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

THE NETHERLANDSTHE NETHERLANDS

8 University Medical8 University Medical

CentresCentres

19 Top Clinical Hospitals19 Top Clinical Hospitals

109 Regional Hospitals109 Regional Hospitals

MEDICAL LIBRARIESMEDICAL LIBRARIES

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

AMSTERDAMAMSTERDAM

University of University of AmsterdamAmsterdam

VU UniversityVU University

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

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

PURPOSE PURPOSE

Survey of the profession of medical Survey of the profession of medical information specialists.information specialists.

QuestionnaireQuestionnaire MeetingMeeting

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

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

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?

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

HIGHLIGHTSHIGHLIGHTS

But we present some highlightsBut we present some highlights

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

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)

CLIENTSCLIENTS

StudentsStudents DoctorsDoctors NursesNurses ResearchersResearchers Paramedical personnelParamedical personnel No patientsNo patients

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

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)

COURSESCOURSES

PubmedPubmed Cochrane LibraryCochrane Library Evidence based sourcesEvidence based sources OVID databases: EMBASE, CINAHLOVID databases: EMBASE, CINAHL Reference Manager, EndnoteReference Manager, Endnote

LITERATURE SEARCHESLITERATURE SEARCHES

Reference interview – often PICO!Reference interview – often PICO!

Search protocol (20%)Search protocol (20%)

Reporting of search strategiesReporting of search strategies

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

AMC DCC AMSTERDAMAMC DCC AMSTERDAM

Different departments different Different departments different needsneeds

Students, hospital and research Students, hospital and research departmentsdepartments

NURSINGNURSING

CoursesCourses Help with individual Help with individual

searchessearches Training Course Training Course

Evidence Based Evidence Based NursingNursing

Introduction Medical Introduction Medical LibraryLibrary

PEDIATRICSPEDIATRICS

SearchesSearches Cochrane Childhood Cochrane Childhood

Cancer GroupCancer Group Patient information Patient information

centrecentre Course EBM KEKCourse EBM KEK Emmakrant Emmakrant

newspapernewspaper

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

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

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

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

CONSULTATION / COURSECONSULTATION / COURSE

Consultation OR courseConsultation OR course

Consultation AND courseConsultation AND course

Course NOT consultationCourse NOT consultation

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

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

NATIONAL COOPERATIONNATIONAL COOPERATION

Developing search filtersDeveloping search filters Pubmed coursePubmed course Pubmed guide/bookPubmed guide/book Search protocolSearch protocol WIKIWIKI

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

Bulletin of the Bulletin of the department of department of biomedical biomedical information of the information of the NVBNVB

PLANNING FOR THE FUTUREPLANNING FOR THE FUTURE

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

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

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 ??