DCC AMSTERDAM
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Different departments different Different departments different needsneeds
Students, hospital and research Students, hospital and research departmentsdepartments
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NURSINGNURSING
CoursesCourses Help with individual Help with individual
searchessearches Training Course Training Course
Evidence Based Evidence Based NursingNursing
Introduction Medical Introduction Medical LibraryLibrary
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PEDIATRICSPEDIATRICS
SearchesSearches Cochrane Childhood Cochrane Childhood
Cancer GroupCancer Group Patient information Patient information
centrecentre Course EBM KEKCourse EBM KEK Emmakrant Emmakrant
newspapernewspaper
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OCCUPATIONAL HEALTHOCCUPATIONAL HEALTH
Searches for the Searches for the Government Government
Newsletter and Newsletter and helpdesk for Dutch helpdesk for Dutch
Centre Occupational Centre Occupational DiseasesDiseases
EBM Courses for all EBM Courses for all occupational health occupational health doctors in the doctors in the NetherlandsNetherlands
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OBSTETRICS/GYNAECOLOGYOBSTETRICS/GYNAECOLOGY
Presentation of CAT’s Presentation of CAT’s at morning reportat morning report
Courses ‘Evidence Courses ‘Evidence Based Searching for Based Searching for a CAT’a CAT’
Participation in EBM Participation in EBM course for the NVOGcourse for the NVOG
SearchesSearches
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Clinical librarians in EBMClinical librarians in EBM
PICO’s and CAT’sPICO’s and CAT’s Use of evidence based resourcesUse of evidence based resources Use of proper search termsUse of proper search terms Speciality based training & coursesSpeciality based training & courses Evidence based searching coursesEvidence based searching courses
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April 3rd 2007April 3rd 2007
Meeting of medical information specialists Meeting of medical information specialists in the AMC, Amsterdamin the AMC, Amsterdam
Reporting on the state of affairs of clinicalReporting on the state of affairs of clinicallibrarianship/medical information librarianship/medical information specialistsspecialists
Planning co-operation for the futurePlanning co-operation for the future
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CONSULTATION / COURSECONSULTATION / COURSE
Consultation OR courseConsultation OR course
Consultation AND courseConsultation AND course
Course NOT consultationCourse NOT consultation
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CRITICAL APPRAISALCRITICAL APPRAISAL
Critical appraisal of search results is not Critical appraisal of search results is not conducted by medical information conducted by medical information specialistsspecialists
Only quick selection of evidenceOnly quick selection of evidence
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USE OF SEARCHFILTERSUSE OF SEARCHFILTERS
Searchfilters (e.g.clinical queries Pubmed) Searchfilters (e.g.clinical queries Pubmed) are used a lotare used a lot
Some libraries develop search filtersSome libraries develop search filters
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NATIONAL COOPERATIONNATIONAL COOPERATION
Developing search filtersDeveloping search filters Pubmed coursePubmed course Pubmed guide/bookPubmed guide/book Search protocolSearch protocol WIKIWIKI
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MEETINGS AND COOPERATIONMEETINGS AND COOPERATION
WEB&Z (working committee electronic WEB&Z (working committee electronic sources and searching)sources and searching)
MAILINGLIST Clinical librariansMAILINGLIST Clinical librarians
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Bulletin of the Bulletin of the department of department of biomedical biomedical information of the information of the NVBNVB
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PLANNING FOR THE FUTUREPLANNING FOR THE FUTURE
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CLINICAL LIBRARIANS/MEDICAL CLINICAL LIBRARIANS/MEDICAL INFORMATION SPECIALISTSINFORMATION SPECIALISTS
Optimal quality search strategies are Optimal quality search strategies are required for guidelines, systematic required for guidelines, systematic reviews, research and fundraising for reviews, research and fundraising for researchresearch
Training courses in the curriculumTraining courses in the curriculum Digital libraries per disciplineDigital libraries per discipline
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MEDICAL CURRICULUMMEDICAL CURRICULUM
Clinical Librarian gives evidence based Clinical Librarian gives evidence based search training for studentssearch training for students
Search skills for PICO’s and CAT’s Search skills for PICO’s and CAT’s
Lifelong learning Lifelong learning
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INTERNATIONAL COOPERATIONINTERNATIONAL COOPERATION
Exchange of new ideasExchange of new ideas Best practices of digital librariesBest practices of digital libraries Best practices in teaching information Best practices in teaching information
skillsskills ??