Part B: Narrative Data and Tables

SECTION V.  EDUCATIONAL RESOURCES
Part B. Narrative Data and Tables

ER-1. The LCME must be notified of any substantial change in the number of students enrolled or in the resources of the institution, including the faculty, physical facilities or the budget.

Indicate any plans or expectations to increase or decrease enrollment, as well as any anticipated major changes in institutional resources over the next five years.

There are no plans to increase or decrease student enrollment.  Johns Hopkins Medicine is in the third year of a ten-year capital plan, the details of which are outlined in Appendix document, ER-1 “Johns Hopkins Medicine Ten-Year Capital Plan Update.”

ER-2. The present and anticipated financial resources of a medical school must be adequate to sustain a sound program of medical education and to accomplish other institutional goals.

The costs of conducting an accredited program leading to the MD degree should be supported from diverse sources, such as income from tuition, endowments, earnings by the faculty, support from the parent university, annual gifts, grants from organizations and individuals, and appropriations by government.  Evidence for compliance with this standard will include documentation of adequate financial reserves to maintain the educational program in the event of unexpected revenue losses, and demonstration of effective fiscal management of the medical school budget.

ER-3. Pressure for institutional self-financing must not compromise the educational mission of the medical school nor cause it to enroll more students than its total resources can accommodate.

Reliance on student tuition should not be so great that the quality of the program is compromised by the need to enroll or retain inappropriate numbers of students or students whose qualifications are substandard.

a.  Provide a revenue and expenditure summary for the current fiscal year (based on budget projections) and for each of the past three fiscal years.  The format for the summary and the data for the three completed fiscal years should be obtained from Schedule A, Column C of the LCME Part IA Annual Financial Questionnaire.

b.  Insert a copy of the most recently completed LCME Part IA Annual Financial Questionnaire, including the “Overview of Organization and Financial Characteristics.”

c. Complete the following tables using information contained in Schedule B of the LCME Part IA Annual financial Questionnaire.  Use the same departments as in FA-2

Departmental Finances

BASIC SCIENCE DEPARTMENT EXPENDITURES (FISCAL YEAR)*

($ in Millions)

* From LCME Annual Financial Questionnaire

CLINICAL DEPARTMENT EXPENDITURES (FISCAL YEAR)*

($ in Millions)

* From LCME Annual Financial Questionnaire

ER-4. A medical school must have, or be assured use of, buildings and equipment appropriate to achieve its educational and other goals.

The medical school facilities should include offices for faculty, administrators, and support staff; laboratories and other space appropriate for the conduct of research; student classrooms and laboratories; lecture hall(s) sufficiently large to accommodate a full year’s class and any other students taking the same courses; space for student use, including student study space; space for library and information access; and space for the humane care of animals when animals are used in teaching or research.

a.  Complete a table of teaching facilities like that below for each building where medical students regularly take classes, including labs.  Do not include classrooms located in clinical facilities. 

Johns Hopkins University School of Medicine
Teaching Facilities
725 N. Wolfe St., Baltimore Maryland 21205

*Lecture hall, science lab, conference room, small-group discussion room, etc. If several rooms of similar type and seating capacity are used, simply indicate total number of such rooms in parentheses.
**Lectures, small-group discussion, dissection, wet labs, slide study, etc.

Note: Informational technology support for medical students is summarized in the appendix document,

ER-4. Informational technology support for medical students.

b. Who is responsible for scheduling and coordinating the use of these facilities? Are the facilities shared with other educational programs?  Describe any recurrent problems.

A Facilities Coordinator, Phil Creswell, works within the Registrar's office to schedule and coordinate use of these facilites.

c. Describe any special facilities for learning physical examination skills, conducting standardized patient exams, or administering OSCEs; do not include regular physical examination rooms (for patient care) located in hospitals or clinics, unless they have been modified significantly for educational purposes.  Note any recurrent problems or shortcomings with such facilities.

The standardized patient training program is housed within the Clinical Education Center, which is located on Blalock 4 of the hospital. A description and floor plan of the Center is located in Appendix document, ER 4.c. “Clinical Education Center.”

d. Complete the table below showing the number of faculty offices, research labs, and net square footage for each academic department of the medical school. Add rows as needed.

e. Describe safeguards in place to assure adequate space for the humane care of animals used in teaching and research.

The SOM has approximately 105,256 sq. ft. space for animal care and use, with 41,520 sq.ft support space.  Humane care of animals used in teaching and research is monitored by the University’s Animal Care and Use Committee.  The policies and activities of this committee are located at:

http://www.jhu.edu/animal/committee1.html

 ER-5. Appropriate security systems should be in place at all educational sites.

 Describe the system of security for the medical school campus and at affiliated hospital/clinical sites.

Refer to Johns Hopkins Medical Institutions Security, Parking and Transportation Services website: http://www.hopkinsmedicine.org/security/

Corporate Security provides security administration for Johns Hopkins Medicine’s three medical campuses and affiliates.  This includes a physical security presence at the Johns Hopkins Medical Institutions, Johns Hopkins Bayview Medical Center, Howard County General Hospital, and East Baltimore Medical Center.  Additionally, security consultation, emergency response, and criminal incident investigative support are provided affiliates to include:  Johns Hopkins Community Physicians, Johns Hopkins Health Care, Johns Hopkins Home Care and the Broadway Medical Management Services.

Crime reduction statistics for the Johns Hopkins Medical Institutions and Johns Hopkins Bayview Medical Center campuses since the creation of corporate security in 1994 are contained in Appendix document, ER-5, “Corporate Security Report”.

Johns Hopkins Medical Institutions 

The Johns Hopkins Medical Institutions consists of the Johns Hopkins Hospital, Johns Hopkins School of Medicine, the Bloomberg School of Public Health, School of Nursing, and Kennedy Krieger Institute.  This medical campus is located within an urban environment that has historically experience high levels of criminal and illegal drug activity.  The campus comprises more than 60 buildings located on approximately 53 acres.

Corporate Security maintains a proprietary and contract security force of over 300 uniformed security and Protective Services officers who provide interior, exterior, and mobile patrols on a 24-hour basis.  This deployment is supplemented by a large contingent of part-time uniformed Police Officers with full arrest powers who perform at various interior and exterior locations on campus.

Strategically placed electronic surveillance equipment and a modern security communications center, staffed by 911 trained security personnel, support the department’s response to security incidents.  Corporate Security makes extensive use of state-of-the-art electronic equipment campus-wide.  This includes an expansive video monitoring system that is controlled by a digital platform as well as an emergency telephone network in all garages and parking lots.  There is also extensive usage of electronic card access control throughout the campus buildings, as well as a large network of panic and intrusion alarms.

Johns Hopkins Bayview Medical Center

The 140-acre campus of the Johns Hopkins Bayview Medical Center, located in the southeastern portion of Baltimore City, hosts a variety of patient care and research programs including research conducted by the National Institute of Health (NIH).  This location enjoys a more protected environment in comparison to the JHMI East Baltimore campus due to the expansiveness of the open area around the buildings and a more stable community adjacent to its boundaries which translate into less criminal activity.

            Corporate Security maintains a "99-person" proprietary and contract security officer deployment that includes a modern communications dispatch center staff by 911 trained security dispatchers.  Security operations include fixed posts and mobile patrols in integral parts of its crime prevention effort.

            Recorded CCTV surveillance cameras are utilized for the interior of the buildings, parking lots, and surrounding grounds.  An emergency telephone network is incorporated on the exterior grounds.  Electronic card access to building entrance and within sensitive areas is standard.

            Howard County General Hospital
            The Howard County General Hospital campus consisting of three main buildings on 20 acres is located within one of Maryland’s more affluent counties.  Corporate Security maintains an 18-Person security presence that is responsible for interior building patrols and exterior parking lot mobile patrol.  The six parking lots have controlled access, CCTV surveillance cameras and exterior emergency telephone notification.  The security officer dispatches calls for service, monitors panic alarms and manages the hospital’s ID program.

            Johns Hopkins Community Physicians
            This affiliate consists of 15 health centers located throughout the State of Maryland.  The centers range in size from large, multi-service facilities to small, single physician practices.  The East Baltimore Medical Center is located near the JHMI campus and experience similar security challenges. Corporate Security manages a security force of 8 contract security officers. All visitors and patients must sign in when they arrive for their appointments.  The building is locked and alarmed after business hour. The Wyman Park Medical Center is located adjacent to the campus of the Johns Hopkins University who manages the contract security presence at that site.  All remaining site are tenants of leased building around the State.  The property management for these buildings maintains building security. The sites are locked and alarmed after hours.

            Johns Hopkins Home Care Group
            The Johns Hopkins Home Care Group is located within a business park setting.  Patients are not seen at this location.  Card access and interior motion detectors have been installed and are monitored by the Johns Hopkins Bayview Campus Corporate Security operation that responds to this location when an alarm is activated.

            Johns Hopkins Health Care
            Johns Hopkins Health Care is located within Anne Arundel County.  The primary responsibility of employees at this site is to process health insurance claims.  Card access and interior motion detectors have been installed and are monitored by a central alarm monitoring station.

            Broadway Medical Management Corporation
            Broadway Medical Management Corporation has two locations at which patient care is administered.

            The Johns Hopkins Green Spring Station is located in Baltimore County and utilizes a building manger for routine security processes.  Corporate Security provides investigative and special event support to the building manager.  Green Spring Station buildings have card access and interior alarms that are monitored by the building management company.  A contract security agency provides evening mobile patrols to the parking lots and exterior space.  Staff escorts are provided.

            The Johns Hopkins White Marsh facility is also located in Baltimore County.  This building is shared with a Johns Hopkins Community Physicians practice.  The same management company that services Green Spring Station also manages the White Marsh site.  The management company monitors card access and interior alarms.

            Post September 11, 2001, Corporate Security conducted a risk assessment relative to terrorism.  As a result, several new protocols were adapted to better position Johns Hopkins Medicine to effectively meet this new challenge.  A Special Response Unit, consisting of a team of security officers trained to act as first responders to any Hopkins related radiation, chemical or biological event was created.  In this capacity, they will interface with emergency response personnel and assist medical staff. Additionally, Corporate Security is a member of the Anti-terrorism Advisory Council of Maryland and maintains a close relationship with Federal, State and local law enforcement agencies for the purposes of staying abreast of any terrorist related information that may be of concern.

            The overall costs associated with Security’s operating budgets throughout Johns Hopkins Medicine are comprised of many different expense types.  They include direct cost or salary, benefit and uniform expenses related to guard hour coverage.  Internally shared costs include operational expenses for Security’s training, investigative, identification and administrative center and the compensation for the supervisors and directors responsible for running the Security operations. Externally shared costs refer to the Protective Services Officers located outside the main focus on monitoring the perimeters of the campus.  This category includes all the costs associated with the mobile patrols as well.  Security also allocates community costs for general crime prevention initiatives sponsored through local organizations such as Operations P.U.L.S.E. (People United for Living in a Safe Environment).  An Off Duty Police (ODP) Program, which is the hiring of Baltimore Police Officers and other law enforcement personnel on a part-time basis, supplements the security coverage in the emergency rooms and on the streets around campus.  Finally, other costs incurred include supply, equipment, service contract, vehicle costs and other non-compensation expenses for the support of Security’s operations functions.

            Current Security operating budgets based on their location along with the School of Medicine’s share of each can be summarized in the table below.

Summary of Information Technology Based Security Measures

The following summarizes the IT based security measures provided to all members of the Hopkins family when utilizing Johns Hopkins networked resources.

Desktop anti-virus software
During 2000, anti-virus software licenses were procured at the institutional level.  The software is distributed through automated processes and is updated by the vendor on a regular basis.  This action provided immeasurable benefits because many issues with viruses where controlled and the spread of the virus contained.

Email Gateway anti-virus protection
In 1998, anti-virus software was used at the Email gateway level (providing a level of protection for all networked users).  Another product was selected during 2004 that provided a different vendor product at the gateway level from client or desktop level.

Email Gateway SPAM protection
During 2003, the initial implementation of an anti-SPAM product was installed at the Email gateway level. While it was successful, it was not as successful as other industry products.  In 2004, a new anti- SPAM product was added to the Email gateways.  This product identifies approximately 99% of SPAM with an error rate of less then 1%.  This product will be further enhanced during 2005 to proved Email users to determine which Email identified as SPAM will be delivered, all other SPAM will be deleted.

Directory services in support of authentication
Johns Hopkins has been an active participant in the Internet 2, Middleware development consortium.  As a result of this relationship, in 1999, a directory, containing information about all faculty, staff and students was developed.  This repository of information is updated on a regular basis and is used to authenticate users to resources on the network.

Remote access to networked resources (including the Hopkins Libraries)
Virtual Private Network (VPN)
A VPN product was purchased during 2000 and used for access to networked resources with authentication provided by the central directory. This service provides encrypted access to all networked resources through an Internet connection.

Remote Access to University Library (RAUL)
RAUL was developed during 1999.  RAUL provided authenticated access to Library material from around the globe.  Authentication is provided by the central directory.  This product is still in use because of restrictions related to the use of a VPN in some foreign countries

ER-6. The medical school must have, or be assured use of, appropriate resources for the clinical instruction of its medical students.

Clinical resources should be sufficient to ensure breadth and quality of ambulatory and bedside teaching.  This includes adequate numbers and types of patients (acuity, case mix, age, gender, etc) as well as physical resources.

a. List each inpatient teaching site where your students take one or more of the listed required clerkships* and check the clerkship(s) offered:

(* If you offer major core clerkships in different subjects (e.g., Interdisciplinary Primary Care, Women’s and Children’s Health) please modify the headings accordingly.)

b. For each inpatient site listed in the preceding table, provide the following information:

(Use a separate page for each institution)

Facility Name:  Johns Hopkins Hospital
Name of Chief Executive Officer: Ronald Peterson
Year Appointed: 

Facility Name:  Johns Hopkins Bayview Medical Center
Name of Chief Executive Officer: Gregory Schaffer
Year Appointed: 

Facility Name:  Sinai Hospital
Name of Chief Executive Officer:Neil Meltzer
Year Appointed: 

Facility Name:  Greater Baltimore Medical Center
Name of Chief Executive Officer: Laurence Merlis
Year Appointed: 

Facility Name: Howard County General Hospital
Name of Chief Executive Officer: Victor Broccolino
Year Appointed:

Facility Name: St. Agnes Medical Center
Name of Chief Executive Officer: Kenneth Bancroft
Year Appointed

Facility Name: Kennedy Krieger Institute
Chief Executive Officer: Gary Goldstein
Year Appointed

c. Complete the following table for each ambulatory site* used for required medical student education:

*If groups of doctors’ offices or preceptorial sites are used, such entities can be described collectively instead of being listed individually.
 **Stand-alone clinic, private offices, etc.

*If groups of doctors’ offices or preceptorial sites are used, such entities can be described collectively instead of being listed individually.
 **Stand-alone clinic, private offices, etc.

*If groups of doctors’ offices or preceptorial sites are used, such entities can be described collectively instead of being listed individually.
**Stand-alone clinic, private offices, etc.

ER-7. A hospital or other clinical facility that serves as a major site for medical student education must have appropriate instructional facilities and information resources.

Appropriate instructional facilities include areas for individual student study, for conferences, and for large group presentations (lectures).  Sufficient information resources, including library holdings and access to other library systems, must either be present in the facility or readily available in the immediate vicinity.  A sufficient number of computers are needed that allow access to the Internet and to other educational software.  Call rooms and lockers, or other secure space to store personal belongings, should be available for student use. 

a. Complete the following table for each clinical facility used for any required core clerkship. Check the appropriate columns indicating if the listed resource is generally available to students during the clerkship.

b. Comment on the adequacy at each site of the educational resources checked above, and the adequacy of library and information technology services (Internet access, library holdings, interactive databases, etc.) at each site.

The Greater Baltimore Medical Center offers students 24/7 access to the John E. Savage Medical Library.  The library is staffed from 8 a.m. to 5 p.m. Monday through Friday.  Students have access to several computer terminals with Internet connections to proxy to Welch resources and use local electronic library resources. Savage resources include: UpToDate, MDConsult, Ovid Medline and EBM, and MICROMEDEX.  There are 100 electronic journal links and 32 STAT!Ref electronic textbooks.

            Howard County General Hospital offers students 24/7 access to the library.  There are two computer stations with Internet access which allowing students access to almost all Welch resources, through a direct IP connection.  A few infrequently used journal titles can be accessed using the proxy connection to Welch.  Students are also able to use computers located in clinical areas to access electronic resources including Welch’s, while on rotation.  The Howard County General library has approximately 600 book titles and 140 journal titles dated back to 1983.  There are two large work tables in the library for study or small group meeting space.

            The Johns Hopkins Bayview Medical Center provides access to the Harold E. Harrison Library, which is open from 8 a.m. to 6 p.m., Monday to Thursday and from 8 a.m. to 5 p.m. on Fridays.  The collection has 1200 book titles, and over 300 journal titles.  There are several computers with Internet access available for student use including direct access all of Welch’s resources, since they fall under the JHMI site license domain.    There are tables and comfortable seating for study space. 

            Sinai Hospital – The Eisenberg Medical Library is open from 8:30 a.m. to 5:00 p.m., Monday through Friday, and allows after hours access to all students.  This collection holds over 1000 book titles and 300 journal titles.  There are four public use computer stations where students can access the Internet, and proxy to Welch Library resources.  There is some study space, but no conference space is available.s

            St. Agnes Hospital has a Health Sciences Library, which is open from 7:30 a.m. till 6 p.m., Monday through Friday, and from 11 a.m. to 3 p.m. on Saturdays.  There are several terminals where students can access the Internet to proxy to Welch resources and access local electronic resources.  The collection has approximately 2600 books and 200 print journals with an additional 215 electronic journal titles available through OVID.  Students also have readily available access to MICROMEDEX throughout the hospital.  There are study areas available at this site.

     ER-8. Required clerkships should be conducted in health care settings where resident physicians in accredited programs of graduate medical education, under faculty guidance, participate in teaching the students.

It is understood that there may not be resident physicians at some community hospitals, community clinics, and the offices of community-based physicians.  In that case, medical students must be adequately supervised by attending physicians.

Refer to responses for standard IS-12-A. 

ER-9. There must be written and signed affiliation agreements between the medical school and its clinical affiliates that define, at a minimum, the responsibilities of each party related to the educational program for medical students.

Written agreements are necessary with hospitals that are used regularly as inpatient sites for core clinical clerkships. Additionally, affiliation agreements may be warranted with other clinical sites that have a significant role in the clinical education program.

Affiliation agreements should address, at a minimum, the following topics:

- The assurance of student and faculty access to appropriate resources for medical student education.

- The primacy of the medical school over academic affairs and the education/evaluation of students.

- The role of the medical school in appointment/assignment of faculty members with responsibility for medical student teaching.

- Specification of the responsibility for treatment and follow-up when students are exposed to infectious or environmental hazards or other occupational injuries.

If department heads of the school are not also the clinical service chiefs at affiliated institutions, the affiliation agreement must confirm the authority of the department head to assure faculty and student access to appropriate resources for medical student education.

The LCME should be advised of anticipated changes in affiliation status of a program’s clinical facilities.

***the affiliation agreements are posted in the Appendix***

ER-10. In the relationship between the medical school and its clinical affiliates, the educational program for medical students must remain under the control of the school’s faculty.

Regardless of the location where clinical instruction occurs, department heads and faculty must have authority consistent with their responsibility for the instruction and evaluation of medical students.

The responsibility of the clinical facility for patient care should not diminish or preclude opportunities for medical students to undertake patient care duties under the appropriate supervision of medical school faculty and residents.

a. For each clinical  teaching site where students take one or more required core clerkships,* insert a copy of the current affiliation agreement with the medical school.

See Appendix Documents ER-9 for the following Affiliation Agreements:

Johns Hopkins Hospital 

Johns Hopkins Bayview Medical Center 

Howard County General Hospital 

Kennedy-Kreiger Institute

Sinai Hospital of Baltimre

St. Agnes Medical Center

Franklin Square Hospital 

Greater Baltimore Medical Center

Good Samaritan Hospital 

Union Memorial Hospital 

Baltimore Medical Systems

Medical Services Corporation (Johns Hopkins Community Based Physicians) 

b. If not explicitly defined in the affiliation agreements, describe the mechanisms in place (whether formal or informal) at each site to assure the medical school’s authority to conduct educational activities for its students.

*Does not include subspecialty or widely dispersed, purely ambulatory clerkships (e.g., at individual preceptor offices).

ER-11. The medical school must have access to well-maintained library and information facilities, sufficient in size, breadth of holdings, and information technology to support its education and other missions.

There should be physical or electronic access to leading biomedical, clinical, and other relevant periodicals, the current numbers of which should be readily available.  The library and other learning resource centers must be equipped to allow students to access information electronically, as well as to use self-instructional materials.

a.  Give the name and year of appointment for the directors of the library and information technology services unit, and the title of the person to whom each reports. Note any other schools or programs served by each.

Nancy Roderer, Director, Welch Medical Library, 2000, reports to David G. Nichols, Vice Dean for Education

Harry Goldberg, Director, Office of Academic Computing, 2001, reports to David G. Nichols, Vice Dean for Education

Dongming Zhang, Director, Advanced Technologies and Information Services 1999, reports to Nancy Roderer, Director of the Welch Medical Library and Harry Goldberg, Director of the Office of Academic Computing

The Welch Library serves the Johns Hopkins Hospital and Health System, the School of Medicine, the Bloomberg School of Public Health, The School of Nursing, and the  Kennedy Krieger Institute.

b. Briefly summarize any campus-wide or consortium agreements that extend the library’s access to information resources (e.g., university OPAC or regional library network). How does the library interact with other university and affiliated hospital libraries?

The Welch Medical Library purchases and provides access to many electronic resources. See table ER-11 section (e). Whenever possible, Welch includes all or as many of its affiliates in site license agreements.  This includes the Johns Hopkins Hospital and Health System, the School of Medicine, the Bloomberg School of Public Health, The School of Nursing, the Kennedy Krieger Institute, and Howard County General Hospital.  When site licensing cannot be extended to certain areas of the institution or its affiliates, patrons can use proxy services to access Welch resources, as described under section ER-12 (b).

Welch participates in the University wide Hopkins Library Union Catalog, which includes all resources available to Hopkins and its affiliates.  The library also participates in three consortium agreements:

1) The North East Research Libraries (NERL) http://www.library.yale.edu/NERLpublic/ “21 academic research libraries with the common objectives of access and cost containment, joint licensing, and possible joint deployment of electronic resources.”
2)  PALINET http://www.palinet.org/  “A member-owned and governed organization, which delivers high-quality, knowledge-based, and cost-effective information services to their clients.”
3) Maryland Digital Libraries http://md-diglib.org “Electronic resources available to students and faculty at universities and colleges across the state of Maryland.”

Welch provides and receives interlibrary loan requests to other libraries through the DocLine and OCLC systems.  Welch also provides document delivery to affiliated hospital libraries.

c. Briefly summarize any campus-wide or consortium agreements that extend the information technology service unit’s access to information resources (e.g., university data network, Internet-2 connection).  How does the IT unit interact with university and affiliated hospital information networks?

Faculty, staff and students have direct access to the Welch Library electronic resources through an Internet-2 connection.  The Information Technology @ Johns Hopkins group coordinates IP address assignments within the Johns Hopkins Medical Institutions, to maximize access to library resources. Sites included in this network are: The Johns Hopkins Hospital and Health System, The School of Medicine, The Bloomberg School of Public Health, The School of Nursing, the Kennedy Krieger Institute, and Howard County General Hospital. All other affiliated locations can reach library resources using the Remote Access System (RAUL) or VPN(Virtual Private Network) systems.

d. Complete the following table, as appropriate, for the library and information technology services units:

e. Complete the following table showing library holdings for the current and preceding two years:

f. Indicate the number of items borrowed or received from other libraries or document delivery services during the most recent academic year on behalf of users.

17,575 items were received from other libraries during the most recent academic year.

ER-12. The library and information services staff must be responsive to the needs of the faculty, residents and students of the medical school.

A professional staff should supervise the library and information services, and provide instruction in their use. The library and information services staff should be familiar with current regional and national information resources and data systems, and with contemporary information technology.

Both school officials and library/information services staff should facilitate access of faculty, residents, and medical students to information resources, addressing their needs for information during extended hours and at dispersed sites.

a. Complete the following table describing FTE staffing for the library and information technology services units:

b. Describe the mechanisms used to assure the ongoing professional skills of the library and information technology staff.

Professional development is provided on a continuous basis through a variety of mechanisms.  All employees are encouraged to participate in education programs both within the University, as well as applicable activities outside the institution.  Faculty and staff members are active in several professional organizations.  Tuition for professional development is provided either through the University tuition benefit program or from library funding designated for this purpose.  Professional development programs can be identified during staff reviews and staff meetings, as well as on an ad hoc basis as opportunities for the growth and development of the library are presented.

c. Describe how the library and information technology services unit support medical education, both individually and jointly. How do they interact with other education support units (e.g., office of medical education or curriculum planning group)?

The Education Librarian serves as liaison to the medical students, and coordinates library education activities and resources for this group.  Several seminars are provided throughout the curriculum allowing students to become familiar with library resources, as they need them within the academic program.  These seminars are provided at the beginning of the first year, at the end of the second year just before clinical rotations, and during specific clerkship rotations to emphasize resource collections and searching techniques.  The librarian can be reached either by phone or e-mail to support information seeking questions, but is not located near the students’ immediate work area. 

There is a Reserve Collection specifically designated for medical student use.  This area provides heavily used textbooks and a small study space.  The library also provides free electronic document delivery service and will deliver books to faculty offices.   

The Advanced Technology and Information Systems group provide a FTP file site, which aids students in storing large files for study and research.

During the Organ Systems section of the 1st Year Medical School course, formal lab sessions are conducted by faculty in the ACC, using SimBioSys and other cardiovascular simulation software.  The ACC is also reserved for use by courses during the year, so that the students can use specifically installed software. For example, the Bioinformatics' instructor reserves the ACC workstations for ~ 50 students each Fall semester, so that they can use PAUP*: Phylogenetic Analysis Using Parsimony (and Other Methods) 4.0 Beta and Avadis, a data analysis and visualization software for microarray gene expression during class sessions. Clerkship orientations, summer training programs and online testing sessions are also conducted in the ACC during the year.

The Library Director and the Office of Academic Computing Director serve on the Education Policy Committee.  The Office of Academic Computing Director also serves on the Curriculum Review Committee, the Curriculum Management Sub-Committee, and the Technology Sub-Committee.

d. Provide usage data, if available, for library study space, audiovisual resources, and public access computing equipment for faculty and residents.

The Academic Computing Center is heavily used during the academic year, specifically by the students in the First and Second Year Medical School courses as well as the graduate students. There are approximately 160 graduate students per year. The lab is open 24/7 all year. There are 30 PCs and 9 Macs. The students use the facility to view streamed lectures, review materials posted on the Blackboard course management system, and research journal articles. During breaks between classes, the lab is very crowded, and sometimes there is standing room only as students wait for available workstations. Students have access to the two flat bed scanners and a slide scanner. We also have additional software available for their use, including Adobe Acrobat Professional version and Photoshop, since they often use the scanners to create PDF documents or images. The students use the photo editing software to create and edit images for their presentations and research articles. Additional software is installed on the general lab workstations, based upon the needs of specific courses.  

Study space is very limited within the library and the Office of Academic Computing.  As noted in Table ER-11 d, there are no small study rooms available for students at either facility.  Public seating (58) and individual carrels (46) provided at the library must be shared with faculty and students from all of the units served by Welch.  Staff within the library report high usage of public use computers, especially toward the end of each semester.  Formal usage data is not tabulated for either the Library or Office of Academic Computing public access computing facility, however staff observations in both locations report steady usage with students frequently waiting for computer access, at peak times such as between classes, lunch time and at the end of the day. 

Wireless access is available for students with PDAs and laptop computers.  It has been observed that students are using this method to access the Internet more frequently.

e. List the hours in which the library and public access computers are open and available to faculty and students during the academic year.

The Library is open from 8 a.m. till 9:00 p.m. Monday through Thursday.  The building closes at 6:30 p.m. on Fridays, and is open from 10 a.m.– 5 p.m. on Saturdays and 1 p.m. till 7 p.m. on Sundays.

The Academic Computing Center is open 24/7, however the Office of Academic Computing is open from 9 a.m.-5 p.m., Monday through Friday.

f. Describe the methods to provide faculty and students with access to library and information resources from off-campus sites.

Remote access to library and other information resources can be obtained using two systems:

• RAUL - Remote Access To University Libraries
  RAUL is a combination of software and hardware, which acts as an intermediary between a set of users and the Internet. It allows authorized users to access almost all restricted electronic resources available through the library web pages from home or on the road. Users must configure their browser to use the RAUL system. This type of remote access is often referred to as "proxy" access.
• JHUSecure Virtual Private Network (VPN) Service
  The JHSecure VPN service is a flexible IPSec based remote access VPN solution, which allows members of the Hopkins communities to access computer resources located at Hopkins from remote locations. The solution was chosen based on its ability to provide multiple redundant access servers, high performance encryption, and support for multiple platforms.

More detailed information on these systems can be obtained from:

http://nts.jhmi.edu/

END OF SECTION V