GRANTS for Midwest MLA ’14! Due by June 30!

Are you a first time attendee of the Midwest Chapter’s conference?  There’s a grant for that!

Are you a regular member who wants free money?  There’s a grant for that!

We have two grants available (with two awards each) for first time attendees and regular members to win $500 for travel and FREE conference registration!  That’s 4 grants total!

All you have to do is send in an application, a current cv/resume, and a letter documenting why you need the grant by JUNE 30, 2014!

For more details and the application forms, check out the awards here: http://midwestmla.org/committees/awards/

 

Midwest @ MLA 14: Tuesday Presentations

Tuesday, May 20th- Presentations

Be sure to visit and support your Midwest colleagues! Share and tweet #mlanet14 !

Corporate Information Services Section: Boarding out: The Embedded Librarian

Stepping out Even Further: Expanding the Role of the Clinical Informationist

2:43 PM – 3:02 PM     Room: Columbus GH, Gold Level, East Tower

Heather N. Holmes, AHIP, Clinical Informationist, Summa Health System, Akron, OH

Objectives: This session will discuss expanding the role of a clinical informationist (CI) from a hospital-based position primarily working with resident physicians to working in an outpatient internal medicine clinic focusing on patient education.
Methods: One afternoon a week has been dedicated for a CI to be in an outpatient internal medicine clinic. This is a very different role for a CI, as most are based with inpatient teams or departments. The CI has developed and maintains a “library” of a current and evidence-based resources for many common visits, but for this project the CI actively participates in a case as the resident presents it to the attending physician. Additional questions may be asked by the CI, or she will begin to pull consumer-based education materials for the patient to take home. Further, we anticipate having the CI begin doing one-on-one consults with some patients with the goal of improving clinical outcomes and patient satisfaction. A limited population of patients will be selected to facilitate measuring results.

Dental Section: Educational Technology: We Build It-Do They Come?

Designed Locally, Accessed Globally: Building a Better Evidence-Based Practice Tutorial

2:43 PM – 3:02 PM Room: Columbus AB, Gold Level, East Tower

Anne Beschnett, Outreach Librarian, University of Minnesota, Minneapolis, MN

Lisa A. McGuire, Associate Director, Education and Research Services, University of Minnnesota, Minneapolis, Minnesota

James Beattie, Liaison Librarian, University of Minnesota, Minneapolis, Minnesota

Jonathan Koffel, Clinical Information Librarian, University of Minnesota, Minneapolis, MI

Lindsay Matts, Instructional Designer, University of Minnesota, Minneapolis, Minnesota

Andre J. Nault, Head and Associate Librarian, University of Minnesota, St. Paul, Minnesota

Elizabeth Fine Weinfurter, Liaison Librarian, University of Minnesota, Minneapolis, Minnesota

Objectives: To describe the revision of a globally viewed online evidence-based practice tutorial and its usage patterns before and after the revision.
Methods: The University of Minnesota Bio-Medical Library first created its evidence-based practice tutorial in 2000, and in 2007, it was updated to reflect contemporary evidence-based resources and practice and to make the tool interactive. In 2012, the tutorial garnered 790,000 page-views from around the world. In 2013, a group of health sciences librarians and an instructional designer overhauled the tutorial to add case studies covering additional health professions and provide better coverage and exercises on critical appraisal methods. In addition, the underlying technology was changed to better meet current web standards and streamline the process of making edits in the future. The revised tutorial was announced on campus, and faculty were encouraged to incorporate it into their courses. The various versions of the tutorial have been tracked using Google Analytics, and the authors investigated on-campus versus off-campus usage, traffic sources, and similar statistics.

Relevant Issues Section: Protecting Patron Privacy in the Era of Surveillance

Lesbian, Gay, Bisexual, Transgender Privacy Issues

2:30 PM – 2:55 PM      Room: Columbus EF, Gold Level, East Tower

Jacqueline Leskovec, Outreach, Planning and Evaluation Coordinator, University of Illinois, Chicago, Illinois

Hospital Libraries Section: Soaring from a Solid Base: Accreditation, Competencies, Standards, Values

Standards, Competencies, Milestones, and the Value of the Medical Library

3:02 PM – 3:21 PM     Room: Regency A, Gold Level, West Tower

Ingrid Philibert, Department of Field Activities, Accreditation Council for Graduate Medical Education (ACGME), Chicago, Illinois

Description: At the conclusion of the session, attendees will be able to:

list requirements of the Accreditation Council for Graduate Medical Education (ACGME) related to medical library capabilities and functions to support physician education, including revisions in these standards to adapt to the reduction in print media and the growing use electronic resources;

discuss competency-based education and the value of the medical library;

describe best practices for connecting with and supporting resident physicians and faculty across a range of activities critical to the professional development of physicians.

Research Section: Systematic Review: The Librarian’s Role

Reproducibility of Systematic Review Search Strategies in Cardiology, Surgery, and Pediatrics Journals

2:24 PM – 2:43 PM      Room: Regency B, Gold Level, West Tower

Jonathan Koffel, Clinical Information Librarian, University of Minnesota, Minneapolis, MI

Melissa L. Rethlefsen, AHIP, Education Technology Librarian, Mayo Clinic, Rochester, MN

Objectives: To measure the reproducibility of search strategies included in systematic reviews in cardiology, surgery, and pediatrics journals and identify predictors of reproducibility.
Methods: A well-described search strategy allows readers to gauge the comprehensiveness of a systematic review and replicate it as needed. It is unclear, however, how often published search strategies are reproducible and what factors may influence this. A search was conducted to identify all systematic reviews published in 2012 in the ten highest impact factor journals in surgery, cardiology, and pediatrics. The authors independently examined the search strategies in these articles for elements of reproducibility (e.g., database names, search terms, explicit use of Boolean terms, limits) and the strategies were categorized as reproducible/not reproducible and the individual elements recorded. In addition, the authors independently recorded other characteristics of the searches and studies (e.g., librarian involvement, mention of PRISMA Statement), which they hypothesized might affect reproducibility. The data were analyzed to determine overall rates and specific predictors of reproducibility.

A Pipeline of Informatics Tools to Accelerate the Writing of Systematic Reviews

2:43 PM – 3:02 PM      Room: Regency B, Gold Level, West Tower

Neil R. Smalheiser, Associate Professor, University of Illinois, Chicago, Illinois

Objectives: The writing of systematic reviews is largely a manual process–initially retrieving a large excess of articles, and reading their titles and abstracts to find relatively few relevant ones to be analyzed in detail. We hypothesized that specialized informatics tools can be developed to streamline this process significantly.

Methods: We formed an inter-institutional consortium to study the systematic review process and to develop a pipeline of tools that can assist users at critical bottleneck points: (a) A metasearch engine, Metta, was created to carry out unified, deduplicated queries across the five most utilized biomedical databases (PubMed, Embase, CINAHL, Cochrane Central Register, and PsycINFO). (b) A publication type tagger modeled the characteristics of randomized controlled clinical trials (RCTs) using machine learning. The model estimated the probability that any given article represents a RCT, and this was applied to retag all human-related studies in MEDLINE. The model identified many RCTs that had not been indexed as RCTs by publication type, and conversely, the model flagged articles that were indexed as RCT publication type but that were not RCTs. (c) An aggregator model was developed that estimates the probability that any two RCT articles in PubMed arise from the same underlying clinical trial. This model was applied to PubMed searches, to cluster together all retrieved articles that are likely to arise from the same trial.

Results: Each of the three tools are available as working prototypes. Metta is freely available for testing and comments at mengs1.cs.binghamton.edu/metta/search.action, and we are building web interfaces for the others.

Conclusions: Our current goals are to make sure that the tools are aligned with the needs of systematic reviewers and to fit them together into an integrated pipeline. We believe that this approach should significantly reduce the time and effort needed to assemble articles for a systematic review. The automated RCT tagger also may be useful, prospectively and retrospectively, for quality control in the assignment of manual RCT publication type tagging.

Flipping the Classroom: Developing and Piloting a Successful Systematic Review Course for Librarians Utilizing Online and In-Person Instruction

3:02 PM – 3:21 PM Room: Regency B, Gold Level, West Tower

Mark P. MacEachern, Informationist, University of Michigan, Ann Arbor, Michigan

Marisa L. Conte, Clinical and Translational Science Liaison, University of Michigan, Ann Arbor, Michigan

Nandita S. Mani, AHIP, Assistant Director, Enabling Technologies, University of Michigan, Ann Arbor, Michigan

Judith Smith, Informationist, University of Michigan, Ann Arbor, MI

Caitlin Kelley, Graduate Student, University of Michigan, Ann Arbor, MI

Objectives: To develop a systematic review course for librarians utilizing a “flipped classroom” model for instruction.
Methods: Librarians at the University of Michigan’s Taubman Health Sciences Library developed a pilot course to teach librarians about systematic reviews (SR) and discuss librarian roles in SR project teams. The course followed a hybrid “flipped classroom” model, with instruction provided online in an intensive two-week curriculum followed by a two-day in-person workshop. Group participation and targeted learning activities played a key role in the workshop, which culminated with a capstone project preparing librarians to deploy their new knowledge at their home institutions.
Results: A detailed course assessment plan–which included pre- and post-tests, course evaluations, and a post-course focus group–was used to obtain participant feedback and drive refinements in course organization, delivery, and content. Participants reiterated across multiple assessments that the hybrid structure of the course was not only enjoyable but facilitated and strengthened learning. A majority of participants (80%) “agreed” or “strongly agreed” that the online course had a good amount of activity, and 100% “strongly agreed” or “agreed” that the activities facilitated learning. Nearly 100% of participants “agreed” or “strongly agreed” that the in-person workshop reinforced SR concepts and practical applications.
Conclusions: The results of the assessments were overwhelmingly positive with participants expressing that the hybrid model reinforced learning and that instruction was effective. There were, however, a few areas in which the course could be improved. The pre- and post-tests, for example, could be redesigned to better gauge participant knowledge, and some of the activities could be timed differently. The participants expressed strong appreciation for the course’s focus on practical applications and skills, which the instructors could build upon in future offerings. By making slight course modifications to address the issues highlighted by the assessments, the instruction team should be able to improve upon an already successful course.

Technical Services Section: The Evolving Role of Metadata in Medical Libraries: Structure for Evidence, Discovery, and Research

Development of a Research Audit Database for Data-Driven Discovery of Interdisciplinary Biomedical Research on a Large Research Campus

2:50 PM – 3:05 PM     Room: Columbus KL, Gold Level, East Tower

Margaret Burnette, Biomedical Sciences Librarian and Assistant Professor, University of Illinois-Urbana-Champaign, Champaign, Illinois

Objectives: To develop a new model for identify and mapping interdisciplinary biomedical research on a large research campus where project partners are often geographically dispersed. The Research Audit model will be adapted from established knowledge management methods such as the Knowledge Audit and Social Network Analysis.
Methods: Setting: A large research university with robust interdisciplinary biomedical research projects. Population Researchers and campus units involved in National Institutes of Health (NIH)-funded research projects. Database Development: A student in the Graduate School of Library and Information Science will assist with database design as part of their coursework. An Excel relational database will host both researcher and unit level information. Campus specific data will be generated from the NIH Reporter, providing project-level information, principal investigators, and department/unit information used to populate the database. Medical Subject Headings will be assigned as metadata tags to describe unit level research missions and investigator research areas. Data Analysis: A knowledge audit approach provides unit level information and the Social Network Analysis generates relationship maps. Text mining and word clouds will round out resulting data.

Top Technology Trends VII

3D Printing

6:53 PM – 7:09 PM     Room: Columbus AB/CD, Gold Level, East Tower

Patricia F. Anderson, Emerging Technologies Librarian, University of Michigan, Ann Arbor, MI

Description: 3D printing (from Makerbots to biofabrication) is dramatically impacting health through the potential to customize medical devices, create unique presurgical models of patient’s organs, personalize prosthetics, create new solutions for assistive technologies, and more. Librarians can help by tracking and directing information to appropriate audiences, creating guides, teaching workshops on software and hardware choices, partnering with communities, discovering the newest tools/search engines, and generally taking core library skills into this new tech space for health care.

Midwest @ MLA 14: Tuesday Poster Session 3

Tuesday, May 20th- Poster session 3

Time: Tuesday, May 20, 1:00 PM – 1:55 PM

Be sure to visit and support your Midwest colleagues! Share and tweet #mlanet14 !

Poster Number: 158: Outreach to Vulnerable and Underserved Populations to Enhance Medical Students’ Service Learning

Misa Mi, AHIP, Associate Professor/Medical Librarian, Medical Library, Oakland University William Beaumont School of Medicine, Rochester, MI; Jill Stefaniak, Assistant Professor, Instructional Design and Technology, Old Dominion University, Norfolk, VA; Nelia Afonso, Associate Professor and Assistant Dean, Community Integration and Outreach, Oakland University William Beaumont School of Medicine, Sterling Heights, MI

Poster Number: 163: Perfidy and Continuous Duplicity: The Story of Streptomycin and the Correction of the Historical Record

Melissa L. Rethlefsen, AHIP, Education Technology Librarian; Andrew P. Norgan, Resident; Mayo Clinic, Rochester, MN

Poster Number: 164: Point-of-Care and Patient Education Resources in Electronic Health Records for Urology and Nephrology Departments

Cynthia Heathfield Avallone, AHIP, Medical Librarian II, Cleveland Clinic Alumni Library, Cleveland Clinic, Cleveland, OH

Poster Number: 170: Public Health Nutrition Citation Patterns: Mapping the Literature 2010-2012

Helen Look, Collection Analyst, University Library, University of Michigan–Ann Arbor; Mary K. Taylor, AHIP, Natural Sciences Librarian, Morris Library, Southern Illinois University, Carbondale, ILchitecture Librarian; Ebling Library, University of Wisconsin–Madison

Poster Number: 192: The History of Traumatic Brain Injury in the Medical Literature since World War II

D. Garon Bailey, Chief Medical Librarian/Director, Franzello Aeromedical Library, US Air Force School of Aerospace Medicine, Wright Patterson Air Force Base, OH; Beatrice F. Nichols, Library Director, Medical Library, Landstuhl Regional Medical Center, APO; Maureen Humphrey-Shelton, AHIP, Medical Librarian, Medical Library, Robley Rex VA Medical Center, Louisville, KY

Poster Number: 193: The Hospital Library Standards: Supporting Your Librarianship Now and into the Future

Barbara B. Davis, AHIP, Librarian, Library Resource Center/Newport Hospital/Lifespan, Newport Hospital, Newport, RI; Edward Poletti, AHIP, Chief, Learning Resources, Library, Central Arkansas Veterns Healthcare System, Little Rock, AR; Ellen Aaronson, AHIP, Librarian, Medical Library, West Hills Hospital & Medical Center, West Hills, CA; Sheila Hayes, AHIP, Senior Librarian, Robinson Library, Hartford Hospital, Hartford, CT; Joy C. Kennedy, Librarian and Consultant, , Evanston, IL; Susan Shelly, Librarian, Grigg Medical Library, John C. Lincoln Health Net

Poster Number: 194: The MLA Research Agenda: What Do We Know? The Systematic Review Project: A Status Report

Marie T. Ascher, AHIP, Associate Director, User Services, Health Sciences Library, New York Medical College, Valhalla, NY; Heather N. Holmes, AHIP, Clinical Informationist, Medical Library, Summa Health System, Akron, OH; Jonathan Eldredge, AHIP, Associate Professor, buy cialis online usa Health Sciences Library and Informatics Center/Family & Community Medicine, University of New Mexico–Albuquerquework, Phoenix, AZ

Poster Number: 195: The Process and Effects of Closing a Branch Library

Sheila J. Bryant, AHIP, Science Librarian, Main Library, Michigan State University, East Lansing, MI

Poster Number: 201: Tools for Building Our Information Future: Emerging Technologies Vital to Medical Libraries

Patricia F. Anderson, Emerging Technologies Librarian, Taubman Health Sciences Library, University of Michigan–Ann Arbor; Skye Bickett, AHIP, Reference and Education Librarian, Library, Philadelphia College of Osteopathic Medicine, Suwanee, GA; Joanne Doucette, Associate Director, Knowledge Management, and Assistant Professor, Library and Learning Resources, Massachusetts College of Pharmacy and Health Sciences University, Boston, MA; Pamela R. Herring, AHIP, Electronic Resources Librarian, Harriet F. Ginsburg Health Sciences Library, University of Central Florida College of Medicine, Orlando, FL; Judith Kammerer, AHIP, Medical Librarian, Medical Library, University of California-San Francisco, Fresno, CA; Andrea Kepsel, AHIP, Health Sciences Educational Technology Librarian, MSU Libraries, Michigan State University, East Lansing, MI; Tierney Lyons, Reference Librarian, Library, Penn State University-Worthington Scranton, Dunmore, PA; Scott McLachlan, Information Officer, Library, Oxford, United Kingdom; Ingrid Tonnison, Electronic Services Librarian, Library, Central Coast Local Health District, Gosford, New South Wales, Australia; Lin Wu, AHIP, Reference Service Librarian, Health Science Center Library and Biocommunications Center, University of Tennessee–Memphis

Poster Number: 203: Translating Information Skills: Moving from the Library to the Lab with Bioinformatics Services

Robyn B. Reed, Biomedical Informatics and Emerging Technologies Librarian, George T. Harrell Health Sciences Library, Penn State University, Hershey, PA; Amy E. Donahue, AHIP, User Education/Reference Librarian, MCW Libraries, Medical College of Wisconsin, Milwaukee, WI

Poster Number: 208: Unique Mentoring Opportunity in an Academic Health Sciences Library

Lydia A. Howes, University Library Associate; Marci Brandenburg, Bioinformationist; University of Michigan–Ann Arbor

Poster Number: 212: Web of Science versus Scopus for Capturing Researcher Output: A Bibliographic Comparison

Wendy Wu, Information Services Librarian; Alison Slyman, Medical Librarian; Wayne State University, Detroit, MI

Poster Number: 213: Web-Scale Discovery Tool: Is It Right For You?

Tara Brigham, Medical Librarian, Mayo Clinic Libraries, Mayo Clinic, Jacksonville, FL; Kelly Arp, Electronic Resource Librarian, Mayo Clinic Libraries, Mayo Clinic, Rochester, MN; Carol Ann Attwood, AHIP, Medical Librarian/Registered Nurse, Patient and Health Education Library, Mayo Clinic in Arizona, Scottsdale, AZ; Ann M. Farrell, Librarian, Mayo Clinic Libraries, Mayo Clinic, Rochester, MN; Leah Osterhaus Trzasko, Librarian, Mayo Clinic Libraries, Mayo Clinic Health System, La Crosse, WI; Mark Wentz, Library Associate II, Mayo Medical Libraries, Mayo Clinic, Rochester, MN

Midwest @ MLA 14: Monday Poster Session 2

Monday, May 19th- Poster session 2
Time: Monday, May 19, 3:30 PM – 4:25 PM

Be sure to visit and support your Midwest colleagues! Share and tweet #mlanet14 !

Poster Number: 91: Embedding Sustainable Structures for Partnership: Informationist Collaboration with Newly Formed Institute for Health Care Policy

Judith Smith, Informationist; Jean Song, Assistant Director, Research and Informatics; Taubman Health Sciences Library, University of Michigan–Ann Arbor

Poster Number: 102: Finding Plant-Based Foods in PubMed: A Problem for Our Foodie Future

Eric Rumsey, Web Services Librarian, Hardin Library for the Health Sciences, University of Iowa–Iowa City; Janna Lawrence, AHIP, Deputy Director, Hardin Library for the Health Sciences, University of Iowa–Iowa City; Jennifer DeBerg, Clinical Education Librarian, Hardin Library for the Health Sciences, University of Iowa–Iowa City


Poster Number: 111: Health Literacy and Provider Communication with Older Adults

Gabriel Rios, Director, Ruth Lilly Medical Library, Indiana University School of Medicine, Indianapolis, IN; Channing R. Ford, Education Program Director, Department of Medicine, University of Alabama–Birmingham

Poster Number: 116: Improving Data Management in Academic Research: Assessment Results for a Pilot Lab

Heather Coates, Digital Scholarship and Data Management Librarian, University Library, Indiana University-Purdue University, Indianapolis, IN

Poster Number: 128: Investigating the Feasibility and Interest in a Physical Therapy Humanities Journal

Anne Beschnett, Outreach Librarian; Jonathan Koffel, Clinical Information Librarian; Bio-Medical Library, University of Minnesota–Minneapolis

Poster Number: 129: Is Their Foundation Solid Enough to Build on: An Investigation into the Information-Seeking Skills and Self-Efficacy Levels of New Nursing Students

Kimberly J. Whalen, Assistant Professor, Library Services; Patricia J. Mileham, Associate Professor, Library Service; Christopher Center Library Services, Valparaiso University, Valparaiso, IN

Poster Number: 134: Library Website Rx: A Case Report Using Responsive Design

Amy E. Donahue, AHIP, User Education/Reference Librarian; Linda LeMahieu, Web Services Librarian; MCW Libraries, Medical College of Wisconsin, Milwaukee, WI

Poster Number: 144: The Matas Library, School-Based Health Center (SBHC) Youth Advisory Committees, and Health Information-Seeking Behavior

Elaine R. Hicks, Education/Health Literacy Librarian, Rudolph Matas Library of the Health Sciences, Tulane University, New Orleans, LA; Allyson Mackay, Research Assistant, Inter-university Consortium for Political and Social Research (ICPSR), University of Michigan–Ann Arbor

 

Midwest @ MLA 14: Monday Lightning Talks

Monday, May 19th- Lightning Talks

Time: Monday, May 19, 10:30 AM – 11:55 AM

Be sure to visit and support your Midwest colleagues! Share and tweet #mlanet14 !

A Clerkship Model for Training Future Health Sciences Informationists

11:05 AM – 11:10 AM      Room: Columbus EF, Gold Level, East Tower

Michelle Bass, University Library Associate, University of Michigan, Ann Arbor, Michigan

Description: This presentation will provide an overview of the Taubman Health Sciences Library University Library Associate (ULA) Clerkship model. The main learning goals of the clerkship model are to expose the ULA to all organization units at the library and skills-based experience and project creation. Clerkship objectives include providing the ULA with meaningful skills-focused experience in the unit’s field through involvement with instructional activities and projects and initiatives, observation of and involvement with advanced information searchers, and the completion of at least one dedicated project with appropriate deliverables. The presentation will highlight clerkship projects completed to date.

Library Diaspora: How We Lost Our Walls and Nobody Noticed

11:25 AM – 11:30 AM     Room: Columbus EF, Gold Level, East Tower

Jane Blumenthal, AHIP, Associate University Librarian and Director, University of Michigan, Ann Arbor, Michigan

Nandita S. Mani, AHIP, Assistant Director, Enabling Technologies, University of Michigan, Ann Arbor, Michigan

Jean Song, Assistant Director, Research and Informatics, University of Michigan, Ann Arbor, MI

Nadia J. Lalla, Assistant Director, Collections and Information Services, University of Michigan, Ann Arbor, MI

Description: Health sciences libraries continue to be more about librarians, expertise, and professional work and less about collections and space as they evolve into their future. We completely vacated our library building during its renovation, moving into a temporary location with collaborative and meeting space as well as offices, but no physical collection, service desk, or walk-in study space. We found relocating made little difference in how we worked, as those changes took place before the move and led to the exodus and not vice versa. The relocation gave us greater visibility and brought attention to our work, giving us an opportunity to further refine new models for collaboration and partnership in education, research, and clinical care.

Ditch the Binder! Leveraging Technology in Professional Organization Planning and Collaboration

11:35 AM – 11:40 AM     Room: Columbus EF, Gold Level, East Tower

Keith Engwall, AHIP, Assistant Professor, Web and Emerging Technologies Librarian, Oakland University William Beaumont School of Medicine, Rochester, Michigan

Description: Building our information future relies on collaboration and professional engagement. However, at the local level, professional organizations have been slow to move from traditional tools of planning and record-keeping to the technologies available to facilitate collaboration and planning. This lightning round session provides an overview of online tools that can be used to help librarians break free from our binders and work together more effectively.

Getting Off Obesity Island: How Informationists Can Enhance Clinical Decision Support

11:40 AM – 11:45 AM     Room: Columbus EF, Gold Level, East Tower

Jere Odell, Scholarly Communications Librarian, Indiana University-Purdue University, Indianapolis, Indiana

Rick Ralston, Assistant Director, Library Operations, Indiana University-Purdue University, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana

Elizabeth (Beth) Whipple, AHIP, Research Informationist/Associate Librarian, Indiana University School of Medicine, Indianapolis, Indiana

Description: Clinical decision support (CDS) will play a key role in improving the health of patients; informationists can support the development of CDS systems by indexing rule libraries and mapping the system logic. This work can help rule developers make more informed choices and understand how rules are related conceptually and operationally. With a map, rules can be written to bridge isolated concepts (islands) and rules that are no longer needed can be weeded. This talk will explore the added value that informationists bring to projects by reporting on the role of informationists working on a pediatric CDS.