Over the years, library collections have vastly changed due to an ever-growing presence of resources available online. Many libraries have experienced a dramatic decrease in the circulation of physical materials with the shift to online availability of materials. It is of great value to ensure that libraries are meeting the needs of their users and this can be accomplished by identifying their information seeking patterns. The aim of this article is to examine how faculty use the library and to identify what services and resources are of value to their work.

The East Carolina University libraries, though administratively separate, jointly subscribe to and collaborate on enhancements for a shared instance of the Summon Discovery Service. Based on usage, enhancements to the discovery tool over the past few years, and the perceived ease of searching in Summon, health sciences librarians have questioned whether Summon could now be considered a legitimate competitor to PubMed. This article includes results of a citation comparison between the two databases and the conclusion that Summon produces quality results, but should not be considered an adequate replacement information source for a subject-specific database like PubMed.

Cases in clinical medicine can be defined as reports on patients where symptoms, diagnosis, treatment, and outcome are described, and some new side effect, disease association, symptom, or unusual presentation is observed. Usually in case reports, the patient is also described in detail: age, weight, gender, ethnicity, or some other clinically relevant attribute. Cases Database, launched by BioMed

This study examines two point-of-care products: DynaMed 1 and UpToDate 1 . These resources were evaluated based on four criteria: search result counts, search result answers, reference counts, and currency of updates. The results of the study suggest that of the four areas evaluated, two indicate a statistical advantage of one database over the other. DynaMed contained updates that were more current, and UpToDate had a more significant total number of references used in a topic. The other two criteria, of initial search result counts and if there was an exact answer to the clinical question, did not produce a statistically significant difference.

dynamed/; information@ebscohost .com. Technical requirements: 64 megabytes of disk space on either the handheld device or a memory card for Palm devices and 66 megabytes of disk space on Windows devices. Individuals and institutions contact EBSCO for pricing. Serial number required for download; more details at http://www.support.epnet.com/ knowledge_base/detail.php?id5 3929 DynaMed, a point-of-care, evidence-based reference tool acquired by EBSCO Information Services in November 2005, was originally founded by physician Brian S. Alper with ''a reverence for Evidence-Based Medicine and