the terms of the Creative Commons-Attribution-Noncommercial-Share Alike License 4.0 International (http://creativecommons.org/licenses/by-nc-sa/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly attributed, not used for commercial purposes, and, if transformed, the resulting work is redistributed under the same or similar license to this one. Abstract Objective-To compare use of books held simultaneously in print and electronic formats. Design-Case study. Setting-A health sciences library at a public comprehensive university with a medical college in the southern United States of America.