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D'Souza S, Downs G, Hendrikx S, Fazelzad R, Boldt G, Burns K, Chapman D, Dawes D, Giannarakos A, Oja LA, Schorr R, Babb M, Hodgson A, McEwan J, Jacobs P, Stockley T, Tripp T, King I. Clinical reporting for personalized cancer genomics requires extensive access to subscription-only literature. J Med Libr Assoc 2023; 111:579-590. [PMID: 37312803 PMCID: PMC10259627 DOI: 10.5195/jmla.2023.1572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023] Open
Abstract
Objective Medical care for cancer is increasingly directed by genomic laboratory testing for alterations in the tumor genome that are significant for diagnosis, prognosis and therapy. Uniquely in medicine, providers must search the biomedical literature for each patient to determine the clinical significance of these alterations. Access to published scientific literature is frequently subject to high fees, with access limited to institutional subscriptions. We sought to investigate the degree to which the scientific literature is accessible to clinical cancer genomics providers, and the potential role of university and hospital system libraries in information access for cancer care. Methods We identified 265 journals that were accessed during the interpretation and reporting of clinical test results from 1,842 cancer patients at the University Health Network (Toronto, Canada). We determined the degree of open access for this set of clinically important literature, and for any journals not available through open access we surveyed subscription access at seven academic hospital systems and at their affiliated universities. Results This study found that nearly half (116/265) of journals have open access mandates that make articles freely available within one year of release. For the remaining subscription access journals, universities provided a uniformly high level of access, but access available through hospital system collections varied widely. Conclusion This study highlights the importance of different modes of access to the use of the scientific literature in clinical practice and points to challenges that must be overcome as genomic medicine grows in scale and complexity.
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Affiliation(s)
| | | | - Shawn Hendrikx
- , Collections and Content Strategies Librarian, Western University, London, ON, Canada
| | - Rouhi Fazelzad
- , Information Specialist, Library and Information Services, University Health Network, Toronto, ON, Canada
| | - Gabriel Boldt
- , Clinical Librarian, London Health Sciences Centre, London Regional Cancer Program, London, ON, Canada
| | - Karen Burns
- , University Health Network, Toronto, ON, Canada
| | - Darlene Chapman
- , Operations Manager, Library Services, IWK Health, Halifax, NS, Canada
| | | | - Antonia Giannarakos
- , Senior Librarian, Library & Knowledge Services Canada, Trillium Health Partners, Mississauga, ON, Canada
| | - Lori Anne Oja
- , Executive Director HSICT, Health Sciences Information Consortium of Toronto, Toronto, ON, Canada
| | | | - Maureen Babb
- , Science Liaison Librarian, University of Manitoba, Winnipeg, MB, Canada
| | | | - Jessica McEwan
- , User Experience Librarian, University of Ottawa, Ottawa, ON, Canada
| | | | | | - Tim Tripp
- , Director, Library & Information Services, University Health Network, Toronto, ON, Canada
| | - Ian King
- , University Health Network, Toronto, ON, Canada
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Rowland P, Tavares W, Lowe M, Tripp T, Richardson J, Anderson M, Oja LA, Paton M, Wiljer D, Woods N, Ng S. Rapid Knowledge Mobilization and Continuing Professional Development: Educational Responses to COVID-19. J Contin Educ Health Prof 2022; 42:66-69. [PMID: 34009838 DOI: 10.1097/ceh.0000000000000348] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
INTRODUCTION The field of Continuing Professional Development (CPD) has a role to play in supporting health care professionals as they respond to the COVID-19 pandemic. However, the evolving science of COVID-19, the need for quick action, and the disruption of conventional knowledge networks pose challenges to existing CPD practices. To meet these emergent and rapidly evolving needs, what is required is an approach to CPD that draws insights from the domain of knowledge mobilization (KMb). METHODS This short report describes a research protocol for exploring rapid KMb responses to COVID-19 at one Canadian academic teaching hospital. The proposed research will proceed as a case study using a mixed methods design collecting quantitative (surveys and Web site use metrics) and qualitative data (interviews) from individuals involved in developing, using, and supporting the KMb resources. Analysis will proceed in two phases: descriptive analysis of data to share insights and integrative analysis of data to build theory. RESULTS Results from this study will inform the immediate KMb and CPD contribution to the COVID-19 response. DISCUSSION Findings from this study will also make a broader contribution to the field of CPD, theoretically informing intersections between KMb and CPD and therefore contributing to an integrated science of CPD.
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Affiliation(s)
- Paula Rowland
- Dr. Paula Rowland, PhD Scientist, Wilson Centre and PostMD Education, University Health Network and University of Toronto and Assistant Professor, Department of Occupational Science and Occupational Therapy, Temetry Faculty of Medicine, University of Toronto. Dr. Walter Tavares, PhD Scientist, Wilson Centre and PostMD Education, University Health Network and University of Toronto and Assistant Professor, Department of Medicine, Temetry Faculty of Medicine, University of Toronto; York Region Paramedic and Senior Services, Regional Municipality of York, Community and Health Services Department, Newmarket. Ms. Mandy Lowe, MSc, Senior Director, Clinical Education, University Health Network Assistant Professor, Department of Occupational Science and Occupational Therapy, Temetry Faculty of Medicine, University of Toronto. Mr. Tim Tripp, MLIS Director, Library and Information Services, University Health Network. Ms. Juanita Richardson, MLIS MBA Manager, Learning Resource Centre, Michener Institute of Education at UHN. Ms. Melanie Anderson, MLIS Information Specialist, Library and Information Services, University Health Network. Ms. Lori Anne Oja, MLIS Executive Director, Health Sciences Information Consortium. Ms. Morag Paton, MEd Education Research Coordinator, Continuing Professional Development, Temetry Faculty of Medicine, University of Toronto, PhD Candidate, Ontario Institute for Studies in Education, University of Toronto. Dr. David Wiljer, PhD Executive Director, Education Technology and Innovation, UHN Digital, University Health Network; Professor, Department of Psychiatry, Temetry Faculty of Medicine and Institute of Health Policy, Management and Evaluation, and Academic Director, CPD Research and Scholarship, Office of Continuing Professional Development, University of Toronto. Dr. Nicole Woods, PhD Scientist and Associate Director, Wilson Centre, University Health Network and University of Toronto Director, The Institute for Education Research (TIER), University Health Network Associate Professor, Department of Family and Community Medicine, Temetry Faculty of Medicine, University of Toronto. Dr. Stella Ng, PhD Scientist, Wilson Centre, University Health Network and University of Toronto Director of Research, Centre for Faculty Development, University of Toronto Arrell Family Chair in Health Professions Teaching Associate Professor, Department of Speech-Language Pathology, Temetry Faculty of Medicine, University of Toronto Education Scientist, Centre for Interprofessional Education, University Health Network and University of Toronto
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Frati F, Oja LA, Kleinberg J. CHLA Standards for Library and Information Services in Canadian Health & Social Services Institutions 2020. J Can Health Libr Assoc 2021; 42:14-44. [PMID: 35949504 PMCID: PMC9327607 DOI: 10.29173/jchla29526] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
The following standards, with supporting evidence, are intended to serve as a guide to structuring minimum library services within health and social services institutions across all Canadian provinces and territories. The Standards are not intended to be aspirational. The aim of the Task Force was to ensure that the Standards update would not be so removed from the current realities and landscape that they became unattainable to many libraries. For this reason, some Standards outline requirements that are essential to the minimum function of the library, and other Standards provide recommendations only. The intended use of the Standards is to set a baseline for the provision of essential library services and resources and aid in advocating for adequate resources. It is important to note, however, that the Task Force does not intend for the Standards to prevent libraries from reaching a more advanced level of service, and we hope that in their current form they will not be a hindrance to excellence or innovation. Once published, the version of the Standards made freely available on the Canada Health Libraries Association website [1] shall henceforth and always be considered the most recent and active version of the Standards and is the version that should be used to inform practice. The Standards Standing Committee will institute a regular review and updating schedule, ensuring the currency of the Standards.
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