iiiiiiiiii CN United States. Regional Medical Programs Service//// TI Regional medical programs legislation & activities in the U.S. (1965-1976)/N TI Regional medical programs legislation and activities in the U.S. (1965-1976)/ TC - : library/information services sponsored by the Regional Medical Programs. IM - (Madison, Wis.?] :/The Programs,/[1991?] CO - 125 p. CA - Z 678.2 R336 1991:02NLM SL - c.l:REF EL - FULL LEVEL IT - MONOGRAPH MT - TITLE MAIN ENTRY DA - 920611 UI - 9209071 U2 - F19944 did REGIONAL MEDICAL PROGRAMS LEGISLATION & ACTIVITIES IN THE u. S. (1965-1976) LIBRARY- /INFORMATION SERVICES SPONSORED BY THE REGIONAL MEDICAL PROGRAMS INTRODUCTION Public Law 89-239, the Heart Disease, Cancer and Stroke Amendments of 1965, established the Regional.Medical Program (RMP) "to establish regional cooperative arrangements of medical schools, research institutions and hospitals, for the purposes of research, training, and demonstrations of patient care" and "to make the latest advances available to the public, through such cooperative arrangements". At the same time and also as a result of the recommendations in The Report of the President's Commission on Heart Disease, Cancer and Stroke, the Medical Library Assistance Act (MLAA) was passed. The Medical Library Assistance Act called for substantial improvements in the nation's medical libraries to enable them to disseminate the results of biomedical research to the nation's health practitioners enabling them to use these advances in the care provided to the public. The Medical Library Assistance Act resulted entraining for medical librarians; improvements in the medical libraries facilities, collections and services; grants to promote research in biomedical information services; and the development of the Regional Medical Library Network, now called the National Network of Libraries of Medicine. During the years Regional Medical Program funded projects, library and information projects were proposed for RMP funding. Some received funding; others were suvDorted locally when RMP funding was not forthcoming. This publication is a preliminary effort to provide a brief description of the library and information services in each RMP Region that were initiated with some form of Regional Medical Program sponsorship. The description in each region also includes some information about the relation of the Regional medical Program sponsored projects with those funded by the National Library of Medicine or Area Health Education Centers (AHEC's). I am grateful to the people who took time to. search through archives and provide the information contained in this publication. It is to be hoped that other individuals reading this with knowledge of these Regional Medical Program projects will contact the compiler with additional information or corrections so that the record of this important legacy of Regional Medical Programs can be completed and preserved. Lois Ann Colaianni November 1991 C 0 N T E N T S Region Lrea P a@e (1) Al abama ......................................................... 1 (2) A bany .......................................................... 3 (3) Arizona ......................................................... 5 (4) Arkansas ........................................................ 7 (5) Bi-State (So. Illinois & Ea. Missouri counties) .................9 (6) California ..................................................... 11 (7) Central New York ............................................... 17 (8) Colorado-Wyoming ............................................... 19 (9) Connecticut .................................................... 21 (10) Delaware ....................................................... 23 (11) Florida ........................................................ 25 (12) Georgia ........................................................ 27 (13) Greater Delaware Valley ........................................ 29 (14) Hawaii ......................................................... 31 (15) Illinois ............................... 33 (16) Indiana ................................ (17) Intermountain (Utah, portions of Wyoming, Montana, Colorado & Nevada) ........................................................ 37 (18) Iowa ........................................................... 41 (19) Kansas ......................................................... 43 (20) Lakes Area ..................................................... 45 (21) Louisiana ...................................................... 49 (22) Maine .......................................................... 51 (23) Maryland ....................................................... 53 (24) Memphis ........................................................ 55 (25) Metropolitan Washington, DC .................................... 57 (26) Michigan.. ..: .... : ............. 59 (27) Mississippi ........................... :..:: .. .... ............. 61 :.............. (28) Missouri ....................................................... 63 (29) Mountain States (Portions of Idaho, Montana, Nevada & Wyoming).67 (30) Nassau-Suffolk ........................ 69 (31) Nebraska .............................. (32) New Jersey ..................................................... 73 (33) New Mexico ..................................................... 75 (34) New York ....................................................... 77 (35) North Carolina ................................................. 79 (36) North Dakota ................................................... 81 (37) Northeast Ohio ................................................. 83 (38) Northern New England ........................................... 85 (39) Northlands (Minnesota) ................. .... 87 (40) Ohio ................................... .... 91 (41) Ohio Valley ...................................... 93 (42) Oklahoma ......................................... (43) Oregon ......................................................... 97 (44) Puerto Rico .................................................... 99 (45) Rochester ..................................................... 101 (46) South Carolina ................................................ 103 (47) South Dakota .................................................. 105 (48) S'usquehanna Valley ............................................ 107 (49) Tennessee Mid-South ............................................ 109 (50) Texas ......................................................... 111 (51) Tri-State (Massachusetts, New Hampshire & Rhode Island) ....... 113 (52) Virginia ...................................................... 115 (53) Washington/Alaska ............................................. 117 (54) West Virginia ................................................. 119 (55) Western Pennsylvania .......................................... 121 (56) Wisconsin ..................................................... 123 REGION: Alabama (lA GEDGRAPHIC AREA: State of Alabama. LIBRARY/INFORMATION SERVICES PROGRAM: With partial funding from the Alabama Regional Medical Program the University of Alabama in Birmingham developed a Medical Information Service by Telephone (MIST) which included a live toll-free telephone consultation service, Dial-Access tape libraries for physicians and nurses and follow-up bibliographic services. A multimedia section was established in the library and coronary care training films for nurses were distributed to some community hospitals. The AlabAmA Regional Medical Program's office of Communication and Public Information oversaw plans for medical library services in the Region. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: The MIST continues. Between its inception July 1, 1970 and June 30, 1991 over 993,000 calls have been received. The multimedia section in the Lister Hill Library continued to be heavily used. Both have been continued with state funding. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: Unknown. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Unknown. PUBLISHED DESCRIPTIONS: Klapper MS. Medical Information Service via Telephone (MIST). J Med Assoc State Ala 1970 Oct;40(4):257-69. Klapper MS. A plan for physician education and communication. J Med Assoc State Ala 1969 Apr;38(10):950, passim. Klapper MS, Harper IB. MIST -- observations and trends. J Med Assoc State Ala 1975 Dec;45(6):30-3. MIST brings free consultation to all Alabama doctors. i Med Assoc State Ala 1971 Nov;41(5):396-7. Packard JM. What is the Alabama Regional Medical Program and its practical application to rural health. i Med Assoc State Ala 1972 Dec;42(6):429-35. Pearson KM Jr, Block AD. Dial access libraries; their use and utility. i Med Educ 1974 Sep;49(9):882-9 . Plans for a Regional Medical Program for the State of Alabama. J Med Assoc State Ala 1967 Jan;36(7):860-4. Schneider AY,. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown);1969:29p. Wood GC. Serving the information needs of physicians. N Engl J Med 1972 Mar 16;286(11):603-4. DATA PI Virginia Algermissen Library of the Health Sciences Universitv Station Birmingham, AL 35294 205/934-5460 John M. Packard, M.D. Baptist Medical Center 701 Princeton Avenue, SW Birmingham, AL 35211 -2- REGION: Albany (21 GEOGRAPHIC AREA: Included 21 northeastern New York counties centered around Albany and contiguous portions of southern Vermont and Berkshire County in western Massachusetts. Overlapped Tri-State and Northern New England Regional Medical Programs. LIBRARY/INFORMATION SERVICES PROGRAM: Community Hospital Learning Centers which provided slide/tape equipment, filmstrips, headphones, medical juke box, storage, etc. were established that were designed to be self instructional and provide a means for information dissemination and continuing education. Funds were provided for the expansion of the two-way radio network originating at Albany Medical College to 57 hospitals. A survey of the information needs of practicing physicians was supported by an NLM grant, the Regional Medical Library and the Albany Regional Medical Program. The survey showed that medical library facilities were wholly inadequate. A special committee of consulting librarians was established to plan library service for the Region. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: Albany Medical College Library has expanded the concept of the learning center to encompass an entire floor called the Multi-Media Learning Center. The juke box is no longer operational. RELATIONS TO @ IS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: Department of Postgraduate Medicine, which was responsible for the Albany area Regional Medical Program apparently received funding from NLM for the Learning Center Project. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Frank M. Woolsey, Jr., M.D. PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala i Med Sci 1970 Apr;7(2):216-220. McAllister L. New developments in information services. Proceedings of Conference at Clarkson College of Technology; 1969 Jun 12-13;Potsdam, NY. Canton (NY): North County Reference and Research Resources Council; 1970. 64 p. -3- Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Strasser TC. The information needs of practicing physicians in Northeastern New York State. Bull Med Libr Assoc 1978 Apr;66(2):200-9. Woolsey, FM Jr. Community Hospital Learning Centers. Albany Med Coll Alumni Bull, April 1969. DATA PROVIDED BY: Sherry Hartman Librarian, Schaffer Library of Health Sciences Albany Medical College Albany, NY 12208 518/445-5586 -4- REGION: Arizona (3) GEOGRAPHIC AREA: State of Arizona. LIBRARY/INFORMATION SERVICES PROGRAM: The Arizona Regional Medical Program offered office space and secretarial services for onsite assistance in the improvement of in- service education for nursing personnel in hospitals and health agencies and the establishment of a clearinghouse for continuing information for nurses. The Arizona Medical Center Library, using the Arizona Regional Medical Program as a resource, instituted a dial-a- tape service providing physicians and nurses in Arizona with a tape medical reference library on 350 medical and nursing topics. The tape service ended in the early 70's. The Arizona Medical Library Network was a four-point program comprising a communications network of TWX and telephones, a free document delivery system, consultation by a Field Librarian and conference and training support, including exhibits. There were nine libraries which formed the nodes of the network. The Field Librarian was based at the Arizona Medical Center Library in Tucson and, in addition to consultation, he offered reference services and searched the literature. "Direct to the user" was the keynote of the network service. One of the first projects funded was a "Checklist of 20th Century Books" in the University of Arizona College of Medicine Library. This index to more than 11,000 volumes served as a finding list for health professionals. A variety of educational aids were made available to hospitals including a multi-media continuing education program to train coronary care unit nurses in hospitals and a videotape television system. Ultimately, 21 hospitals in 13 Arizona communities used the system. FUNDING: February 1970-December 1972; $35,000 annually. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: The concept of the Field Librarian has had a lasting and positive effect on library services in Arizona. After the Regional Medical Program funding ended, the state supported the Position as part of the Health Sciences Library's regular budget. That support continues today. -5- RELATIONS TO NLM'S REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: The Field Librarian is now working with the AHEC librarian on the NLM funded competitive purchase order to provide Grateful Med training. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Tom Higdon, first Field Librarian PUBLISHED DESCRIPTIONS: ARMP. Arizona Regional Medical Program, 1976:35-36. Bishop, D. Library services for the health professions in Arizona: Networks and projects. Ariz Libr 1970 Fall;27(3):2-8. Flynn RO. Regional Medical Program. Ariz Med 1973 May;30(5):343-5. Programs available through Regional Medical Program. Ariz Nurse 1970 Sep-Oct;23(4):21-2. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown);i969:29p. DATA PROVIDED BY: Rachael K. Anderson University of Arizona Health Sciences Library 1501 N. Campbell Avenue Tucson, AZ 85724 602/626-6241 -6- REGION: Arkansas (41 GEOGRAPHIC AREA: Covered the state of Arkansas and overlapped in the northeast portion with Memphis Regional Medical Program. tIBRARY/INFORMATION SERVICES PROGRAM: A Regional Hospital Medical Library System was organized to train hospital librarians and assist them in building hospital collections. Physicians and other health science personnel in the state were encouraged to use the local hospital library and when necessary, the UAMC library by inward WATS line or mail service. A computerized union list of monographs and journals was prepared; reference and document delivery services were provided. Consulting services were offered to assist in planning, establishing and upgrading hospital library facilities and a series of workshops to train personnel to manage library collections were planned. A survey of hospitals demonstrated a need for more medical information services distributed throughout the state and assistance in tra ining personnel to manage hospital collections; 80 of the 112 hospitals returned the questionnaire. FUNDING: July 1, 1968-June 30, 1971, $109,011. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: There is now a statewide plan for medical library service. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: All six Arkansas AHECs are active in the state medical library service plan. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Unknown. PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program Applications of Instructional Media in Continuing Education. Ala i Med Sci 1970 Apr;7(2):216-20. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Schneider AIK. An Overview of RMP Library Activities: Present and Future. Bull Med Libr Assoc 1970 Jul;58(3):316- 319. -7- DATA PROVIDED BY: Sally G. Kasalko Reference Division Vniversity of Arkansas Medical Sciences Library 4301 W. Markharn, Slot 586 Little Rock, AR 72205 501/686-6738 -8- REGION: Bi-State f5l GEOGRAPHIC AREA: Included southern Illinois and eastern Missouri counties centered around the St. Louis metropolitan area. Overlapped the Illinois Regional Medical Program. LIBRARY/INFORMATION SERVICES PROGRAM: The program implemented a hospital medical library and information network in the region in 1970-73. Core resource libraries including Washington University, St. Louis University and'St. Louis Medical Society provided "satellite,, hospital libraries reference service, interlibrary loans, literature searches, subscriptions to Index Medicus and the International Nursing Index, PHILSOM access, and training through workshops. FUNDING: A $70,000 grant for 17 months. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATION TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: The Regional Medical Program was phasing out just as the Regional Medical Library Program was getting underway. Missouri libraries became part of the Midcontinental Region and Illinois libraries, the Midwest Region, so there was little continuation of the relationship fostered by the Regional Medical Program. LIBRARYZINFORMATION SERVICES PROGRAM STAFF: Dr. Estelle Brodman Kathy Gallagher (St. Louis University) Barbara Halbrook (Washington University) Dorothy Overman, Network Coordinator, Interlibrary Loan librarian at Washington University, St. Louis University, St. Louis Medical Society. PUBLISHED DESCRIPTIONS: *Bank G; Mayer WD. Continuing education for health professions. Mo Med 1968;65:703-3. Library Program under way with 74 hospitals in network. Bi- state Beat 1970 Nov 15;2(5):3. Medical library project begins regional net. Bi-state Beat 1970 Aug 15;2(4):l, 4. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. -9- Schneider AK. An overview of RMP library activities: present and future. Bull Med Libr Assoc 1970 Jul;58(3):316- 9. Second Springfield workBhop evidence of growth. Bi-state Bee-line. 1973 May;2(3):l. Stoneman W 3d. Bi-Btate regional program in southern IllinoiB and eastern Missouri. Postgrad Med 1971 Mar;49(3):230-3. DATA PROVIDED BY: Barbara Halbrook Medical Library Washington University 660 S. Euclid Campus Box 8132 St. Louis, MO 63110 314/362-2786 *General article about Bi-State Regional Medical Program. -10- REGION: California GEOGRAPHIC AREA: State of California. Overlapped Mountain States Regional Medical Program in sections of Nevada. The California Regional Medical Library Program was divided into eight areas; in 1969 the area around the Drew Postgraduate Medical School became Area IX. Library and.information programs were proposed in Areas IV, V and VI. LIBRARY/INFORMATION SERVICES PROGRAM: Area programs are described on the following pages. The California Medical Television Network was expanded. In 1968 a state-wide council of the librarians of the eight California Medical schools and the librarian of the Los Angeles County Medical Association was formed to coordinate Regional Medical Program library services. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: Existing programs that have their antecedents in the Regional Medical Programs are discussed in each Area report. Of course, one major visible result is the Drew Postgraduate Medical School. Regional Medical Program funded the first three years of faculty recruitment and program development. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: The Regional Medical Program served as a catalyst for AHEC development and led the way in AHEC planning. PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala i Med Sci 1970 Apr;7(2):216-20. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Ward PD. A progress report on Heart Disease, Cancer and Stroke. Bull LA Co Med Assoc 1967 Nov 2;97(21):16-17. REGION: California (6) -- AREA IV GEOGRAPHIC AREA: Eight counties in southern and central California including Fresno, Kern, Kings, Madera, Santa Barbara, San Luis Obispo, Tulare, and Ventura. LIBRARY/INFORMATION SERVICES PROGRAM: A pilot project to test the feasibility of a sub-regional network initiated the Medical Information Communications Services (MICS). MICS received Regional Medical Program funding in 1967 and was coordinated by the UCLA Biomedical Library. Four hospital li@raries in outlying areas were designated "district li raries" and were responsible for providing information services to health professionals in eight, primarily rural, counties. The district libraries provided document delivery and reference assistance to local health professionals from their own collections, and referred requests which could not be filled locally to the UCLA Biomedical Library. The district libraries were supported by a librarian, Head of the Medical Information Communications Services, at the UCLA Biomedical Library, who facilitated the processing of ILL requests, answered reference questions, compiled bibliographies, assisted with collection development, and provided continuing education to the district library personnel. The project officially terminated in August, 1971. A TWX link was established between Fresno and the UCLA Biomedical Library. Extensive continuing education programs were offered through the Regional Medical Program. FUNDING: UCLA (Area IV) Regional Medical Programs core budget. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: Libraries at Kern County General Hospital, Ventura County General Hospital, and Fresno County General, enhanced under this program, continue to provide medical library services. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: MICS was planned, from the beginning, to be coordinated with the proposed Pacific Southwest Regional Medical Library Service (PSRMLS). When the Central San Joaquin Valley AHEC was established it included a library component and a full-time library coordinator to provide services to health professionals in six central California counties: Madera, Fresno, Mariposa, Merced, Tulare, and Kings county. Inclusion of the library component in the AHEC contract was due in large part to the successful. experience with the MICS, 'since many of the health professionals involved in the development of the AHEC had been involved in the California Area IV Regional Medical Program programs. -12- The first edition of the Manual for Librarians in Small Hospitals was written by the Associate Director of the Regional Medical Library and the Head of the MICS. LIBRARY/INFO @ TION SERVICES PROGRAM STAFF: Louise Darling Lois Ann Colaianni PUBLISHED DESCRIPTIONS: Brayton D.F. UCLA Regional Medical Programs: Present and Future. Bull LA Co Med Assoc 1967 Nov 16;97(22):22-23. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Liprary Association Convention in Denver 1968. [Place, publisher unknown);1969:29 p. Schneider AK. An overview of RMP library activities: present and future. Bull Med Libr Assoc 1970 Jul;58(3):316- 9. DATA PROVIDED BY: Alison Bunting Biomedical Library UCLA Louise Darling Biomedical Library 10833 Le Conte Blvd. Los Angeles, CA 90024-1798 213/825-5781 -13- REGION: California (6) -- AREA V GEOGRAPHIC AREA: Los Angeles County. LIBRARY/INFORMATION SERVICES PROGRAM: A grant proposal for a Los Angeles Health Professionals Information Network was submitted in 1971. The proposal was not approved for -funding. FUNDING: None. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: None found. DATA PROVIDED BY: Alison Bunting Biomedical Library UCLA Louise Darling Biomedical Library 10833 Le Conte Blvd. Los Angeles, CA 90024-1798 213/825-5781 -14- REGION: California (6) -- AREA VI GEOGRAPHIC AREA: Inyo, Mono, Riverside, San Bernardino Counties in California; Clark County in Nevada. LIBRARY/INFORMATION SERVICES PROGRAM: A grant proposal for a Medical Information Services project was submitted in 1969. Funding was received by the San Bernadino County Medical Association's Tel-Med project in 1971. Tel-Med is similar to the University of Wisconsin's Dial-Access tapes. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: Tel-Med continues and will celebrate its 20th anniversary in 1992. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: The library program did coordinate its activities closely with the Pacific Southwest Regional Medical Library Service. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Dr. George Summers David Rios PUBLISHED DESCRIPTIONS: Henderson WS Jr. Message from the Executive Director. The Tel-Med Messenger. 1991 Oct:1-2. DATA PROVIDED BY: Alison Bunting Biomedical Library UCLA Louise Darling Biomedical Library 10833 Le Conte Blvd. Los Angeles, CA 90024-1798 213/825-5781 -15- t i i I -1 6- 1 REGION: Central New York GEOGRAPHIC AREA: Included 15 central New York counties centered around Syracuse, and the Pennsylvania counties of Bradford and SUBquehanna. LIBRARY/INFORMATION SERVICES PROGRAM: Between June 1969 and April 1973 Suzanne Murray served as the Library Coordinator. She introduced ILL and computer searches to area health professionals, consulted with and trained hospital librarians, trained staff who were designated to serve as "librarians,', weeded collections, trained paraprofessional to catalog using MESH and the NLM classification system, aBBiBted hospital librarians and administrators to compete successfully for NLM Resource Improvement Grants, prepared bibliographies for nursing CE seminars, and ran a bookmobile so hospital administrators could visualize a core medical library and understand the impact it could have on their institution. The bookmobile carried 132 volumes including 24 reference books, 18 basic science books, 47 medical titles, 22 nursing texts, 11 allied health texts and 4 basic indices to the biomedical literature. The bookmobile spent about five hours at each hospital visit. Statistics: 1967-68 1968-69 1969-701 1970-71 1971-72 ILL 402 483 1,959 3,276 5,127 SUNY BCN --- --- 82 208 343 searches Central New York augmented instructional materials and various media for physician education and nursing education, especially in small hospitals. The Central New York Regional Medical Program also provided a Dial-Access tape library from Robert Packer Hospital, Sayre, Pennsylvania. FUNDING: $11,515. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: A network of central New York hospital librarians was formed and continues to meet. In addition to the collegial relationships that developed, the group (the Central New York Library Resources Council) developed a union list of serials. New York state librarians lobbied the state for funding to support hospital libraries. Circuit librarians in the state lYear the Library Coordinator started. -17- have continued the personal contact with isolated librarians. A former patient, a wheel-chair bound quadriplegic was trained to serve as the librarian at Faxton Hospital in Utica, New York. He eventually worked full time in the litrar rT. Faxton Hospital has had a full time professional li ra an for the past 3-5 years. The Guthrie Clinic in Sayre, Pennsylvania sponsored a circuit librarian beginning in 1979-80. RELATION TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECS: The Library Coordinator assisted librarians and administrators to apply for NLM Research Improvement Grants. In the year following the bookmobile project, seven area hospitals received these grants and two hospitals received aid from private sources. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Suzanne Murray PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program applications of instructional media in continuing education. ALA J Med Sci 1970 Apr;7(2):216-20. Murray S. Reference-room-on-wheels shows how even small hospitals can improve their medical libraries. MOD HOSP 197 Apr:119-20;119-20. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Schneider AK. An overview of RMP library activities: present and future. Bull Med Libr Assoc 1970 Jul;58(3):316- 9. Wood GC. Cancer information services in the United States. CA 1971 May-Jun;21(3):143-55. DATA PROVIDED BY: Suzanne Murray Health Science Center Library SUNY Health Science Center at Syracuse Weiskotten Hall 766 Irving Avenue Syracuse, NY 13210 315/473-4582 -18- REGION:-Colorado-Wyoming (8) GEOGRAPHIC AREA: The states of Colorado and Wyoming. Overlapned Mountain States and Intermountain Regional Medical Programs. LIBRARY/INFORMATION SERVICES PROGRAM: There was some discussion about providing bibliographies on heart, cancer and stroke, using the MEDLARS tapes. There is no record of a funded program. Colorado-Wyoming established a videotape exchange for closed circuit TV between the University of Colorado Medical Center and the Denver Medical Society Library with transmission to two adjacent hospitals. Plans were made to produce single concept films, slides, and filmstrips to be placed in hospitals. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala i Med Sci 1970 Apr;7(2):216-20. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED BY: Rick B. Forsman, Acting Director Denison Memorial Library University of Colorado Health Sciences Center Campus Box A003 4200 East Ninth Avenue Denver, CO 80262 303/270-5125 -19- I i I I I I i I I I I i i i -20- REGION: Connecticut GEOGRAPHIC AREA: State of Connecticut. LIBRARYIINFORMATION SERVICES PROGRAM: The state's medical library resources were surveyed as were physicians' patterns of obtaining information. A grant was requested to strengthen reference and provide interlibrary loan service throughout Connecticut at no charge, to begin an extensive training and consultation program for medical librarians in the state and to support formal library training workshops. The publication "Suggested Minimum Guidelines for Connecticut Health Science Libraries" was developed and distributed in 1970. The grant funded some staffing. TWX units were maintained at the University of Connecticut and Yale Medical Libraries. An ETV network connecting the University of Connecticut and Yale Medical Centers originated TV programs for regional hospitals. FUNDING: $70,339 was requested the first year and increasing amounts for the next four years, but a budget of $37,500 for the first year was approved April 21, 1969. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: The Connecticut Association of Health Sciences Libraries (CAHSL) is the most salient continuing legacy of the Connecticut Regional Medical Program. CAHSL has 56 institutional members and approximately 40 individual memberships. Meetings are held B3-x times a year; the Association publishes a regular newsletter, schedules continuing education courses and has coordinated the inclusion of its member library serials holdings information into the Union Catalog of Medical Periodicals of the Medical Library Center of New York. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: The Regional Medical Program activities were int@nded to support the Regional Medical Library services from the Countway Library which was the Regional Medical Library. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: John A. Timour PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala J Med Sci 1970 Apr;7(2):216-220. Connecticut Regional Medical Program. Request for an operating grant. [New Haven]:The Program;1968. 152 p. -21- Connecticut Regional Medical Program. CRMP's seven year march toward medical regionalization: special grant request for May-June 1973, "phase-out" grant request for July 1f 1973-February 15, 1974. New Haven:The Program, 1973. Connecticut Regional Medical Program. Triennial Application Progress Report. 1969-1970-1971. Grant Request 1972-1973- 1974. Volume I. Summary Edition. The Program. 1971. Kefauver DK. Coordination of regional libraries with Regional Medical Program Projects. Bull Med Libr Assoc 1970 Jul;58(3):325-9. Koughan WP; Timour JA. Are hospital libraries meeting physicians' information needs. Spec Libr 1973 May-june;64(5- 6):222-7. Morrissey EF; Seipp CA; Clark HT Jr. Connecticut Regional Medical Program--from planning to operations. Conn Med 1969 Feb;33(2):106-12. Regionalization makes a difference in health care delivery: the CRMP story. Volume II. 1973-1974-1975-1976. The Program. 1976. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Tedesco, CR. Proceedings of the Annual Meeting of the Regional Group of the Medical Library Association; 1967 Oct 27; Washington, DC. [Place, publisher, unknown] 1967. 72 p. To improve the health care system in Connecticut: a bibliography of selected studies, reports, and health planning activities supported by the Connecticut Regional Medical Program. The Program. 1975. Truelson SR Jr. Planning for a library system: Connecticut Regional Medical Program. Bull Med Libr Assoc 1969 Jul;57(3):239-43. Weinerman ER. Planning and organization of the Connecticut regional medical program. Bull NY Acad Med 1967 June;43(6):504-14. DATA P@ Y: Ralph D. Arcari University of Connecticut Health Center Lyman Maynard Stowe Library Farmington, CT 06034 203/679-2839 -22- REGION: Delaware (101 GEOGRAPHIC AREA: State of Delaware. LIBRARY/INFORMATION SERVICES PROGRAM: None found. FUNDING: None found. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NIMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: None found. DATA PROVIDED BY: Gail P. Gill Lewis B. Flinn Library Delaware Academy of Medicine 1925 Lovering Avenue Wilmington, Delaware 19806 302/656-6398 -23- -24- REGION: Florida (11A GEOGRAPHIC AREA: State of Florida. LIBRARY/INFORMATION SERVICES PROGRAM: None found. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED BY: Ted Srygley Health Science Center Library University of Florida Box J206, JHMHSC Gainesville, FL 32610 904/392-4017 -25- I i il i i i i i i i I I f I i 1 -26- REGION: Georgia (12)- GEOGRAPHIC AREA: State of Georgia. LIBRARY/INFORMATION SERVICES PROGRAM: The Georgia Regional Medical Program supported a free interlibrary loan service through the A. W. Calhoun Medical Library, Emory University and the Medical College of Georgia Library. Funds were also provided to prepare a union list of serial holdings for the two medical school libraries. An Institute on Hospital Libraries was held in 1968. A survey was conducted of the 121 institutions participating in the Georgia Regional Medical Program. The Georgia Regional Medical Program initiated new approaches to teaching using closed circuit television, programmed education, telecture, education television, videotapes, etc. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: The successor to the Georgia Regional Medical Program's TV network, the Medical Television Network, continues. REIATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Barrow JG. Georgia Regional Medical Program -- off and running. J Med Assoc Ga 1967 Aug;56(8):337-9. Barrow JG. Regional Medical Programs. Georgia. Postgrad Med 1970 Aug;48(2):218-21. Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala i Med Sci 1970 Apr;7(2):216-20. Innovative plans for the Georgia Regional Medical Program. i Med Assoc Ga. 1967 Apr;56:149-51. Kefauver DK. Coordination of regional libraries with Regional Medical Program Projects. Bull Med Libr Assoc 1970 Jul;58(3):325-9. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown);1969:29p. -27- DATA PROVIDED BY: Carol Burns Health Sciences Library Emory University 1462 Clifton Road Atlanta, GA 30322 404/727-5820 -28- REGION: Greater Delaware Valley (lU GEOGRAPHIC AREA: Included southeastern Pennsylvania (Philadelphia-Camden), northeastern Pennsylvania (Wilkes Barre-Scranton) and southern New Jersey counties. Overlapped New Jersey Regional Medical Program. LIBRARY/INFORMATION SERVICES PROGRAM: None found; library activities were along geographical lines specified by the Regional Medical Library Program rather than the Regional Medical Program. FUNDING: None found. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED BY: John Timour 209 Wedgewood Drive Washington, NC 27889 919/975-3355 -29- -3 0- REGION: Hawaii (14) GEOGRAPHIC AREA: State of Hawaii, American Samoa, Guam, and the Trust Territory of the Pacific Islands. LIBRARY/INFORMATION SERVICES PROGRAM: The Health Information Network project established modes of cooperation among the medical libraries of the State of Hawaii, Trust Territory of the Pacific, Guam and American Samoa. It provided more effective library service to all health personnel in the region regardless of location. The project updated and expanded biomedical library resources, increased the use of health science literature by health professionals, provided more efficient use of existing resources through increased cooperative agreements among medical libraries. It extended library service to health personnel in the Region who were not served. FUNDING: October 1971-December 1973, $82,478. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: Except for consulting and travel to the Pacific Basin the services that were started have continued through the institutional membership program of the Hawaii Medical Library. Interlibrary loan services have been continued on a fee-for- service basis. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: A three year NLM grant was awarded in 1974 for the Health Information Network of the Pacific (HINOP). Through the Regional Medical Library in Region 8 consulting and travel to the Pacific Basin is now being encouraged; the Hawaii Medical Library is serving as a Resource Library for that geographic area. LIBRARY/INFORMATION SERVICES'PROGRAM STAFF: Clyde Winters, Project Director PUBLISHED DESCRIPTIONS: Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED BY: John A. Breinich Executive Director Hawaii Medical Library, Inc. 1221 Punchbowl Street Honolulu, HI 96813 808/536-9302 -31- t -32- REGION: Illinois (15) GEOGRAPHIC AREA: State of Illinois. Overlapped Bi-State Regional Medical Program in the southern portion of the state. LIBRARY/INFORMATION SERVICES PROGRAM: None found. FUNDING: None found. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED BY: Frieda Weise Library of the Health Sciences University of Illinois at Chicago 1750 West Polk Street Chicago, IL 60612 312/996-8974 -33- i i I -34- REGION: Indiana (@6 GEOGRAPHIC AREA: State of Indiana. Overlapped with the Ohio Valley Regional Medical Program. LIBRARY/INFORMATION SERVICES PROGRAM: Regional Medical Program funds were used to expand a TWX service between the Indiana University Medical School Library and public libraries in 22 communities and state universities throughout the state. Pr cticing physicians were able to contact their local ligrary for searches and document delivery. Seminars were held in which hospital library personnel were trained and a workshop explaining the services available to hospitals from the medical school library were held in 1970. Eight hundred and seventy-two physicians from all counties in the state used the TWX service. A computer link among 12 community hospitals and the Indiana University Medical Center Was used to conduct continuing education conferences, permit data retrieval and establish health care research units. FUNDING: 1969-70, $8,458.91 (mostly salaries); 1970-72, unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: Existing remnants of the Library's Extension Service can be found in the current Interlibrary Services Department. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: NLM grants were used to create, issue, and maintain the first Indiana University School of Medicine Library's computer-generated serials list and several of its successive union list offshoots. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Mary Jane Laatz PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala J Med Sci 1970 Apr;7(2):216-220. Gillette VL; Van Camp A; Campbell NS; Laatz MJ. The Indiana Biomedical Information Program. Bull Med Libr Assoc 1970 Jan;58(l):60-64*. Indiana University School of Medicine Library teletype service. i Indiana Med Assoc 1966 Dec;59(12):1456-7. Perez ER. The Virginia Regional Medical Program. Va Med Mon 1969 Oct;96(10):595-603. -35- Perez ER. Virginia Regional Medical Program. Va Med Mon 1970 Dec;97(12):774-5. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Schneider AK. An Overview of RMP Library Activities: Present and Future. Bull Med Libr Assoc 1970 Jul;58(3):316- 19. Stonehill RB. The Indiana Regional Medical Program-1969- 1971. J Indiana State Med Assoc 1971 Nov;64(11):1219-24. DATA PROVIDED BY: Dapa McDonald School of Medicine Library Indiana University 975 West Walnut Street Indianapolis, IN 46202-5121 317/274-7183 *Describes the Indiana Biomedical Information Program, including that supported by the Regional Medical Program. -36- REGION: Intermountain flil- GEOGRAPHIC AREA: State of Utah, portions of Wyoming, Montana, Colorado and Nevada. Overlapped with the Colorado-Wyoming and Mountain States Regional Medical Programs. LIBRARY/INFORMATION SERVICES PROGRAM: There was a full time extension librarian beginning July 1, 1968. An extensive survey was conducted of library and information services available in hospitals and clinics in Utah and an information service was established in order to provide current medical literature to practicing physicians. Selected medical references were provided to the Intermountain Regional Medical Program tumor registry based on the listing of cancers. A series of hospital library handbooks designed for individuals managing hospital libraries were developed by Anne Cramer, one of the extension librarians and workshops on hospital administration were conducted in Utah and Idaho. A consortium of Salt Lake City hospital librarians was formed to aid in the extension services. An existing two-way radio system was expanded from 11 to 21 hospitals and the open circuit TV network broadcast 50% of its programs in the categorical areas. TV consoles were placed in 12 major community hospitals as a self-instruction teaching aid. The Region developed a stroke information library and telephone consultation service. FUNDING: 1967-1971. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: The Utah Health Sciences Library Consortium survives today, self-supporting and flourishing with 24 member libraries meeting eight times a year. The consortium supports consulting services, an online union catalog for books and a union serials list, cooperative acquisitions, interlibrary loan using FAX and reciprocal on-site borrowing privileges for health personnel at participating health sciences libraries anywhere in the state. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS4. In April 1973 NLM funded a one year grant to develop a statewide Utah Health Sciences Library Consortium, believed to be the first grant awarded for a statewide consortium. At the same time, NLM awarded a grant for an innovative Learning Resource Center in the Eccles raryl using audiovisual and computer technology in medical education. -37- LIB @ Y/INFORMATION SERVICES PROGRAM STAFF: Marion A. Chavez Anne Cramer Margaret Moore Nina Dougherty Karen Butter PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program application of instructional media in continuing education. Ala J Med Sci 1970 Apr;7(2):216-20. Castle CH. The program is regional, the feedback is local: government impact on hospital practice. Hosp Pract 1968;3:16-25. Cramer A. Hospital library administration. Salt Lake City: Intermountain Regional Medical Program, Network for Continuing Education; 1971. 31 p. (Hospital library handbooks, no. 1) Cramer A. Hospital library development. Salt Lake City: Intermountain Regional Medical Program; 1972. 50 p. (Hospital library handbooks, no. 2) Cramer A. Printed materials: selection and acquisition. Salt Lake City: Intermountain Regional Medical Program; 1972. 63 p. (Hospital library handbooks, no. 3) Schneider AR. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Tedesco CR. Proceedings of the Annual Meeting of the Regional Group of the Medical Library Association; 1967 Oct 27; Washington, DC (Place, publisher unknown]; 1967. 72p. Wood GC. Cancer information services in the United States. CA 1971 May-Jun;21(3):143-55. DATA PROVIDED BY: Priscilla Mayden 939 Donner Way #311 Salt Lake City, UT 84108 -38- Karen Butter William H. Welch Medical Library Johns Hopkins Medical School 1900 E. Monument Street Baltimore, MD 21205 301/955-3411 Anne Cramer Moorman Memorial Library Eastern Virginia Medical School P.O. Box 1980 Norfolk, VA 23501 804/446-5841 -39- -4 0- REGION: Iowa GEOGRAPHIC AREA: State of Iowa. LIBRARY/INFORMATION SERVICES PROGRAM: The Iowa Regional Medical om- ing education Program developed a c prehensive continu program for practicing physicians, and provided the "Dial Access,, tapes. The Health Sciences Library at the University of Iowa served as a resource for community hospitals and performed MEDLARS literature searches. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Schneider AK. Library Activities of Regional Medical PrograMB. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. (Place, publisher unknown];1969:29p. DATA PROVIDED BY: Published literature. -41- 0 -42- REGION: Kansas (19L GEOGRAPHIC AREA: State of Kansas. LIBRARY/INFORMATION SERVICES PROGRAM: In 1969 a proposal for a Kansas Medical Library System was funded. The proposal included an INWATS line to Kansas City; the establishment of field offices staffed by librarians in Topeka and Wichita; assistance to hospital administrators in building or improving medical libraries in Kansas hospitals; aid to health professionals to locate and obtain materials not available locally; storage for less frequently requested materials; coordination of medical library acquisitions in order to fill 90% of requests from health professionals in Kansas; and the compilation and maintenance of a union list of medical serials. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: The library service was one of the two projects that received state funding when federal funding ended. Limited information services continued from the Clendening (now Archie Dykes) Library after the cessation of Regional Medical Program funds. A "State Services" function performed several of the Regional Medical Program services but was absorbed into the Interlibrary Loan Service. Although under the Regional Medical Program all document delivery was without charge, a $1.00 fee was implemented in 1973 or 1974; it is now $3.00 to clients in Kansas, less than half the regional maximum. The last edition of the union list prepared manually was in 1983. The Archie Dykes Library provides a toll-free line within Kansas which is heavily used for ordering documents and requesting reference assistance. Hospital consultation is provided on a cost recovery basis; the demand is very light. The demise of Kansas Regional Medical Program left a gap between expectations and Bcaled-down funding. Smaller hospitals in Kansas continued to phone requests to Clendening's State Services. There, an updated, unpublished union list of serials provided the locations of other small holders. These were contacted by phone to request free copies for the original requester in exchange for reciprocity. The roundabout system lasted long enough to permit development of library consortia and gradual integration of Kansas into the total Regional Medical Library system. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. -43- LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Desi Bravo Schaffer, Executive Director of the office PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala J Med Sci 1970 Apr;7(2):216-20. Lewis CE. Case study: Kansas Regional Medical Program. Local action groups involve communities in Kansas program. Hospitals 1968 Jul;42(13):60-2. Schaffer DB. Kansas Regional Medical Program library services. Bull Med Libr Assoc 1970 Jul;59(3):311-5. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Litrary Association Convention in Denver 1968. [Place, pu lisher unknown];1969:29p. Schneider AK. An overview of RMP library activities: present and future. Bull Med Libr Assoc 1970 Jul;58(3):316- 19. Tedesco CR. Proceedings of the Annual Meeting of the Regional Group of the Medical Library Association;1967 Oct 27; Washington, DC [Place, publisher unknown]; 1967, 72 p. DATA PROVIDED BY: James Bingham Dykes Library of the Health Sciences University of Kansas Medical Center 2100 West 39th Street Kansas City, KS 66103 913/588-7301 Earl Farley Librarian Emeritus 10325 Russell St. Shawnee Mission, KS 66212-1736 -44- REGION: Lakes Area (2kl GEOGRAPHIC AREA: Included seven western New York Counties centered around Buffalo, and the Pennsylvania counties of Erie and McKean. LIBRARY/INFORMATION SERVICES PROGRAM: The Information Dissemination Service (IDS) funded by the Regional Medical Program from June 1970 through April 1973 was believed to be the first federally supported library outreach service unit attached to a medical school library. A full range of library services were provided including document delivery, MEDLARS searches, reference, and consultation. The IDS project directly served some 12,000 individual physicians and health professionals in a large geographic area encompassing Western New York and Northern Pennsylvania. The success of the IDS project exceeded all expectations. For instance, in the original proposal submitted to the Regional Medical Program in 1969, IDS was expected to provide 7,000 copies of journal articles a year. It actually exceeded 20,000 a year. (Supplemental funding was provided by the Regional Medical Program.) The IDS project had a significant impact on the University at Buffalo, Health Sciences Library's outreach service in the following two decades. A two-way telephone network linked the University at Buffalo and Roswell Park Memorial Institute with 46 hospitals in the Western New York Region for transmitting ECG's over dataphones and receiving continuing education. FUNDING: $40,000 a year for three years, plus supplemental funds. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: When the Regional Medical Library Program interlibrary loan funding was terminated, the New York State NYSILL/RML Interface Coupon Program was implemented to provide interlibrary loan funds not only to former IDS clientele, but to all hospitals in New York State. In addition, New York State also implemented the state-wide Hospital Library Service Program which includes all the rural and remote hospitals in Western New York originally served by the IDS project. During the past years, the University at Buffalo Health Sciences Library has often been ranked among the top five academic health sciences libraries in the nation for the volume of interlibrary loan and database access services it provides. This accomplishment has been due in large part to the solid service foundation established by the IDS project in the early 1970's. IDS is a model unit of its kind. -45- The IDS project also had a positive influence on staff development. IDS serves many health institutions and is involved in various local, state, and national resource sharing networks. This gives the staff who work in the IDS department excellent opportunities for contact with and exposure to a wide variety of individuals and there are numerous opportunities for management training. Jean Miller, the former IDS project director, and her successor Brett Kirkpatrick later became directors not only of major health sciences libraries, but also of NIM Regional Medical Libraries. The IDS project was a success story. Eighteen years after the termination of the Regional Medical Program funding the IDS department still exists to provide outstanding service to the University's constituents and the community. It has also become a major link in NLM's National Network of Libraries of Medicine. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: Because IDS service proved to be valuable to clinical, research, and educational programs in the teaching hospitals and the health community, the University at Buffalo provided personnel and operating funds to continue the IDS service after funding was terminated by the Regional Medical Program in 1973. The former New York and New Jersey Regional Medical Library Program (New York Academy of Medicine Library) also accepted this library as a Regional Medical Library Resource Library for Western New York in 1973 and made interlibrary loan funding available to IDS's former clientele. (The two Northern Pennsylvania counties originally served by IDS were no longer included.) The Health Sciences Library has received several grants from NLM to renovate its facilities (1968/69), to enhance its collections (1969/70), to develop a computerized circulation system (1970/71), and to establish an audiovisual department (1971/72). LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Helen J. Brown Diane M. Pinchoff Jean K. Miller PUBLISHED DESCRIPTIONS: Brown HJ, Miller JK, Pichoff DM. Study of the Information Dissemination Service-Health Sciences Library, State University of New York at Buffalo. Bull Med Libr Assoc 1975 Jul;63(3):259-71. -46- Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala J Med Sci 1970 Apr;7(2):216-20. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Liprary Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Wheeler R. Information Dissemination Service: service for the community from an academic health sciences library. The Bookmark. 1985 Fall:27-32. DATA PROVIDED BY: Mr. C. K. Huang Health Sciences Library State University of New York at Buffalo Main Street Campus Buffalo, NY 1421 716/831-3335 -47- i I i i i t i i 1 i@ i@ I i I 1 i i I @i @l, -48- REGION: Louisiana (2LI GEOGRAPHIC AREA: State of Louisiana. LIBRARY/INFORMATION SERVICES PROGRAM: None found. FUNDING: None found. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: None found. DATA PROVIDED BY: William D. Postell, Jr. Rudolph Matas Medical Library Tulane University 1430 Tulane Avenue New Orleans, LA 70112 504/588-5157 -49- I i "I i I -50- REGION: Maine (22) GEOGRAPHIC AREA: State of Maine. LIBRARY/INFORMATION SERVICES PROGRAM: In the summer of 1969, Maine's Regional Medical Program surveyed over thirty Maine hospitals to determine existing library services and facilities. There were no library facilities in over one third of these hospitals. In July 1969 the Maine Medical Center received a Regional Medical Program grant to expand its facilities and strengthen its role in providing information services to the state. The grant provided a 24 hour toll free WATS service for requesting literature searches and documents; consultation to hospitals; workshops and training for librarians. Audiovisuals and books were loaned to physicians outside the area who came to medical conferences one day per week. A doctor visited the hospitals to talk with administrators and members of the medical staff about the library program. FUNDING: July 1, 1969-june 30, 1973, $ll2f533. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: Since the Regional Medical Program funds were considered seed money, hospitals in Maine were asked to fund the continuation of the library service by membership charges; 32 memberships were received. In 1975 a fee for service plan replaced the membership plan. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: In 1966 the Maine Medical Center Medical Library obtained a five year Resource Grant to expand services to that of a regional facility, including free document delivery. In 1968 a TWX was installed for communicating document requests to the Regional Medical Library in Boston. AHEC grant money subsidized free MEDLINE service to Maine physicians. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Eleanor C. Cairns Jane Cooper PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala i Med Sci 1970 Apr;7(2):216-20. Chatterjee M. Regional Medical Programs. Maine, Postgrad Med 1970 Jun;47(6):183-6. Good PG. Who needs books? J Maine Med Assoc 1970 Jan;61(1):16-7. -51- Kefauver DK. Coordination of regional libraries with Regional Medical Program Projects. Bull Med Libr Assoc 1970 Jul;58(3):325-9. Schneider AK. Library Activities of Regional Medical Programs. Report o an In ormat on Exc ange at t e Medical Liprary Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Schneider AK. An overview of RMP library activities: present and future. Bull Med Libr Assoc 1970 Jul;58(3):316- 19. DATA PROVIDED BY: Robin M. Rand Director, Library Services Maine Medical Center 22 Bramhall Street Portland, ME 04102 207/871-0111 -52- REGION: Maryland (23) GEOGRAPHIC AREA: State of Maryland and York County, Pennsylvania. Overlapped in southern central Maryland with the Metropolitan Washington DC Regional Medical Program. LIBRARY/INFORMATION SERVICES PROGRAM: None found. FUNDING: None found. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: None found. DATA PROVIDED BY: Diana Cunningham, Acting Director Health Sciences Library University of Maryland 111 South Greene Street Baltimore, MD 21201 301/328-7378 -53- -5 4- REGION: Memphis @4 GEOGRAPHIC AREA: The western Tennessee area centered around Memphis; northern Mississippi; northeastern Arkansas; portions of southwestern Kentucky; and three counties in Southwestern Missouri. Overlapped the Mississippi, Arkansas and Ohio Valley Regional Medical Programs. LIBRARY/INFORMATION SERVICES PROGRAM: Established a medical reference service, including computerized NEDLARS searching and document delivery, for the 76 county area served by the Regional Medical Program. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NI141S REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Sara Jean Jackson PUBLISHED DESCRIPTIONS: Culbertson JW; Pate JW. Memphis Regional Medical Program for Heart Disease, Cancer and Stroke. J Tenn Med Assoc 1967 Nov;60(11):1196-1205. Jackson SJ. Access to medical information: essential for better patient care. J Tenn Med Assoc 1972 Oct;65(10):902- 6. Rosenberg EW. Information for doctors and public. N Engl J Med 1972 May 25;286(21):1163-4. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library ABBociation Convention in Denver 1968. [Place,, publisher unknown];1969:29p. Trabue CC. What can the Regional Medical Program do for the practitioner? J Tenn Med Assoc 1969 Sep;62(9):815-8. DATA PROVIDED BY: T. Mark Hodges Medical Center Library Vanderbilt University Medical Center Nashville, TN 37232-2340 615/322-2299 -55- i -5 6- REGION: Metropolitan Washington DC (25) GEOGRAPHIC AREA: Included the District of Columbia and contiguous counties in Maryland and Virginia. Overlapped Maryland and Virginia Regional Medical Programs. LIBRARY/INFORMATION SERVICES PROGRAM: No specific library programs. Scrambled home telecasts on cardiology were transmitted to 125 physicians in the Metropolitan D.C. Region as part of a pilot project to determine the feasibility of conducting continuing education by sending scrambled signals to private homes. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala J Med Sci 1970 Apr;7(2):216-20. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED BY: Naomi C. Broering Dahlgren Memorial Library Georgetown University Medical Center 3900 Reservoir Road, NW Washington, DC 20007-2197 202/687-1176 -57- I f I r --)R- REGION: Michigan (2kl GEOGRAPHIC AREA: State of Michigan. LIBRARY/INFORMATION SERVICES PROGRAM: None found. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Schneider AK. Library Activities of Regional Medical Programs. Report of an InformatioA Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown],-1969:29p. DATA PROVIDED BY: Vern M. Pings 1806 Sagebrush Road Plant City, FL 33566 All -59- -60- REGION: Mississinipi (27_1 GEOGRAPHIC AREA: State of Mississippi. Overlapped with Memphis Regional Medical Program. LIBRARY/INFORMATION SERVICES PROGRAM: Ned-Line Library (at the Rowland Library) was funded to provide an easy reference source for Mississippi physicians. Money was provided to survey licensed hospitals of 60 beds or more about library service. The survey was modeled after the one by Dr. Alan Rees in Northeastern Ohio. A Learning Resources Library was established to provide hardware and software for a statewide loan for hospitals and health-related agencies and organizations throughout the state. Some 60 hospitals borrowed the 375 videotape titles on a routine basis. The library materials were also available for loan to nursing homes and health related organizations. Four intensive coronary care unit training programs were also loaned. A Conference on grant writing and consortium planning was conducted for librarians. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: The Learning Resources Library was continued for 5-7 years by the Mississippi Hospital Association. RELATIONS TO NI141S REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHE,CIS: No e@found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Irene Graham PUBLISHED DESCRIPTIONS: Schneider AX. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. (Place, publisher unknown];1969:29p. Twelve years of challenge and change ... 1965-1977. Jackson, MS, Mississippi Regional Medical Program [unknown) 57 p. DATA PROVIDED BY: Ada M. Seltzer, Director Rowland Medical Library University of Mississippi Medical Center 2500 North State Street Jackson, MS 39216-4505 601/984-1290 I i i I I I I i I I -62- GEOGRAPHIC AREA: REGION: Missouri (2al State of Missouri exclusive of St. Louis metropolitan area. LIBRARY/INFORMATION SERVICES PROGRAM: The program involving the University of Missouri Kansas City (UMKC) operated under the Learning Resources Section of the Western Missouri Area Health Education Center (WMAHEC) and was designed to improve coordination and delivery of health science learning resource materials and services for health care professionals of all levels in 38 Missouri counties. Specifically the program consisted of a toll-free WATS line and a staffed telephone service that enabled rural physicians to call into the UMKC Health Sciences Library for information, searches, and citation verification. Phone reference service was free; patrons were billed for connect time on searches. Photocopies were supplied for $.10 per page. Books and audiovisual materials were loaned free. Consultation by UMKC librarians was provided and included on-site ViSitB to the various hospitals and agencies needing help in initiating and organizing a collection, etc. Staff time was paid by UMKC as part of its contribution to the project. The library part of the WMAHEC project also consisted of the organization of a network promoting consortia and encouraging libraries to borrow among themselves as a first step. Likewise, union lists were initiated. Workshops were held for individuals in remote areas who found themselves in charge of a library, often in connection with the Regional Headquarters in Omaha. Another feature was the publication of Current References, an abstracting service, written by UMKC Health Sciences Library librarians and offered for a small subscription fee to rural physicians. Abstracts were of articles thought to be applicable to their practice. An inhouse database of articles in internal medicine was also part of the program. Missouri also had two-way telelecturers reaching 80 hospitals using speech compression equipment to make lecture recordings available as well as the 2 x 2 slides, as library materials in remote hospitals. The Missouri Regional Medical Program had a MEDLARS strategist who worked with the Fact Bank project. The Fact Bank of information on a number of subjects used microfiche retrieval via a computer. Dial- Access tapes on current medical topics were available. LI II -1 @ Ir FUNDING: Basic funding through government grant Clients were charged for some services as mentioned above. Staff time was provided by UMKC. In-rp DESCA%.L TION OF EXISTING REMNANTS Or THE P The toll-free WATS line no longer exists but physi n remote areas who did business with UMKC Health Science Library during the grant period still call occasionall_v and request information. The same services are provided for them for a fee. Consultation is not provided to any particular group of hospitals but sometimes UMKC gets calls from hospital personnel who remember the prior service. Librarians do not go on site visits, nor are workshops held. Some of the borrowing patterns and union lists set up as part of the network still exist. Current References continued until 1987, although by that time it was mainly distributed to UMKC affiliated physicians. it is no longer being published. The in-house database in internal medicine no longer exists but an SDILINE on the subject is received every month for the benefit of the Clinical Medical Librarians who now work exclusively on internal medicine units. in r_ RELATIONS TO NIMIS-L%& RARY PROGRAM AND GRANTS AND AHECIS: The Regional Me cal Library participated in library workshops. LIBRARY/INFORMATION OGRAM STAFF: Dr. Ken Mares Gary Byrd PUBLISHED DESCRIPTIONS: Calkins EV, Johnson A and Mares KR. Identification of rural-background applicants by the talent identification program of WMAHEC. J Med Educ 1978 Sep;53(9):764-5. Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala i Med Sci 1970 Apr;7(2):216-20. Christensen JB, Byrd GD et al. A role for the clinical medical librarian in continuing education. J Med Educ 1978:53(6):514-5. -64- Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Liprary Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED BY: Marilyn Sullivan, Chief Librarian Health Sciences Libraries University of Missouri-Kansas City 2411 Holmes Kansas City, MO 64108 816/235-1871 -65- - r, r, - REGION: Mountain States (29) GEOGRAPHIC AREA: Included portions of Idaho,, Montana, Nevada and Wyoming. Overlapped with California, Intermountain and Colorado-Wyoming Regional Medical Programs. LIBRARY/INFORMATION SERVICES PROGRAM: The library and information services funded by Regional Medical Programs included Dial-Access audiotapes, a tumor registry library, a health information and referral network, a consortium that provided literature searches to rural physicians and a survey of continuing medical education. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: A multi-state tumor registry continues. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: McPhail FL. Mountain state regional medical program. The four state Wiche grant. Rocky Mt. Med J 1967 May;64(5):61-3. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Schneider AK. An overview of RMP library activities: present and future. Bull Med Libr Assoc 1970 Jul;58(3):316-9. All DATA PROVIDED BY: Joan Zenan Savitt Medical Library University of Nevada Reno, NV 89557-0046 702/784-4625 C. E. Smith, Ph.D., Former Deputy Director RMP Executive Director PAR Group P.O. Box 2250 Corrales, NM 87048 505/898-5931 -67- I I I I i I -6 8-- REGION: Nassau-Suffolk GEOGRAPHIC AREA: Included the counties of Nassau and Suffolk (Long Island) of the state of New York. LIBRARY/INFORMATION SERVICES PROGRAM: The goals of the Regional Medical Library Service and Training Project were to train hospital library personnel, to upgrade collections and services and to promote optimal utilization of available regional resources. Nineteen seminars (ninety librarians attended one or more sessions) were conducted with a Hospital Librarians Handbook prepared. Serials in Long Island Health Sciences Libraries: A Union List was published in 1972. A duplicate exchange program for journals was established. An evaluation conducted at the lend of the program showed that the three objectives were achieved. FUNDING: July 1, 1971-June 30, 1972, $36,187 July 1, 1972-June 30, 1973, $36,190 DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: The training was taken over by the New York-New Jersey Regional Medical Library. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Thomas Rees (formerly Consultant Librarian) Emil Frev AK' PUBLISHED DESCRIPTIONS: Regional Medical Library Service and Training Project. Project IV, Nassau-Suffolk Regional Medical Program. Final Report. 6 p. [unpublished, undated] Problem of medical library services for health personnel. Nassau-Suffolk Regional Medical Program [4 p. undated] LATA PROVIDED BY: Ruth Marcolina Health Sciences Library SUNY Stony Brook Box 66 East Setauket, New York 11733-0066 516/444-3101 -69- I I I I I i I f I i i I -70- i REGION: Nebraska (31) GEO-GRAPHIC AREA: State of Nebraska. bIBRARY/INFORMATION SERVICES PROGRAM: One service of the Communications Facility Project was a media library service through which in-service training could be given in locations throughout Nebraska and South Dakota using filmstrips, films, tapes and other media material available from the library in Lincoln. Another service was the dial-a-tape library service. The 500 tapes, each approximately five minutes in length, could be played by the requester over the telephone lines giving out-of-state physicians and nurses up-to-date medical information. The tapes were located in the University of Nebraska College of Medicine Library. An inter-regional drug information network was designed to provide therapeutic and pharmaceutic drug information via an IN-WATS telephone line. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATTONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Marcy DS. Progress report, Nebraska Regional Medical Program. Nebraska Med J 1972 Dec;57(12):502-4. Marcy DS. Progress report of Nebraska Regional Medical Program. Nebraska St Med J 1971 Dec;56(12):503-4. Matthews D. Progress report of Nebraska Regional Medical Program. Nebraska Med J 1974 Dec;59(12):520-1. Morgan HS. Progress report. Nebraska-South Dakota Regional Medical Program. Nebraska St Med J 1970 Dec;55(12):759-61. Pearson RM Jr., Black AD. Dial access libraries; their use and utility. J Med Educ 1974 Sep;49(9)t882-96. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. -'71 Wood GC. Cancer information services in the United StateB. CA 1971 May-Jun;21(3):143-55. DATA PROVIDED BY: Helen K. Yam Head, Collection Preservation McGoogan Library of Medicine University of Nebraska Medical Center 600 South 42nd Street Omaha, NE 68198-6705 402/559-7079 REGION: New Jersey GEOGRAPHIC AREA: State of New Jersey. Overlapped in seven southern counties with Greater Delaware Valley Regional Medical Program. LIBRARY/INFORMATION SERVICES PROGRAM: The project strengthened the capability of the Region's community hospital libraries to provide readily accessible, comprehensive medical information for patient care by creating a medical information network, offering consultative resources for improving community hospital libraries, training personnel and expanding information services. Three one-day sessions were planned annually for hospital library personnel with little formal training in managing a hospital library and three one-day sessions were planned annually for hospital staff with formal medical library training. A printed newsletter directed to hospital librarians provided information on new developments in information processing, training opportunities, use of audiovisual aids, etc. Document delivery service was expanded. Regional Medical Program funding supported free MEDLINE and SUNY searches for New Jersey physicians. Continuing education was provided to physicians and subsequently allied health professionals using the Dial- Access Telephone System through which a library of 74 tapes containing up-to-date information on medical topics could be accessed by telephone. In the first twelve months of operation, beginning in October 1968, 3,418 calls were received. Originally the tapes were purchased from the WisconBin program. Subsequently New Jersey produced its own tapes. Teams traveled to hospitals to assist in establishing tumor conference boards and audiovisuals were provided in the continuing education efforts. FUNDING: $297,603 for the three years. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: The New Jersey Hospital Library Association organized in 1972 under the project has continued as the Health Science Library Association of New Jersey (HSLANJ) with the twofold goal to encourage the professional development and advancement of librarianship, and to improve the quality of library services provided to hospitals in New Jersey. The current directory lists 153 institutional and individual members. The workshops for hospital librarians with or without formal medical library training were developed into a full fledged curriculum in medical bibliography and medical library management which continues to be offered through the Rutgers University Library School. -73- Document delivery was folded into the Regional Medical Library Program with the George P. Smith Library serving as an Area and Resource library for New Jersey since 1970. HSLANJ members hai-e organized themselves into ten consortia for resource sharing. The continuing education activity for physicians through the Dial-Access Telephone System was phased out. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Philip Rosenstein PUBLISHED DESCRIPTIONS: carneB PE. Regional Medical Program applications of instructional media in continuing education. Ala J Med Sci 1970 Apr;7(2):216-20. Florin AA; Harkness JP. The New Jersey Regional Medical Program progress and plans. J Med Soc NJ 1968 Jun;65(6):257-9. A new telephone tape information service. J Med Soc N J 1970 Oct;67(10):639-40. Regional Medical Library and Information Network. East Orange: New Jersey Regional Medical Program, Inc.; 1974. 26 p. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown);1969:29p. Wood GC. Serving the information needs of physicians. N Eng J Med 1972 Mar 16;286(11):603-4. DATA PROVIDED BY: Madeline V. Taylor, Director George F. Smith Library of the Health Sciences University of Medicine & Dentistry of New Jersey 30 Twelfth Avenue, University Heights Newark, NJ 07103-2754 201/456-4580 -74- REGION: New Mexico (IU GEOGRAPHIC ARFA: State of New Mexico. LIBRARY/INFORMATION SERVICES PROGRAM: The Health Information Center funded through the Regional Medical Library provided information to health professionals throughout New Mexico, through an IN-WATS line and the provision of such services as photocopying books or journal articles, reference assistance, literature searches including some computer searches. Dial-Access tapes were also made available, as were conferencing capabilities through the School of Medicine and the College of Nursing and Pharmacy. The Health Information Center later expanded, responding to the needs of health professionals and institutions. The Health Manpower Registry and audiovisual teaching aids for allied health professionals were two such programs. The Center worked with over 60 hospitals, clinics and health facilities, making known the services which were available and determining the additional needs of institutions. Free consulting services were offered to all New Mexico hospitals and 28 Indian Health Service facilities. As the Center identified various health information needs in New Mexico, the need for public health education programs directly applicable to the varied cultural groups in the state stood out. This led to a health education project. The Health Planning Information Mini-System attempted to identify data in reports and studies done by agencies and consultants related to health-planning activities. FUNDING: $174,877, 1968-1973. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: Functions were transferred to the Regional Medical Library System. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: As a result of the Center's activities five institutions in the state received funds from the National Li@rary of medicine for the establishment of hospital libraries. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Robert T. Divett, Ed.D. Gar T. Elison, M.D. PUBLISHED DESCRIPTIONS: Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Schneider AK. An overview of RMP library activities: present and future. Bull Med Libr Assoc 1970 Jul;58(3):316- 19. DATA PROVIDED BY: Janet H. Johnson, Archives Manager Medical Center Library University of New Mexico Albuquerque, NM 87131-5686 505/277-2548 -'7 REGION: New York (341 GEOGRAPHIC AREA: Included New York City and Westchester, Rockland, Orange and Putnam counties. LIBRARY/INFORMATION SERVICES PROGRAM: The Metropolitan New York Regional Medical Program Office made several awards to the Medical Library Center of New York (MLCNY). During the period December 1971 to November 1972 money was awarded for MLCNY to upgrade the Union Catalog of Medical Periodicals. In 1974 funds were provided for a serials rationalization project with four components: a) surveying periodical holdings; b) identifying subject areas where enrichment was needed; c) coordinating the addition of subscriptions; and d) coordinating the deletion of subscriptions. The third project was Project Replace funded in July 1975. According to the final report, the objectives were: a) determining the library and information needs and problems of access Of the participants in New York City health care delivery; b) acting as coordinator, with the cooperation of local groups, in the development and implementation of short and long term plans that would enhance the use of currently available and/or underused resources; and c) evaluating the concepts suggested as a basis for planning and as suggestions for long term planning theory. Among the activities were the production of a directory of health agencies in New York City with library staff and services. Agencies were surveyed regarding their books, journal, and audiovisual collections, interlibrary loan activities, educational opportunities, access to computerized systems (MEDLINE), sources of bibliographic information and other needs. According to staff at the Memorial Sloan-Kettering Center a cancer education center was established. A Dial-Access Tape Library was discussed but never established. FUNDING: December 1971-November 1972, $48,793 October 1, 1974-December 30, 1975, $37,838 July 1975, $43,000 DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: The Union Catalog of Medical Periodicals has continued and currently serves as the union list for regions 1 and 8 of the National Network of Libraries of Medicine (NN/LM) and forms the basis for DOCLINE in those regions. The Regional Coordination of Biomedical Information Resources (RECBIR) is an outgrowth of the serials rationalization project and continues today with support from the NN/LM. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PRO@@RAM AND GRANTS AND AHECIS: See "Description of Existing Remnants of the Program". LIBRARY/iNFbRmATION SERVICES PROGRAM STAFFs Jean Miller, RECBIR Adrienne Berenbaum, Project Replace PUBLISHED DESCRIPTIONS: Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Tedesco, CR. Proceedings of the Annual Meeting of the Regional Group of the Medical Library Association; 1967 Oct 27; Washington DC [Place, publisher unknown];1967. 72 p. Wood GC. Cancer information services in the United States. CA 1971 May-Jun;21(3):143-55. DATA PROVIDED BY: Lynn Kasner Morgan Director, Levy Library The Mount Sinai Medical Center One Gustave L. Levy Place New York, NY 10029 212/241-7892 Jeanne Becker Director of Library Services Nathan Cummings Center Memorial Sloan-Kettering Cancer Center 1275 York Avenue New York, NY 10021 212/639-8487 -78- REGION: North Carolina (35) GEOGRAPHIC AREA: State of North Carolina. LIBRARY/INFORMATION SERVICES PROGRAM: An extension service was developed in 1967 with Regional Medical Program funding. The service involved the three medical schools and the Mecklenberg Medical Society Library in the state and provided search service and document delivery to physicians in the state. During the same year the University of North Carolina decentralized the clinical education of its students through affiliations with six community hospitals. The North Carolina Union List of Biomedical Serials was developed with Regional Medical Program funding. Support for the library from Regional Medical Program ended June 30, 1972. Workshops training hospital library personnel were held. A cancer information service which primarily provided consultations included pertinent articles from the literature. FUNDING: 1968-1972 DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: See "Relations to NLM's Regional Medical Library Program and Grants and AHEC's". RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: The first AHEC librarian was hired July 1, 1973. The AHEC program built on and expanded cooperative arrangements developed by Regional Medical Program. On September 30, 1972, the School of Medicine at the University of North Carolina at Chapel Hill was awarded a five year, $8.5 million dollar federal contract to establish the first three AHEC's in the state. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: G. Terence Cavanagh Mary Ann Brown PUBLISHED DESCRIPTIONS: Cavanagh GS. A medical library extension service: a feasibility study. N C Med J 1968 Jun;29(6):247-8. Musser MJ. The regional medical program in North Carolina. N C Med J 1968 Jun;29(6):239-42. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. .[Place, publisher unknown];1969:29p. Schneider AK. An overview of RMP library activities: present and future. Bull Med Libr Assoc 1970 Jul;58(3):316- 19. Wilbanks GD. A cancer infomation service. N C Med J 1968 Jun;29(6):246-7. DATA PROVIDED BY: Ms. Carol Jenkins Health Sciences Library University of North Carolina at Chapel Hill Campus Box 7585 Chapel Hill, NC 27599-7585 919/966-2111 -80- REGION: North Dakota (36) GEOGRAPHIC AREA: State of North Dakota. LIBRARY/INFORMATION SERVICES PROGRAM: There was a Dial-Access Tape Library. The Medical School Library provided a photocopy service for any doctor that wanted journal articles. FUNDINGT Unknown. DESCRIPTION OF EXISTING R @ ANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARYIINFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Pearson KM Jr; Bloch AD. Dial access libraries: their use and utility. J Med Educ 1974 Sep;49(9):882-96. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED BY: David W. Boilard Harley E. French Library of the Health Sciences University of North Dakota Grand Forks, ND 58202 701/777-3993 -81- I i l@ i i i I i I -82- I i i i I i i I i i I I I I 1 1 1 1 1 i i I i i I I I 9 i I i i i I I I - 8 4 - i REGION: GEOGRAPHIC AREA: Included the state Of Vermont and three contiguous counties in northeastern New York. Overlapped the Albany Regional Medical Program. LIBRARY P RMAT.T N SERUTRVC nn^^RAM: In 1970 the Northern New England RegionaiL Medical Program offered one year subscriptions to ul ted Index Nedicus,, International to new s in twelve commun tals. The rogram also made s diovisual le on a cost sharing basis. In 1971 three in the Stearns & Ratcliff list were acqu red with partial Regional Medical Program support and these were loaned to information centers as a prototype library. FUNDING: Unknown. DESC TPTION OF EXIST In 1971 all the hospitals enew, ree indexes, substituting the Id ed x Medicus for the Cumulated. By the end of I inde Aviq tnirty-three hospitals had active libraries. MED ROGRAM AND GRANTS In 197 year Resource Project Grant was received from NLM to establish information centers at a minimum of nine hospitals, to test and refine the Hospital Library Development Services (HLDS and produce a union list. The Grant was extended four months and a new award made in 1975 for additional HLDS cooperative activities. The New England Regional Medical Library also provided assistance. LIBRARY/INFO EATION SERVIC-ES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Sekerak RJ. Cooperation strengthens small hospital libraries in rural area of New England: a give year experience. Bull Ned Libr Assoc 1979 Jul;67(3):322-9. Schneider AX. Libr @ Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknownl;1969:29p. Weinsieder G. Cooperative venture proves successful. Hospitals 1972 Jan 16;46(2):52-5. -85- DATA PROVIDED BY: Robert J. Sekerak Interim Director Charles A. Dana Medical Library The University of Vermont Burlington, VT 05405-0068 802/656-2200 -86- REGION: Northlands (39) GEOGRAPHIC AREA: State of Minnesota. LIBRARY/INFORMATION SERVICES PROGRAM: In 1970, the Northlands Regional Medical Program (NRMP) instituted a project for the improvement of medical libraries in Minnesota. Its focus was the rural hospital with little or no library services. A Liaison Librarian was hired and the following services were part of the program: Five core library collections, medical, nursing, Iowa,, emergency care, and intensive coronary care were developed and available for loan (104 collection loans were made to 60 institutions); Eight workshops (286 participants attended); Consultations to institutions considering developing or improving a medical library or to those with a specific information question; MEDLINE service was developed at the University of Minnesota and extended throughout the state; Joint list of serial holdings for the University of Minnesota and the Mayo Clinic was published and distributed; Apprenticeship training. The library services at the University of Minnesota were soon regarded as part of an integrated medical information service called Minnesota Medical Information Service. The Northlands Regional Medical Program joined the WisconBin's Dial-Access Medical Library and made it available throughout the state. Through this program physicians could use the toll-free number to call and listen to any of 225 tapes on medical subjects. The Dial-Access program was operated by the Emergency Pharmacy. Minnesota agreed to make tapes to add to the library. Authors of the tapes were available for in-person calls. RELATIONS TO NLM IS REGIONAL MEDICAL LIBRARY PROGRAM AND -GRANTS AND AHECS: In 1973 the Bio-medical Library received a three year grant from NLM (June 20, 1973-May 31, 1976) to develop a hospital library consultation and coordination program. In Minnesota, the Area Health Education Center did not establish centers to serve as a network for biomedical communication. AHEC did provide financial support for a hospital-based Learning Resource Center with an administrative relationship to the Bio-medical Library. This LRC was regarded as a possible model for not only continuing the library services initially offered through the Northlands Regional Medical Program but also for exploring new roles and levels of service including a Personalized Learning Plan as a tool for assisting health titioners to plan systematically for the care prac fulfillment for their educational needs and interests. A grant from the AHEC made the study of information needs possible. FUNDINGs July 1970-June 1971 for two extension librarian positions July 1971-December 1971 for one position December 1971-June 30, 1972 more limited funding May 1972 - start up funds for MEDLINE February-June 1973 - staff positions to conduct MEDLINE searches. DESCRIPTION OF EXISTING REMNANTS OF THE-PRC)GRAM: Some services initiated under the Northlands Regional Medical Program library program did continue. The Core Library Collections ceased; workshops continued infrequently for several years. The joint Bio-medical Library-Mayo Clinic serial holdings list was superseded by the Minnesota Union List of Serials. Consultation was continued. Existing consortia increased in numbers and sophistication of programs and new consortia were developed. The Minnesota Health Science Library Coordinator Program ended in May 1978. MEDLINE Services were continued, as did document delivery now on a fee basis. The Regional Medical Program raised the visibility of medical libraries within the total health care delivery system. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Mary Jane Ryan, Liaison Librarian Linnea Sodergren PUBLISHED DESCRIPTIONS: Fahs JJ. Patterns of continuing education. Minnesota Physicians, 1968 (vol. 2). St. Paul, MN: Northlands Regional Medical Program, 1968. Foreman G; Lorrig J. Medical Library Service for Minnesota. St. Paul, NM: Northlands Regional Medical Program, 1971 (Report). -88- Hodapp WJ; Cline RS. Components of a successful learning resource center for health professionals. Mobius 1982 Jan;2(l):20-30-Library services available to nurses through NRMP. Minn Nurs Accent 1970 Oct;42(6):182. Lorrig J. Letter to the editor. Bull Med Libr Assoc 1975 jul;63(3):344. Miller WR. Minnesota Medical Information Service. Minn Med 1972 Oct;55(10):902. Miller WR. A new medical information system the dial-access medical library. Minn Med 1968 Jul;51(7):1015-6. Ryan MJ. A biomedical library system for Minnesota. Minn Med 1972 Dec;55(BUppl. no. 3):27-33. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Schneider AK. An overview of RMP library activities: present and future. Bull Med Libr Assoc 1970 July;58(3):316-9. Shroeder RD. Minnesota Medical Information Service. Northwest Dent 1972 Nov-Dec;51(6):340-3. Sodergren L. "The impact of the Northlands Regional Medical Program Library services". Bull Med Lib Assoc, 1974 Oct;62(4):348-53. Wood GC. Serving the information needs of physicians. N Engl J Med 1972 Mar 16;286(11):603-4. Wulff LY. Letter to the editor. Bull Med Libr Assoc 1975 Apr;63(2):234-5. DATA PROVIDED BY: Gertrude Foreman Head, Public Service Bio-medical Library University of Minnesota Diehl Hall 505 Essex Street, SE Minneapolis, MN 55455 612/626-3995 i i! i r i i I I -90- REGION: Ohio (40) GEOGRAPHIC AREA: Covered the central corridor of the state from the northwest to the southeast. LIBRARY/INFORMATION SERVICES PROGRAM: Traditional library services were provided by Ohio State University College of Medicine Library. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LTBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Litrary Association Convention in Denver 1968. [Place, pu lisher unknown];1969:29p. DATA PROVIDED BY: Published literature. -91- I i I i I I I I I i I I I I i i i i I i i i 1 4 I 1 -92- @@ i, REGION: Ohio Valley GEOGRAPHIC AREA: Included most of Kentucky (101 out of 120 counties); southwest Ohio (Cincinnati-Dayton and adjacent areas); contiguous parts of Indiana (21 counties) and West Virginia (2 counties). Overlapped Indiana, Memphis, Tennessee Mid-South and West Virginia Regional Medical Program. LIBRARY/INFORMATION SERVICES PROGRAM: Targeting libraries and supporting the development of libraries was a major direction of the Ohio Valley Regional Medical Program which was headquartered in Lexington, Kentucky, and serviced by three academic medical centers: The University of Kentucky, the University of Louisville, and the University of Cincinnati. A survey of resources and needs of hospital libraries was conducted using the Case Western Reserve University model. Information services from the three academic centers were expanded for community hospitals. Local consultation and training was provided for hospital library personnel through extension service librarians coordinated by the Library Services Coordinator. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: Services to community hospitals have continued. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Nancy Lorenzi PUBLISHED DESCRIPTIONS: Amerson AB; Walton CA. Cooperative drug information and medical library services in a regional medical program. Am J Hosp Pharm 1971 Apr;28(4):267-9. Barclay JA. User analysis of the University of Kentucky Medical Library Health Sciences Information Service. Papers and Reports, No. 10. [Detroit] 1971. Carnes PE. Regional Medical Program applications Of instructional media in continuing education. Ala i Med Sci 1970 Apr;7(2):216-20. Lorenzi N; Pings VM. Kentucky hospital health science libraries: a potential base for the establishment of a biomedical communications network. Papers and reports. Lorenzi N; Pings VM. Kentucky hospital health science libraries: a potential base for the establishment of a biomedical communications network. Papers and reports. Detroit MI: Kentucky, Ohio, Michigan Regional Medical Library; 1972 Jan. Report No.:ll. 13 p. Maxson E; Sprinkle MD. Extending library services by using a new technology. Bull Med Libr assoc 1972 Apr:310-14. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED BY: Nancy Lorenzi, Ph.D. Associate Senior Vice President University of Cincinnati 231 Bethesda Avenue Cincinnati, OH 45267 513/558-5656 -94- REGION: Oklahoma @2 GEOGRAPHIC AREA: State of Oklahoma. LIBRARY/INFORMATION SERVICES PROGRAM: An Oklahoma Regional Medical Program Task Force Advisory Committee on Biomedical Information composed of two physicians, a nurse and six librarians advised the Coordinator of Regional Planning for Li rary and Information Services. A medical library newsletter was published to foster communication among hospital librarians. A statistical survey of hospital library resources was done. It showed inadequate resources and hospital libraries often staffed by part-time people with no professional training. A syllabus on classification and cataloging was developed. Reference service and literature searches were provided for any health professional in the state. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PRO-GRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Patricia Smith PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala J Med Sci 1970 Apr;7(2):216-20. Schneider AY,. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Schneider AK. An overview of RMP library activities: present and future. Bull Med Libr Assoc 1970 Jul;58(3):316- 9. DATA PROVIDED BY: Published literature. -95- I I I, i I i i 1 @ i @ I i I i I I I I i i i I i I I I I I i I -9 6- REGION: Oregon (411 GEOGRAPHIC AREA: State of Oregon. LIBRARY/INFORMATION SERVICES PROGRAM: None found. FUNDING: None found. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: There were a number of Medical Library Resource GrantB. The librarian of the University of Oregon Medical School and the Program Coordinator of the Oregon Regional Medical Program were members of the advisory council of the Pacific Northwest Regional Medical Library. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Margaret E. Hughes PUBLISHED DESCRIPTIONS: Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Li@rary Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED BY: Millard Johnson Library Oregon Health Sciences Center 3181 S.W. Sam Jackson Pk. Rd. Portland, OR 97201 503/494-8601 I i I i i i i I i I I I I i i i I I I I i i -9 8- REGION: Puerto Rico @4 GEOGRAPHIC AREA: Commonwealth of Puerto Rico. LIBRARY/INFORMATION SERVICES PROGRAM: A medical librarian was added to the Regional Medical Program staff. "An inventory of the facilities for medical information has demonstrated that further efforts should be made to improve them. Adequate medical libraries are concentrated in the San Juan area. Physicians in other towns of the island sometimes face difficulties in obtaining journals and articles published in scientific periodicals. From this evidence a need to provide this information to physicians on the island is under study. A medical librarian will be indicated in order to coordinate this service to the entire Region. This person will function in the Information office and will advise in the development of more medical libraries in the region".' A working library was developed in the Central Office on technical-administrative-information aspects about the Regional Medical Programs. The librarian was also to work with the medical libraries to collect and share acquisition information. Services were available to all hospitals for reprints and loans in medical journals. The School of Medicine submitted an application for a Dial- Access tape library which was not funded. FUNDING: 1971-72, $17,300. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: Worked with the Southeastern Regional Medical Library to obtain tutoring on preparing grants for seed money and to gain access to a union catalog. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Herman Steidel Lillian Casas de Lopez PUBLISHED DESCRIPTIONS: None found. DATA PROVIDED BY: Ana Isabel Moscosol Library Director Medical Sciences Campus University of Puerto Rico G.P.O. Box 5067 San Juan, Puerto Rico 00936 809/751-8199 'Operational Grant Request for January 1970 to December 1972. -99- i i i i I I -100- REGION: Rochester (45) GEOGRAPHIC AREA: Included the ten counties centered around Rochester, New York. LIBRARY@INFORMATION SERVICES PROGRAM: The Edward G. Miner Library provided library services to the eleven county Regional Medical Program Region. The Regional Medical Program also funded part of the salary of a reference librarian for a short period of time. Several media were incorporated in an educational program relating to the diagnosis and treatment of cardiac disease. M DING: $300/month 'for a short period of time". DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: The Regional Medical Program functions, except for grants and staff, were carried out in a newly created Finger Lakes Health Systems Agency. This Agency continues to function and is the chief health planning agency in the region. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala J Med Sci 1970 Apr;7(2):216-20. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED BY: Lucretia McClure Medical Librarian Edward G. Miner Library University of Rochester Medical Center 601 Elmwood Avenue Rochester, NY 14642 716/275-3364 -101- REGION: South Carolina (46) GEOGRAPHIC AREA: State of South Carolina. LIBRARY/INFORMATION SERVICES PROGRAM: One project expanded the library services for health personnel in South Carolina, including a telecopy link with Medical University of South Carolina, Charleston and the National Libr @ of Medicine. Funding appears to have helped pay for computer-based literature searching for health professionals throughout the state. There was some support during 1969-70 for continuing education for physicians that helped develop the Health Communications Network (HCN) at the University. One of the goals of the HCN Was 'to develop a reference libr @ for educational aids of all types for the Region". Basically, the funding helped produce programs aired through the ETV network to member hospitals. The initial program focus was on heart disease, stroke, cancer and related diseases. FUNDING: August 1972-March 1973, $4,679. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: Searches and documents were provided without charge until April 1984. The funds from the Regional Medical Program and NLM helped form the foundation for the Medical University of South Carolinals commitment to outreach to individuals remote from health science libraries within the state. The HCN continues today supported through state funding and membership fees. RELATIONS TO NLM'S REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: The Regional Medical Program at the time focused on the role of providing services to "basic units" and helped support document delivery to other libraries. This complemented outreach provided through an Extension Service grant from NLM (lGO8LM01265) which provided salary support for one librarian, one staff member, and a toll-free telephone line. Funding to assist with the development of the library collections at the AHEC sites was also received about the same time as the Regional Medical Program funds. The NLM grant (lGOBLM01734) for 1972-73 provided monies for library collections for three, later a fourth, AHEC sites in support of the South Carolina Medical Education Consortium. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Thomas G. Basler Warren A. Sawyer -103- PUBLISHED DESCRIPTIONS: Moseley V. Some thoughts on the phasing of the S.C. Regional Medical Program and a report of fiscal Year 1972- 1973 activities. J S C Med Assoc 1973 Apr:117-40. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Li rary Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED BY: Anne K. Robichaux Associate Director of Libraries & Learning Resource Centers Medical University of South Carolina 171 Ashley Avenue Charleston, SC 29425-3001 803/792-2374 -104- REGION: South Dakota GEOGRAPHIC AREA: State of South Dakota. LIBRARY/INFORMATION SERVICES PROGRAM: The South Dakota Regional Medical Program expanded information services to health professionals within the state. These services included answering short reference questions, compiling bibliographies, providing documents, verifying manuscript bibliographies, and translating articles. A TWX line with the Regional Medical Library and the University of South Dakota facilitated communication. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Jyvaskyla EN; Nordstrom JR; Parrish HM. Regional Medical Library-Regional Medical Program cooperation. S D J Med 1971 Feb;24(2):37-40. DATA PROVIDED BY: Mr. David A. Hulkonen Lommen Health Sciences Library University of South Dakota School of Medicine 414 East Clark Vermillon, SD 57069 605/677-5347 -105- -1 Or,- REGION: Suscuehanna Valley (48) GEOGRAPHIC AREAT The 27 counties in central Pennsylvania centered around the Harrisburg-Hershey area. LIBRARY/INFORMATION SERVICES PROGRAM: Expanded the services of the Hershey Medical Center by providing document delivery and literature searches for physicians and hospital librarians, workshops for hospital librarians, and consultation service to hospital libraries. In addition to serving physicians and others in the Susquehanna Valley Region, the project offered library services to the 12,000 members of the Pennsylvania Medical Society. FUNDINGs 1968-69, $28,309 1969-70, $56l263 1970-71t $55,836 1971-72, $43,774 DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: Document delivery and search services are provided on a fee basis. RELATIONS TO NI141S REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: From 1973-83 there was a subcontract with the Kid- Eastern Regional Medical Library for $100,116. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Esther Dell PUBLISHED DESCRIPTIONS: Lehman LJ and Wood MS. Effect of fees on an Information Service for physicians. Bull Med Libr Assoc 1978 Jan;66(l):58-61. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED BY: Lois J. Lehman, Director George T. Harrell Library Milton S. Hershey Medical Center P.O. Box 850 Hershey, PA 17033 717/531-8626 -107- -108- REGION: Tennessee Mid-South (49) GEOGRAPHIC AREA: Included 84 counties in central and eastern sections of Tennessee and portions of southwestern Kentucky. Overlapped the Ohio Valley Regional Medical Program. LIBRAR"/INFORMATION SERVICES PROGRAMs A program to provide litrary service through the cooperation of six biomedical li raries to physicians, dentists, nurses and other providers of health care was proposed but never funded. A teleconferencing service was launched in the early 1970's. Through this, hospitals and health professionals could obtain advice and information about library and bibliographic information services from qualified librarians. A couple of workshops were presented as part of this effort. The Regional Medical Program also put together a widely distributed brochure that described biomedical library resources and services in the Region. However, no Regional Medical Program funds were made available to underwrite the cost of these services. They were paid by either charging fees or NLM,s Regional Medical Library Program. In early 1972 the Regional Medical Program paid one-half of the cost of sending a reference librarian from Vanderbilt Medical Library to the NIM to receive NEDLINE training. It also paid for Vanderbilt's first NEDLINE terminal. This funding was conditional on Vanderbilt's making MEDLINE services available (for a fee) beyond its own faculty, staff and students, a condition Vanderbilt fulfilled. FUNDING: Proposals were approved but not funded except for paying 50% of the expenses for a reference librarian to obtain MEDLARS search training at NLM. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: The Southeastern Regional Medical Library Program helped with partial funding for workshops. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala J Med Sci 1970 Apr;7(2):216-20. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. -109- Trabue CC. What can the Regional Medical Program do for the practitioner? J Tenn Med Assoc 1969 Sep;62(9):815-18. DATA PROVIDED BY: T. Mark Hodges, Director Medical Center Library Vanderbilt University Medical Center Nashville, TN 37232-2340 615/322-2299 -110- REGION: Texas (501 GEOGRAPHIC AREA: State of Texas. LIBRARY/INFORMATION SERVICES PROGRAM: The Texas Council of Health Sciences Libraries applied to the Regional medical Program for funds to continue the Union List of@iomedical Serial Holdinas. Two training workshops were held for hospital librarians as a result of the influence of the Texas Regional Medical Program. The program funded a Dial-Access Telephonic Analysis Medical Consultation Service at M.D. Anderson Hospital and Tumor Institute. There were tapes on some 100 topics that physicians and nurses could listen to via toll-free telephone calls. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: The Dial-Access Program was taken over by the Southern Medical Association. There are 18,000 subscribers and calls are received from all over the U.S. RELATIONS TO NIMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Robert C. Hickey, M.D. PUBLISHED DESCRIPTIONS: Hickey RC, et al. Telephone consultation-Dial Access: a project in cancer education and control. So Med J 1973 Oct;66(10):1159-62. Hickey RC. The Texas regional medical program Dial Access Project for cancer consultation. Tex Med 1971 June;67(6):78- 82. Schneider AK. Libr @ Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Wood GC. Serving the information needs of physicians. N Engl J Med 1972 Mar 16;286(11):603-4. DATA PROVIDED BY: Robert C. Hickey, M.D. Professor of Surgery Special Assistant to the President-219 University of Texas M.D. Anderson Cancer Center 1515 Holcombe Blvd. Houston, TX 77030 713/792-3200 -112- REGION: Tri-State (Ul GEOGRAPHIC AREA: States of Massachusetts, New Hampshire and Rhode Island. Overlaps in western Massachusetts with Albany Regional Medical Program. LIBRARY/INFO @ TION SERVICES PROGRAM: The Postgraduate Medical Institute (PMI) worked to improve library facilities in community hospitals. This effort was funded by the New England Regional Medical Library Service, the Tri-State Regional Medical Program and the U.S. Public Health Service, Continuing Education Branch, Division of Physician Manpower. During the first phase of this program, the core library for physicians, described in detail in the February 23, 1969 issue of the New England Journal of Medicine, was created. The second phase was a utilization study to determine the effect of the core library on physician use of hospital libraries. Training was provided to individuals in community hospitals to learn the mechanics of maintaining a hospital library. Programs for additional phases were the creation of core libraries in nursing and other allied health professionals, updating the core collection for physicians, and a learning center for the entire health care team in community hospitals. FUNDING: Included the Tri-State Program and the development of the Stearns core lists, and some activities of the Postgraduate Medical Institute. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: The core collection concept is widely used. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: Funds from the New England Regional Medical Program helped support the development of community hospital library services through its close relationship with PMI, support for the development of the core lists, and direct information services. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Hodges TM. NERMLS and the community hospital: service, education, and advice. Bull Med Libr ABSOC 1970 Jul;58(3):320-4. McCombs RP. Postgraduate Medical Institute: its challenging role in the continuing education of physicians and other health care personnel. Schneider AK. Library Activities of Regional Medical Programs. Report of an information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED BY: Judith Messerle, Director The Francis A. Countway Library of Medicine 10 Shattuck Street Boston, MA 02115 617/732-2142 -114- REGION: Virginia (521 GEOGRAPHIC AREA: State of Virginia. The northern section overlapped with Metropolitan Washington DC Regional Medical Program. LIBRARY/INFORMATION SERVICES PROGRAM: The Virginia Medical Information System (VAMIS), a statewide biomedical library system, was established February 1, 1970. The resources of the medical libraries at the Medical College of Virginia and the University of Virginia formed the basis of a statewide network including the state's medical center, 21 community hospitals and health professionals. interlibrary loans, reference services, etc., were provided to health professionals throughout the state. Assistance was provided to libraries in community hospitals. An Abridged Book Catalo@, listing the monograph holdings of the two major medical libraries, and the Virginia Union List of Biomedical Serials. a listing of serials owned by network participants throughout the state were produced. FUNDING: 1971-1973, $65,000 a year. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: When federal funding ended in 1973, many of the resource sharing programs were absorbed by the interlibrary loan functions. The University of Virginia has continued to publish the Virginia Union List of Biomedical Serials, which is now in its 20th edition, and is the database submitted to NLM for SERHOLD. The onsite consultations and workshops for hospital librarians, however, were not continued as before. Since the 1970's, the three academic health sciences libraries have continued to play a major role in resource sharing throughout the state. At the same time, four regional library consortia were developing to meet local and regional health information needs: Northern Virginia Health Sciences Librarians, Richmond Health Information Group, Tidewater Health Sciences Librarians, and Southwestern Virginia Health Information Librarians. In 1988, representatives from the above libraries and consortia formed the Virginia Council of Health Sciences Librarians as a way to coordinate programs, exchange information, build relationships, and serve as a single body to represent the health sciences librarians in Virginia. At a state-wide meeting in April 1990, a planning group was formed to submit a funding proposal to the Southeastern Atlantic Regional Library for a new information service to Virginia. -115- RELATIONS TO NLM'S REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: The statewide program was initially supported by a Medical Library Assistance Act grant. This served as a feasibility study and pilot. The medical librarians in Virginia intend to tie the Virginia Statewide AHEC Program funded in July 1991 with the services funded through the Southeastern Atlantic Regional Library. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Janet Minnerath Walter W. Walker. PUBLISHED DESCRIPTIONS: Hunt WB Jr; Neal MP Jr. The developing relationship between the two Virginia medical schools and the Virginia Regional Medical Program. Va Med Mon 1969 Oct;96(10):604-8. Perez ER. The Virginia Regional Medical Program. Va Med Mon 1969 Oct;96(10):595-603. Perez ER. Virginia Regional Medical Program. Va Med Mon 1970 Dec;97(12):774-5. Rosenberg EW. Information for doctors and public. N Engl J Med 1972 May 25;286(21):1163-4. Schneider AR. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. (Place, publisher unknown];1969:29p. DATA PROVIDED BY: Linda Watson, Director Claude Moore Health Sciences Library University of Virginia Health Sciences Center Box 234 Charlottesville, VA 22908 804/924-5464 REGION: WaBhington/Alaska (53) GEOGRAPHIC AREA: States of Washington and Alaska. LIBRARY/INFORMATION SERVICES PROGRAM: The Alaska Native Medical Center (ANMC) in Anchorage had a small collection of books and journals. A librarian, Ursula Strash Solom, was hired in 1967. At that time Regional Medical Program monies became available and a proposal was drafted to extend information services from the ANMC to all physicians and other health workers in Alaska. Washington/Alaska also established nine receiving sites in Ya)cima hospitals for TV education courses. Follow-up is conducted by Seattle physicians. Thirty sites in the Reg.ion received two-way radio lectures. FUNDING: Requested a two-year grant for $31,590. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: Since 1971 the state has voted funds to support the library. The Alaska Health Sciences Library currently exists, funded by the state of Alaska and housed in the library on the University of Alaska's Anchorage campus. The library, now managed by Jeraldine van den Top, provides search and document delivery service throughout the state. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: The Alaska Health Sciences Library has received funds over the years from the Pacific Northwest Regional Medical Library Service and the National Library of Medicine's Extramural grants. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Walter Johnson, M.D., co-authored the Regional Medical Program proposal Jeraldine van den Top Ursula Strash Solom PUBLISHED DESCRIPTIONS: Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala J Med Sci 1970 Apr;7(2):216-20. Healey LA. The Washington-Alaska Regional Medical Program. Resid Physician 1968;14:58-65. Hogness, JR. The Northwest Program. Bull N Y Acad Med 1967 Jun;43(6);495-503. Kefauver DK. Coordination of regional libraries with Regional Medical Program Projects. Bull Med Libr Assoc 1970 Jul;58(3):325-9. Johnson W. Alaska Health Sciences Library, a tribute, a welcome, and a challenge. Alaska Med 1977 Jan;19(l):4-6. Johnson W. Development of a Health Sciences information center for Alaska. University of Alaska, April 22, 1974, 21p. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. Schneider AK. An overview of RMP library activities: present and future. Bull Med Libr Assoc 1970 Jul;58(3):316- 9. Strash UP. Alaska Medical Library. The Sourdough 1974;9(2):11-12. Strash UP. Alaskan Doctors and their new library, an introduction. Alaska Med 1968 Jun;10(2):92-5. Tedesco CR. Proceedings of the Annual Meeting of the Regional Group of the Medical Library Association; 1967 Oct 27; Washington, DC (Place, publisher unknown]; 1967. 72p. iR DATA PROVIDED BY: Walter Johnson, M.D. 1521 G Street Anchorage, AK 99501 REGION: West Virginia (541 GEOGRAPHIC AREA: Included the state of West Virginia and two counties in Ohio. Overlapped with the Ohio Valley Regional Medical Program. LIBRARY/INFORMATION SERVICES PROGRAM: On May 9, 1968 a workshop was held at the VA Hospital in Huntington for persons in charge of hospital libraries in the Tri-State Ohio Valley Region, and involved personnel from two Regions and three states. The workshop was sponsored by the Veterans Administration Hospital, West Virginia Medical Center Li@rary and the West Virginia Regional Medical Program. Of the thirty hospitals invited to send one representative, eight sent fourteen representatives. Telephone access was provided to brief summaries of medical topics via a toll-free, 24 hour a day service. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INVORMATION SERVICES PROGRAM STAFF: None found. PUBLISHED DESCRIPTIONS: Pearson KM; Bloch AD. Dial access libraries; Their use and utility. i Med Educ 1974 Sep;4j(9):882-96. A Preliminary evaluation of a Pharmacy Schoolls statewide Drug and Health Information Service. University of West Virginia, 1972. Schneider A.K. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, 'publisher unknown];1969:29p. Schneider AX. An overview of RMP library activities: present and future. Bull Med Libr Assoc 1970 Jul;58(3):316- 9. DATA PROVIDED BY: Search of the literature. i I i i i I i i 'I I i I i i i, i i I I 1 i i -1 1)0- REGION: Western Pennsylvania (551 GEOGRAPHIC AREA: Included 28 counties in Pennsylvania centered around Pittsburgh. LIBRARY4INFORMATION SERVICES PROGRAM: "The University of Pittsburgh Health Professions Libraries propose to establish a Library System through which information concerning heart, cancer and stroke in the published literature will be made more accessible to the physician and other health personnel. The System will be a cooperative arrangement establishing a mechanism for the sharing of library resources among hospitals and for linking hospital and medical libraries more effectively with the Health Professions Libraries of the University, the Mid-Eastern Regional Medical Library in Philadelphia, the National Library of Medicine in Bethesda, and other resources. To expedite the sharing of resources, a union list of journals in libraries in the Region will be compiled and distributed. From this list, librarians will know where they may request photocopies or loans of journals for their readers. Hospitals will exchange materials on a local level where possible, and then forward their unfilled requests to the System staff in Pittsburgh. A reference service will be provided and a staff member of the System will be trained to formulate literature searches for MEDLARS so that both brief and comprehensive searches will be more readily available. A consulting service for libraries will offer advice on ordering, cataloging, and reference techniques, together with library visits and training sessions. The Library System will function as a continuing education effort enabling health professionals to become aware of current information and to obtain retrospective surveys of published information as well. A study of the use of the System should indicate some of the information needs and resources of the Region.' Catherine M. Bosky, 1969. FUNDING: Unknown. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: None found. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: None found. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Catherine M. Brosky -121- PUBLI Kefauver DK. Coordination of regional libraries with Regional Medical Program Projects. Bull Med Libr Assoc 1970 Jul;58(3):325-9. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchanae at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown];1969:29p. DATA PROVIDED @Y: Patricia Mickelson Director of Library and Academic Information Services for the Schools of the Health Sciences Falk Library of the Health Sciences University of Pittsburgh Pittsburgh, PA 15261 412/648-2036 -122- REGION: Wisconsin (56) GEOGRAPHIC AREA: State of Wisconsin. LIBRARY/INFORMATION SERVICES PROGRAM: The major objective of all parts of the project was to bring together health care personnel and the health related information they needed. Through the library manager's course, a corps of people were trained in some of the basic skills necessary to run small hospital libraries and information services. A survey had shown that Wisconsin had only nine hospitals with full-time professional librarians, eleven with part-time professionals, eighteen with medical record librarians, and the rest with clerical staff or no staff. A union list of serials held by health science libraries throughout the state, based on the Union Catalog of Medical Periodicals database, was intended to make it possible for neighboring medical facilities to use each others resources and develop their own collections in a cooperative fashion. A consultant service was intended to provide follow-up advice for those taking the training course and to assist librarians, physicians, and administrators with special problems related to their medical information facilities. Teleconferences were funded by Regional Medical Programs through the University's Medical Communications Center, including support for television time, distribution of materials, publicity, etc. Dial-Access tapes with authoritative core information on heart, cancer and stroke were developed in Wisconsin and made available in many parts of the country through Regional Medical Program funding. FUNDING: Approximately $20,000 each year for two years. DESCRIPTION OF EXISTING REMNANTS OF THE PROGRAM: The Regional Medical Program's library services proved to be important seed programs. The first rounds of teaching were done by taking a four session course on the road. It was taught four times in each of four different locations around the state. At each location a six hour session was presented each week for four weeks. The first round was too labor intensive, so the Educational Telephone Network (ETN) was used in twelve one hour sessions under the auspices of University of Wisconsin Extension. The course was reformatted during the second year of Regional Medical Program funding. ETN was found to be a very satisfactory way of teaching. Later, when NLM funded the continuation of the Wisconsin Coordinator (and later the State Coordinators for Region 7) Ann Schoep entirely rewrote the manual. This version became the model for the Region 7 manual and received Region-wide exposure. Gradually the need for the course diminished as trained librarians were hired by -123- hospitals. The course was offered into the 1980's and ETN ki is still used for MEDLINE updates and other CE topics. The topics are selected by the Wisconsin Health Sciences Library Association's Education Committee and the programs are coordinated by the Wisconsin Coordinator for Health Science Libraries, a part-time position assignment, which the University of Wisconsin Center for Health Sciences Libraries continues to fund. The Union List was far ahead of its time. Two editions were produced. However, there were so few individuals in hospital library settings who knew how to use it that it did not have much impact at that time. This part of the project was eventually succeeded by the regional union list and SERLINE. The consulting service was a mixed success at first. Most of the calls came from the few locations which already had fairly well established libraries. Two consult visits were made, however. These led to the establishment of the Wisconsin Health Sciences Library Coordinator idea. Someone was needed to get out and talk to hospital administrators, sell them on the importance of libraries and convince them the closets with outdated books and journals they were reporting were not libraries. The medical record librarians and clerical staff also needed substantial assistance in presenting their cases and implementing what they had learned in their ETN courses. A Coordinator was funded by N@ directly at first and later through the Regional Medical Library for a number of years. Though much of the work originally done by the coordinator has been taken over by consortia or the Wisconsin Health Sciences Librarians Association and the Wisconsin Health Sciences Library Network Council, there remains a core of work which is handled by one of the staff at the University of Wisconsin's Center for Health Sciences Libraries. RELATIONS TO NLMIS REGIONAL MEDICAL LIBRARY PROGRAM AND GRANTS AND AHECIS: Funding for the statewide coordinator's Position and some clerical support and supplies was provided through NLM's grant program after the Regional Medical Program funding ran out. Some work on the second edition of the Union List was also completed with NLM funding. The Wisconsin Coordinator served as a model for the Region-wide coordinator program funded for Region 7 by NLM from 1973-76. LIBRARY/INFORMATION SERVICES PROGRAM STAFF: Virginia Holtz ML -124- w PUBLISHED DESCRIPTIONS:' Carnes PE. Regional Medical Program applications of instructional media in continuing education. Ala J Med Sci 1970 Apr;7(2):216-20. Hirschboeck JS. The Wisconsin Regional Medical Program: Operational Projects. Wis Med J 1968 Mar;67:181-4. Hirschboeck JS; Hansen R. Regional Medical Programs in Wisconsin. Postgrad Med 1971 Oct;50(4):253-6. Schneider AK. Library Activities of Regional Medical Programs. Report of an Information Exchange at the Medical Library Association Convention in Denver 1968. [Place, publisher unknown);1969:29p. Schneider AR. An overview of R14P library activities: present and future. Bull Med Libr Assoc 1970 Jul;58(3):316- 9. Tedesco CR. Proceedings of the Annual Meeting of the Regional Group of the Medical Library Association; 1967 Oct 27; Washington, DC (Place, publisher un nown]; 1 7. 7 p. Wood GC. Serving the information needs of physicians. N Engl J Med 1972 Mar 16;286(11):603-4. DATA PROVIDED BY: Virginia Holtz Center for Health Sciences Libraries University of Wisconsin 1305 Linden Drive Madison, WI 53706 608/262-6594