Journal of the Medical Library Association

Medical libraries and their complicated past: an exploration of the historical connections between medical collections and racial science

Raymond Pun — 2023-07-10

For over a millennium, libraries and library workers have advanced the knowledge of human science by building, preserving, and sharing collections and research. Historically, libraries have also aligned their institutional responsibilities to adhere to and support the values and virtues of oppressive and colonial practices. Library history has shown the mistreatments and denials of information access of marginalized groups. The history of libraries in the health and medical sciences reveals how these institutions and their workers have preserved and circulated research studies perpetuating racial science. This commentary highlights how such institutions shape and contribute to racial science in the field of medicine. By exploring the history of medicine through this lens, we examine how such institutions have been complicit in upholding racial science. We explore historical documents and archival collections that have been collected and preserved, particularly records and data of vulnerable groups, to advance the knowledge and understanding of the human body through the ideology of racial science. We argue that health and medical sciences librarians need to critically interrogate the racism in medical libraries and its history and address how health misinformation is common even in scholarly publications.

More than just pronouns – gender-neutral and inclusive language in patient education materials: suggestions for patient education librarians

Eleni Philippopoulos — 2023-07-10

Trusted patient education materials are the backbone of an effective consumer health library. However, members of the LGBTQ+ community may not see themselves or their families reflected in many resources due to the gendered and non-inclusive language they are written in. This article outlines some suggestions for concrete actions that patient librarians can take to ensure that their materials are not excluding LGBTQ+ patients.

Looking back, looking forward

Jill T. Boruff — 2023-04-21

The second half of 2022 was a time of much change at the Journal of the Medical Library Association (JMLA). We hope to lead this journal with transparency, and in this spirit, we wanted to give you an overview of what we have done since we were appointed as coeditors in chief (co-EICs) in June 2022.

122nd Annual Meeting, Medical Library Association, Inc., New Orleans, LA, May 3-6, 2022

JJ Pionke — 2023-04-21

The Medical Library Association (MLA) held its 122nd annual meeting May 3-6, 2022, in New Orleans, Louisiana. The meeting was entitled “MLA ’22: Reconnect. Renew. Reflect” and utilized a hybrid model with some events in person, and some virtually.

Thank you to the Journal of the Medical Library Association reviewers in 2021 and 2022

Jill T. Boruff — 2023-04-21

We sincerely thank the 214 peer reviewers in 2021 and the 171 peer reviewers in 2022 who helped evaluate and improve the quality of work published in the Journal of the Medical Library Association (JMLA).

Errata for Issue 110 (3)

Katelyn Arnold — 2023-03-24

“Rigor and reproducibility instruction in academic medical libraries,” 2022;110(3):281-93. The PDF and metadata as published contained an incorrect author last name. The correct author name is Tisha Mentnech.

“Determining COVID-19’s impact on an academic medical library’s literature search service,”2022;110(3):316-22. The PDF as published contained an incorrect author last name. The correct author name is David Petersen.

“In Memoriam: Virginia M. Bowden,” 2022;110(3):381-82. The article was published with incorrect HTML title and author affiliation information. The correct affiliation for Janna C. Lawrence is Director.

Health sciences library workshops in the COVID era: librarian perceptions and decision making

Nell Aronoff — 2023-07-10

Objective: We sought to determine how the COVID-19 pandemic impacted academic health sciences library workshops. We hypothesized that health sciences libraries moved workshops online during the height of the pandemic and that they continued to offer workshops virtually after restrictions were eased. Additionally, we believed that attendance increased.

Methods: In March 2022, we invited 161 Association of American Health Sciences Libraries members in the US and Canada to participate in a Qualtrics survey about live workshops. Live workshops were defined as synchronous; voluntary; offered to anyone regardless of school affiliation; and not credit-bearing. Three time periods were compared, and a chi square test of association was conducted to evaluate the relationship between time period and workshop format.

Results: Seventy-two of 81 respondents offered live workshops. A chi square test of association indicated a significant association between time period and primary delivery method, chi-square (4, N=206) = 136.55, p< .005. Before March 2020, 77% of respondents taught in person. During the height of the pandemic, 91% taught online and 60% noted higher attendance compared to pre-pandemic numbers. During the second half of 2021, 65% of workshops were taught online and 43% of respondents felt that attendance was higher than it was pre-pandemic. Overall workshop satisfaction was unchanged (54%) or improved (44%).

Conclusion: Most health sciences librarians began offering online workshops following the onset of the COVID-19 pandemic. More than half of respondents were still teaching online in the second half of 2021. Some respondents reported increased attendance with similar levels of satisfaction.

Promoting rural residents’ participation in clinical trials: clinical trials basics programming and training for rural public librarians

Dana L. Ladd — 2023-07-10

Background: Having diverse representation in clinical trial participation is important. Historically, rural residents have been underrepresented in clinical trial research. Public librarians have an opportunity to promote clinical trial participation among rural residents by offering consumer health information services that help patrons to understand what clinical trials are and how they can find relevant clinical trials.

Case Presentation: A consumer health library and a clinical trial center located at a large academic medical center collaborated to provide clinical trial information programming to rural public libraries. The group was awarded a Network of the National Library of Medicine (NNLM) Community Outreach Grant and was able to plan, develop, promote, and implement programs including training workshops, a speaker event, and a book discussion to rural public librarians.

Discussion: Marketing the programs to rural public libraries was difficult and many barriers were encountered. Though registration and subsequent participation were low, participants expressed interest and gratitude for the programs. For any future programs targeting this population, further strategies will need to be implemented to ensure increased registrations and attendees.

Virtual Services in the Health Sciences Library: A Handbook

Barbara M. Pope — 2023-03-24

Health sciences libraries serving universities and medical facilities have long used technology to provide library services, but COVID-19 presented libraries with unique challenges. Libraries shut their doors and adapted to conducting reference, instruction, and outreach, remotely. For some libraries described in Virtual Services in the Health Sciences Library: a Handbook, those services had been done in the library; for others, the library had considered adding virtual services. For those libraries that have not made the jump, this text presents strategies to which all health sciences libraries would find a useful reference. Given its practical strategies and engaging text, this reviewer finds Virtual Services in the Health Sciences Library: a Handbook to be an inspiring and a highly recommended reference for health sciences libraries.

2022 Janet Doe Lecture, health science libraries in the emerging digital information era: charting the course

Michael Kronenfeld — 2023-04-21

The great challenge medical library professionals are facing is how we evolve and respond to the emerging digital era. If we successfully understand and adapt to the emerging digital information environment, medical librarians/Health Information Professionals (HIPs) can play an even greater role in the advance in the health care of our nation and its residents. The opportunities and challenges are at the level we successfully responded to in the late 1960’s and the 1970’s under the leadership of the National Library of Medicine with its MEDLARS/Medline programs and Medical Library Assistance Act which enabled medical libraries to enter what I have referred to as The Golden Age of Medical Libraries. In this presentation, I focused on the transition of the health related print Knowledge-Based Information base to the emerging digital health related ecosystem. I review how this transition is being driven by evolving information technology. The development of “data driven health care” built on this emerging information ecosystem is being led by the National Library of Medicine’s 2017-2027 Strategic plan and the Medical Library Association’s programs in support of developing medical librarian/HIP’s training, skills, and services to support their users access and use of this rapidly expanding health information ecosystem. I then present a brief description of the digital health information ecosystem that is just starting to emerge and the emerging new roles and services HIPs and their libraries are developing to support effective institutional access and use.

Shannon D. Jones, MLS, MEd, AHIP, FMLA, Medical Library Association President, 2022-2023

Kelsa Bartley — 2023-03-24

In this profile, Shannon D. Jones, MLS, MEd, AHIP, FMLA, Medical Library Association President, 2022-2023, is described as someone who “takes chances on people, valuing those others might not see as valuable" -MJ Tooey. Jones embraces lifelong learning, and it shows up in her collegiate journey; she has been a student of leadership, a leader of institutions, especially within the Medical Library Association (MLA); and a leader in librarianship. She is a trailblazer, the second African American MLA president, and a champion of diversity, equity, inclusion, and belonging. Jones has been Director of Libraries & Professor at the Medical University of South Carolina (MUSC) for the past seven years and is also Director of Region 2 of the National Network of Libraries of Medicine, National Library of Medicine.

PubMed’s core clinical journals filter: redesigned for contemporary clinical impact and utility

Michele Klein-Fedyshin — 2023-07-10

Objective: The Core Clinical Journals (CCJ) list, produced by the U.S. National Library of Medicine (NLM), has been used by clinicians and librarians for half a century for two main purposes: narrowing a literature search to clinically useful journals and identifying high priority titles for library collections. After documentation of low usage of the existing CCJ, a review was undertaken to assess current validity, followed by an update to current clinical needs.

Methods: As the subject coverage of the 50-year-old list had never been evaluated, the CCJ committee began its innovative step-wise approach by analyzing the existing subject scope. To determine whether clinical subjects had changed over the last half-century, the committee collected data on journal usage in hospitals and medical facilities, adding journal usage from Morning Report blogs recording the journal article citations used by physicians and residents in response to clinical questions. Patient-driven high-frequency diagnoses and subjects added contextual data by depicting the clinical environment.

Results: The analysis identified a total of 80 subjects and selected 241 journals for the updated Clinical Journals filter, based on actual clinical utility of each journal.

Discussion: These data-driven methods created a different framework for evaluating the structure and content of this filter. It is the real-world evidence needed to highlight CCJ clinical impact and push clinically useful journals to first page results. Since the new process resulted in a new product, the name warrants a change from Core Clinical Journals (CCJ) to Clinically Useful Journals (CUJ). Therefore, the redesigned NLM Core Clinical Journals/AIM set from this point forward will be referred to as Clinically Useful Journals (CUJ). The evidence-based process used to reframe evaluation of the clinical impact and utility of biomedical journals is documented in this article.

A decade of systematic reviews: an assessment of Weill Cornell Medicine's systematic review service

Michelle R. Demetres — 2023-07-10

Background: The Weill Cornell Medicine, Samuel J. Wood Library’s Systematic Review (SR) service began in 2011, with 2021 marking a decade of service. This paper will describe how the service policies have grown and will break down our service quantitatively over the past 11 years to examine SR timelines and trends.

Case Presentation: We evaluated 11 years (2011-2021) of SR request data from our in-house documentation. In the years assessed, there have been 319 SR requests from 20 clinical departments, leading to 101 publications with at least one librarian collaborator listed as co-author. The average review took 642 days to publication, with the longest at 1408 days, and the shortest at 94 days. On average, librarians spent 14.7 hours in total on each review. SR projects were most likely to be abandoned at the title/abstract screening phase. Several policies have been put into place over the years in order to accommodate workflows and demand for our service.

Discussion: The SR service has seen several changes since its inception in 2011. Based on the findings and emerging trends discussed here, our service will inevitably evolve further to adapt to these changes, such as machine learning-assisted technology.

Academic health sciences libraries' outreach and engagement with North American Indigenous communities: a scoping review

Allison Cruise — 2023-07-10

Objective: We sought to identify trends and themes in how academic health sciences libraries in the United States, Canada and Mexico have supported engagement and outreach with Native Americans, Alaska Natives, First Nations, and Indigenous peoples, in or from those same countries. We also sought to learn and share effective practices for libraries engaging with these communities.

Methods: We conducted a scoping review utilizing Arksey and O’Malley’s framework for scoping reviews and followed principles from JBI Manual for Evidence Synthesis. We searched seven bibliographic databases, E-LIS (Eprints in Library and Information Science repository), and multiple sources of grey literature. Results were screened using Covidence and Google Sheets. We reported our review according to the PRISMA and PRISMA-S guidelines. We determined types of interventions used by academic health sciences libraries in engagement with our included populations, the level of public participation reached by these interventions, what partnerships were established, and what practices emerged.

Results: Database searching returned 2,020 unique results. Additional searching resulted in 211 further unique results. Full text screening of relevant articles found 65 reports meeting criteria for inclusion. Data extraction was conducted on these programs to identify partners, intervention type, and evaluation method. The programs were categorized using the IAP2 Spectrum of Public Participation.

Conclusion: Our scoping review found that many programs were health information trainings and did not move beyond informing the public with little further involvement. The need for sustained funding, greater community participation and more publishing on engagement and outreach are discussed.

Assessing Academic Library Performance: A Handbook

Jenessa M. McElfresh — 2022-12-08

Standards of practice for hospital libraries and librarians, 2022: Medical Library Association Hospital Libraries Caucus Standards Task Force

Jill Tarabula — 2023-03-24

The Hospital Library Caucus of the Medical Library Association (MLA) follows the practice established in 1953 of developing quality indicators and best practices in the newly developing and fast-changing world of hospital libraries. As these libraries increased in number and prominence, the Joint Commission on the Accreditation of Hospitals (JCAHO) included in 1978 a hospital library standard developed in collaboration with MLA. Subsequent changes in JCAHO, then The Joint Commission (TJC) knowledge management criteria as well as technological changes in the curation and delivery of evidence-based resources influenced standards changes over the years. The 2022 standards mark the most recent edition, replacing the 2007 standards.

Automated indexing using NLM's Medical Text Indexer (MTI) compared to human indexing in Medline: a pilot study

Yin Yin Chen — 2023-07-10

Objective: In 2002, the National Library of Medicine (NLM) introduced semi-automated indexing of Medline using the Medical Text Indexer (MTI). In 2021, NLM announced that it would fully automate its indexing in Medline with an improved MTI by mid-2022. This pilot study examines indexing using a sample of records in Medline from 2000, and how an early, public version of MTI's outputs compares to records created by human indexers.

Methods: This pilot study examines twenty Medline records from 2000, a year before the MTI was introduced as a MeSH term recommender. We identified twenty higher- and lower-impact biomedical journals based on Journal Impact Factor (JIF) and examined the indexing of papers by feeding their PubMed records into the Interactive MTI tool.

Results: In the sample, we found key differences between automated and human-indexed Medline records: MTI assigned more terms and used them more accurately for citations in the higher JIF group, and MTI tended to rank the Male check tag more highly than the Female check tag and to omit Aged check tags. Sometimes MTI chose more specific terms than human indexers but was inconsistent in applying specificity principles.

Conclusion: NLM’s transition to fully automated indexing of the biomedical literature could introduce or perpetuate inconsistencies and biases in Medline. Librarians and searchers should assess changes to index terms, and their impact on PubMed’s mapping features for a range of topics. Future research should evaluate automated indexing as it pertains to finding clinical information effectively, and in performing systematic searches.

History of medicine in medical education: new Italian pathways

Silvia Iorio — 2023-04-21

Objective: There is little doubt that there are currently obstacles in measuring the impact of the history of medicine within medical training. Consequently, there is a clear need to support a vision that can historicize Euro-Western medicine, leading to a greater understanding of how the medical world is a distinct form of reality for those who are about to immerse themselves in the study of medicine.

Methods: History teaches that changes in medicine are due to the processes inherent to the interaction among individuals, institutions, and society rather than individual facts or individual authors.

Results: Therefore, we cannot ignore the fact that the expertise and know-how developed during medical training are the final product of relationships and memories that have a historical life that is based social, economic, and political aspects.

Conclusion: Moreover, these relationships and memories have undergone dynamic processes of selection and attribution of meaning, as well as individual and collective sharing, which have also been confronted with archetypes that are still able to influence clinical approaches and medical therapy today.

In Memorium: Virginia M. Bowden

Janna C. Lawrence, AHIP — 2022-12-08

Clinical reporting for personalized cancer genomics requires extensive access to subscription-only literature

Schnell D'Souza — 2023-04-21

Objective: Medical care for cancer is increasingly directed by genomic laboratory testing for alterations in the tumor genome that are significant for diagnosis, prognosis and therapy. Uniquely in medicine, providers must search the biomedical literature for each patient to determine the clinical significance of these alterations. Access to published scientific literature is frequently subject to high fees, with access limited to institutional subscriptions. We sought to investigate the degree to which the scientific literature is accessible to clinical cancer genomics providers, and the potential role of university and hospital system libraries in information access for cancer care.

Methods: We identified 265 journals that were accessed during the interpretation and reporting of clinical test results from 1,842 cancer patients at the University Health Network (Toronto, Canada). We determined the degree of open access for this set of clinically important literature, and for any journals not available through open access we surveyed subscription access at seven academic hospital systems and at their affiliated universities.

Results: This study found that nearly half (116/265) of journals have open access mandates that make articles freely available within one year of release. For the remaining subscription access journals, universities provided a uniformly high level of access, but access available through hospital system collections varied widely.

Conclusion: This study highlights the importance of different modes of access to the use of the scientific literature in clinical practice and points to challenges that must be overcome as genomic medicine grows in scale and complexity.

Early innovations in maritime telemedical services: the KDKF Radio Medico Station

Johnathan Thayer — 2023-04-21

“MAN PUT HIS TONGUE AGAINST REFRIGERATOR PIPE AND GOT IT FROZEN; HAVE THAWED IT OUT AND IT IS NOW BLISTERED AND SWOLLEN BUT NOT PAINFUL. ARRIVING HONOLULU FRIDAY; HOW CAN I HELP HIM MEANWHILE?” Thus read a message relayed via radiogram across the ocean to the physician stationed at the Seamen’s Church Institute’s (SCI) KDKF radio station, established by the Institute in 1920 on top of its thirteen-story seafarer services center at the southern tip of Manhattan. Though radio was in its infancy, radio telegraphy had already proven its revolutionary power, featuring prominently in far more serious maritime emergencies such as the sinking of Titanic. SCI’s KDKF radio station aimed to address a less dramatic but no less important problem in blue water navigation: access to medical care.

Dark Archives: A Librarian’s Investigation into the Science and History of Books Bound in Human Skin

Megan Nance — 2022-12-08

Finding Your Seat at the Table: Roles for Librarians on Institutional Regulatory Boards and Committees

Tyler Moses — 2022-12-08

Domains of professional practice: analysis of publications in the Journal of the Medical Library Association from 2010 to 2019

Holly J. Thompson — 2023-04-21

The Medical Library Association (MLA) has defined 7 domain hubs aligning to different areas of information professional practice. To assess the extent to which content in the Journal of the Medical Library Association (JMLA) is reflective of these domains, we analyzed the magnitude of JMLA articles aligning to each domain hub over the last 10 years. Bibliographic records for 453 articles published in JMLA from 2010 to 2019 were downloaded from Web of Science and screened using Covidence software. Thirteen articles were excluded during the title and abstract review because they failed to meet the inclusion criteria, resulting in articles included in this review. The title and abstract of each article were screened by two reviewers, each of whom assigned the article up to two tags corresponding to MLA domain hubs (i.e., information services, information management, education, professionalism and leadership, innovation and research practice, clinical support, and health equity & global health). These results inform the MLA community about our strengths in health information professional practice as reflected by articles published in JMLA.

Unsolicited solicitations: identifying characteristics of unsolicited emails from potentially predatory journals and the role of librarians

Paije Wilson — 2023-03-24

Email solicitations for manuscript submissions are a common tactic employed by predatory journals to attract potential victims. Both new and established researchers alike have fallen prey to this tactic, justifying the need for librarians to provide further education and support in this area.

This commentary provides a succinct overview of predatory journals; briefly describes the problem of predatory journal email solicitations; explains the role librarians can play in their identification; and lists some red flags and tactics librarians can tell researchers to look out for, as informed by the literature and the author's analysis of 60 unsolicited journal emails she received in her own institutional inbox.