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SEA Currents

SEA Currents Volume 19, Number 2 -- March/April 2001

SEA Currents is a bimonthly publication of the Southeastern/Atlantic Region of the National Network of Libraries of Medicine.

Inside this issue

NOTE: This is a newsletter. The links and information are up to date when published and are NOT updated after the published date. The web links have been removed from this issue.

The End of Another Contract

by Janice E. Kelly, executive director

As this contract draws to an end, it is time to look back over the last five years to see what has happened and what was accomplished. The RML and our many network members were busy adapting and adopting new technologies, finding new populations and projects to keep us busy, and wrestling with the new realities of the e-world. Let's take a walk down memory lane to see what has transpired over the last five years!

Can you recall?

Waiting for months for the release of the web-based DOCLINE ® product?

Hearing about the new online SERHOLD® updating system?

Joining MACLend, Freeshare or SEND to share resources?

Finding a recycling bin for your paper or microfiche union lists?

Teaching or attending Internet or web classes?

Looking into distance education software or hardware?

Writing a subcontract proposal for rural, minority, urban, public health or unaffiliated health professionals?

Networking with your local public librarian to provide health information to the public?

Learning about the new web-based PubMed ® system, NLM Gateway or Internet Grateful Med®?

Keeping up with all the changes to these systems?

Developing a web site for your library or learning about HTML?

Exhibiting at a state or national health professional, library association or health consumer meeting?

Holding a technology awareness conference or exhibit at your institution?

Joining a listserv to stay informed?

Joining the e-world revolution?

Wondering how they got all that information on that PDA?

Recruiting your local public library as a Network Affiliate member?

Wondering where the last five years went?

By the numbers

If we measure accomplishments by the numbers, here's a glimpse of the last five years. At the end of March 2001 there were 933 SE/A members, 591 DOCLINE members, 526 SERHOLD participants, 296 members of nnlm-sea listproc, 322 Loansome Doc® providers. The SE/A provided 187 training sessions on DOCLINE , PubMed , Internet, NLM Gateway ® and more. We exhibited at 91 meetings of health care and health information professionals, state library association and health consumer meetings. We funded seven technology fairs; 23 outreach projects to health professionals, and 14 projects that provide access to electronic health information to the public. We funded seven (with the possibility of one more) library improvement projects. Our subcontractors have also exhibited, trained and recruited new Network members for us.

The best part of the last five years was getting out more and meeting many of you at your state or chapter meetings or at one of our many training classes. If we missed you this contract, we hope to see you around sometime during the new one that starts May 1.

See you around the Region!

Last Printed Issue

March/April 2001, volume 19, number 2, is the last printed issue of SEA Currents. With the May/June 2001, volume19, number 3 issue, SEA Currents will be an electronic newsletter, only. It will be available on the NN/LM® SEA Website at:

Any member wishing to receive announcements of issue/article postings to the Web site must subscribe to the SE/A ListProc

Where Are They Now?

A Career path to consider, OR, Where do I go from here?
by Janice E. Kelly, executive director

Have you ever considered a job at a Regional Medical Library (RML or NN/LM if you prefer) and wondered, where would I go from there? I, being of sound mind, consider the RML to be an exciting job, why else would I have taken three positions in two regions? At the RML you work hard but the rewards are many. You get to meet lots of people, support and monitor new and interesting projects, play with new technology, and provide training and exhibiting in exciting locales (What, you've been to Corinth MS, Miami Beach FL, Chestertown SC, or San Juan PR, and didn't have a good time?)

To convince you, I decided to look back to see where our alumni's career paths have lead and what positions have been available at the SE/A. Here is a list of the exciting people and their career paths after a stint at the NN/LM.

Carol Jenkins was the first executive director of the newly formed Southeastern/Atlantic Regional Medical Library Services in 1983. She left in 1986 to become, and still is, the director of the University of North Carolina, Chapel Hill, Health Sciences Library.

Jane Lambremont was our first education coordinator. She left the RML for hospital librarianship, serving as chief of library services at two VA hospitals before retiring last year to Baton Rouge, LA.

Karen Hackleman Dahlen was our first consultation coordinator. Karen worked as head of reference at the University of Illinois at Chicago, Library of the Health Sciences and most recently as director of the University of Wisconsin, Madison Library of the Health Sciences. She is now at the CDC Library in Atlanta.

Janice Kelly (me) was the first resource sharing coordinator. Since then I have been a hospital library director, deputy director at a multi-type library, associate director at the NN/LM GMR and reappeared in 1994 to become executive director of the NN/LM SE/A.

During our second contract, Suzanne Grefsheim became the RML executive director. In 1988, she left to be the director at the University of Michigan Taubman Medical Library and now is director of the NIH Library in Bethesda MD.

Nancy Nuell served first as the resource sharing coordinator and then as the consultation coordinator. Nancy left to be director at the Takoma branch of the Montgomery College Libraries (Maryland) and is currently the Director of Information Technology Operations at the College.

Lisa Boyd has had two stints at the RML, holding three different positions during her tenure - resource sharing coordinator, outreach coordinator and consumer health coordinator. Lisa left the first time to work at the University of Connecticut Health Sciences Library (and they later became an RML, a coincidence?) and the last time to become special projects manager at MUSC. Lisa is now at Rural Information Center Health Service at the National Agricultural Library.

Faith Meakin served as the third executive director from 1989 to 1994. Faith introduced outreach, Grateful Med and exhibiting to the Region. Faith left to become, and still is, the director of the University of Florida Health Science Library.

Susan Bailey served as the only communications coordinator we had. Susan left the RML to work at an Internet service provider in Maryland and a few years ago relocated to the west coast to work in that field.

Lisa LoVullo was the first outreach coordinator. She left the RML to become the library director at the Sun Papers in Baltimore and later its director of marketing. She recently left the Sun to start a library consulting business in Annapolis, MD.

Jean Shipman served as resource sharing coordinator before leaving for the University of Washington Health Sciences Library and Information Center to become associate director, information resources management. In August Jean returned to Region 2 as the director at the Medical College of Virginia Tompkins McCaw Library.

Barbara Kuchan started at the RML as the resource sharing coordinator and left as the network access coordinator. She is currently the associate director for information services and education programs at the Health Sciences Center Library, Temple University.

Donna Watkins was the education coordinator who trained many to use Grateful Med. She served as deputy director of the East Tennessee State University Quillen Medical Library and is now director at the Craig-Moffat County Library in Colorado.

Beverly Gresehover was the training and consultation coordinator before becoming the assistant director for access services at the University of Maryland Health Sciences and Human Services Library.

Lora-Lynn Stevens was the first Internet coordinator ever in the NN/LM program. Since leaving, she worked at a hospital library and a public library in the York, PA area.

We've even managed to keep our support staff interested. Colette Becker, assistant to the executive director, has worked at the RML for 15 years. She also finds it an exciting and interesting place to work. Many who have had DOCLINE questions have heard Evelyn Peyton on the other end of the phone. Evelyn has been with the NN/LM office since 1989. Ruth Collins has been kept busy with exhibit and training preparations since 1992. We thank them for their service.

So, job titles and responsibilities changed over the years to reflect the contract proposals submitted to NLM in support of the NN/LM program. As you can see, there are many opportunities to contribute to the library profession and to develop a career path through the RML to another place.

Here is what our alumni have to say about their tenure at the RML:

Karen Dahlen : Working for the RML enhances your ability to network (includes assertiveness training, ability to see beyond one library or one unit, and fosters cooperation). It promotes the idea of library collaboration in education or technology initiatives. RML goals are strongly tied to the end user of information (health care practitioner and now consumer) thus expanding knowledge of needs assessments and evaluation techniques. It stimulates an understanding of trends across libraries enforcing the idea that all health sciences libraries--while they have similar missions--are different culturally. RML experience teaches you about the political reality of working with multiple institutions. It provides the incentive to keep on the cutting-edge of librarianship.

Jean Shipman : Through my RML experience, I grew professionally in several areas with the major one being public speaking. For those who remember back to the 1980s, talking in front of groups was not my forte. Through giving numerous RML workshops and presentations, I learned that public speaking could be fun! I also found the RML experience of traveling to libraries throughout the region invaluable. Through these travels, I got to meet wonderful librarians and library staff (networking) and was able to see how different libraries handle similar operations. I have drawn on my RML colleague connections to this day. People are the best feature of libraries and of my RML experience!

Beverly Gresehover : The RML enabled me to be in the right place at the right time to assume my current position, i.e. RML work exposed me to the many opportunities available in a resource library. My time in the RML was invaluable as it gave me a real understanding of the NN/LM and the role it plays in delivery of health care information services. It's easy for me to relate to the workings of the RML and to explain it to my staff or others being oriented to Access Services. My experience was also very helpful in understanding the DOCLINE network that is such a big part of our ILL service.

Faith Meakin : Having returned from Europe, "the Executive Director's position was a wonderful opportunity to reacquaint myself with U.S. health science libraries and librarians. Instead of being immersed in the daily realities of one library, I got to know and experience the realities of 900 libraries including all of the large academic libraries. I also got to work closely with the NLM staff and participate in the development of their outreach programs. When I left the RML after 5 years to take the position of Director of the Health Science Center Libraries at the University of Florida I felt satisfied I had given a great deal to the NN/LM program and received an administrative experience in return. "

Carol Jenkins : I definitely took the job at the RML as a way to move up the career ladder. I saw it as a way to have responsibility for a program, a budget and a staff; gain awareness of the broad array of needs that exist in all types of health sciences libraries; be a spokesperson for an entire region; and develop a national perspective from relationships built at NLM. That last is really important, because I think that no matter what kind of library you are in, you don't really get the national view of things and realize how much NLM does in so many areas unless you can get closer to where that action is.

Nancy Nuell: As the chief operating officer of an IT division of more than 200 employees with a multi-million dollar budget, I attribute a significant part of my career success to my stint at the RML. Broad perspective, ability to deal with a diverse clientele, skills for managing change, flexibility and sound methods for effective communication are all core RML skills which I use today in my work. It was one of those jobs that I have talked about many times over the years, and I still treasure the experience.

Library Improvement Projects in this Contract

by Sandra Teitelbaum, outreach coordinator

The Library Improvement Projects, new under this contract, are designed to help small medical libraries, particularly those without Internet access, improve their information services. NN/LM SE/A provides equipment (computer, printer, fax, modem) Internet navigation software, Internet access, training and support for 1 year. A positive evaluation at the end of the project qualifies the institution to assume ownership of the equipment.

To be eligible, a hospital or health care facility must have a minimum collection of 10 current journals and 25 monographs; a salaried employee dedicated to library work for 10 hours per week; 120 square feet or more of library space equipped with a dedicated phone line; and a signed Memorandum of Understanding (MOU) that defines the library's service and reporting responsibilities as well as NN/LM SE/A's obligations.

A typical project

Once an MOU is signed, the site's library services provider works with the NN/LM SE/A staff and the site's technical services department to draw up equipment specifications and order the equipment. For sites that need technical support and training, coordinators schedule visits early on to help set up the computer and provide training in general Internet use and NLM database searching. Quarterly reports allow the NN/LM SE/A to follow the progress of library services.

Sites selected

Our goal was to select two sites per year. Ten projects in six states and Washington D.C. were selected but not all were funded. Of the seven funded projects, four have been successfully completed and three are ongoing. An eighth site has received an MOU to sign. Two institutions that signed agreements eventually cancelled.

Three of the seven funded libraries are in mental health facilities. One is a traditional hospital library and three are in less traditional settings: a small research institute, a home health care and hospice facility, and a nursing home supported by the local public library. The most recently identified potential site is a consumer health library in a hospital setting.

Requirements for success

Success was measured by evidence of library service, such as the number of documents provided to users and by user testimony on written questionnaires or in interviews during site visits by NN/LM SE/A staff. Successful project sites had two characteristics in common: an enthusiastic, committed library service provider, and the support of the administration. Administrative support was assured at some sites by a clinician or researcher who valued information access. At the sites that failed to complete their projects, the library services provider was unable to get ongoing administrative support.

Future projects

NLM's 1999 Internet Access survey showed that most hospital libraries now have Internet access. The growing commitment to improving consumer access to health information could make consumer health libraries priority sites for Library Improvement projects in the future.

List of Library Improvement Project sites.

Completed projects:

Moccasin Bend Mental Health Institute in Chattanooga, TN

Goodwin Institute for Cancer Research in Plantation, FL

Eastern Shore Hospital Center in Cambridge, MD (psychiatric hospital)

Superior Home Health and Hospice in Corinth, MS

Ongoing projects:

Children's and Women's Hospital,University of South Alabama in Mobile

Washington County Infirmary/Washington County Public Library in Chatom, AL

State of West Virginia Mildred-Mitchell-Bateman Hospital in Huntington, WV

Potential project (Consumer Health library):
Johns Hopkins Bayview Medical Center in Baltimore, MD

From 1998 forward - an Emphasis on Consumer Health

by Jana Allcock, consumer health outreach coordinator

At the beginning of the last contract, there was no mention of assisting the general public with their quest to find health information. The National Library of Medicine® and NN/LM were primarily focusing their attention on a health care provider. Hospital, public, and other libraries had been providing health information to consumers for years and working with the medical literature to do so, even though it was often too technical.

Much has changed in the last five years in the area of consumer health information. In fact, five years ago, the mission of the Network did not include a role for assisting the general public to find health information. The path that led to a strong program began with the arrival of a free version of MEDLINE® on the World Wide Web in the summer of 1997. As a result of free access, usage rose among the general public - in fact, NLM estimated that one-third of all searches were from the general public.

In the fall of 1998, a public library pilot project began, involving more than 200 libraries of participating library systems in 9 states. Twenty-four of these libraries or library systems were in the Southeastern/Atlantic region. This project involved training the librarians on how to search MEDLINE, providing support, offering interlibrary-loan assistance, and facilitating training. The program linked each public library with a medical library. In addition, the public libraries received a stipend of $5,000. One result of the pilot project was learning that library users (consumers) really wanted to walk away with a full-text document in their hands, and did not want to wait for an interlibrary loan.

MedlinePlus debuted in October 1998 with 22 topics. Now, it has grown to more than 430 topics and has added a news feed, an interactive tutorial,plus encyclopedia and drug information. MedlinePlus meets the need for full-text information by pointing to credible, full-text web resources.

On May 6, 1999, the NLM Board of Regents voted on an expanded role for the Regional Medical Libraries that includes working with the general public. Also in the spring, an RFP was issued for access to health information for the public projects.

Fifty-three projects were funded in the year 2000 from those submitted through Electronic Access to Health Information for the Public subcontracts. Of these, fourteen projects are in the Southeastern/Atlantic region.

It was the NLM Long Range Plan for 2000-2005 that noted that an additional position would be added to the RML staff, entitled Consumer Health Coordinator. This position was created in all regions, and the position of Consumer Health Librarian was created at the National Network Office of NLM.

NLM and NN/LM have begun to meet the needs of the health care consumer - the most basic human unit with need for health information. Facilitating access to information is at the core of all of our jobs, and it is great that products are emerging that are freely accessible and reliable. Five years ago, who would have guessed where we are today?

P.S. Special thanks to Heidi Sandstrom, Consumer Health Information Services Coordinator for the Pacific Southwest Region. Much of this article was derived from her presentation on January 10, 2001 at the "Public Library and Consumer Health" conference.

Project Web Sites

These past five years have seen an explosive growth in the Internet and in the development of health information-specific sites developed and maintained by health information professionals. In the Southeastern/Atlantic region of the NN/LM, the RML funded competitively proposed projects that utilized the Internet for delivery of health information in rural and urban areas, for training clinical and public health professionals in the use of electronic resources and for aggregating, simplifying and targeting health information sources for the public. Below you will find the active, funded sites. Some are still being developed, so you may wish to visit them again, later in the year.

George Washington University Medical Center - Internet Training for Maryland Physician Assistants

Vanderbilt University: Information Access for Public Health Professionals

Mercer University - PHOENIX Project

Southern Regional AHEC - Southern Regional Information Access for Public Health Professionals

SOWEGA AHEC - Information Access for Public Health Professionals

University of Virginia - Information Access for Rural and Unaffiliated Health Professionals

University of Alabama at Birmingham - Information Access for Minority or Unaffiliated Health Professionals

George Washington University - PARTNERS: Primary Care Access to Resources, Training, Networks, Education, and Research Services

Western Maryland AHEC - Western Maryland InfoHealth

University of Alabama Birmingham - Health InfoNet of Jefferson County

Mary Washington Hospital - Access to Electronic Health Information for the Public

Medical University of South Carolina - Healthy South Carolina Gateway

Emory University - Access to Electronic Health Information for the Public

University of West Virginia - Expanding Information Access in Rural West Virginia

Statistics Reports Interpretation


In report 1-1A, the total number of requests may not match the total number filled and not filled. The total number requested reflects the number of requests ENTERED by the borrowing library during the quarter. The total number of filled and not filled requests reflect the number of requests that were PROCESSED by LENDING libraries during the quarter, regardless of when they were entered in DOCLINE by the BORROWING library.

In report 1-1B, the total number of requests received may not match the total number filled and not filled. The total number received reflects the number of requests RECEIVED by the lending library during the quarter. The total number of filled and not filled requests represent the number of requests that YOUR LIBRARY PROCESSED during the quarter as filled and not filled, regardless of the quarter the request was received by your library or entered by the borrowing library.

A summary description of the quarterly reports may be found at:

QuickDOC Manuals Available

by Jay Daly of QuickDOC,

There are PDF Manuals for both QDportal and QDLend. Copies should be located in the program folder of each of these two programs or at:

NLM Technical Bulletin TOC

March-April 2001; #319:

In This Issue:

SEA Currents Then and Now

by Beth M. Wescott, editor

Remember when: What's This Going to Cost?
From volume 15, number 1 January/February 1997
"What does it cost to search MEDLINE?" This is a question often asked of NLM and NN/LM staff - and probably you too. Maybe it would be easiest to explain it this way. Although some users prefer to know the charge based on a "connect hour" of use, others find the charge for an average search more meaningful. On average, the charge for a MEDLINE search ranges between $1.50 and $4.00. A more precise figure cannot be given because the charges vary widely by telecommunications speed, the number of characters downloaded, etc.

Then: Grateful Med(r) for Windows Is Here!
From volume 15, number 1 January/February 1997
A new Grateful Med(GM) for Windows will be available free of charge in January 1997. This version will be offered to all registered users of the DOS form of Grateful Med. Current GM users should receive a postcard from NTIS to select Windows or DOS for their new update.

GM for Windows offers:

The Windows GM will be available both on disk and on the Internet. DOS users may want to consider converting to the Windows version. There probably will not be another annual update for the DOS version of GM.

and Now: IGM to Retire

Internet Grateful Med (IGM) is being phased out during the coming months. Currently, IGM accesses the old ELHILL® system. As of December 2000, NLM stopped updating ELHILL. This means the databases accessed only through IGM have not been updated with MeSH® 2001, and no new citations have been added. All of these databases will be accessible through other interfaces soon, many through the NLM Gateway

Currently, the NLM Gateway searches MEDLINE ( PubMed ), OLDMEDLINE, LOCATORplus , AIDS Meetings, HSR Meetings, HSRProj, MedlinePlus and DIRLINE®. In the future some of the IGM databases will only be accessible through the NLM Gateway .

Then: Consumer Health Discussion List Provides Networking Opportunity
From volume 15, number 6 -- November/December 1997
Need to know more about consumer health issues? Join CAPHIS. CAPHIS, the Consumer and Patient Education Section of MLA, has an unmoderated discussion list. The list is intended for individuals interested in consumer and patient information.

To join, send a message to: Leave the subject field blank. In the body of the message, put: Subscribe CAPHIS your first name your last name.

and Now: In DOCUSER® we find that of the 933 NN/LM network members in Region 2, more than 10%, 115 in all, report having Consumer Health Collections.

also now: MedlinePlus Adds Interactive Health Tutorials NLM Gateway , the National Library of Medicine's web site for consumer health information, has added a series of 30 interactive modules for patient education. The series, includes:

Each module, which takes about 10 minutes to review, uses animated graphics and explains a condition or procedure in easy-to read language. The user can also listen to the tutorial or print the text of each from a PDF file. The tutorials may be accessed directly at:

Then: PubMed and Grateful Med Help Available on the NN/LM Web site
From volume 15, number 6 -- November/December 1997
The NN/LM has made PubMed and Grateful Med information available on the web at This page links to articles, fact sheets, guides, training manuals, and PowerPoint demonstrations. If you have produced PubMed or Grateful Med materials that you can share with other librarians, please send a note to a member of the NN/LM web team

and Now: NLM has announced the PubMed tutorial ( PubMed OnlineTraining) at The tutorial is also available from the PubMed sidebar. Look for a Technical Bulletin article about it soon. Specific FAQs about the tutorial were developed and are available from the Technical Bulletin article as well as from the tutorial's sidebar. The FAQs as well as some introductory information on the first few screens of the tutorial answer many users' questions. Note that from the tutorial's sidebar, there is a "Contact Us" link that brings up an e-mail form for users' questions/comments.

Janet Zipser, MEDLARS® Management Section,

Then: MACLend Opened; Come Join The Fun
From volume 16, number 2 -- March/April 1998
Following a successful pilot project, MACLend is now open to all participants. MACLend is a reciprocal interlibrary loan network intended for members of the Mid-Atlantic Chapter of MLA. This project is modeled after SEND, the Southern Chapter's popular ILL network. Libraries must be on DOCLINE to participate. Interested parties should contact the state coordinator for their area:

and Now: The 54 members in MACLend are as follows:

Then: Insert: Ariel Libraries in the Southeastern/Atlantic Region
From volume 16, number 5 -- September/October 1998

Then: Ariel Libraries in the Southeastern/Atlantic Region

Institution and Library Name


Ariel Address

Auburn University Montgomery Library


Dwight David Eisenhower US Army Medical Center, Health Sciences Library


Duke University, Medical Center Library


and Now: Ariel Libraries in the Southeastern/Atlantic Region

AL = 5

PR = 4

DC = 4

SC = 4

FL = 8

TN = 8

GA =

VA = 10

MD = 17

WV = 5

MS = 2

NC = 6

Total: 80

also Now: "How's the Ariel Network project going? We at WVA have been using the open-source Prospero software since fall 2000 to send documents received via Ariel on to the end-user's desktop. We're also using Prospero to send electronic documents to hospital/clinic libraries as well as Loansome Doc users including individual health care practitioners, lawyers, distance education students, etc. WVA also provides free electronic document delivery to its Rural Health Education Rotation students completing their field assignments. During the month of January the HSL sent 70% of all ILL requests received electronically on to the users desktop (407 articles) using Prospero software. 85% of documents (519 articles) loaned by the HSL were sent electronically using Ariel, Prospero, or our home-grown digital document delivery system. I'm interested in learning what your findings have been. " Nancy Wasson,, Phone: 304 293-1926

Then: Union List News
From volume 17, number 1 -- January/February 1999
The 1998 Region 2 Union List of Serials will be the last produced. With NLM's migration to the new web-based SERHOLD, DOCUSER, and DOCLINE , the SE/A will no longer be able to offer this product. The List provides regional SERHOLD holdings information on microfiche; it was created from NLM's mainframe computer. The mainframe system is being replaced by a new client/server environment.

and Now: The Union List Products will be updated as noted in the schedule below. Updates begin at 3 p.m. ET on Friday and are usually completed by 11 p.m. ET on Sunday. During the update, you will not be able to access that category of union list products (e.g., if Holdings by Library Group are being updated, you will not be able to access any Holdings by Library Group Union List products).

Holdings by Library Group

Holdings by State

January 5-7, 200

February 2-4, 2001

April 6-8, 2001

May 4-6, 2001

July 6-8, 2001

August 3-5, 2001

October 5-7, 2001

November 2-4, 2001

See also:

NOTE: This is a newsletter. The links and information are up to date when published and are NOT updated after the published date. The web links have been removed from this issue.