These invisible partners work behind the scenes to make sure physicians, medical staff and students have relevant, timely information to complete their missions. Providing library support at clinical meetings, conducting literature searches, and creating online resource guides are the daily regimen for Kornhauser’s librarians.

While clinical librarians help clinicians use verifiable best practices and evidence-based research throughout the year, they are now arguably more important than ever.

For example, Jessica Petrey, Kornhauser’s associate director of Clinical Services, works with UofL physicians and staff in six practice areas, including infectious diseases and emergency medicine, programs that are particularly active now. She attends weekly meetings – virtually and in person, practicing physical distancing – to help medical personnel work effectively as the pandemic rages locally. It’s all part of her ordinary job that has just become extraordinary.

“Our physicians have been deeply supportive of Petrey’s work and she is highly regarded by some world-renown experts,” said Kornhauser Director Vida Vaughn. “So many of our library personnel are invaluable to the medical community.”

In a testimonial email, Dr. Martin Huecker, research director for UofL’s Department of Emergency Medicine, says that he “simply could not function at full potential without a dedicated librarian.” In praise of Petrey, he notes “many instances of communicating via email during an actual ER shift, and receiving responses from Jessica that affected patient care. I rely on [Petrey’s] support for literature searches, content management related to point of care / real time clinical decision-making tools, and troubleshooting / access to those tools (clinical key, up-to-date, etc.). Emergency medicine is a specialty that relies particularly heavily on rapid availability of resources. Jessica answers emails with uncanny promptness.”

“Our role is to make sure we’re facilitating access to information, sometimes in real time” said Petrey. “That is a more proactive role now with the volume of information coming out. People need a bit more help navigating it, and might not have time to ask.”

Published studies are also more readily available to the public now, as many proprietary scientific journals make COVID-19 research freely available to support a unified front against the current health crisis.

Helping clinicians and researchers stay on top of the information within a subject domain, even when it comes at a frenzied pace, is simply part of a clinical librarian’s job, says Vaughn.

“When you’re an embedded librarian no matter what the subject area – gastroenterology, family medicine or pediatrics – you have to stay on top of information. You’re always looking at the newest articles on the topic that are constantly coming out. We set alerts for research in subject areas and are pushing out evidence-based scholarship to the doctors we serve.”

After Kentucky Governor Andy Beshear suspended elective surgeries in March, all clinics and most research activity were canceled, after which Kornhauser faculty and staff saw a slight drop in requests for information. But after a few weeks, requests for assistance accelerated again.

“It started to sink in that normal is not something that’s going to happen any time soon, so they need to keep going with whatever research they can,” said Petrey. “So we’re starting to see requests picking back up again, and we’re even exceeding our normal workloads.”

After the University issued its work-from-home order, Kornhauser remained open for several weeks, but eventually closed its building to protect users and the Library’s workers, allowing personnel to work remotely. The closure hasn’t limited the Library’s instruction and service model since “nearly everything we do is online, with access to resources and collections there,” says Vaughn.

However, “the Health Sciences Campus is primarily comprised of professional students with jobs and families, and Kornhauser Library is a refuge-like study space away from home. So the library closure was something of a shock to our community,” Vaughn continued. “We are directing them to Ekstrom Library for study space, or the Student Activity Center during Intersession when Ekstrom is closed.”

Throughout the coming months as the medical community continues to grapple with the ramifications of COVID-19’s spread, Kornhauser librarians and staff will continue to serve them as always, behind the scenes, working diligently.

This summer, Assistant Director and Clinical Librarian Vida Vaughn attended the Evidence-Based Clinical Practice (EBCP) workshop at McMaster University in Ontario, Canada.  Her main goals were to learn how to assess biostatistics in medical literature, expand her awareness of evidence-based practice, and become a better clinical librarian and teacher.

She soon realized that biostatistics analysis “is a graduate program in itself. But I came away knowing I can look at the literature more competently now.”

Vaughn’s work involves teaching students and clinicians on the Health Sciences Campus in the classroom setting, small groups or one-on-one, and also partnering with other medical educators. She said the workshop has helped her work more effectively, particularly with medical faculty at UofL. Gaining their buy-in and confidence is a constant mission and is based on hard work, she said.

“They have so much advanced medical knowledge and training that it can be challenging,” said Vaughn. “You have to work very hard to prove yourself, to begin to gain a level of trust. But when you help solve someone’s problem for them, they become your best advocate.”

The immersive, week-long workshop is designed to benefit physicians, nurses, dentists, clinical librarians and other health-care professionals who learn more about EBCP – and how to teach it – in a small-group setting. EBCP is a contemporary approach to healthcare practice that “explicitly acknowledges the evidence that bears on each patient management decision, the strength of that evidence, the benefits and risk of alternative management strategies, and the role of patients’ values and preferences in trading off those benefits and risks.”

All attendees work for 10-hour days throughout the week to explore a broad curricula. Vaughn worked alongside three family practice physicians, two naturopath physicians, an optician, a research professor, a mentor in training, and another clinical librarian.

“It was extremely extensive, very intense. Everyone leaves completely exhausted,” she said. 

What surprised her most was how clinicians view her work as a librarian.

“I learned how much physicians crave the assistance of a librarian. When they heard what I do for UofL Physicians, they were just amazed and wanted to know how to get something similar started in their organizations. The type of embeddedness and buy-in that exists at our institution is not readily available to many clinicians around the country.  At UofL, our clinical librarian team has made a concerted effort to be accepted as part of the medical teams. With some departments, I’m embedded to the point of being considered part of the furniture,” she said.

Vaughn, who is president of the Kentucky Medical Library Association, spoke about the workshop at a recent KMLA meeting.

“Now that we have made this investment in my learning, it’s my turn to come back and teach my staff and colleagues and impart the things I’ve learned,” she said.