Objectives: The library partners with the college of medicine to teach third-year students on a clinical rural rotation about searching, evidence-based medicine (EBM), and how to develop a portrait of the counties where health fairs are conducted using health statistics. This paper focuses on the process of our involvement in both the program with students and the recruitment of the physicians. Methods: This paper will look at both responses to student surveys about the rotation along with surveys of the rural rotation preceptors to determine their views on the addition of the librarian training to the program. A major recruitment tool used by the university for preceptors is the access to the library's resources. This survey will also attempt to look at the impetus library resource access had on their agreeing to precept for the rural track program. Results: Surveys are ongoing. Preliminary results show that the students feel more comfortable with utilizing both resources and librarians. Preceptors feel that the library is a great tool to get them to sign up. Conclusions: The role of the librarian in the rural clinical rotation is constantly evolving and becoming more dynamic. Many opportunities exist for future collaboration with the group.

Objectives: To provide faith-based clinics with a iPad mini for providers with a drug database, disease database, and a screening tool and to provide the clinics with a desktop to provide patient education information to their patients using MedlinePlus and to register patients for the Affordable Care Act. Methods: Each organization received two iPad minis and one desktop computer. The providers who received the iPads minis were given two hours of training on the databases provided and on MedlinePlus. The librarians will conduct a focus group three months post training to determine the utility of the devices to the clinics and to discover future avenues of collaboration. Results: Interviews were conducted at all faith-based clinics that received the iPad minis and desktops. Preliminary evaluation shows the clinics appreciated the devices, training, and support. Conclusions: Data are still being analyzed, but the program appears to be a success and will hopefully be replicated in the future.

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Objective: The purpose of this project is to provide better consumer health information and services to a patient population of a hospital-based nursing home. Methods: A hospital partnered with an academic medical library and obtained National Network of Libraries of Medicine funding. Wii devices with television monitors were purchased to improve physical activity in the nursing home. All nurses were trained to use MedlinePlus, and computers were made available for their use to search MedlinePlus in the nursing home. MedlinePlus materials were added to the consumer health library in the hospital, and DVD players were purchased to use for watching consumer health videos. Results: The capacity of the nursing home and hospital to deliver consumer health information to patients and their families has been improved. Conclusions: A small project like this is a great way to introduce a health care system to the services and products of the National Library of Medicine and empower the staff to better provide consumer health information.

Objective: The purpose of this study was to analyze an ongoing project centered on satisfying basic clinical information needs of rural clinicians who work in hospitals without libraries or librarians by providing personal digital assistants (PDAs) equipped with clinical information databases augmented with full-text Loansome Doc delivery. Three projects have been instituted since 2006, in which 330 PDAs were distributed with training. Methods: This was a qualitative study that primarily involved individual interviews of participants in one of the three projects. Interviews were recorded and transcribed, and themes were analyzed. The process continued until data saturation was achieved. Results: Much information has been discovered about the value of the services provided and what can be done to better address clinician information needs. Data collection is ongoing. Conclusions: Medical librarians, particularly those in academic centers, must reach out and find new ways to enable rural clinicians to stay current with the explosion of new biomedical information.

Objective: Many people in the Appalachian region turn to their churches in times of crisis. A diagnosis of cancer is seen as a personal and family crisis. The purpose of this study is to partner with a regional comprehensive cancer control coalition and an interdenominational group of religious professionals to identify, develop, and test contents for a set of classes to better prepare and educate religious leaders who regularly are required to assist their church members with a diagnosis of cancer. Methods: This project will be done in four steps.1. identify elements of a cancer curriculum for preachers2. develop learning modules and install lessons on computer tablets3. pilot use of tablets with two clusters of two community preachers4. evaluate changes in knowledge and sense of communication with medical professionalsData will be analyzed using focus groups both before and after the use of the tablets with the community preachers. Results: Two cohorts of eight pastors were selected from two remote rural regions. Four modules were located on iPad devices that covered various aspects of consumer health information including MedlinePlus, communication issues, and development of health information outreach as a component of ministry. Data collection and analysis is ongoing. Conclusions: Using clergy and other nontraditional delivery venues for consumer health information is well worth pursuing.

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Question: How effective is East Tennessee State University (ETSU) medical library in preparing its residents to be information masters when they get into private practice? Design: The study was designed as an effectiveness study using survey instruments to determine the informationseeking behaviors, information skill levels, information training adequacy, and sufficiency of information services/resources provided for ETSU resident physicians to prepare them as information masters when they get into private practice. Setting: The population is ETSU residents, who were enrolled in a residency program in the spring of 2006 at an academic medical center. Participants: ETSU has nine residency programs. There were 220 medical residents at ETSU. The whole population was surveyed as well as 150 attending physicians who work with residents. Interventions: Two survey instruments were utilized to discover information that will lead to better user satisfaction with ETSU information training and information resources/services, thus measuring quality. One aspect of this is better understanding the clients’ information-seeking behaviors. Main Outcome Measures: Quantitative analysis was performed with the SPSS software program. The data was analyzed using descriptive statistics. Inferential statistics were used to analyze relationships and differences Results: ETSU residents frequently had information needs yet infrequently sought answers. When they sought an answer they were usually successful. They preferred electronic resources and indicated time was their greatest barrier. The majority were PDA users. They believed evidence-based medicine was very important to their practice and indicated that the information received from the library changed their patient care. Most indicated a desire to have a clinical medical librarian for their program. The most frequently used resources were Google and the Web, yet they indicated these had low clinical value.