A History of Medical Libraries and Librarianship in the United States: From John Shaw Billingsto the Digital Era presents a history of the profession from the beginnings of the Army Surgeon General’s Library in 1836 to today’s era of the digital health sciences library. The purpose of this book is not only to make this history available to the profession’s practitioners, but also to provide context as medical librarians and libraries enter a new age in their history as the digital information environment has undercut the medical library’s previous role as the depository of the print based KBI/information base. The book divides the profession’s history is divided into seven eras: 1. The Era of the Library of the Office of the Army Surgeon General and John Shaw Billings – 1836 – 1898 2. The Era of the Gentleman Physician Librarian – 1898 to 1945 3. The Era of the Development of the Clinical Research Infrastructure (NIH), the Rapid Expansion in Funded and Published Clinical Research and the Emergence of Medical Librarianship as a Profession – 1945 – 1962 4. The Era of the Development of the National Library of Medicine, Online digital Subject Searching (Medline) and the Creation of the National Health Science Library Infrastructure– 1962 – 1975 5. The Medline Era – A Golden Age for Medical Libraries – 1975 – 1995 6. The Era of Universal Access to Information and the Transition from Paper to Digitally Based Medical Libraries – 1995 – 2015 7. The Era of the Digital Health Sciences Library – 2015 – Each era is reviewed through discussing the developments in the field and the factors which drove those developments. The book will provide current and future medical librarians and information specialists an understanding of the development of their profession and some insights into its future.

A leading authority in the history of medicine provides an insightful look at medical education in America since 1910, warning of the negative impact of managed care on medical schools and the practice of medicine. 10 line illustrations.

"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.

Telemedicineâ€"the use of information and telecommunications technologies to provide and support health care when distance separates the participantsâ€"is receiving increasing attention not only in remote areas where health care access is troublesome but also in urban and suburban locations. Yet the benefits and costs of this blend of medicine and digital technologies must be better demonstrated before today's cautious decision-makers invest significant funds in its development. Telemedicine presents a framework for evaluating patient care applications of telemedicine. The book identifies managerial, technical, policy, legal, and human factors that must be taken into account in evaluating a telemedicine program. The committee reviews previous efforts to establish evaluation frameworks and reports on results from several completed studies of image transmission, consulting from remote locations, and other telemedicine programs. The committee also examines basic elements of an evaluation and considers relevant issues of quality, accessibility, and cost of health care. Telemedicine will be of immediate interest to anyone with interest in the clinical application of telemedicine.

Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.