Journal of the Medical Library Association

Adapt and advance: the Medical Library Association's journey through innovation and change

Kevin Baliozian — 2024-07-29

This article examines key inflection points of the last twenty-five years and the critical role of the board of directors in setting the direction of MLA. It reviews ten years of strategic initiatives, building the larger picture of significant change for the association and the building of a better future.

Thank you to the Journal of the Medical Library Association reviewers in 2023

Jill T. Boruff — 2024-05-22

We sincerely thank the peer reviewers in 2023 who helped evaluate and improve the quality of work published in the Journal of the Medical Library Association (JMLA).

Welcome to the future: challenges and opportunities discussed in the Vision 2048 Task Force Open Forums 2021-2023

Charlotte Beyer — 2024-07-29

In preparation of the 125th anniversary of the Medical Library Association, between 2021 and 2022 the Board of Directors established four different task forces to document the story of MLA's past, present, and future as part of the strategic goal of Building a Better Future. The Vision 2048 Task Force sought to bring together members from across the association to chart the future of health sciences librarianship. In 2021, the task force was assembled with members from across the association with varying backgrounds and experience. Early on, the task force focused their work on encouraging conversations within the membership via a series of open forums centered around the overall future of health sciences librarianship including emerging issues critical to effective professional practice, how to prepare the next generation of health sciences librarians, and suggestions of how can MLA adapt to move the profession forward. In an effort to have conversations which were inclusive across as many communities as possible, these open forums were hosted both in-person as well as in a virtual environment. This article documents challenges and opportunities discussed by members during the open forum conversations. As the MLA membership looks toward the future, themes identified within these discussions can help to guide a path forward as health sciences librarianship continues to adapt to meet the needs of the communities we serve.

Diversity, equity, and inclusion initiatives in the Medical Library Association: a look back at the last twenty-five years

JJ Pionke — 2024-07-29

Over the past twenty-five years, the Medical Library Association (MLA) has pursued a range of diversity, equity, and inclusion (DEI) initiatives. This article, written by members of the Journal of the Medical Library Association (JMLA)’s Equity Advisory Group (EAG), outlines significant measures taken to raise awareness about specific concepts, opportunities, and challenges related to DEI among MLA members. Topics discussed include the impact of influential Black, Indigenous, and people of color (BIPOC) leaders, the establishment of DEI and social justice-focused membership communities, and specific initiatives led by various working groups and committees which have served to strengthen MLA’s commitment to diversity, equity, and inclusion during the last three decades.

Twenty-five years of Medical Library Association competencies and communities

Stephanie Fulton — 2024-07-29

Professional associations provide resources to support members' career development and facilitate ways for members to engage with and learn from one another. This article describes Medical Library Association (MLA) activities related to the revision of professional competencies and the restructuring of the organization's communities during the past twenty-five years. Grounded in MLA's Platform for Change, the MLA competency statement underwent two revisions with core themes remaining consistent. Major efforts went into rethinking the structure of MLA communities, and it became a strategic goal of the association. Numerous groups spent considerable time guiding the changes in MLA's community structure. Sections and special interest groups were transformed into caucuses. Domain hubs were established to facilitate project coordination across caucuses and create more leadership opportunities for MLA members, but their implementation did not meet expectations. Member engagement and leadership are ongoing challenges for MLA. The next twenty-five years will undoubtedly see additional revisions to the competencies and continued iterations of the community structure.

The evolution of our profession and association from 1998-2023: reflections from four Medical Library Association leaders

Kristine Alpi — 2024-07-29

On the occasion of the Medical Library Association’s 125th Anniversary, four librarian leaders with a combined 105 years of engagement in MLA collaborated to reflect on the changes in our profession and our association. We draw on an examination of the last 25 years of the MLA Janet Doe Lectures, our own personal histories, and scholarship we produced for MLA publications and presentations. We offer this compilation as an invitation for readers to reflect on their experiences of changes within the profession, inspiration to engage in the issues around our place in society, and a source for additional exploration into researching and learning from our collective history.

Standing up for representation in undergraduate medical education curricula through medical student, librarian, and faculty collaboration: a case report

Ellen M. Hong — 2024-10-07

Background: A shortage of images of pathology on diverse skin tones has been recognized for decades in health professions education. Identifying skin manifestations of disease depends on pattern recognition, which is difficult without visual examples. Lack of familiarity with visual diagnosis on skin of color can lead to delayed or missed diagnoses with increased morbidity and mortality. As the United States continues to increase in ethnic and racial diversity, addressing the disparity in health outcomes with education is vital.

Case Presentation: At the Hackensack Meridian School of Medicine, students, librarians, and faculty came together to address this problem and develop a database of dermatological conditions in people with darker skin tones. A student group initiated a series of meetings with faculty to determine the best approach to address and enhance the representation of diversity in disease images within the curriculum. With the guidance of faculty and librarians, students performed a literature search and created a database of images of skin pathologies in people with darker skin tones. The database was disseminated to course directors and lecturers, and the noted disparities were corrected for the next cohort of students. The database provides an easily accessible resource for creating lecture slides.

Conclusion: This project brought awareness of the need for inclusivity and generated a broad review of the curriculum to be more representative of all patient populations. Most importantly, our experience provides a roadmap for institutional change through student, librarian and faculty collaboration and cultivation of a culture of optimism and acceptance.

History in context: teaching the history of dentistry with rare materials

Nicole Theis-Mahon — 2024-10-07

Background: History and health humanities instruction offers a framework for professional students to examine the arc and development of their profession as well as develop cultural competencies. Exploring ideas, themes, and health care practices and approaches through historical instruction can show students how culture influences health care and practice, therefore providing a context for further development of cultural competence skills.

Case Presentation: This case report describes a collaboration among a dentistry course instructor, a liaison librarian, and curators of a rare book collection. Working together, this team offers an active learning class that examines the historical arc of the dental profession. We aim to have students use primary source materials to examine the experiences, research, and narratives of their profession.

Discussion: Using a World Cafe with thematic tables allows students to safely examine rare materials and artifacts and have meaningful conversations about themes that are critical to dentistry’s past, present, and future. Students reported that engaging with artifacts and historical materials provided a different way to understand history and enhanced their learning experience. Engaging students in this work builds critical thinking skills that are essential to evidence-based practice.

Designing a framework for curriculum building in systematic review competencies for librarians: a case report

David P. Farris — 2024-10-07

Background: Librarians play an important role on systematic review teams because of their expertise in information organization, database searching, and records management. Many systematic review training opportunities exist, but not all are tailored to the needs of librarians. The Medical Library Association, along with a workgroup of experts on systematic reviews and review services, developed a Systematic Review Services Specialization (SRSS) that was launched in 2022. One of the required courses in the specialization was developed by the authors, who set out to build a value-added curriculum that would provide essential searching skills for librarians working in evidence synthesis domains.

Case Presentation: The authors present a case report on creating a framework for developing a new course in the Medical Library Association's Systematic Review Services Specialization. The objectives of the course were intended to align with six systematic review competencies for librarians developed and published by a group of health science librarians from the University of Michigan in 2017, which include 1) conducting a reference interview, 2) performing preliminary searches, 3) selecting appropriate resources to search, 4) building an extensive, comprehensive, and documented search strategy, 5) peer reviewing search strategies, and 6) reporting search methods. With these objectives in mind, the instructors created four separate modules and an activity.

Conclusion: Systematic review skills for librarians are essential to many health science library jobs since librarians are considered important collaborators within systematic review teams. Through eleven cohorts of the course held over 2022-2024, the authors constructed and delivered a comprehensive curriculum.

Building Health Sciences Library Collections: A Handbook

Barnaby Nicolas — 2024-07-29

Rosalind Farnam Dudden (1944-2023)

Margaret Moylan Bandy, AHIP, FMLA — 2024-07-29

MLA Research Training Institute (RTI) 2018 and 2019: participant research confidence and program effectiveness

Susan Lessick — 2024-10-07

Objective: The article reports on an assessment of the effectiveness of the MLA Research Training Institute (RTI) for the years 2018 and 2019. The RTI is a year-long continuing education research methods training and support program for health sciences librarians. The study focuses on assessing RTI participants' research confidence after program completion and compares these results with their perceptions of workshop/program performance and learning outcomes. In addition, the authors discuss how the findings were applied to inform and improve the program.

Methods: The study used a 26-item questionnaire, RTI Research Confidence Questionnaire, to gather information on participants’ self-reported research confidence before the workshop, immediately after the workshop, and one year after the workshop to determine statistically significant differences. Differences in research confidence were identified by using three nonparametric statistical tests. Additional workshop and program surveys were used to corroborate the research confidence findings.

Results: Post-workshop and one-year-after-workshop research confidence ratings were significantly higher than pre-workshop levels for years 1 and 2. A comparison of median ratings between years 1 and 2 showed significant increases in research confidence for nine items in year 2. Participants’ positive perceptions of workshop/program effectiveness and learning outcomes corroborated these findings.

Conclusion: Overall assessment findings indicated that RTI training helped participants understand, use, and apply research skills to conduct research. Findings also revealed that participants’ heightened research confidence persisted at least 12 months postintervention. The RTI Research Confidence Questionnaire proved effective for rigorously assessing and improving the RTI program. This study enhances the currently limited evidence on evidence-based approaches for assessing and improving research instruction for librarians.

Implementation science: why should we care?

Frances Chu — 2024-07-29

There is a 17-year gap between the publication of research which proves an intervention is efficacious and effective and the implementation of that same intervention into practice [1]. In behavioral health, only 14% of successful interventions are integrated into actual practice [2]. As such, Implementation Science is envisioned to address the research to practice gap. This research methodology becomes important as it looks to investigate how to get interventions to become embedded in practice and de-implement unproven or disproven interventions that may be harmful and/or ineffective for patients.

The aim of this commentary is to raise awareness of health sciences librarians/information specialists about this research arena and encourage health sciences librarians to envision how they could be involved in implementation science projects and teams or even use implementation science in their practice.

Prevalence and impact of remote and hybrid work in academic health sciences libraries

David Petersen — 2024-10-07

Objective: This study assesses the prevalence, usage, and impact of remote/hybrid work in academic health science libraries in 2022 and 2023. Due to differences in survey distribution, we focus primarily on the results of the second survey.

Methods: Researchers surveyed administrators at Association of Academic Health Sciences Libraries (AAHSL) member libraries in the United States in March 2022 and library staff at academic health sciences libraries in March 2023.

Results: The first survey received 71 responses that met inclusion criteria. Ninety-five percent of respondents indicated that remote/hybrid work was allowed in their libraries. Majorities indicated that remote/hybrid work had a positive impact on morale (86%), recruitment (53%) and retention (67%). The second survey received 383 responses that met inclusion criteria. 78% of respondents indicated they were allowed to work remotely, and majorities indicated remote/hybrid work positively impacted work/life balance (75%), morale/job satisfaction (69%), likelihood of staying at their current institution (64%), and productivity/overall effectiveness (58%). Respondents were less likely to accept a fully onsite (45% unlikely) or fully remote (20% unlikely) position than a hybrid one (1% unlikely). In a list of 9 factors associated with recruitment, retention, and job satisfaction, only salary and benefits ranked higher than remote/hybrid work.

Conclusions: Remote/hybrid work is common in academic health science libraries and highly valued by employees. While not without challenges, remote/hybrid work appears to be a valuable tool to support recruitment, retention, and job satisfaction of workers in academic health sciences libraries. The findings of this study can inform library decision makers about future use of remote/hybrid work.

Introducing the Journal of the Medical Library Association’s manuscript resubmission deadlines: creating accountability structures for our authors

Jill Boruff — 2024-05-22

The Journal of the Medical Library Association (JMLA) has made the decision to change our “revise-at-will” policy to instead adopt firmer deadlines for manuscript resubmissions. Beginning with this issue, manuscripts returned to authors with a “revise and resubmit” decision must be resubmitted within two months of the editorial decision. Likewise, manuscripts returned to authors with a “revisions required” decision must be resubmitted within one month of the editorial decision. This editorial discusses JMLA’s experience using a “revise-at-will” policy and outlines some anticipated benefits of the new resubmission deadlines.

A community engagement program to improve awareness for credible online health information

Shamly Austin — 2024-10-07

Background: The volume of online health information available makes it difficult to navigate and check its validity and reliability. A community-based MedlinePlus training program was developed to improve participants’ ability to access credible online health information.

Case Presentation: The program was a public-private partnership between a managed care organization and four local public libraries. A total of eight programs were held between October and November 2017. Each program had a 30-minute cooking demonstration followed by a 30-minute training on access to and navigation of the MedlinePlus website. Program participants were Medicaid beneficiaries, dually eligible for Medicare and Medicaid beneficiaries, and community members from a Pennsylvania county (n=39). A pre-and post-training questionnaire was administered to assess participants’ knowledge and practice, and their ability to access health information on the MedlinePlus website. We conducted a retrospective analysis of the data collected during the MedlinePlus trainings. Results from the Wilcoxon Signed Rank test indicated no statistically significant change in participants’ ability to access information (Z= -1.41, p=0.16) after attending the program.

Conclusion: Although the median pre-to post-program responses improved from ‘incorrect’ to ‘correct,’ the number of programs held, and low attendance might be the reason for non-significant results. Participants reported that the program was informative, the website was comprehensive and user friendly, and they were impressed by the healthy and inexpensive meal preparation from discount store-bought food. Holding MedlinePlus training programs in conjunction with a cooking program and collaborating with local public libraries might be a promising format that needs additional research.

Exploring librarians’ practices when teaching advanced searching for knowledge synthesis: results from an online survey

Glyneva Bradley-Ridout — 2024-07-29

Objective: There is little research available regarding the instructional practices of librarians who support students completing knowledge synthesis projects. This study addresses this research gap by identifying the topics taught, approaches, and resources that academic health sciences librarians employ when teaching students how to conduct comprehensive searches for knowledge synthesis projects in group settings.

Methods: This study applies an exploratory-descriptive design using online survey data collection. The final survey instrument included 31 open, closed, and frequency-style questions.

Results: The survey received responses from 114 participants, 74 of whom met the target population. Some key results include shared motivations to teach in groups, including student learning and curriculum requirements, as well as popular types of instruction such as single session seminars, and teaching techniques, such as lectures and live demos.

Conclusion: This research demonstrates the scope and coverage of librarian-led training in the knowledge synthesis research landscape. Although searching related topics such as Boolean logic were the most frequent, librarians report teaching throughout the review process like methods and reporting. Live demos and lectures were the most reported approaches to teaching, whereas gamification or student-driven learning were used rarely. Our results suggest that librarian’s application of formal pedagogical approaches while teaching knowledge synthesis may be under-utilized, as most respondents did not report using any formal instructional framework.

Research networking and the role of the medical librarian

Robyn Reed — 2024-05-22

Medical librarians work collaboratively across all units and missions of academic medical centers. One area where librarians can provide key expertise is in the building and maintenance of Research Information Management Systems (RIMS). At Penn State, the RIMS implementation team has included a medical librarian, research administrators and marketing staff from the College of Medicine (CoM) since its inception in 2016. As our peer institutions implemented or expanded their own RIMS systems, the CoM team has responded to their questions regarding details about the Penn State RIMS instance. The goal of this commentary is to describe how the CoM team has worked collaboratively within Penn State to address questions related to research output, with special emphasis on details pertaining to questions from other institutions.

Finding full texts in bulk: a comparison of EndNote 20 versus Zotero 6 using the University of York’s subscriptions

Helen Fulbright — 2024-07-30

Objective: To understand the performance of EndNote 20 and Zotero 6’s full text retrieval features.

Methods: Using the University of York’s subscriptions, we tested and compared EndNote and Zotero’s full text retrieval. 1,000 records from four evidence synthesis projects were tested for the number of: full texts retrieved; available full texts retrieved; unique full texts (found by one program only); and differences in versions of full texts for the same record. We also tested the time taken and accuracy of retrieved full texts. One dataset was tested multiple times to confirm if the number of full texts retrieved was consistent. We also investigated the available full texts missed by EndNote or Zotero by: reference type; whether full texts were available open access or via subscription; and the content provider.

Results: EndNote retrieved 47% of available full texts versus 52% by Zotero. Zotero was faster by 2 minutes 15 seconds. Each program found unique full texts. There were differences in full text versions retrieved between programs. For both programs, 99% of the retrieved full texts were accurate. Zotero was less consistent in the number of full texts it retrieved.

Conclusion: EndNote and Zotero do not find all available full texts. Users should not assume full texts are correct; are the version of record; or that records without full texts cannot be retrieved manually. Repeating the full text retrieval process multiple times could yield additional full texts. Users with access to EndNote and Zotero could use both for full text retrieval.

123rd Annual Meeting, Medical Library Association, Inc., Detroit, MI, May 16-19, 2023

Ellen Aaronson — 2024-05-22

The Medical Library Association (MLA) held its 123rd annual meeting May 16-19, 2023, in Detroit, Michigan. This was also a joint meeting with the Special Libraries Association (SLA). The meeting was entitled “MLA | SLA ’23: Looking Back, Forging Ahead” and utilized a hybrid model with some events in person, and some virtually.

Generalized overview infographic: a customizable library instructional material on the NIH Data Management and Sharing Policy

Katy Smith — 2024-05-22

The Generalized Overview of the NIH Data Management and Sharing Policy Effective 2023.01.15 (Generalized Overview) is an instructional material that provides a basic, clear, and linear understanding of the NIH policy and its requirements. While not developing or utilizing new technology, the Generalized Overview is innovative and notable for creatively using a freely available graphic design tool to translate government policy language into an accessible and understandable infographic that can disseminate important information about the NIH DMS Policy needed by researchers and by those who support them. Shared via a Creative Commons license, others may fully adapt the infographic or may simply add their own institutional contact information. The Generalized Overview can be used by any who find themselves responsible for publicizing and/or teaching the NIH Data Management and Sharing Policy at their respective libraries and institutions. It is intended for educational purposes only and should not be used as a substitute for official guidance from the NIH.

The DMPTool NIH DMSP Templates Project

Nina Exner — 2024-05-22

The DMPTool NIH Data Management and Sharing Plan (DMSP) Templates Project was launched in response to the 2023 NIH Data Management and Sharing (DMS) Policy. This new policy introduced a more structured framework for DMS Plans, featuring six key elements, a departure from the 2003 NIH DMS policy. The project aimed to simplify the process for data librarians, research administrators, and researchers by providing a template with curated guidance, eliminating the need to navigate various policies and guidelines. The template breaks out each Plan section and subsection and provides related guidance and examples at the point of need.

This effort has resulted in two NIH DMSP Templates. The first is a generic template (NIH-Default) for all ICs, complying with NOT-OD-21-013 and NOT-OD-22-198. More recently, an NIMH-specific template (NIH-NIMH) was added based on NOT-MH-23-100. As of October 2023, over 5,000 DMS Plans have been written using the main NIH-Default template and the NIH-NIMH alternative template.

Learning on the job: using Artificial Intelligence to support rapid review methods

Kristin Rogers — 2024-05-22

The National Collaborating Centre for Methods and Tools’ (NCCMT) Rapid Evidence Service conducts rapid reviews on priority questions to respond to the needs of public health decision-makers. Given the vast quantity of literature available, a key challenge of conducting rapid evidence syntheses is the time and effort required to manually screen large search results sets to identify and include all studies relevant to the research question within an accelerated timeline. To overcome this challenge, the NCCMT investigated the integration of artificial intelligence (AI) technologies into the title and abstract screening stage of the rapid review process to expedite the identification of studies relevant to the research question.

The NCCMT is funded by the Public Health Agenda of Canada and affiliated with McMaster University.

The Library’s Guide to Sexual and Reproductive Health Information

Hilary Michelle Jasmin — 2024-07-29

Data Policy Finder: an easily integratable tool connecting data librarians with researchers to navigate publication requirements

Anthony Dellureficio — 2024-05-22

The Data Policy Finder is a searchable database containing librarian-curated information, links, direct quotes from relevant policy sections, and notes to help the researcher search, verify, and plan for their publication data requirements. The Memorial Sloan Kettering Cancer Center Library launched this new resource to help researchers navigate the ever-growing, and widely varying body of publisher policies regarding data, code, and other supplemental materials. The project team designed this resource to encourage growth and collaboration with other librarians and information professionals facing similar challenges supporting their research communities. This resource creates another access point for researchers to connect with data management services and, as an open-source tool, it can be integrated into the workflows and support services of other libraries.