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Lynn -
 
You received some excellent pointers, and here are a few that come to mind:
1. Library development act, and the establishment of the NLM regions,
including _consoria development_, local and regional holding lists,
Serline, Catline, Docuser, Docline, etc.  A lot of this "cooperataion"
stuff started with the Medical and _hospital_ libraries
2. Learning to search Medline started with a 6-month relocation to
Bethesda, where one had to searach by the "numbers", but as computers and
search engines improved, time was cut back and cut back to the point that
now one can do "fussy login" or TW and get soemthing, and no training is
needed (maybe not even librarians....)
3. FAX machines, and the whole "oneline" stuff, full text, CD-Roms, etc.
4. MLA certification, & AHIP (for whatever this is worth in hospitals).
 
I'm sure there's more ( and please forgieve the injection of cynicism
- )                               Dalia Kleinmuntz
                               Webster Library, Evanston Hospital
                               [log in to unmask]     (708) 570-2665
                                                        (708) 570-2926 FAX
** Behold the turtle who makes progress only when he sticks his neck out **