No More “Fish is Fish”: No More “Fish is Fish”: The Eskind Biomedical The Eskind Biomedical Library Training Program Library Training Program Eskind Biomedical Library Eskind Biomedical Library Vanderbilt University Medical Center Vanderbilt University Medical Center Nashville, TN Nashville, TN Joanna L. Karpinski, MSLIS Joanna L. Karpinski, MSLIS [email protected][email protected]Slides: www.slideshare.net/karpinsJL Slides: www.slideshare.net/karpinsJL
Transcript
No More “Fish is Fish”:No More “Fish is Fish”:The Eskind Biomedical The Eskind Biomedical
Library Training ProgramLibrary Training Program
Eskind Biomedical LibraryEskind Biomedical LibraryVanderbilt University Medical CenterVanderbilt University Medical Center
Nashville, TNNashville, TN
Joanna L. Karpinski, MSLISJoanna L. Karpinski, [email protected]@vanderbilt.edu
Eskind Biomedical Library Eskind Biomedical Library Library Training ProgramLibrary Training Program Independent Study: The American Independent Study: The American
Eskind Biomedical Library Eskind Biomedical Library An information and consultation unit in the Vanderbilt An information and consultation unit in the Vanderbilt
University Medical Center Informatics Center (IC)University Medical Center Informatics Center (IC) 40+ Staff40+ Staff 6,000 electronic resources6,000 electronic resources Home grown Main Digital Library, including 11 user-Home grown Main Digital Library, including 11 user-
specific digital libraries specific digital libraries www.mc.vanderbilt.edu/diglibwww.mc.vanderbilt.edu/diglib
GoLocal Provider GoLocal Provider www.golocalTN.comwww.golocalTN.com Historical Collection & Archives–an NLM Turning The Historical Collection & Archives–an NLM Turning The
Overview – Overview – IC Knowledge Management IC Knowledge Management
at EBLat EBL
• Knowledge management: beyond standard library Knowledge management: beyond standard library services services •Providing value-added information and resources to Providing value-added information and resources to the Vanderbilt University Medical Centerthe Vanderbilt University Medical Center
Overview – Overview – IC Knowledge Management IC Knowledge Management
at EBLat EBL Knowledge management services:Knowledge management services:
Direct support for evidence-based practice Direct support for evidence-based practice Evidence summary services and point-of-need outreach Evidence summary services and point-of-need outreach
to 22 clinical and life-science research departments to 22 clinical and life-science research departments Patient information service Patient information service Knowledge management resource development for Knowledge management resource development for
these groups and the Informatics Centerthese groups and the Informatics Center Incorporation of information resources into informatics Incorporation of information resources into informatics
projects projects
Knowledge management outcomes:Knowledge management outcomes: Improved efficiency and quality of Informatics Center Improved efficiency and quality of Informatics Center
projectsprojects Contributions to quality and effectiveness of patient Contributions to quality and effectiveness of patient
carecareMulvaney SA, Bickman L, Giuse NB, Lambert EW, Sathe NA, Jerome RN. A randomized effectiveness trial of a clinical informatics consult service: impact on evidence-based decision-making and knowledge implementation. J Am Med Inform Assoc. 2008 Mar-Apr;15(2):203-11
EBL Training EBL Training ProgramProgram
EBL Training ProgramEBL Training Program
Opportunity for entry-level librarians Opportunity for entry-level librarians to receive first-hand training in to receive first-hand training in information support of evidence-information support of evidence-based practicebased practice Customized learning plan Customized learning plan
Builds on an individual’s skills to meet EBL Builds on an individual’s skills to meet EBL and individual skill development goalsand individual skill development goals
First-hand training:First-hand training: Live questions Live questions Shadowing clinical librarians on roundsShadowing clinical librarians on rounds Assisting with digital resource projectsAssisting with digital resource projects
EBL Training ProgramEBL Training Program Formal curriculum units, covering 50+ topicsFormal curriculum units, covering 50+ topics Draws on:Draws on:
Library expertise Library expertise University-wide education and training opportunities University-wide education and training opportunities
acquisitionacquisition Training activities moderated and monitored by Training activities moderated and monitored by
training staff training staff
Giuse NB, Kafantaris SR, Huber JT, Lynch F, Epelbaum M, Pfeiffer J. Developing a culture of lifelong learning in a library environment. Bull Med Libr Assoc. 1999 Jan;87(1):26-36.
EBL Training ProgramEBL Training Program
Training program seeks to guide Training program seeks to guide librarians to see beyond “Fish is librarians to see beyond “Fish is Fish”Fish”
Images courtesy of www.pbs.org, www.nas.org,and www.blogs.psu.edu
EBL Training ProgramEBL Training ProgramIntroductory UnitsIntroductory Units
Introduction to Internet and Web ResourcesIntroduction to Internet and Web Resources Learn from EBL librarians to develop knowledge Learn from EBL librarians to develop knowledge
of internet sources of medical information, quality of internet sources of medical information, quality evaluationevaluation
Searching in the Health Sciences and Searching in the Health Sciences and ReferenceReference Focus on broadening familiarity w/ resources Focus on broadening familiarity w/ resources
Clinical Knowledge Base Development: Clinical Knowledge Base Development: Anatomy and Physiology and Medical TerminologyAnatomy and Physiology and Medical Terminology
EBL Training ProgramEBL Training ProgramIntermediate UnitsIntermediate Units
Train-The-TrainerTrain-The-Trainer 6-week course, develops good presentation and teaching 6-week course, develops good presentation and teaching
skillsskills Increased awareness of learning styles and educational Increased awareness of learning styles and educational
stylesstyles Presented a diagnostic test segment of the “Teaching Presented a diagnostic test segment of the “Teaching
Clinical Skills to Medical Librarians” an MLA-sponsored Clinical Skills to Medical Librarians” an MLA-sponsored CE event at the University of Maryland HSHSLCE event at the University of Maryland HSHSL
Train-The-Trainer: Molecular BiologyTrain-The-Trainer: Molecular Biology 14-week course, introduction to molecular biology and 14-week course, introduction to molecular biology and
related resources related resources Practice presentations with EBL librariansPractice presentations with EBL librarians Goal: Info Hubs and single resource presentation to Goal: Info Hubs and single resource presentation to
research students this summerresearch students this summer
Lyon J, Giuse NB, Williams A, Koonce T, Walden R. A model for training the new bioinformationist. J Med Libr Assoc. 2004 Apr;92(2):188-95.
EBL Training ProgramEBL Training ProgramAdvanced UnitsAdvanced Units
Filtering:Filtering: In-depth training in study design and quality In-depth training in study design and quality
appraisalappraisal Key resources: active clinical questions and Key resources: active clinical questions and
resources of prior questions – CICS databaseresources of prior questions – CICS database Evidence Summary Packet development for Evidence Summary Packet development for
Geriatrics, Trauma, and Emergency DepartmentsGeriatrics, Trauma, and Emergency Departments Training opportunity – participated on AHRQ-Training opportunity – participated on AHRQ-
funded systematic review group funded systematic review group Developed search strategies for systematic evidence Developed search strategies for systematic evidence
retrievalretrieval Evaluated 200 abstracts for quality and relevance to Evaluated 200 abstracts for quality and relevance to
Filtering / Training Sessions (FTC)Filtering / Training Sessions (FTC) Experienced librarians pass on their knowledge of Experienced librarians pass on their knowledge of
skills for critical appraisal and search designskills for critical appraisal and search design
Search Talk Search Talk Experienced librarians pass on their knowledge of Experienced librarians pass on their knowledge of
Unique workflow for each groupUnique workflow for each group Substantial differences in types of information Substantial differences in types of information
required and timeframe required and timeframe Depth of understanding of medicine required to be Depth of understanding of medicine required to be
a quality information provider – lifelong learning a quality information provider – lifelong learning commitmentcommitment
EBL Training ProgramEBL Training Program Individualized learn plan Individualized learn plan
topics:topics: Acorn (library catalog and Acorn (library catalog and
related resources)related resources) Building and Equipment Building and Equipment
IssuesIssues Circulation ActivitiesCirculation Activities CoachingCoaching Collection ArrangementCollection Arrangement Document Delivery ServicesDocument Delivery Services Filtering and Evaluating Filtering and Evaluating
InformationInformation Internet Searching and Internet Searching and
Medical ResourcesMedical Resources Library Computing Library Computing
EnvironmentEnvironment Library PrivilegesLibrary Privileges Medical TerminologyMedical Terminology
Overview of Reference and Overview of Reference and Research ServicesResearch Services
ReferenceReference Searching in the Health Searching in the Health
The American The American Healthcare SystemHealthcare System
Independent Study: Independent Study: The American Healthcare The American Healthcare
SystemSystem Under direction of Dr. Nancy Lorenzi, Under direction of Dr. Nancy Lorenzi,
Assistant Vice-Chancellor for Health Affairs and Professor of Biomedical InformaticsAssistant Vice-Chancellor for Health Affairs and Professor of Biomedical Informatics
Curriculum: Curriculum: Readings and discussion of current issues in Readings and discussion of current issues in
healthcare healthcare Opportunities to directly observe an active Opportunities to directly observe an active
rounds w/ nurse informaticistrounds w/ nurse informaticist CPOE use by pharmacists – main hospital demo w/ CPOE use by pharmacists – main hospital demo w/
PharmD. and pharmacy techniciansPharmD. and pharmacy technicians
Independent Study: Independent Study: The American Healthcare The American Healthcare
SystemSystem
Goal: Develop core knowledge Goal: Develop core knowledge management system analysis management system analysis techniques through a case studytechniques through a case study
Focus: Organizational needs for Focus: Organizational needs for successful learning management successful learning management system implementation and system implementation and subsequent knowledge transfersubsequent knowledge transfer
Independent Study: Independent Study: The American Healthcare The American Healthcare
SystemSystemProcess:Process:
1. Gain understanding of knowledge 1. Gain understanding of knowledge needs in an academic medical center needs in an academic medical center
Interviews with those involved in major Interviews with those involved in major Learning Management System/Knowledge Learning Management System/Knowledge Management systemsManagement systems
Library web teamLibrary web team Office of Institutional LearningOffice of Institutional Learning
Literature scanLiterature scan
Independent Study: The Independent Study: The American Healthcare American Healthcare
SystemSystem2.2. Gain an understanding of types of Gain an understanding of types of
resources available and barriers to resources available and barriers to facilitating knowledge transmission facilitating knowledge transmission via case study readingsvia case study readings
FinancialFinancial Human ResourcesHuman Resources IT infrastructureIT infrastructure Organizational supportOrganizational support
Independent Study: Independent Study: The American Healthcare The American Healthcare
SystemSystem3. Gain an improved understanding of Learning 3. Gain an improved understanding of Learning
Management System capabilities and Management System capabilities and requirements requirements
Systematic review of commercially-available and Systematic review of commercially-available and home-grown LMSes for home-grown LMSes for
Start-up/infrastructure requirementsStart-up/infrastructure requirements Maintenance requirementsMaintenance requirements CustomizabilityCustomizability Applicability to particular user groups (corporate, academic, Applicability to particular user groups (corporate, academic,
etc.)etc.) Suitability for particular types of information (i.e. patient Suitability for particular types of information (i.e. patient
data; procedural videos, point-of-care or mobile access, etc.)data; procedural videos, point-of-care or mobile access, etc.) Aspects of library involvementAspects of library involvement
Independent Study: Independent Study: The American Healthcare The American Healthcare
SystemSystem4.4. Learn to apply familiarity with these Learn to apply familiarity with these
factors to analyze the implementation factors to analyze the implementation of a LMS in a healthcare contextof a LMS in a healthcare context
Case study: Implementation of the Case study: Implementation of the Knowledge Map/Learning Portfolio System Knowledge Map/Learning Portfolio System for Geriatrics Education and Curricular for Geriatrics Education and Curricular Support at Vanderbilt University Hospital Support at Vanderbilt University Hospital (Reynolds Foundation Geriatrics Education Grant)(Reynolds Foundation Geriatrics Education Grant)
How has an advanced level of organizational, How has an advanced level of organizational, technological, and institutional support for an LMS technological, and institutional support for an LMS aided or been a barrier to the development, aided or been a barrier to the development, implementation, and maintenance of a LMS?implementation, and maintenance of a LMS?
Independent Study: Independent Study: The American Healthcare The American Healthcare
A home-grown learning and content A home-grown learning and content management system that uses natural language management system that uses natural language processing tools and information from learner’s processing tools and information from learner’s clinical notes to help students, residents, clinical notes to help students, residents, fellows, and faculty analyze the fellows, and faculty analyze the comprehensiveness of their clinical educationcomprehensiveness of their clinical education
Process:Process: Interviewed key players in implementation of Interviewed key players in implementation of
Knowledge Map/Learning Portfolio for geriatrics Knowledge Map/Learning Portfolio for geriatrics educationeducation
Currently interviewing the system designers Currently interviewing the system designers
Independent Study:Independent Study:The American Healthcare The American Healthcare
High-level learning management systems High-level learning management systems require substantial levels of infrastructure require substantial levels of infrastructure and organizational support uncommon at and organizational support uncommon at most institutionsmost institutions
Facilitates LMS customizationFacilitates LMS customization Negatively affects the level of transferability Negatively affects the level of transferability
of the LMS to other institutionsof the LMS to other institutions Intermediate-level solutions may be Intermediate-level solutions may be
required to advance the fieldrequired to advance the field
End product: case study paperEnd product: case study paper
Developed and coded a web page of publishers’ Developed and coded a web page of publishers’ resources for developing countriesresources for developing countries
Audited Java and Introduction to Audited Java and Introduction to Bioinformatics classesBioinformatics classes
Development of personal EBM resource and Development of personal EBM resource and clinical knowledge baseclinical knowledge base
Attended Informatics and Geriatrics Attended Informatics and Geriatrics Department seminarsDepartment seminars
Observed outreach training sessionsObserved outreach training sessions Taught training sessions to new house staff Taught training sessions to new house staff
(end of June)(end of June) Attended AMIA Annual Symposium and MLA Attended AMIA Annual Symposium and MLA
Annual MeetingAnnual Meeting
Closing CommentsClosing Comments
Deeply clinical experienceDeeply clinical experience Increased awareness of what goes in to Increased awareness of what goes in to
providing information in a clinical settingproviding information in a clinical setting Have the proper tools to always be working Have the proper tools to always be working
effectively towards improving patient care effectively towards improving patient care through informationthrough information
Are my eyes bigger than my stomach? PA, Are my eyes bigger than my stomach? PA, NP, MD?NP, MD?
