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Objective: This longitudinal cross-sectional study was designed to give a picture of the Northeast Tennessee rural health care providers’ information needs. Methods: The population of this study was the health care providers in Northeast Tennessee outside the TriCities urban area. It is in the 15-county service area of the East Tennessee State University Quillen College of Medicine Library’s outreach and includes no one from a community larger than 25,000. The names of physicians were gathered from the Tennessee State Licensing Verification Database and personal knowledge of the librarians. The surveys were administered to registered nurses (RNs) from a list from the Tennessee Center for Nursing. A P=0.05 was obtained. The questionnaires were sent out by mail with a self-addressed stamped envelope. A cutoff date was set for 2 weeks for the return of the surveys. Surveys that came in after the cutoff date were accepted up to 1 month. A cover letter was included to explain the purpose of the survey. The data were analyzed in terms of central tendencies and dispersions of distributions. The data are displayed in the report by means of frequencies and percentages. Results: This study compared rural information needs and practices in the same geographic area twelve years apart. This has given valuable information as to how the information needs and practices of this group have changed. This study will enable the librarians to change their outreach strategies to reflect the new reality. Conclusions: Our purposes as medical librarians do not change. However, the environment of our service changes constantly. Longitudinal cross-sectional studies give the opportunity to obtain “snapshots” of a service environment to see how they change over time

Objective: To analyze what information skills medical residents have in PDA use, evidence-based medicine (EBM), Loansome Doc use, and off-campus access to databases. Methods: A survey analysis was conducted of 217 medical residents from the 2005/06 East Tennessee State University Quillen College of Medicine class in surgery, family medicine, internal medicine, obstetrics/gynecology, psychiatry, pediatrics, and pathology with a return rate of 48.4%. Quantitative analysis was performed with the SPSS (v. 14.0 for Windows) software program. The results were expressed in percents in graphical or tabular form. The data were analyzed using descriptive statistics (frequencies, mean, median, and mode), and inferential statistics (Mann-Whitney U test and chi-square test.) Results: On a Likert-type scale of 1–7, medical residents rated their PDA skills at a mean of 5.11. By the KruskalWallis Analysis of Variance statistic, there were no signifi - cant differences between residency programs. By use of the Mann-Whitney U Test statistic, it was determined that there was no statistically signifi cant difference between the PDA skills or residents and their attendings. On a Likert-type scale of 1–7, medical residents rated their EBM skills at a mean of 4.82. There was a signifi cant differences between residency programs as determined by the Kruskal-Wallis Analysis of Variance statistic. Residents were infrequent Loansome Doc users, and a disturbing 49.5% did not know how to access medical databases from off-campus. Conclusions: Residents need more training by medical librarians in the clinical information skills of PDA use, EBM, Loansome Doc, and off-campus access.

Librarians at the East Tennessee State University (ETSU) Quillen College of Medicine Library have provided consumer health outreach services to rural and underserved populations at Remote Area Medical (RAM) clinics since 2009. These outreach services heavily depend upon and promote consumer health websites and National Library of Medicine (NLM) resources in order to reach the largest number of people at the lowest possible cost. This article will provide a brief overview of RAM clinics in Wise, VA, and Gray, TN, served by ETSU librarians for years. Additionally, this article will discuss the evolution of ETSU QCoM librarian outreach initiatives relating to these clinics over the past decade. This article includes a list of online consumer health resources used to support these initiatives as well as a list of most commonly addressed consumer health topics.

Rising collection costs sometimes necessitate tough decisions regarding cancellation of popular products. In 2015–2016, the East Tennessee State University Medical Library subscribed to UpToDate and DynaMed Plus, both clinical point-of-care products, with the understanding that one product would be canceled at the fiscal year end. The librarian team undertook a year-long community engagement campaign to inform library users about the pending product cancellation decision. Ultimately, DynaMed Plus was selected and UpToDate was cancelled. The campaign generated user engagement with the decision making, along with perceived benefits including increased awareness of the library's budget constraints, increased discussion of scholarly publishing, and greater faculty/student knowledge of evaluating evidence-based products.

This article presents the use of the Checklist as a tool to tailor and enhance library resource instruction and the faculty response. A checklist was developed that covered the information resources of the library and the information skills needed by pharmacy faculty. Librarians learned the value of using a checklist. Better relationships were developed with the college of pharmacy faculty. Weaknesses in the library’s training of pharmacy faculty were discovered and remedied. Checklists are used in medicine to obtain quality. Checklists can be used in medical librarianship for the same purpose.

Elsevier is a leading publisher of medical content, and ClinicalKey is the company's latest endeavor to aggregate multiple resources in one easily searchable interface. ClinicalKey merges medical education with clinically relevant information. This review will provide an overview of the contents, search options, features and limitations of this database.

Librarians can be major contributors at multihealth profession community outreach efforts. East Tennessee State University Quillen College of Medicine Library (ETSU QCOML) partnered with the Remote Area Medical Group (RAM) at two health "expeditions" in northeastern Tennessee to provide consumer health information to the people who came to the event for medical, dental, and vision care. A booth staffed by library workers that utilized MedlinePlus.gov was set up at each event. Preselected handouts were used along with online searching. The library booth was able to provide consumer health information to 1,310 people. By participating in this event, it allowed not only the library workers to assist the public with consumer health questions but also exposed other health care professionals to what medical librarians can do to directly help patients.

The purpose of this project was to provide better consumer health information and services to a patient population of a hospital-based nursing home. Nintendo Wii® devices were purchased to improve physical activity of patients in the nursing home. All nurses were trained to use MedlinePlus®. MedlinePlus materials were added to the consumer health library in the hospital, and DVD players were purchased for watching consumer health videos. The capacity of the nursing home and hospital to deliver consumer health information to patients and their families has been improved. This project was 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.