Library Activity Report
2010-2011
LIBRARY FINANCIAL REPORT
LIBRARY ACQUISITION BUDGET
2008/2009-2011/2012
FUNDING SOURCE
Operating Budget
Chancellor
TOTAL
FY 2008/2009
$889,631.00
$300,000.00
$1,189,631.00
FY 2009/2010
$889,631.00
$400,000.00
$1,289,631.00
FY 2010/2011
$1,289,631.00
$1,289,631.00
FY 2011/2012
$1,289,631.00
$200,000.00
$1,489,631.00
In the 2010/2011 fiscal year, the LSU System modified campus IP ranges in preparation for the
implementation of the electronic health record. Because of these changes, E.A. Conway Medical Center
and Huey P. Long Medical Center gained access to all electronic resources of LSUHSC-S. The Library
was required to notify each vendor of this change. Some vendors considered this a multi-site institution
and increased subscription costs. Library Director Marianne Comegys negotiated with these vendors and
was able to convince many to continue charging the Library the single-site price. E.A. Conway Medical
Center and Huey P. Long Medical Center were asked to reimburse the Library for any extra charges due
to their addition. Conway paid $34,973.40 and Long paid $29,051.30 for access to resources valued at
over a million dollars.
The Library’s 2010/2011 budget was supplemented by the following donations:
Memorial Gifts Total:
$290.00
Sponsorships
Department of Obstetrics & Gynecology
For UpToDate
$3,000.00
Department of Pediatrics
For UpToDate
$3,000.00
Department of Family Medicine
For UpToDate
$3,000.00
1
Louisiana Rural Health Information Exchange
For Dynamed
$66,000.00
Physician Assistant Program, School of Allied Health Professions
For Journal of the American Academy of Physician Assistants
$75.00
Department of Anesthesiology
For Anesthesiology e-books
$19,331.00
Sponsorships Total
$94,406.00
The Library continues to cooperate with other libraries to negotiate advantageous deals for library
purchases. For example, approximately 60% of the Library’s electronic journals are purchased through
consortial arrangements. The Library’s partners in these purchases include
LOUIS: a statewide consortium of academic libraries
LSU Health Sciences Center-New Orleans
Lyrasis: an organization of more than 1700 member libraries which offers savings opportunities through
group purchases, as well as other services
NERL: Northeast Research Libraries Consortium, a library organization based at Yale University which
allows affiliate members outside of the Northeast area to participate in cooperative purchases
Oklahoma, Arkansas, New Orleans: University of Oklahoma Health Science Center Library negotiates a
StatRef license on behalf of several libraries in the region
SCAMeL: South Central Academic Medical Libraries
The table below lists the Library’s consortial expenses for 2010/2011:
TITLE
LOUIS member fee
StatRef
Nature
Ovid
ISI Web of Science
ExamMaster
CSH Protocols
Faculty of 1000
Lippincott
Liebert
BMJ
PsychiatryOnline
NEJM online
ScienceDirect
AMA backfiles maintenance fee
Informa journals
Springer Images
JAMA & Archives
CONSORTIA
LOUIS
OK,AR,NO,EAC
SCAMeL
New Orleans
LOUIS
SCAMeL
SCAMeL
SCAMeL
New Orleans
SCAMeL
SCAMeL
SCAMeL
New Orleans
New Orleans
New Orleans
NERL
SCAMeL
New Orleans
PRICE
$12,677.00
$7,260.07
$96,953.00
$5,832.50
$29,781.00
$2,800.00
$2,012.00
$2,580.00
$35,750.00
$6,188.05
$17,784.00
$6,368.80
$2,150.00
$371,692.75
$197.50
$30,108.86
$3,081.00
$6,800.00
2
Springer journals
AccessMedicine
AccessEmergency Medicine
AccessSurgery
Lyrasis
New Orleans
New Orleans
New Orleans
$137,776.42
$10,551.42
$4,412.73
$4,412.73
$797,169.83
Endowments
The Library has several endowment funds. The Marianne and Stafford Comegys Professorship in
Medical Library Science offers library faculty and staff continuing education that would not otherwise
be available. In August 2011, funds from this endowment were used to provide a class for library staff in
the Mac lab at Louisiana State University in Shreveport. The instructor taught a four-hour course on the
basics of using Mac computers. This will enable library staff to better assist students who have Mac
computers.
Other endowments include the Marianne and Stafford Comegys Endowment Fund and the James
Carson (Jim) McDonald Memorial Endowment Fund, as well as the John C. McDonald Archive Fund.
THE LIBRARY COLLECTION
Journal Holdings Statistics, October 2011:
Current electronic journals:
4175
Current print journals:
11
Total current journals:
4186
Other electronic resources, October 2011:
E-books:
1061
Databases:
151
Journal changes for 2011:
Librarians monitored usage statistics for each journal. Based on these reports, low-use journals were
cancelled for 2011, for a savings of over $30,000. Librarians were also able to examine statistics on
“turnaways,” journals to which the Library did not subscribe that LSUHSC-S users had tried
unsuccessfully to access. The journals with the highest turnaway statistics were added for the 2011
subscription year. Also added were journals specifically requested by library users and journals added to
subscription packages. The journals added for 2011 include:
BioFactors
Brain Connectivity
Clinical Anatomy
Disease Models & Mechanisms
Journal of Adolescent & Young Adult Oncology
Journal of Caffeine Research
Journal of Cellular & Molecular Medicine
Journal of Graduate Medical Education
Journal for Healthcare Quality
Molecular & Cellular Proteomics
Organic & Medicinal Chemistry Letters
3
Pathology (Royal College of Pathologists Australasia)
Physical & Occupational Therapy in Pediatrics
Therapeutic Hypothermia & Temperature Management
In addition, the Library converted its MD Consult subscription from five concurrent users to a site license,
thus permitting an unlimited number of users as well as enabling mobile access.
THE LIBRARY’S PHYSICAL FACILITY
The Library has continued its successful program of creating exhibits and hosting traveling exhibits. In
March of 2010 in honor of Women’s History Month, the Library hosted “Changing the Face of Medicine:
Celebrating America’s Women Physicians,” a traveling exhibit from the National Library of Medicine.
Library staff created an accompanying exhibit to highlight the women physicians on this campus. In May
2010, Dr. Donald Wilson, former Dean of the University of Maryland School of Medicine and the
nation’s first African-American dean of an accredited non-minority medical school, visited the campus to
speak on healthcare disparity in America. In conjunction with this event, the Library created a display on
“Diversity in Medicine,” recognizing the accomplishments of various African-Americans in the field of
medicine.
In the summer of 2010, the Library displayed the photographic art of Montie’ Dobbins, Head of Access
Services. Selected photographs from her collection are also periodically displayed as the “Photograph of
the Day” on the institution’s website.
"Binding Wounds, Pushing Boundaries: African Americans in Civil War Medicine" was displayed in the
Library in August and September of 2011. This exhibition was developed and produced by the National
Library of Medicine with research assistance from the Historical Society of Washington, D.C. The exhibit
focused on free and enslaved African Americans who served as nurses, surgeons, and hospital workers
during the Civil War. Historical images and Civil War era documents revealed how these individuals
provided medical care to soldiers and civilians while participating in the fight for freedom.
Windows to our Past is a current exhibit that was created by two library faculty members, Dee Jones and
Deidra Woodson. It documents the history of the LSU Health Sciences Center- Shreveport with
photographs, newspaper clippings, publications, correspondence, artifacts and other primary source
materials selected from the LSUHSC-S Archives. Beginning in 1876 with the first Shreveport Charity
Hospital in downtown Shreveport, ours is a long and varied story. The exhibit highlights the various
hospital and medical center locations, details the 25-year long fight to locate a medical school in
Shreveport, and celebrates our founders. A special feature of the exhibit is five wooden windows,
salvaged when the 1904 era Shreveport Charity Hospital was demolished in 1954.
The Library continues weeding the print collection which results in removal of shelving on the first floor.
This opens more space for study tables near the windows on the east side of the Library, creating a
popular study area. More lights and outlets have been added to study carrels for the convenience of
students.
Dr. Chesson provided funds to build a backup system for the public announcement system in the
circulation area so that announcements can be made during power outages. We use this system to make
4
announcements, including safety announcements, to all floors of the Library. Examples are when fire
alarms sound, when severe weather alerts are issued, and when electrical outages occur. Dr. Chesson also
generously provided funds to replace an outdated security and patron counting system. The new 3M
system will be installed in the next month.
In response to requests, the Library added a study room especially for residents on the first floor of the
Library.
THE LIBRARY WEBSITE
The Library recently launched a state-of-the-art virtual tour to promote its services. Members of the team
that created the video tour include librarians Kim Pullen, Deidra Woodson, and Talicia Tarver; Donna
Haas from Medical Communications; and Lisa Higginbotham and Elizabeth Young in Video Services &
TeleHealth. Medical students assisted by volunteering to "star" in the tour with members of the Library
faculty and staff. The link to the tour is currently available on YouTube and is also available on the
Library’s main web page.
Additional new website features are the Library’s e-newsletter, a new history link (“This Month in Our
History”), and a link to a slideshow highlighting library patrons accessing our resources. There is also a
new link to the mobile device pages that provide information on resources available for various mobile
devices.
TEACHING AND OUTREACH
In academic year 2010/2011, the Library taught 447 sessions to 3,401 faculty, staff and students. The
Library also provided 42 outreach sessions to 1,002 attendees. The appendix contains detailed lists of
classes and outreach events, as well as a summary chart for instructional and outreach sessions.
The Library faculty and Library Consult returned to the School of Allied Health Professions for the 20112012 academic year starting with the fall semester. Visits are scheduled twice each month, on Tuesdays
from 10:30 am – 12:30 pm. The new location for the Library Consult is Room 1-132, the Student
Computer Lab in the School of Allied Health Professions building. The Library faculty are there to assist
not only students but faculty and staff with accessing online resources, searching the literature, writing
papers and grants, and setting up classes. This service will be expanding to the Mollie Webb Speech and
Hearing Center.
The Library is currently partnering with the Feist-Weiller Cancer Center (FWCC) to host outreach
activities with cooperation from the Shreve Memorial Public Library. These outreach activities are funded
through a subcontract provided by the National Network of Libraries of Medicine, South Central Region.
The Library’s most recent subcontract highlights consumer health information. LSU Health Shreveport
Medical Library faculty members, Donna Timm and Talicia Tarver, and FWCC Clinical Research
Coordinator, Lori Panu, have teamed up to meet at several branches of the Shreve Memorial Library and
promote awareness of consumer health resources.
On selected “Wellness Wednesdays,” medical librarians present a booth at the Broadmoor Branch of
Shreve Memorial Library showcasing healthelinks, the LSU Health Shreveport Medical Library’s
consumer health information website. Lori Panu provides information on clinical trials conducted at
FWCC. The August 17, 2011, session was covered by KTAL, Channel 6 News.
5
Another outreach activity is a series of
interactive, health-related story hours
that have been presented by library
faculty at public libraries in
Shreveport. These popular events
focus on wellness for children.
The Library’s outreach activities are funded primarily through extramural sources. Recently funded
projects include the following:
External Funding Awards and Grants: 2009-2012
NN/LM: Reaching out to North Caddo Medical Center Using
Information from NLM
NN/LM: Reaching out to Richland Parish Medical Center Using
Electronic Health Resources from the National Library of Medicine
NN/LM: Reaching out to Hardtner Medical Center Using Electronic
Health Resources Information from the National Library of
Medicine
NN/LM: Reaching out to Union General Hospital Using Electronic
Health Resources from the National Library of Medicine
NN/LM: Extending Electronic Health Resources to the School of
Allied Health Professionals Using Information from the NLM
NN/LM: Making the Wellness and Kids Health Connection to
North Louisiana
NN/LM: Digital Initiative to Preserve the History of the LSU
School of Medicine in Shreveport
NN/LM: Information Connections for the Pool of Siloam Medical
Ministry, Inc., to Provide Excellent Patient Care and Patient
Education
NN/LM: Reaching out to Winn Parish Medical Center Using
Electronic Health Resources Information from National Library of
Medicine
NN/LM: Reaching out to DeSoto Regional Health System Using
Electronic Health Resources Information from National Library of
Medicine
NN/LM: Reaching out to Sabine Medical Center Using Electronic
Health Information Available to Fitness Center Participants
NN/LM: HealtheLearning Curves: Making Quality Electronic
Health Information Available to Fitness Center Participants
NN/LM: The Health and Wellness Connection in Northwest LA:
Stories, Games & Activities
NN/LM SCR: Wellness Wednesdays @ The Library in Northwest
Louisiana
$5,000.00
4/1/09-5/31/10
$5,000.00
4/1/09-5/31/10
$5,000.00
4/1/09-5/31/10
$5,000.00
4/1/09-5/31/10
$5,000.00
4/1/10-3/31/11
$15,000.00
5/1/09-4/30/10
$19,956.75
12/15/09-12/14/10
$5,000.00
4/1/10-3/31/11
$6,500.00
8/1/10-4/30/11
$6,500.00
8/1/10-4/30/11
$6,500.00
8/1/10-4/30/11
$6,500.00
9/1/10-4/30/11
$15,000.00
5/1/10-4/30/11
$15,000.00
5/1/11-4/30/12
6
NN/LM SCR: Connecting Patients with MedlinePlus through their
Personal Health Records
NN/LM SCR: Promoting Reliable Online Health Information
through School Libraries
$5,000.00
10/3/11-9/30/12
$5,000.00
10/3/11-9/30/12
NEW SERVICES
In October 2010, Talicia Tarver and John Cyrus began offering a free writing consultation service. In the
past year, they have completed 170 jobs.
Writing Consultation Service October 2010October 2011
Unique clients
Journal articles
Letters to the editor
Case reports
Presentations
Personal statements
CVs
79
11
4
4
6
18
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This service has proved to be an immediate success. Recently, a satisfaction survey was conducted.
Responses were very positive. Below are a couple of comments from the survey:
The turnaround time was awesome! I got great feedback on my paper for submission to a
journal, and they even compared it against the journal requirements. This service is better
than any I’ve heard about at other institutions. Thanks!
I really appreciate having this service available and they were very quick. I have already
recommended this service and others were just as satisfied. Please keep this!!
LIBRARY ASSESSMENT
On the AAMC 2011 Medical School Graduation Questionnaire, 100% of the senior medical students at
LSU Health Shreveport indicated they were either satisfied or very satisfied with library services.
Three focus groups were held with students in spring 2011. Suggestions received included offering
vending machines in the Library, extending the hours the Library is open, providing tables with outlets
instead of study carrels, and having more study rooms. Positive comments were received about the candy
provided at the circulation desk, UpToDate, the individual assistance offered by librarians, the Library’s
website and the exhibits.
THE LIBRARY’S COLLABORATIONS
-WITH THE CHANCELLOR’S OFFICE
The Library has been asked to be part of a team that is working on a video presentation. This video will
look at the history of the property on which LSU Health Sciences Center is built and outline proposals for
the future development of the surrounding properties.
7
-WITH THE LSU HEALTH SHREVEPORT FOUNDATION
Library Director, Marianne Comegys, co-chaired with Jenny Barish “An Evening for Heroes,” an
inaugural event held May 5, 2011. This ceremony, sponsored by the LSU Health Shreveport Foundation,
honored 120 emergency responders and medical professionals, 55 of whom were LSU Health Shreveport
employees. An overflow crowd of 800 people attended the event, and two former trauma patients spoke in
recognition of the efforts of doctors, nurses, physical therapists, 911 operators, police officers,
firefighters, and Life Air Rescue crew members.
-WITH LSUHSC-S MEDICAL ALUMNI ASSOCIATION
In October 2011, the Library sponsored and taught classes for CME credit on healthelinks and DynaMed
at reunions for the medical school classes of 1971, 1991, and 2001.
-WITH THE DEPARTMENT OF INTERNAL MEDICINE
The Library continues to partner with the Department of Internal Medicine to find evidence-based
answers to the clinical questions that arise in Morning Report. Librarians attend Morning Report three
days a week and residents go to the Library to search the literature with the designated librarians.
Additionally, the Clinical Medical Librarian rounds regularly with an Internal Medicine team to provide
evidence-based information at the point of care.
-WITH COMPUTER SERVICES/PELICAN
The Library is in the process of working with Lee Bairnsfather, who is Assistant Vice President for
Information Technology, Office of the Vice President for Health Affairs and Medical Education for the
LSU System, to investigate the possibility of a consortial purchase of several Elsevier products. Library
faculty met with Dr. Bairnsfather and a consultant who is working on negotiating the purchase of these
electronic resources for inclusion in the electronic health record for the ten LSU hospitals throughout the
state of Louisiana.
The Library worked with Alex Garcia, MyChart Team Leader, to link MedlinePlus Connect in MyChart
to provide context-sensitive health information to patients. MyChart is the personal health record
component of Epic’s electronic health record. A library proposal to the National Network of Libraries of
Medicine was funded for the purpose of educating patients about MyChart and its features, including the
linkage to MedlinePlus. The library will also be partnering with public libraries to make patients aware
that the public libraries have computers available for those who do not have computer access at their
homes.
-WITH OTHER HEALTH SCIENCES LIBRARIES
Recently the Medical Library took part in the Value of Library and Information Services in Patient Care
Study (E11-019). Julia M. Esparza was the principal investigator for the study, in which LSUHSC-S was
one of only two study sites in the five-state South Central Region (AR, LA, NM, OK, and TX). There
were 56 study centers and 118 participating hospitals nationwide. From Mid-March to Mid-April, the
Medical Library surveyed the clinical staff to find out how they used library and information services in
patient care. Using the Critical Incident Technique, the survey respondents were asked to think about an
occasion in the last six months when they looked for information resources for patient care (beyond what
is available in the patient record, EMR system or lab results) and to answer questions regarding that
occasion. Below are some of the results:
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Did you handle any aspect of the clinical
situation differently as a result of having
the information? (Question IN8)
Overall
(n=325)
Attending
physicians
(n=75)
Residents
(n=44)
Nurses
(n=191)
Definitely Yes
24%
37%
36%
17%
Probably Yes
38%
40%
39%
36%
Probably No
30%
17%
25%
35%
Definitely No
9%
5%
0%
13%
19
Changes in patient care as a result of the
information (Question V3)
Changes Reported
Advice given to patient or
family
20
Overall
(n=308)
Attending
physicians
(n=72)
Residents
(n=44)
Nurses
(n=177)
45%
40%
41%
47%
Choice of drugs
28%
46%
55%
14%
Choice of other treatments
25%
43%
50%
11%
Choice of test
20%
38%
41%
7%
Diagnosis
20%
29%
52%
10%
Post hospital care or treatment
14%
8%
16%
16%
Length of stay
8%
8%
18%
6%
Not applicable
23%
10%
7%
33%
Note: For this question, respondents were able to check all that apply unless they selected
Not applicable. The percents will not equal 100. Changes included here must have had at
least 10% or more of respondents in at least one of the 4 categories.
9
Key adverse events avoided as a result of the
information (Question V4)
Adverse Event
Avoided
Patient
misunderstanding of
disease
Additional tests or
procedures
24
Overall
(n=303)
Attending
physicians
(n=70)
Residents
(n=44)
Nurses
(n=174)
27%
20%
16%
30%
20%
39%
34%
10%
Misdiagnosis
14%
19%
32%
9%
Medication error
Adverse drug reaction
or interaction
11%
16%
18%
7%
11%
13%
11%
10%
Note: For this question, respondents were able to check all that apply unless they selected Not
applicable. The percents will not equal 100. The most frequent events were included along
with patient mortality.
Key adverse events avoided as a result of the
information (Question V4)
25
Adverse Event
Avoided
Overall
(n=303)
Attending
physicians
(n=70)
Residents
(n=44)
Nurses
(n=174)
Patient mortality
9%
10%
18%
7%
Surgery
Regulatory noncompliance
4%
4%
11%
2%
3%
0%
11%
2%
Not applicable
42%
29%
32%
49%
Note: For this question, respondents were able to check all that apply unless they selected Not
applicable. The percents will not equal 100. The most frequent events were included along
with patient mortality.
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LIBRARY FACULTY HONORS AND AWARDS
At the October 2010 meeting of the South Central Chapter of the Medical Library Association held in
Austin, Texas, LSUHSC-S faculty members received these awards for their presentations:



1st place, contributed paper – Effect of a Clinical Medical Librarian as Part of an Internal
Medicine Team. Julia Esparza, Medical Library; Daniel Banks, Department of Internal Medicine;
Marianne Comegys, Medical Library; Jerry McLarty and Runhua Shi, Feist-Weiller Cancer
Center.
2nd place, contributed paper – Connecting with Hospital Nurses through MINE: Reflections on a
New Method of Instruction. David C. Duggar, Julia Esparza, Kimberly Pullen, John Cyrus,
Montie’ Dobbins and Mararia Adams, Medical Library.
Honorable Mention, poster – Looming Ethical Dilemmas: Emerging Mobile Technologies and
Prospective Roles for Medical Librarians. John Cyrus and Mark Baggett, Medical Library.
At the October 2011 meeting of the South Central Chapter of the Medical Library Association held in
Baton Rouge, Louisiana, several library faculty members received an award for the following research
presentation:

3rd place, contributed paper – Accessing and Assessing the FACTTS: An EBM and Critical
Appraisal Course for Medical Students. Kimberly Pullen, David Duggar, John Cyrus, Deidra
Woodson, and Donna Timm, Medical Library; Jerry McLarty , Feist-Weiller Cancer Center;
Mark Baggett, Medical Library; and Daniel Banks, Department of Internal Medicine.
The publisher of Journal of Hospital Librarianship recently announced the journal’s top ten most
downloaded articles in 2010. Among the top ten were two articles written by LSUHSC-S library faculty.
The third most downloaded article in 2010 was: “Online Resources for Teaching Seniors to Find Health
Information on the Internet: From Basic Computer Skills to Consumer Health.” This article, which
appeared in volume 9, number 4 (2009), was co-authored by Deidra Woodson, Mararia Adams, Donna
Timm, and Dee Jones. It includes an annotated bibliography to assist librarians in teaching senior adults
to search for health information online. Ranking at number six was: “Clinical Library Services: Outreach
to Enhance Patient Care.” This article, which appeared in volume 10, number 2 (2010), was written by
Julia Esparza. The article examines clinical library services offered by hospital librarians.
Montie’ Dobbins, Head of Access Services, was selected through a competitive process to attend the
BioMedical Informatics survey course at the Marine Biological Laboratory in Woods Hole,
Massachusetts, at its spring 2011 session. This fellowship program, sponsored by the National Library of
Medicine, is taught by nationally known faculty and directed by James Cimino, MD, Chief of the
Laboratory for Clinical Informatics Development at the NIH Clinical Center. Ms. Dobbins was also
honored with receiving the MLA Annual Meeting Scholarship to attend the May 2011 meeting in
Minneapolis, MN.
Julie Esparza, Clinical Medical Librarian, was a recipient of a 2011 Hospital Libraries Section (HLS)
Professional Development Award for her paper, “Embedded clinical medical librarian: assisting patient
care on the front lines.”
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NEW COMMITTEE OPPORTUNITIES FOR LIBRARY FACULTY
Library faculty members have begun participating in the institution’s new Onboarding and
Communications Committees. In addition to the institutional committees where librarians have
traditionally served and continue to do so, several faculty members are now serving on both
Investigational Review Board committees (IRB1 and IRB2) and the AAHRPP Reaccreditation
Committee, as well as these hospital committees: Falls and National Patient Safety Goals.
LIBRARY PERSONNEL CHANGES
Charles Tudor has accepted the position of assistant systems librarian/instructor as of November 8, 2011.
Charles has a master’s degree in health administration and comes to the Library from the Department of
Pathology.
Christine Collins retired in August 2011. She held the position of library specialist 3 and worked at the
circulation desk. Interviewing to fill the vacancy created by her retirement will begin this week.
LIBRARY STAFF DEVELOPMENT
In addition to the Mac computer class that was offered through endowment funds, the Library staff
participated in the Issues in Contemporary Librarianship Lecture Series which provides teaching and
learning opportunities for library staff. Topics and presenters of the sessions held since February 2010 are
as follows:




FAQs: In Case You Did Not Know – Mararia Adams, Mark Baggett, Jenipher Thomas
Classroom Response System and Wiki Usage – Mararia Adams and Mark Baggett
Statistics for the Non-Statistician – Dennis Wissing, PhD (School of Allied Health Professions)
An Introduction to Medicare Claims Public Use Files (PUFs) – Julia Esparza and Kimberly
Pullen
The Library also hosted two Medical Library Association webcasts which were available to our staff, as
well as other local librarians:


Shifting Skills to Navigate the Changing Horizon
ABCs of E-Books: Strategies for the Medical Library
In October 2011, Alex Garcia, MyChart Team Leader with the Pelican Project, gave a presentation to
library faculty on MyChart and how MedlinePlus Connect works with it.
12