Hello all,

A little while ago I posted the following query:

Dear all,
> I wonder if any of you know of examples of an in-house information service
> in a family medicine setting or in any other clinical setting.
> I'm particularly interested in services that include a librarian as a
> member of the health care team to provide informational/instructional
> support for patients/families as well as health professionals at point of
> care.
> I have found one example at the Monkfield Medical Practice (see
> Information Prescription section of article available from:
> ). Are there any other instances in which it a similar model was used on
> this side of the ocean or anywhere else for that matter?
> I have been reviewing the literature over the past year and a half and
> have not been successful.
> Any information you can share is greatly appreciated! I will of course
> summarize for the list.

Below I have compiled the kind and interesting responses I received to my
query. In some cases I have included follow-up emails so that everyone can
benefit form the additional information.



> I would be particularly interested in your conclusions on this topic.  We,
> at the University of Waterloo, School of Optometry, have a learning resource
> centre and a clinic within the same facility, and are looking for ways to
> increase patient use of both facilities in combination.

> …We are currently in a state of flux, as our current facility is a couple
> of floors away from our clinic, but by 2008, the two facilities will be
> positioned adjacent to each other.  At this time, we hope to begin a similar
> set up where patients can come in to request information assistance.  I
> would appreciate hearing how this works out for you.
> Thank you,
> Peter Stirling

> I am a Clinical Medical Librarian that supports a large Family Medicine
> residency program as will as our Community and Family Medicine ambulatory
> clinics. I have done work with patients and families as requested.
> I'm not sure if this qualifies for what you are looking for but I am
> willing to answer any questions you have if it does.
> Gwen E. Sprague, M.L.S.
> Clinical Medical Librarian
> TMC Lakewood
> Medical Dental Library
> 7900 Lee's Summit Road
> Kansas City, MO  64139-1236
> 816.404.8265 voice
> 816.404.8266 fax

> Hi Francesca, we do this through a clinical librarianship service, but I
> have not written anything on it. I attend morning report once a week where
> the residents and attending discuss the patients currently on the Family
> Medicine Inpatient Service, and then I help them to search their related
> clinical questions.

> …There are no patients or family involved or present in any of these
> sessions I am involved in. I have no involvement with patient ed in any way.
> Our hospital has a dept. that deals specifically with that.
> As for how I demonstrate searching, it really depends on the question and
> where that answer might be found. I focus on teaching the residents to
> discern the difference between background and foreground questions. If it is
> a background question, we then search through our extensive electronic book
> collections or point of care resources to find the answer. If it is a
> foreground question, I teach the formulation of proper clinical search
> questions using the PICO model. Then I model the use of a drill down
> approach to searching, similar to Dr. Brian Haynes' 5 "S" model. We
> generally search the secondary pre-appraised resources first, such as
> Clinical Evidence or ACP's PIER. We only end up in Medline as a last resort.
> I also teach the use of PubMed Clincal Queries. It is a very dynamic
> fly-by-the-seat-of-your-pants teaching because it really depends on the
> current case mix and the types of issues coming up for the patients on the
> unit. Depending upon how much discussion is required for going over the
> vitals and such of each case, I may have anywhere from 5 mins to 30 mins to
> help them find answers. The questions are always a surprise, and very rarely
> has the same question come up more than once or twice. Some of these
> resources have corresponding patient handouts, but since our hospital has a
> patient education department with standardized information leaflets, I would
> think all patient ed. material would need to go through them for approval.
> I hope this helps.
> *Ani Orchanian-Cheff, BA, MISt*
> *Information Specialist*
> Libraries and Information Services
> University Health Network
> Princess Margaret Hospital 5-317
> 610 University Avenue
> Toronto, ON M5G 2M9
> Tel: 416-946-2081
> Fax: 416-946-2084
> Email:* [log in to unmask]*

> I believe Jessie McGowan in Ottawa directed a research project a couple of
> years ago with librarians providing point of care lit search support to
> family physicians remotely using Blackberries.  It may not be published
> yet,
> or may be part of the grey lit.  I always forget what the name of the
> research place Jessie works at, but she's in Ottawa working through the
> University of Ottawa, the Cochrane Centre, and the Institute for Studies
> in
> Population Health (???).  She's a member of CHLA.  Google her and I'm sure
> you'll come up with a current contact.

> It never ceases to amaze me what interesting things my colleagues get up
> to.
> Great idea. One last thread: you've probably thought of this already, but
> if you haven't you might want to consult with some of the folks at
> Consumer
> Health Information Service in Toronto.  You might be able to apply some of
> the considerable expertise they've developed at providing information to
> consumers and patients for your project at developing Info-Rx's.  Good
> luck.
> Best,
Jan Figurski
> Coordinator, Library Service
> Seniors Health Research Transfer Network

Francesca Frati, MLIS

Information Management/Patient education
Herzl Family Practice Center

Current awareness/Instruction/Patient education
Health Sciences Library
Patient and Family Resource Centre
SMBD Jewish General Hospital
3755 Côte Ste.Catherine
Montréal, Québec
H3T 1E2

Phone: (514) 340-8222 Local 5927
Fax: (514) 340-7552


"Digital information lasts forever — or five years, whichever comes first."
                                                   --Jeff Rothenberg, RAND