Monday, September 19, 2011

New Informatist Model Based-Services: Spanish Hospital Librarian Experience at Welch Medical Library

Submitted by Maria Luisa Maquedano


Whatever we call them -- medical librarian, clinical librarian, informationist, ISIC or information specialist—the librarians who render their services in hospitals are active agents in the development and application of the new roles demanded by their patrons. However, the different education and training, as well as the budget allocated to the library and the vision of the management team makes the difference in the delivery of services.

The virtual network services of medical libraries, both academic and hospital-based, have been developed effectively throughout the Spanish territory during the last decade, nevertheless the financial and managerial independence of the libraries have discouraged the integration of management and all their material and human resources -- something that would have been extremely desirable in these times of budget cuts.

Each Ministry of Health of the 17 Spanish Regional Administrations has a Virtual Library Portal which includes all its resources and centralized services and provides online access to all the staff public Health Centers. The Ministry of Health of the Comunidad de Madrid also has its own, Biblioteca Virtual Agencia Lain Entralgo, inaugurated in 2004 but with some particular characteristics: the consortial purchase of electronic resources is only partial, the services provided are not centralized and the library management is independent. These factors, among others, have favored the implementation of new computer software in some of the larger hospitals. For example Hospital Universitario 12 de Octubre, Hospital Universitario Puerta de Hierro, and also Hospital Universitario La Paz where I develop my professional activity recently which brought up a new system to centralize their users’ access to resources and services.

In general, all the Health Sciences virtual library portals share a list of links to free and contracted resources, as well as to traditional services: reference, document delivery, bibliographic searching and continuous training. Not all the libraries have provided the new shared services of Web 2.0 tools that allow communication between different types of patrons, and very few have a team of informationists with the capacity to provide their users with all the available information for the development of their daily clinical, teaching and research activities. DeMuro’s editorial recently published in AAP Library Newsletter on non-traditional roles of librarians is highly illustrative.

My interest in this topic began in 1997, when I defended my doctoral thesis "Health Sciences Virtual Library". A lot of water has passed under the bridge since then, but the working hypothesis is still valid: users can access all types of resources via any Internet platform. Today only difference could be the addition of the new variables, sharing and interacting. In the 12 European Congress of Medical Libraries I had the opportunity to hear the presentation “The Welch Embedded Informationist Service Model” given by Blair Anton (Associate Director, Clinical Informationist Services, Welch Medical Library), and I found an interesting example of the implementation of this idea. Therefore, I requested permission for further studies from the Managing Director of my hospital and I wrote to the Director of the Welch Medical Library asking to observe in situ the Informationist team to learn about the variety of their work. My immediate goal is to develop a pilot project “Embedded Informationist-Based Model” in the Internal Medicine Service, whose Head has supported me in carrying out this new line of research for the Hospital Library.

Unfortunately, my stay at the Welch Medical Library is nearing the end, but my program has helped me learn in depth how Welch works, and I’ve had the opportunity to visit the other libraries located in different campuses that make up Johns Hopkins University.

Obviously, the organization of resources and services of a private institution such as the Welch Medical Library cannot be compared to a hospital library of a public Health System because the hospital library´s budget is significantly lower, the scope is more limited and finally, and the audience is more specific. However, I would like to emphasize some of its relevant features, which should be common to all libraries: the specialized education in Health Sciences of the staff, a multidisciplinary team, a good work schedule and overall, a leader of the library with a strong, clear vision of future with the strength to implement that vision.

Hopefully, this visit as an observer will help to promote the participation of Spanish Librarians in some of the international projects led by Library Institutions around the world and also, to foster communication between informationists so that others can enjoy an experience as enriching as mine has been.

Maria Luisa Maquedano
Hospital Universitario la Paz
Biblioteca Virtual de Ciencias de la
E-mail: maquedanoml@gmail.com

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