In my last Library, a large teaching medical center, we also experienced a steady increase (about 30% a year) in the number of mediated searches we were doing for our patrons over the past 2 years. This was during the same time that we added 6 end-user search stations and remote access. These services were also being heavily used. We found that it was primarily the office-based physicians who wanted us to run their literature searches. We offered low prices and rapid turn around time. This group doesn't search enough to feel proficient and their time represents patient-generated income. They were very appreciative of not having to do their own searches.