Betsy L. Humphreys, MLS Deputy Director, National Library of Medicine National Institutes of Health...

Betsy L. Humphreys, MLSBetsy L. Humphreys, MLSDeputy Director, National Library of MedicineDeputy Director, National Library of Medicine

National Institutes of HealthNational Institutes of HealthU.S. Department of Health and Human ServicesU.S. Department of Health and Human Services

NLM Update: Part IINLM Update: Part II

Medical Library Association Medical Library Association Annual MeetingAnnual Meeting

Tuesday, May 17, 2005 ~ San Antonio, TXTuesday, May 17, 2005 ~ San Antonio, TX

New Opportunities New Opportunities

NIH Public Access Policy NIH Public Access Policy PubMed CentralPubMed Central

Federal Health Information Technology PolicyFederal Health Information Technology Policy Commission on Systemic InteroperabilityCommission on Systemic Interoperability UMLS, RxNorm UMLS, RxNorm

House Appropriations Language ““The Committee is very concerned that there is The Committee is very concerned that there is insufficient public access to insufficient public access to

reports and data resulting from NIH-funded researchreports and data resulting from NIH-funded research. This situation, which has . This situation, which has been exacerbated by the dramatic rise in scientific journal subscription prices, is been exacerbated by the dramatic rise in scientific journal subscription prices, is contrary to the best interests of the U.S. taxpayers who paid for this research.” contrary to the best interests of the U.S. taxpayers who paid for this research.” (July 8, 2003)(July 8, 2003)

““The Committee is aware of a proposal to make the complete text of articles and The Committee is aware of a proposal to make the complete text of articles and supplemental materials generated by NIH-funded research available on PubMed supplemental materials generated by NIH-funded research available on PubMed Central (PMC)… The Committee supports this proposal and Central (PMC)… The Committee supports this proposal and recommends that recommends that NIH develop a policy, to apply from FY 2005 forward, requiring that a complete NIH develop a policy, to apply from FY 2005 forward, requiring that a complete electronic copy of any manuscript reporting work supported by NIH grants or electronic copy of any manuscript reporting work supported by NIH grants or contracts be provided to PMC upon acceptance of the manuscript for publicationcontracts be provided to PMC upon acceptance of the manuscript for publication in any scientific journal listed in the NLM's PubMed directory.” in any scientific journal listed in the NLM's PubMed directory.” (Sept. 7,2004)(Sept. 7,2004)

NIH Public Access Policy GoalsNIH Public Access Policy Goals ACCESSACCESS Provide electronic access to NIH-funded research Provide electronic access to NIH-funded research

publications for patients, families, health professionals, publications for patients, families, health professionals, teachers, and students.teachers, and students.

ARCHIVEARCHIVE Keep a central archive of NIH-funded research Keep a central archive of NIH-funded research publications—for now and in the future, preserving vital publications—for now and in the future, preserving vital medical research results and information for years to come.medical research results and information for years to come.

ADVANCE SCIENCEADVANCE SCIENCE Advance science by creating an Advance science by creating an information resource that will make it easier for scientists information resource that will make it easier for scientists to mine medical research publications, and for NIH to to mine medical research publications, and for NIH to better manage its entire research investment.better manage its entire research investment.

NIH Public Access PolicyNIH Public Access Policy NIH-funded investigators are NIH-funded investigators are requestedrequested to submit an electronic to submit an electronic version of the author’s final manuscript upon acceptance for version of the author’s final manuscript upon acceptance for publication, resulting from research supported in whole or in part, publication, resulting from research supported in whole or in part, with direct costs from NIH.with direct costs from NIH.

Beginning May 2, Electronic submission will be made directly to Beginning May 2, Electronic submission will be made directly to the NLM’s the NLM’s PubMed Central (PMC)PubMed Central (PMC) digital repository of full-text, digital repository of full-text, peer-reviewed, biomedical, behavioral, and clinical research journals.peer-reviewed, biomedical, behavioral, and clinical research journals.

At the time of submission, At the time of submission, authorauthor will specify the timing of the will specify the timing of the posting for public accessibility.posting for public accessibility.

NIH NIH strongly encouragesstrongly encourages authors to post for public accessibility authors to post for public accessibility as as soon as possiblesoon as possible (and within twelve months of the publisher’s official (and within twelve months of the publisher’s official date of final publication.) NIH expects that only in limited cases will date of final publication.) NIH expects that only in limited cases will authors deem it necessary to select the longest delay period.authors deem it necessary to select the longest delay period.

NIH Policy – Coverage & TimingNIH Policy – Coverage & Timing

The policy applies to:The policy applies to: Peer-reviewed publications resulting from research supported in whole or Peer-reviewed publications resulting from research supported in whole or

in part with direct costs from NIHin part with direct costs from NIH Investigators supported with direct costs from all research and career Investigators supported with direct costs from all research and career

development award mechanisms, cooperative agreements, contracts, development award mechanisms, cooperative agreements, contracts, NRSA grants, and NIH intramural research studiesNRSA grants, and NIH intramural research studies

The policy does The policy does notnot apply to: apply to: Book chapters, editorials, reviews, conference proceedingsBook chapters, editorials, reviews, conference proceedings

Authors should submit publications resulting from:Authors should submit publications resulting from: Currently funded NIH research projects or previously supported projects Currently funded NIH research projects or previously supported projects

accepted for publication on or after May 2, 2005accepted for publication on or after May 2, 2005

Author’s final manuscriptAuthor’s final manuscript = final version accepted for journal publication and includes = final version accepted for journal publication and includes all modifications from the peer review processall modifications from the peer review process

NIH is Not a PublisherNIH is Not a Publisher

NIH supports the current publishing process by providing NIH supports the current publishing process by providing direct costs to its funded investigators for publication costs.direct costs to its funded investigators for publication costs.

The Policy is compatible with any publishing model that The Policy is compatible with any publishing model that authors and journals choose to employ.authors and journals choose to employ.

The Policy creates a stable archive of peer-reviewed, The Policy creates a stable archive of peer-reviewed, research publications financed with NIH fundsresearch publications financed with NIH funds NLM’s statutory mandate to preserve the biomedical literatureNLM’s statutory mandate to preserve the biomedical literature PubMed Central as NIH’s institutional repositoryPubMed Central as NIH’s institutional repository

Copyright IssuesCopyright Issues

The NIH policy explicitly recognizes and upholds the The NIH policy explicitly recognizes and upholds the principles of copyright.principles of copyright.

Authors/journals can continue to assert copyright in Authors/journals can continue to assert copyright in NIH-funded scientific publications, in accordance with NIH-funded scientific publications, in accordance with current practice.current practice.

NIH encourages authors and institutions to sign NIH encourages authors and institutions to sign agreements that specifically allow the manuscripts to be agreements that specifically allow the manuscripts to be deposited with NIH for public posting on PMC as soon deposited with NIH for public posting on PMC as soon as possible after journal publicationas possible after journal publication

Advantages of Depositing in PMCAdvantages of Depositing in PMC Fulfills a grant progress reporting requirement Fulfills a grant progress reporting requirement Ensures that the article is available for cross-Ensures that the article is available for cross-

linking to many related resources and databases, linking to many related resources and databases, such as: DNA, protein sequences, protein such as: DNA, protein sequences, protein structures, chemical structures, structures, chemical structures, ClinicalTrials.gov, MedlinePlus, etc.ClinicalTrials.gov, MedlinePlus, etc.

Heightens the visibility of the research and Heightens the visibility of the research and enhances the likelihood of early and increased enhances the likelihood of early and increased citationcitation

Ensures permanence of the record of scienceEnsures permanence of the record of science

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May 2, 2005 - http://nihms.nih.gov

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NIH Public Access Working GroupNIH Public Access Working Groupof the NLM Board of Regentsof the NLM Board of Regents

Tom Detre, MD, Chair, NLM Tom Detre, MD, Chair, NLM Board, Univ. PittsburghBoard, Univ. Pittsburgh

Deanna Marcum, Ph.D., Deanna Marcum, Ph.D., Member, NLM Board, LCMember, NLM Board, LC

Susan Buchanan, Ph.D., Susan Buchanan, Ph.D., NIDDKNIDDK

Jeff Drazen, M.D., Jeff Drazen, M.D., NEJMNEJM Harvey Fineberg, MD, Ph.D, Harvey Fineberg, MD, Ph.D,

IOMIOM Mark Kamlet, Ph.D., Carnegie-Mark Kamlet, Ph.D., Carnegie-

MellonMellon T.J. Koerner, Ph.D., Am. T.J. Koerner, Ph.D., Am.

Cancer Soc.Cancer Soc. Brian Nairn, ElsevierBrian Nairn, Elsevier Mark Sobel, MD, Ph.D., Am. Mark Sobel, MD, Ph.D., Am.

Soc. Investigative PathologySoc. Investigative Pathology

Michael Stern, Fisher Center Michael Stern, Fisher Center for Alzheimer’s Res. Found.for Alzheimer’s Res. Found.

Sharon Terry, Genetic AllianceSharon Terry, Genetic Alliance Pat Thibodeau, MLS, Duke Pat Thibodeau, MLS, Duke Annette Thomas, Ph.D., Nature Annette Thomas, Ph.D., Nature

Publishing Gp.Publishing Gp. Donald Tykeson, Tykeson Donald Tykeson, Tykeson

AssociatesAssociates Gary Ward, Ph.D., Am. Soc. Gary Ward, Ph.D., Am. Soc.

Cell BiologyCell Biology Ann Wolpert, MLS, MITAnn Wolpert, MLS, MIT Jim Williams, MLS, Univ. Jim Williams, MLS, Univ.

Colorado, Boulder, Colorado, Boulder, ex officio, ex officio, Chair, PubMed Central Chair, PubMed Central National Advisory CommitteeNational Advisory Committee

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What you can doWhat you can do

Promote and facilitate participationPromote and facilitate participation Review policy and FAQs and sign on to listservReview policy and FAQs and sign on to listserv Watch for more explanatory and educational Watch for more explanatory and educational

materials from NLM/NIH, MLA, and AAHSLmaterials from NLM/NIH, MLA, and AAHSL Be Be the the source of information – and inspiration - in source of information – and inspiration - in

your institutionyour institution

PubMed Central in March 2005PubMed Central in March 2005

178178 journals journals 373,000373,000 items (> 50% from digitized back issues) items (> 50% from digitized back issues)

includes some pieces (e.g., book reviews) not in includes some pieces (e.g., book reviews) not in PubMedPubMed

Users: Users: 1,073,6891,073,689 unique IP addresses. Actual users unique IP addresses. Actual users estimated to be estimated to be 2.5 times2.5 times this number. this number.

Retrieval: Over Retrieval: Over 4.78 million4.78 million full-text (HTML or PDF) full-text (HTML or PDF) articlesarticles

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2004 Agreement to Expand PubMed Central 2004 Agreement to Expand PubMed Central

Wellcome Trust and U.K. Joint Information Wellcome Trust and U.K. Joint Information Systems Committee (JISC) to fund an additional Systems Committee (JISC) to fund an additional 1.7 million pages of backfile scanning for PMC1.7 million pages of backfile scanning for PMC

New titles include:New titles include: Annals of Surgery, Biochemical Journal, Journal of Annals of Surgery, Biochemical Journal, Journal of

Physiology, Physiology, Medical HistoryMedical History, Journal of the Royal , Journal of the Royal Society of Medicine, British Journal of General Society of Medicine, British Journal of General PracticePractice

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Portable PubMed Central (pPMC)Portable PubMed Central (pPMC)

Provides a local mirror of PMC contentProvides a local mirror of PMC content Updated daily from NCBIUpdated daily from NCBI Multiple site archivingMultiple site archiving Provides rendering of PMC XML into HTMLProvides rendering of PMC XML into HTML Provides searching through NCBI Provides searching through NCBI EUtilsEUtils Provides for controlled local content in Provides for controlled local content in

presentationpresentation Provides first step toward collaborative archivingProvides first step toward collaborative archiving Collaboration with Microsoft on supportCollaboration with Microsoft on support

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pPMC ModulespPMC Modules

pPMC Web Application

PMC at NCBI

pPMC Database and Utilities

pPMCCollector

(C++)

SQL Database

NCBI Entrez

XMLArticle and

Table of ContentsXSLT

IIS(C++ CGI

and MSXML 4.0

SP2)

User

pPMC Loader

(C++ and Xerces)

Legend

NCBI Hosted Modules

Local Modules

pPMC Module

Database Data Flow

XSLT Transform

pPMC webUtil(C++)

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Browsing by JournalBrowsing by Journal

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U.S. Health IT Activity - FY 2004U.S. Health IT Activity - FY 2004 Medicare Modernization Act – 2003Medicare Modernization Act – 2003

E-prescribing standardsE-prescribing standards Commission on Systemic Operability Commission on Systemic Operability established – to report Oct. 2005established – to report Oct. 2005

NIH RoadMap –Re-engineering Research InfrastructureNIH RoadMap –Re-engineering Research Infrastructure Emphasizes use of health data standardsEmphasizes use of health data standards

Presidential Executive Order – April 2004Presidential Executive Order – April 2004 EHRs for the majority of U.S. population within 10 yearsEHRs for the majority of U.S. population within 10 years HHS National Coordinator of Health Information Technology (ONCHIT)HHS National Coordinator of Health Information Technology (ONCHIT)

SNOMED CT released in UMLS – May 2004SNOMED CT released in UMLS – May 2004 SNOMED CT, RxNorm, etc. designated as target U.S. government-SNOMED CT, RxNorm, etc. designated as target U.S. government-

wide standards - May 2004wide standards - May 2004 HHS Health IT Framework for Strategic Action–July 2004HHS Health IT Framework for Strategic Action–July 2004

Secretary’s Summit - “Woodstock” for U.S. Health ITSecretary’s Summit - “Woodstock” for U.S. Health IT Several “National Health Information Infrastructure” BillsSeveral “National Health Information Infrastructure” Bills

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Commission on Systemic InteroperabilityCommission on Systemic Interoperability - - appointed late 2004appointed late 2004

Scott Wallace, JD, Chair, Scott Wallace, JD, Chair, National Alliance Health ITNational Alliance Health IT

Simon Cohn, M.D, KaiserSimon Cohn, M.D, Kaiser Don Detmer, M.D., Pres & Don Detmer, M.D., Pres &

CEO, AMIACEO, AMIA Vicki Gregg, CEO, BlueCross Vicki Gregg, CEO, BlueCross

BlueShield TNBlueShield TN Gary Mecklenberg, Pres. & Gary Mecklenberg, Pres. &

CEO, Northwestern Memorial CEO, Northwestern Memorial HealthcareHealthcare

C. Martin Harris, MD, CIO, C. Martin Harris, MD, CIO, Cleveland ClinicCleveland Clinic

Herbert Pardes, M.D., Pres. & Herbert Pardes, M.D., Pres. & CEO, NY-Presbyterian HospCEO, NY-Presbyterian Hosp

Thomas S. Priselac, Pres. & Thomas S. Priselac, Pres. & CEO, Cedars-Sinai CEO, Cedars-Sinai

Ivan Seidenberg, Chm. & CEO, Ivan Seidenberg, Chm. & CEO, Verizon of NYVerizon of NY

Frederick Slunecka, CEO, Frederick Slunecka, CEO, Avera McKennan HospAvera McKennan Hosp

Bill Stead, M.D. Assoc. Vice Bill Stead, M.D. Assoc. Vice Chancellor for Health Affairs, Chancellor for Health Affairs, VanderbiltVanderbilt

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UMLS as common distribution vehicle for UMLS as common distribution vehicle for standard vocabularies –standard vocabularies –New Features in 2004New Features in 2004

Enhanced UMLS Knowledge Server, with new Developers Enhanced UMLS Knowledge Server, with new Developers GuideGuide

DVD replaces CD as alternate distribution formatDVD replaces CD as alternate distribution format MetamorphoSys now the UMLS install program MetamorphoSys now the UMLS install program

Choice of 7-bit ASCII or Unicode UTF-8 character setChoice of 7-bit ASCII or Unicode UTF-8 character set Enhanced features for customizing the MetathesaurusEnhanced features for customizing the Metathesaurus

New Documentation,Website, Materials – New Documentation,Website, Materials – a starta start http://umlsinfo.nlm.nih.gov

Online licensing and registrationOnline licensing and registration New Rich Release Format (RRF) for MetathesaurusNew Rich Release Format (RRF) for Metathesaurus New RRF Browser, which allows users to view their New RRF Browser, which allows users to view their

subsetssubsets

http://umlsinfo.nlm.nih.gov/

Beta version viewable at NLM booth

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Put RxNorm in Search box on NLM website

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RxNorm: What is a Clinical Drug?

Level of Clinical Discourse - Standard NeededLevel of Clinical Discourse - Standard Needed For order entry and decision supportFor order entry and decision support For medical recordsFor medical records For linking to knowledgeFor linking to knowledge

Active ingredient + Strength + Dose FormActive ingredient + Strength + Dose Form UMLS Semantic TypeUMLS Semantic Type

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NDC: 00686027720NDC: 48695117305NDC: 00047007032NDC: 00047007024NDC: 00223255002NDC: 00223255001NDC: 00364075690NDC: 00364075602NDC: 00364075601NDC: 52953000304NDC: 00378018210NDC: 00378018201NDC: 51432097106NDC: 00677104110NDC: 00677104105NDC: 00677104101NDC: 54569055650NDC: 00102333502NDC: 46193073810NDC: 46193073805NDC: 52544030505NDC: 52544030501NDC: 53633032116NDC: 53633032110NDC: 12071044010NDC: 54441004350NDC: 54441004325NDC: 54441004310NDC: 54441004305NDC: 54441004301NDC: 49884010610NDC: 49884010605



NDC: 50053310901NDC: 47679070204NDC: 47679070201NDC: 46703009410NDC: 46703009401NDC: 52584018410NDC: 00363690810NDC: 53489045101NDC: 00157052610NDC: 00157052601NDC: 00054875825NDC: 00005310931NDC: 00005310923NDC: 00071007024 NDC: 00046042191NDC: 00046042181NDC: 00046042180NDC: 00046042162NDC: 00046042161NDC: 00046042160NDC: 00814644630NDC: 54697006305NDC: 54697006304NDC: 54697006303NDC: 54697006302NDC: 49884010601NDC: 00686018201NDC: 51079027760NDC: 00349845190NDC: 00349845110NDC: 00349845101NDC: 50053310902


Propranolol10Mg Tab

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RxNorm

Aims for interoperabilityAims for interoperability Equivalence at the generic level Equivalence at the generic level Connected to NDCs available from FDAConnected to NDCs available from FDA Enables crosstalk between public & private drug Enables crosstalk between public & private drug

information sourcesinformation sources VA, FirstDataBank, Micromedix, Multum, Medispan ..VA, FirstDataBank, Micromedix, Multum, Medispan ..

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U.S. Health IT Activity - FY 2005U.S. Health IT Activity - FY 2005

HHS “Request for Information” (RFI) on Nationwide HHS “Request for Information” (RFI) on Nationwide Health Information Network (NHIN) – Nov. 2004Health Information Network (NHIN) – Nov. 2004

Mike Leavitt becomes Secretary of HHS – Jan. 2005Mike Leavitt becomes Secretary of HHS – Jan. 2005 Secretary’s 500-day Plan – May 4, 2005Secretary’s 500-day Plan – May 4, 2005 Health Information Technology Leadership Panel Final Health Information Technology Leadership Panel Final

Report – May 11, 2005Report – May 11, 2005 Several “National Health Information Infrastructure” Bills Several “National Health Information Infrastructure” Bills Coming VERY soon:Coming VERY soon:

Summary of Responses to RFISummary of Responses to RFI Multiple HHS Requests for Contact Proposals (May 13 Multiple HHS Requests for Contact Proposals (May 13

announcement in FedBizOps)announcement in FedBizOps)

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More at Legislative Update: Wed. 4:30-6 pm, Convention Center: River 008A

Becky J. Lyon, MLSDeputy Associate Director for Library Operations

NLM Update Part IIINLM Update Part III

Medical Library Association Annual MeetingSan Antonio, TX

Tuesday, May 17, 2005

Futuro Magnifico!Futuro Magnifico!

Provide more effective access to quality Provide more effective access to quality informationinformation

Build collections and services to meet Build collections and services to meet information needs ofinformation needs of Healthcare professionalsHealthcare professionals ConsumersConsumers

Reach out to diverse groupsReach out to diverse groups Recruit the bestRecruit the best

More effective access to quality informationMore effective access to quality information

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Click on Special Queries on PubMed sidebar

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Click on Special Queries on PubMed sidebar

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DOCLINE 2.5

Loansome Doc redesign Display library specific information to user during

Loansome Doc registration Email registration confirmation to LD user LD Login ID will be user’s email address Password reset mechanism for LD users Warn LD user requesting duplicate articles Alert LD user to library’s holdings during order Serial Holdings output in MARC 21 format

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Loansome Doc Login

Collections and services to meet information Collections and services to meet information needsneeds

http://www.nlm.nih.gov/tsd/acquisitions/cdm/

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http://www.nlm.nih.gov/nichsr/corelib/houtcomes.html

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phpartners.org

phpartners.org/tutorial

WISER Wireless Information System for Emergency Responders

Critical Information tailored to the specific role of the emergency responder

Information derived from TOXNET peer-reviewed Hazardous Substances Data Bank (HSDB)

Support for identifying an unknown substance

Developed with first responders on development team

Available on PDAs (Palm and Pocket PC) and Windows™ platforms

US-Mexico Border – new Tox Town neighborhood

toxtown.nlm.nih.gov

MedlinePlus

700 Health Topics in MedlinePlus 648 in MedlinePlus en español > 58,000 email list subscribers ~ 60 million page views/month 6.5 million unique users/month

Go Local Status

NLM Hosted Linked today

Indiana Massachusetts

In progress Alabama Arizona Delaware Maryland Michigan Nevada Ohio—Southeast Texas—East Texas Texas—Gulf Coast Tribal Four Corners Utah Wyoming

In approval Alaska

Locally hosted Linked today

North Carolina Missouri Texas—So Texas

In progress California—LA County South Carolina

MedlinePlus Go Local Open Information and Discussion Session: Wed. 12:30-2:30 pm, Convention Center: River

001A

Reach out to diverse groups and communitiesReach out to diverse groups and communities

Information Rx Project

http://www.informationrx.org

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http://medstat.med.edu/symposium/index.html

Papers coming in Supplement to October 2005 JMLA

Time flies… Time flies… NN/LM RFP issued in April 2005NN/LM RFP issued in April 2005

Recruit the bestRecruit the best

2004/2005 NLM Associate Fellows2004/2005 NLM Associate Fellows

From left to right: Lidia Y. Hutcherson, Loren Frant, Stephanie N. Dennis, Rachel A. Gyore, Wamunyima Christine

Kanyengo, Sandy D. Tao, Margaret A. Basket

2005 – 2006 NLM Associate Fellows

Mellanye Lackey, University of Michigan Marianne Reynolds, San Jose State University

Lisa Massengale, University of Pittsburgh

Oscencio Tom, University of Arizona Amy Harper, University of Washington Elizabeth Whipple, Indiana University

Cristina Horta, International Fellow from Mozambique, SUNY-Buffalo, 1991

…And retain them if you can

Joyce Backus, MLSHead, Reference and

Web Service

Dianne McCutcheon, MLS Chief, Technical Services

Division

Diane Boehr, MLSHead, Cataloging

Section

Ken Niles, MLS Head, Collection Access

Section

Betsy L. Humphreys, MLS Deputy Director, National Library of Medicine National Institutes of Health...

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Transcript of Betsy L. Humphreys, MLS Deputy Director, National Library of Medicine National Institutes of Health...