MEDICAL INFORMATION SPECIALISTS IN THE NETHERLANDS

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MEDICAL INFORMATION SPECIALISTS IN THE NETHERLANDS

• Heleen Dyserinck, Faridi van Etten, Hans Ket
• Academic Medical Centre, University of Amsterdam
• VU University, Amsterdam
• York, June 2007

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THE NETHERLANDS

• 8 University Medical
• Centres
• 19 Top Clinical Hospitals
• 109 Regional Hospitals

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MEDICAL LIBRARIES
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ON BEHALF OF COLLEAGUES

• Faridi van Etten, Clinical librarian AMC,
  Amsterdam
• Hans Ket, Medical Information Specialist, VU
  Medical Centre, Amsterdam

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AMSTERDAM

• University of Amsterdam

• VU University

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AMC

• Academic Medical Centre
• University of Amsterdam
• 1002 beds
• Advanced specialist functions including
  traumatology, pediatric and neonatal intensive
  care, neurosurgery
• General care
• Medical education

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VUmc

• VU University Medical Center Amsterdam
• 733 beds
• VU University
• Scientific reseach
• Intensive cooperation with the AMC

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PURPOSE

• Survey of the profession of medical information
  specialists.
• Questionnaire
• Meeting

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QUESTIONNAIRE

• 80 medical librarians were consulted by
  e-mail-lists of professional societies
• 25 questions
• 41 librarians responded to the
  questionnaire

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Themes of the questionnaire

• Organizations
• Training, background and experience
• Customers
• Courses
• Quality care
• Search filters
• Products
• Communication and public relations

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Examples of questions

• What is your profession called?
• What is your background, training, knowledge and
  experience?
• Who are your customers and who are not?
• What kind of courses do you give?
• Do you use a reference interview?
• Do you develop search filters?
• Do you develop educational materials, websites or
  tutorials?
• How do you communicate with your customers?

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Results of the questionnaire

• Different hospitals
• Different training
• Different functions
• Different tasks
• It is very hard to draw conclusions!!!
• Diversity in the Netherlands

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HIGHLIGHTS

• But we present some highlights

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Whats in a name?

• Medical information specialists (16)
• Librarians (13)
• Clinical librarians (12)
• Medical librarians
• Literature researchers
• Head Medical Library

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TRAINING AND EXPERIENCE

• Basic education in librarianship (college level)
  (33)
• University education (mostly biomedical) (20)
• Medical terminology by experience (25)
• Courses (presentation skills, primary medical
  knowledge, database skills) (41)

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CLIENTS

• Students
• Doctors
• Nurses
• Researchers
• Paramedical personnel
• No patients

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CLINICAL LIBRARIANSHIP IN THE NETHERLANDS

• No clinical questions and answer services
• 1991 CL project in the AMC1992 publication in
  the Dutch Medical Journal
• In UMCs and topclinical hospitals medical
  information specialists offer special services
  for the clinics

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COMMUNICATION

• Presentations for clients (24)
• Instructions to departments (17)
• Present at meetings (12)
• Column in hospital magazines (16)

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COURSES

• Pubmed
• Cochrane Library
• Evidence based sources
• OVID databases EMBASE, CINAHL
• Reference Manager, Endnote

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LITERATURE SEARCHES

• Reference interview often PICO!
• Search protocol (20)
• Reporting of search strategies

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MEDICAL LIBRARY AMC

• 9 divisions
• Each division has its own CL
• AMC first evidence based hospital in the
  Netherlands
• Medical Library joins in Evidence Based Medicine
  courses together with DCC

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AMC DCC AMSTERDAM
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Different departments different needs

• Students, hospital and research departments

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NURSING

• Courses
• Help with individual searches
• Training Course Evidence Based Nursing
• Introduction Medical Library

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PEDIATRICS

• Searches
• Cochrane Childhood Cancer Group
• Patient information centre
• Course EBM KEK
• Emmakrant newspaper

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OCCUPATIONAL HEALTH

• Searches for the Government
• Newsletter and
• helpdesk for Dutch Centre Occupational
  Diseases
• EBM Courses for all occupational health doctors
  in the Netherlands

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OBSTETRICS/GYNAECOLOGY

• Presentation of CATs at morning report
• Courses Evidence Based Searching for a CAT
• Participation in EBM course for the NVOG
• Searches

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Clinical librarians in EBM

• PICOs and CATs
• Use of evidence based resources
• Use of proper search terms
• Speciality based training courses
• Evidence based searching courses

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April 3rd 2007

• Meeting of medical information specialists in the
  AMC, Amsterdam
• Reporting on the state of affairs of
  clinicallibrarianship/medical information
  specialists
• Planning co-operation for the future

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CONSULTATION / COURSE

• Consultation OR course
• Consultation AND course
• Course NOT consultation

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CRITICAL APPRAISAL

• Critical appraisal of search results is not
  conducted by medical information specialists
• Only quick selection of evidence

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USE OF SEARCHFILTERS

• Searchfilters (e.g.clinical queries Pubmed) are
  used a lot
• Some libraries develop search filters

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NATIONAL COOPERATION

• Developing search filters
• Pubmed course
• Pubmed guide/book
• Search protocol
• WIKI

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MEETINGS AND COOPERATION

• WEBZ (working committee electronic sources and
  searching)
• MAILINGLIST Clinical librarians

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• Bulletin of the department of biomedical
  information of the NVB

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PLANNING FOR THE FUTURE
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CLINICAL LIBRARIANS/MEDICAL INFORMATION
SPECIALISTS

• Optimal quality search strategies are required
  for guidelines, systematic reviews, research and
  fundraising for research
• Training courses in the curriculum
• Digital libraries per discipline

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MEDICAL CURRICULUM

• Clinical Librarian gives evidence based search
  training for students
• Search skills for PICOs and CATs
• Lifelong learning

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INTERNATIONAL COOPERATION

• Exchange of new ideas
• Best practices of digital libraries
• Best practices in teaching information skills
• ?