This report attempts to relate the first year's experience of the Kentucky, Ohio, Michigan Regional Medical Library (KOMRML). Ten academic institutions in Kentucky, Ohio, and Michigan (KOM) are supporting an agreement signed on May 1, 1968 to form an organization with the general objective to work toward making the resources of each of the…

The leadership to bring about a network is always in conflict with the member organizations of the network because the latter resist the control of network protocols by the network managers. The tension in leadership responsibilities in network operations is a result of increased use of more comprehensive communication links. (Author)

A discussion of the information needs of health professionals, the regional libraries organized to serve them, and some document delivery services of the Regional Medical Libraries Program. (LS)

Three health science library organizations are briefly discussed. The organizations are: (1) Metropolitan Detroit Medical Library Group, (2) Health Science Librarians of Northwest Ohio, and (3) Medical Library Association of Northern Ohio. This paper provides a perspective in which to report the efforts the three groups have made to improve…

This interlibrary loan study was done in 16 health care institutions during two weeks in November, 1967 and two weeks in March, 1968. Each interlibrary loan requester was asked to record what position he held (attending staff, resident, intern, other staff), and whether his request was related to patient care, teaching, continuing education, or…

The second year of the Kentucky, Ohio, Michigan Regional Medical Library (KOMRL) might be characterized as one in which there was operational stability, but continuous confusion of purpose and direction. Although the administrative structure remained unaltered and the number of papers produced and the meetings held were considerable, the program…

It was determined that the further development of the Regional Medical Library Program required a more direct relationship with institutions than could be gained through announcements and direct mailings. Thus, since several libraries had shown some success in upgrading of libraries through the employment of medical library consultants, it was…

With the scholarly record growing faster than funds to employ individuals in libraries to process materials for storage and distribution, libraries must use electronic data processing equipment to distribute such information. The electronic world, however, requires that different interinstitutional relationships be established. Although the…

The first step in the services to be developed by the Kentucky, Ohio, Michigan Regional Medical Library (KOMRML), established under the Medical Library Assistance Act of 1965, is that of improving the document delivery service now provided by the 10 biomedical resource libraries which make up KOMRML. The study reported here was undertaken to…

The viability of organizational change depends on the gradual institutionalization of innovations. There has been a history of planned social change in medical library organization. Stress was being felt in that library agencies could not meet user expectations. With the Medical Library Assistance Act, the National Library of Medicine (NLM) was…

The Regional Medical Library (RML) is a federal program created to aid in the equalization of access to information for the health professionals of the nation. The purpose of this paper is to relate the sequence of events in the establishment of the Kentucky, Ohio, Michigan Regional Medical Library (KOMRML) and how they influence the present…

The service receiving first priority in the new regional medical library (RML) program is that of document delivery. Since this is a federally sponsored program, monitoring devices must be established to determine if the program is accomplishing the aim of improving access to medical information. In this paper, two perspectives are used on which…