Welcome to the School of Medicine

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Welcome to the School of Medicine!
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THE LIBRARY PROVIDES...
an attractive and inviting atmosphere for
research and study. print and electronic
resources that are easy to access and use. a
service oriented staff that will be happy to
help you if you need assistance.
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24 X 7 Access to Library
You have 24 hour access to the Library 7 days a
week, 365 days a year with your ID card
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After Hours Access Policy

• Fill out After Hours Library Access Contract
• Turn in to Circulation Desk
• Only the owner of the card may use for access
• You may not, under ANY circumstance, allow
  others access to the Library after hours
• Please dont move furniture or equipment or prop
  front door open

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Study Carrels

• 112 study carrels available on 2nd and 3rd
  floors
• Fill out form and turn in to Circulation Desk by
  August 13

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Food Drink OK - Please Recycle
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Circulation Policies

• Journals - one day
• Books - two weeks
• Reserve materials - overnight
• Renewals
• in person
• by phone [phone]
• e-mail -- renew_at_med.sc.edu

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Overdue Materials

• Journals and books
• .25/day up to a maximum of 5.25
• (one week grace period)
• Reserves - .25/half hour

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Copying and Printing

• Coin - op - .10/page
• Copy Card - .075/page
  (Requires purchase of reusable card for .50)
• Currently there is no charge to print in the
  library

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Obtaining Materials Not Available in the Library

• Interlibrary Loan - 4 / filled request
• Desktop document delivery - .25/page (4.00 max)
  FOR locally available materials
• May request articles via Library web page

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Reference Services

• ASSISTANCE WITH
• ANSWERING QUESTIONS
• SEARCHING DATABASES, E-BOOKS, E-JOURNALS
• LOCATING INFORMATION ON THE INTERNET
• INSTRUCTION IN THE USE OF ELECTRONIC RESOURCES.
• AVAILABLE 800 A.M. TO 600 P.M. Mon. Fri.
• E-MAIL TO ASKLIB_at_MED.SC.EDU

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Medical Information Explosion

• Over 2,000 journal article citations are added
  daily to the National Library of Medicines
  MEDLINE database Tuesday - Saturday, January -
  October.
• Last year, over 460,000 citations were added to
  MEDLINE!
• Medicine requires life-long learning skills.

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Electronic Clinical Information Resources
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Learning Objectives

• Identify key clinical information resources for
  use in the clinical decision-making and
  problem-solving process.
• Match your information need to the most
  appropriate information resource.
• Navigate the following information resources --
  Scarlit, StatRef, Harrisons Online, MD Consult,
  Ovid Medline, Pubmed, and DXPlain.
• Explore options for limiting and linking in
  Medline.

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Case

• Mr. Mrs. Fitzgerald, who have just moved to the
  area, bring their five year old son, Joey, to a
  new pediatrician for a routine check-up.
• The parents say he is a very healthy boy. Mr.
  Fitzgerald is concerned because Joey still needs
  help in getting dressed and he cannot name any
  colors yet.
• Mrs. Fitzgerald does not seem worried about this
  and believes he will soon catch up.

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Case

• Dr. Scott, the pediatrician, finds out that Joey
  has an older brother and sister who have no
  medical problems and are doing well in school.
• However, another sister, Harriet, the eldest,
  died suddenly at 14 years of age following the
  onset of a severe headache.
• No autopsy was performed and no cause of death
  was established at that time.

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Case

• On physical examination, Joey is very active and
  cooperative. His weight measures at the 50th
  percentile for age, height at the 95th
  percentile, and head circumference at the 75th
  percentile.
• He has a tall, slender build his arms, legs and
  fingers appear unusually long. His head and neck
  exam is unremarkable.
• He has a sunken chest his lungs are clear and
  his heart sounds normal without any murmur heard.

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Case

• His abdominal exam is unremarkable and his
  genitals appropriate for age. His spine is
  straight with no curvature. His neurologic exam
  is unremarkable although there is some
  shimmering to his irides when he moves his
  eyes.
• Dr. Scott refers Joey for an echocardiogram and
  an ophthalmologic exam. The echocardiogram is
  normal. The ophthalmologist discovers that
  Joeys lenses are unstable and appear partially
  dislocated. They are also interfering with his
  vision. Mrs. Fitzgerald recalls that Harriet had
  an eye operation for dislocated lenses as well.

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Clinical Findings

• Five year old male
• Developmental learning problems
• Dislocated lenses
• Unusually long arms, legs, and fingers
• Shimmering irides

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Possible Information Seeking Paths

• Consult individual print textbooks - pediatrics,
  ophthalmology, internal medicine
• Search Library online catalog - SCarlit
• Use keyword searching
• Search for pediatric ophthalmology

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Possible Information Seeking Paths

• Search electronic textbooks
• Consult E-Textbook area of library web page or
  go directly to
• Stat-Ref - 31 clinical textbooks
• Harrisons Online
• MD Consult - 48 clinical textbooks

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• MEDLINE
• Produced by the National Library of Medicine,
  MEDLINE is widely recognized as the premier
  database for coverage of biomedical literature.
• Citations are taken from over 4,500 journals
• Updated weekly
• Contains over 14 million citations back to 1966
  - about 80 contain abstracts
• Available via Ovid or PubMed

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Possible Information Seeking Paths

• Search for journal articles
• Search Medline database on Ovid or PubMed
• Limit to review articles
• Limit to appropriate age group

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Possible Information Seeking Paths

• Search DXPlain
• Available in Databases area of Library web page
• Diagnostic decision support tool developed by
  Massachusetts General Hospital and Harvard
  Medical School
• Allows you to enter clinical findings and then
  provides ranked list of diagnoses that might be
  associated with these findings
• Knowledge base of 2,100 diseases and 5,000
  clinical findings

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Access from Off Campus

• If you have Internet access at home, you may
  access all of the Librarys electronic
  information resources.
• The Library has a proxy server that will prompt
  you for your SOM network logon ID and password if
  you try and access a restricted-access resource
  from off campus.

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Possible Information Seeking Paths

• Ask a librarian for assistance
• Come by the reference desk
• Call 733-3361
• Send email to asklib_at_med.sc.edu