In an era of spiraling costs, librarians must carefully assess literature use among their patron groups when making decisions on selection, deselection, and storage of journals. A citation analysis was conducted using a group of 52 papers submitted by research physicians at the Summa Health System (Akron, Ohio) for a research award competition…

Telemedicine, the use of bidirectional telecommunications systems for the delivery of health care at a distance, could create a more equitable distribution of medical care. Many medical tasks can be performed at a distance although some require the presence of a physician's assistant. Cost-benefit analysis of this service is difficult and requires…