Tag Archives: Clinical and Translational Science

Where the Buffalo Roam: Adventures in Health Sciences Librarianship in North Dakota

27 Oct

I’ve been on the road a LOT this month, traveling to North Dakota and Maine and, later this week, Virginia. It’s been a full schedule and I’ve missed catching up with my blog post each week. Here’s an attempt to begin filling in the holes.

Roamin' with the buffalo in North Dakota.

Roamin’ with the buffalo in North Dakota.

Last year, I was invited by members of the Program Planning Committee of the Midwest Chapter of the Medical Library Association to present a keynote lecture at their Annual Conference. As the meeting was to take place in Bismarck, ND and North Dakota was the only state of the 48 states in the Continental United States that I’d never visited, I jumped at the chance! I was flattered to be asked to talk about my work, too. 

I shared the first morning’s sessions with Betsy Humphreys, the Deputy Director of the U.S. National Library of Medicine. When we realized that we would be speaking back-to-back at the conference, Betsy and I arranged a quick phone call to talk about what we thought we were each going to say. It proved to be a really beneficial chat, as our keynotes ended up complementing one another very well.

Betsy’s talk, entitled “Points of Departure,” offers a survey of the current landscape in which medical libraries and medical librarians find themselves, and sheds light on the MANY places that professionals can insert themselves and their skills. From electronic health records to patient advocacy to health literacy to informatics, the opportunities abound for those individuals and libraries who are willing to step out (or step up) to the challenges, rather than saying the future holds no place for us. “Set out from any point,” we were reminded. They all lead to opportunity. (You can see my sketchnotes of Betsy’s talk here.)

I titled my own keynote, “Making the Case: Health Sciences Librarians Staking their Claim in a ‘New World.'” You can download the slides here, but I’ll provide an annotated version of the talk in this post.

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I confess that in those times when I’m facing many deadlines, feeling stressed, feeling bored, or feeling tired, I have a particular vice that I indulge in. Fortunately for me (though not necessarily for my practices in discipline of any sort), my vice is pretty easy to partake in, as it involves a certain television show that one is hard pressed to not be able to find airing at any hour of any given day. As the deadline for this talk loomed larger, I found myself giving in to my vice so often that eventually, I figured I’d use it as a framework for my talk. Here goes…

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A disclaimer.

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Imagine the infamous “duhn duhn” sound. (It played during the talk.)

Sally-Gore-keynote_Page_04Our episode starts at a dinner party in Louisville, Kentucky, some time in the late 1980s. Everyone had finished eating and gathered in the living room, sitting in a circle and chatting, when someone said, “I know. Let’s go around the room and everyone share a dream.” 

The usual suspects were offered up; “I hope for a family.” “I want to have children.” “I want to travel around the world.”

When it came my turn, I shared what has, for as long as I can remember, been my life’s dream,” I want to win the Oscar for Best Original Screenplay.”

“GET SERIOUS!” shouted this woman who, by the way, I’d never met in my life. “Tell us something that you might ACTUALLY do!”

Sigh… My dream. Busted.

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Thank you, Lenny.

 

Sally-Gore-keynote_Page_06So, what’s your dream for libraries? When you think of what a library is and/or can be, what do you dream? Do you imagine the “Library of the Future,” complete with no books and lots of modular furniture, spaces for gaming and tools to help students and faculty and researchers fuel their innovative spirits? Do you dream of tranquility and order and the beauty of our National treasures, like the Library of Congress? Or do you see the library as not a place at all, but people embedded in research centers, bringing the services of libraries directly to the patrons?

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And what do you dream for librarians? Do you miss the “good old days” when we held the keys to the information kingdom; when we were the gatekeepers that everyone had to pass through and by in order to access what they needed? Do you miss the heady power of those days? Or do you dream of times when librarians are no longer associated with libraries; when we’re not even called librarians anymore? What do you dream?

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And for all of those dreams, do you have any kind of plan in mind for how to get there?

Sally-Gore-keynote_Page_09My own library recently had our annual all-staff retreat in which our Director, Elaine Martin, delivered her “State of the Library” address. She covered where we’ve been the past year, where we are now, and where we’re likely headed over the next months. One of these future places involves the development of a new strategic plan. Looking ahead five years, where do we think we’ll be? That’s the question Elaine posed to her staff.

When I think back on all of the change that’s happened here in the past 10 years (the amount of time that I’ve worked at UMass Med), I find it pretty hard to even imagine that I ever could have imagined the things I’ve seen come and go, the transformations we’ve endured, and the many different roles we’ve taken on as a library (and as librarians). The thought of imagining the next five years seems daunting, if not downright impossible for me, and it got me to thinking about how I do go about planning my work, my roles, and my future as a health sciences librarian.

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Backyard camping!

I grew up in a camping family. We camped weekends and summer vacations. We camped in the mountains, occasionally at the beach, and often in New England and Canada. My father was also a backpacker and he took my brother and I on week-long backpacking adventures, alternating years between us, during spring breaks. The first time I went on one of these trips, I was probably about 10 years old. My dad, being a good bit taller than me, often hiked ahead on the trail. He’d make his way up the path, me following behind, always being sure that he never got too far ahead that I couldn’t see his pack. (It was always a bright color – red or orange – so that I could easily see it.) 

As I thought about how I strategically plan my work, I came to realize that I do so very much like I strategically made it through the Appalachian Trail in Virginia. I call my strategy…

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It works. Not just for hiking along unknown trails, but also for making one’s way down the mysterious, always developing and ever evolving paths of medical librarianship.

Sally-Gore-keynote_Page_12And as every strategic plan needs goals and objectives, these are the ones that I propose for my Backpacking model:

  • Know yourself – what you do well, what you don’t do well, what you like to do, what you don’t like to do, etc.
  • Know your environment – the people, places, and things that surround you and make up your workplace.
  • Know how to bring these two things together – YOU and your environment.

Sally-Gore-keynote_Page_13We talk a lot in our profession about the gap between what students, faculty, staff, and researchers want from health sciences libraries and what health sciences librarians know how to do. We’re very focused upon identifying the skills that we need to develop to close this gap and become, again, a vital and relevant resource to our patrons. The gap produces a great deal of anxiety for many of us; we don’t know how we’ll ever keep up, ever gain the skills we need, and/or ever meet our patrons’ needs again.

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So I propose an exercise…

I've had LOTS of jobs.

I’ve had LOTS of jobs.

Take some time to think about every single job that you’ve ever had in your life. Write them down. Every job, everything you’ve ever volunteered for, every class that you’ve ever taken in formal education or not. List them all.

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And then, take that list and from it create another list of all of the many, many, many things that you know how to do. Yes, you’re a librarian and you have a whole host of skills that come with that, but think of others. Think of how all of the other things that you’ve done in your life have helped you gain expertise in information management or communication or team building or organization. And once you have that list, look around you at all of the many, many, many needs your current environment offers. Can you now, with all of these lists in hand, find one or two or a dozen matches, opportunities where you can put yourself, the librarian, to good use to meet these needs? As Betsy Humphreys noted in her talk, these opportunities are our POINTS OF DEPARTURE. They are our keys to relevancy and the future of our profession.

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My list looks like this.

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And it defines me, the health sciences librarian, as a person who does all of those things. As we each redefine ourselves and our roles, we will, ultimately, redefine our profession. Sally-Gore-keynote_Page_19

And our value will no longer be such a mystery.

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This plan, I think, pretty much closes that gap that worries us so.

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Next, I provide a bunch of examples from my own work. For each, I offer the project that came to be and the skills used to meet the needs of each.

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I can imagine some new projects and dream up some new places to perhaps find myself working.

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I can dream of really BIG things on the horizon, areas that could offer countless opportunities for a librarian.

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For my closing argument, I offer up my good friend, Cindy Stewart. If you’re a medical librarian, you may well know Cindy, for up until just a few weeks ago, she was an Associate Director for the health sciences library at Dartmouth’s medical school. Today, though, she’s the new Program Manager for Dartmouth’s Clinical and Translational Science Award. Do you think she stopped being a librarian, simply because she assumed this new position? NO. Do you think that she got this position in large part because of all of the skills she honed over the years as a medical librarian. YES. Cindy was able to sell herself as the person for this job because of all of the things that she knows how to do, from being a librarian, that fit all of the information needs (and more) that the researchers at Dartmouth and their CTSA program have and/or are going to have over the next few years. She closed that gap, but good.

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Next I read a great passage from this book, but I’m not going to post it here. Suffice it to say, it summed up how we do a lot of things in life, develop a lot of habits and patterns and trains of thought, based upon not much more than a couple of horse’s asses. (The story is about why railroad tracks are the width that they are.)

Sally-Gore-keynote_Page_30Did I make my case?

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You decide.

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There were other tremendously great talks at the conference. I won’t recap them all here, but I’ve posted my sketchnotes for each:

 

 

Let’s Decide!

6 Jun

The title of this post can be found written in large, bold letters in the notes I took during a meeting on Tuesday. “LET’S DECIDE!” It followed the side comment (my notes from any meeting are filled with side comments and/or digressions), “Basically, we can facilitate this work and see that as our role or keep doing our own thing.” I realize that it’s not truly an “either/or” situation, but…

Maybe I should offer a little background, first.

Initially, Aim 2 in the proposal for my work as an informationist on the mammography study was this:

Aim 2: Assist investigators in identifying and reporting information technology issues that have arisen in the implementation of the study that may be of use to others.

After spending a great deal of time searching the literature in fields from information technology to medical informatics to team science (or simply teamwork), I realized that not much existed that fit the issues that they’d encountered. Further, I wasn’t convinced that writing an article and/or white paper on the topic was the place to start in terms of reporting their experience. I thought that perhaps bringing people together, i.e. the different stakeholders, to talk about the issues, problems, lessons learned, etc. that occur when IT folks and a research team come together to work on a project. I felt that such a discussion would yield a lot of valuable information that could then, somehow, be collected, organized, and disseminated in a useful manner. After a lot of talk and brainstorming within the team, we all agreed that this seemed a good path to take.

Making a long story short, this idea took hold, evolved, grew, and a couple of weeks ago, took the form of a mini-symposium that was part of the annual research retreat for our Center for Clinical and Translational Science. The program, entitled, “Data Acquisition, Data Management, and Subject Tracking in Clinical and Translational Research: Seeking Solutions to Persistent Challenges,” brought together the researchers from the mammography study, two faculty members from our Department of Quantitative Health Sciences, a biostatistician from the University of Massachusetts, Lowell, and a representative from our Information Services department. My role now is to pull all of the content from the symposium, along with other useful resources, and make it available online for the benefit of our research community.

This is all a really happy story for me in that I’ve been able to help facilitate and see something come together that we have been talking about in my library for a number of years now. Finally… FINALLY … people are starting to talk about issues around data. For too long, the only folks that I’ve heard talking about managing data are librarians. And frustratingly, we’ve mostly been talking among ourselves. But over the past months, I’ve been able to watch people that we’ve been wanting to reach addressing the issue. And best of all, the different players are talking to one another and not just among themselves.

So why the frustrating digression in my notes from Tuesday? Well, it’s because in my position, I can see several things happening. First, I can see several different camps, including the library, trying to stake their claim on one or another aspect in the data management services suite. And there’s a lot of overlap.

Secondly, there’s a lot of the feeling of “we’re the experts, so we should be the ones to do this.” Going along with this is also a lack of awareness and/or understanding of what each stakeholder really is expert in. For example, I might think that the people in Information Services ought to address issues around data storage and security. This is true, of course, but it leaves out the expertise that some in that department have around the proper ways to build databases and thus best practices in file structures and naming conventions and other things that might make me want to say, “Hey! That’s my area of expertise, not yours.” Similarly, many libraries developing data management services are focusing a great deal on providing data management planning in grant applications, but if you asked my colleagues in Quantitative Health Sciences, they’d say, “That’s what we do. Why are you saying it’s your role?”

talk talk talkLastly, despite the success of the mini-symposium, there’s still an awful lot of “talking amongst ourselves” going on. I see this more easily, and thus get a little frustrated at times, because I have my foot in several different areas where I’m hearing the same message. In other words, despite the success of bringing people together for the mini-symposium, there’s still a lot of room for improving how well we communicate and coordinate our efforts, not only campus-wide, but even within my library. So when I wrote “LET’S DECIDE!” it was my reaction to what I see as a really big need that we can fill. There is a huge need for someone to fix the broken communication system, help eliminate some of the duplication of efforts, and facilitate the development of services around data within my institution. And I believe that someone is me and my colleagues in the library. 

One of the characteristics of the library that was lost when we brought our resources to the researchers was our place as the hub of a lot of academic activity. People used to come to our physical library and here the different worlds of campus would collide. Researchers and faculty members and clinicians were forcibly less isolated in labs or offices. They literally ran into one another and likely had a bigger picture of things that were going on, simply through the interactions. At the same time, librarians were more easily able to know a lot of what was going on, too. We had a front row seat for all of the collisions. What I’ve found, as I got out of the library and started working on research teams, is that by going to the people that used to come to us, I’m bringing that lost quality back to life. While it can be incredibly frustrating to observe different groups addressing the same issues, each unaware of what the other is up to, the fact is that I can make them aware.

The mammography study team didn’t know that a team in the library has been working and working and working towards a goal of teaching good data management practices to the students, but as I’m a member of both teams, I did. So, when the study team made a suggestion that we recreate the symposium via a webinar series, archive it, and make it available to the students as part of their curriculum, I immediately chimed in, “Wait! Let me tell you what we’ve been working on.” A similar thing happened with the data management group in Quantitative Health Sciences. And now, we have a meeting scheduled for next month where we will bring these groups together – the research team, the QHS group, IS, and the library’s data services group.

To me, being able to facilitate these gatherings is one of the most rewarding parts of this informationist work. It’s a great role for librarians to take in the area of data management. As I wrote a few posts back, it’s the networking aspect of eScience and a place where we can put our skills to good use. The library itself used to bring people together. Today, librarians do.

Get the Word Out!

7 Nov

Stay tuned for a report of a really full, really engaging, and really interesting few days of learning that I experienced at the annual meeting of the American Public Health Association this week. It was a terrific opportunity and I look forward to sharing some of the insights and thoughts (and pictures – of course there will be sketchnotes) that I gleaned while there.

But first… there’s ANOTHER symposium that I have to attend to attending. Tomorrow is the 2013 Community Engagement and Research Symposium here at UMass Medical School. One of my embedded informationist assignments is on the leadership team of the CER Section of our Center for Clinical and Translational Science. I’ve been doing some work for them around the topic of research impact and research dissemination, so I thought I’d submit a poster for the symposium. It got accepted and I’ll be presenting it tomorrow, but you don’t have to wait. Here’s a preview for my readers:

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HUGE thanks to my friends and colleagues, Kristi Holmes, PhD and Cathy Sarli, MLIS, for being leaders in our field in the area of documenting research impact. If you’re unfamiliar with the Becker Model, check it out. It’s a valuable tool and helping researchers better understand the many ways in which they can share their work is a perfect role for librarians to assume.