Opportunities and Challenges for Outreach and Partnership in the information age #icca11 TUESDAY 25/10/11

THE TEXAS MEDICAL CENTER ANDTHE TMC LIBRARY IN HOUSTON, TEXAS: OPP0RTUNITIES AND CHALLENGES FOR OUTREACH AND PARTNERSHIP IN THE

INFORMATION AGE

L. Maximilian Buja, M.D.Executive Director

Facts and Figures (2010)

• The largest concentration of medical assets in the world• Hosts more than 6.0 million patient visits annually• 1,000+ Acres • 49 Member Institutions, all “not for profit”• 93,500 Employees• 5,000 Physicians• 20,000 MD, PhD researchers & advanced degree professionals• 71,500 Students, including 5,600 international students• 6,800 Hospital beds• 18,000+ International patients annually• 230,000 Surgeries• 28,200 Babies born

Economic Impact • According to an updated economic impact study

conducted by the Southwest Business Research Institute, TMC:– Generates $1.44 in government revenues for

each $1 in pro rated government costs– 91,500 direct employment, 121,500 indirect

jobs– Direct Expenditures by Member Institutions

greater than $5.7 billion– Secondary Expenditures: more than $8.1 billion

(all institutional expenditures, not personal income related)

• New Business Incubator:– 20,000 MD’s, Ph.D.s and Researchers

represents the largest concentration of scientific intellectual capital in the world

– Generating an average of 15 new start up businesses a year.

– 180 Companies in the Life Science arena– Averaging a new discovery every other day

The TMC Library in the HAM Jesse H. Jones Building

The TMC Library

• Established 1949

• Independent member institution of the TMC

• Unique consortial Library with 8 TMC governing institutions and 14 TMC supporting institutions

• National Network of Libraries of Medicine South Central Regional Library since 1991

The TMC Library Strategic PlanFY 2012-15

• Vision

The TMC Library is recognized as a world-class leader in the delivery and development of biomedical information

• Mission– Collect, Provide and Conserve Biomedical Information– Teach Strategies and Develop Techniques for Knowledge

Management– Provide a Center for Study, Research and Collaboration– Implement Public Relations and Marketing Strategies

Essence of The TMC Library(raison d’être)

• Biomedical knowledge– Preserve and disseminate existing biomedical

knowledge– Facilitate the discovery of new biomedical

knowledge• Information management• Scholarly communication

The TMC Library

• 7,155 Electronic Journals• 7,216 Electronic Books• 222 Databases• 355,707 Print Volumes• 53.3 Total FTE• TMC Library FY 2011 expense budget $8,339,381

($7,374,291 without depreciation expense)

- Collection budget $2,255,947

- Electronic collection $2,208,091

- Print collection $47,856• NN/LM SCR current year contract $1,305,640

THE TMC LIBRARY HOME PAGE

http://www.library.tmc.edu/

Complexities of the Information Age

• Advent of digital, electronic publication competing with traditional print publication

• Proprietary policies regarding control of intellectual content of scientific material by publishers of scientific journals – transfer of copyright or exclusive publication license from authors to publisher as a pre-requisite for publication

• Advent of Open Access, Internet publications competing with traditional scientific publications


• Push by the NIH for real time deposit of scientific data in public repositories of the NCBI – GeneBank,etc.

• Advent of Internet public repositories, i.e., the Digital Commons@The TMC

• Academic traditions and imperatives regarding grants, promotion and tenure continuing to influence faculty

• NIH Public Access Policy includes compromise agreement allowing publishers to maintain exclusive control of published material for 6 months to 1 year embargo prior to open access or articles placed in PubMed Central (PMC), the NIH/NLM public repository


• Consolidation in the commercial publishing industry – Elsevier, Nature Publishing Group (NPS), etc.

• Major dependence of scientific societies on revenue from society journals

• As individual subscriptions decline, increasing percentage of subscription revenues from Libraries

• Libraries challenged by substantial annual subscription costs with unpredictable demands for increases from publishers and vendors

Most Used Journals 2010TMC Library's Top 25 journals by usage -

Jan - Dec 2010- - Updated 5/23/11 Publisher Full text article downloads

The New England Journal of Medicine NEJM 65,528 Science (New York, N.Y.) AAAS 39,945

The Journal of Biological Chemistry American Society for Biochemistry 39,584

Nature (London) Nature 32,306 PNAS : Proceedings of the National Academy of Sciences National Academy of Sciences 31,960 Circulation American Heart Association 25,746 Cell (Cambridge) Elsevier 25,474 JAMA : the Journal of the American Medical Association American Medical Association 24,737

Pediatrics (Evanston) American Academy of Pediatrics 22,190

Journal of Neuroscience Society for Neuroscience 19,869

Cancer Research American Assoc. for Cancer Research 19,011

The Lancet (British edition) Elsevier 16,328 Blood Amer Society of Hematology 16,131 Development Company of Biologists 12,139 Journal of the American College of Cardiology Elsevier 11,910 Clinical Infectious Diseases Oxford University Press 11,505

Journal of Immunology American Assoc. of Immunologists 11,302

Journal of Clinical Oncology American Society of Clinical Oncology 11,252

Annals of Internal Medicine American College of Physicians 10,942 Circulation Research American Heart Association 10,760 Neuron Elsevier 10,389 Biochemical and Biophysical Research Communications Elsevier 9,844 Stroke American Heart Association 9,785 Journal of Cell Science Company of Biologists 8,350 Molecular Cell Elsevier 8,004

World Center for Health Information• With Funding HAM-TMC Library would

– Offer International Partners Access to Valuable Electronic Resources Leading to:

• Better Patient-Care Decisions• Shorter Hospital Stays• Reduced Healthcare Costs• Opportunity to Practice Evidence-Based Medicine

– Obtain and Implement Expanded Informatics Capability and Connectivity with Specialized Personnel for Expanded Services

• While the full model faces constraints from publishers and vendors, the TMC Library can serve the role of a valuable consultant and facilitator for international partners

CHALLENGES AND OPPORTUNITIES

• Given the complexities of the information age, how can the unmatched resources of the TMC be directed to maximal worldwide value?

• To this end, the TMC and the TMC Library are pursuing creative approaches to outreach and partnership with multiple entities, including professional congresses and organizations, including ICCA.

VALUE ADDED FOR MEDICAL AND SCIENTIFIC CONGRESSES

• Partnerships with biotech and pharmaceutical industries (while honoring ethical standards)

• Partnerships with publishers• Role for the TMC Library and other

educational institutions and information sources


• Acquisition of the latest knowledge and access to acknowledged experts are major motivators for basic scientists and clinicians

• In the USA, medicine and physicians are controlled by medical schools, ACGME, ABMS, and state licensing boards

• Maintenance of certification (MOC) is now required by all member boards of the ABMS


• Maintenance of licensure (MOL) is in the future

• For MOC and MOL, there is an increased requirement for CME credits to include credits for SAMs (Self-assessment modules)

• Professional societies are working to link the content of their congresses to needs of the members


• Access to educational materials (abstracts, presentations, etc.) in multimedia formats before, during and after the congress (enduring materials) is increasingly important

• An attractive concept is the establishment of a functional partnership involving scientific congresses, professional societies, industry, publishers and academic institutions (such as the TMC Library) with the goal of providing access to educational materials through the creation of a Knowledge Clearing House

Wealth of Library Resources and Activities

Opportunities and Challenges for Outreach and Partnership in the information age #icca11 TUESDAY 25/10/11

Education