INVENTORY OF MEDICAL INFORMATICS ACTIVITIES: Departments

INVENTORY OF MEDICAL INFORMATICS ACTIVITIES

¶ANAESTHESIA

Pediatric Pain E-Mail List: The Pediatric Pain Research Lab (Dalhousie/IWK Grace Health Centre) manages the PEDIATRIC-PAIN e-mail list, which provides a forum for discussion of all aspects of pain in children, including clinical and research problems, meeting announcements, and book reviews. There are currently about 590 subscribers in over 40 countries. COMMUNICATION
Pediatric Pain Website: http://is.dal.ca/~pedpain/pedpain.html: The WWW site provides self-help resources for patients and their parents, mailing lists, newsletters, publication lists, and several other professional resources for health care workers and researchers. COMMUNICATION and CONSUMER HEALTH
Source: Allen Finley: Associate Professor, Pediatric Anaesthesia/Pain
Information Data Manager: This will allow information from an anaesthetists OR (operating room) monitors to be stored for analysis. This has implications for QI (quality improvement), resource management, practice guidelines, outcome measurement and resident education. The system will be such that the data can be integrated with other hospital information systems. This project, which is expected to be ready in the next several months, is funded by an international anaesthesia supply company. INFORMATION SYSTEM
Source: Peter Joules: Assistant Professor, Department of Anaesthesia
ICU Database: Patient-specific data is recorded from 2 ICUs (Intensive Care Units) in the Queen Elizabeth II Health Sciences Centre (QEII) in a database that will be used for research and quality assurance studies. Programming was done by David Maxwell in Information Technology at the QEII. Funding was provided by the QEII.
Source: Rick Hall: Medical Director Intensive Care Services, QEII

Updated March 1998. Return to Top of Page

¶ANATOMY AND NEUROBIOLOGY

Website: Department of Anatomy and Neurobiology: http://www.anatomy.dal.ca: Includes information about the department, department members, educational programs, educational courseware, educational facilities, research facilities, posotions available, and the neuroscience institute. COMMUNICATION
Online Human Neuroanatomy Lab Manual: http://www.anatomy.dal.ca/html/Human.Neuroanatomy/index.html: A complete lab manual for neuroanatomy featuring slides, atlases, lab exercises, lecture handouts and schedules, and exam information for courses directed by Dr. H. Ellenberger and Dr. F. Smith in biology, neuroscience, OT/PT neuroanatomy and graduate neuroanatomy. EDUCATION
Online Self Assessment in the Human Body Unit: http://www.anatomy.dal.ca/html/Self%20evaluation/ Introduction.html: For each week in the Human Body Unit of the Dalhousie Medicine COPS Curriculum, the site maintains a series of 10 gross anatomical and histological images with accompanying questions about identification and function. Answers are provided at the end.
Online Lab Tutorial for Introduction to Human Histology:http://www.anatomy.dal.ca/html/Human%20Histology/ pg1dhd.html: This site is for courses organized by Dr. Howard Dickson.

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¶BIOCHEMISTRY

Website: Department of Biochemistry : http://www.biochem.dal.ca/

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¶COMMUNITY HEALTH AND EPIDEMIOLOGY

Website: Department of Community Health and Epidemiology: http://che.medicine.dal.ca/: This site provides information about the department including faculty and staff, the graduate programme, their annual report. It also provides links to the Population Health Research Unit, the Biostatistics Consulting Unit, Environmental Health Care, and Heart Health Nova Scotia.
Much of the Informatics work done in this department is done through the Population Health Research Unit (PHRU)
PHRU Data Warehouse: The Province of Nova Scotia has supplied the PHRU with access to a variety of health-related databases which are used for research into population health, health services utilization and their interrelationships. Access to these databases can also be provided to independent researchers. Databases currently available are:
Source: Mike Pennock: Research Director, Dalhousie Community Health and Epidemiology
Pilot Project: Tools and Models for Cervical Cancer: A pilot project on Cape Breton Island to enhance the health and well-being of women through the development of tools and state-of-the-art models for cervical cancer has been funded for three years by Health Canada. The Nova Scotia Gynecological Cancer Screening Programme is responsible for this project which is to have the complete and tested kit available for use across Canada by March 2000. OUTCOME MEASUREMENTS.
Source: Margery MacIssac: NSGCSP Co-Ordinator
Palliative Care Databases: Palliative care databases are being linked to assess the delivery of palliative care services to people across the province who die of cancer. Early work was funded in part by the Laboratory Center for Disease Control, Health Canada. The results of linkage of the cancer mortality data from 1988 to 1994 to the Palliative Care Program and palliative radiation data have been submitted for publication. Dr. Fred Burge is now taking the lead on a proposal to extend this work to include physician claims and hospital separation data. It is hoped that this work will continue over about a decade to include pharmacare and homecare data across the province and thereby be the foundation for a provincial palliative care information system. Collaborators: Fred Burge, Ina Cummings, and Grace Johnston
Atlantic Breast Cancer Information Project (ABCIP): This project, funded by Health Canada, will be completing phase one in March 1998. There are many aspects to this project, including the preparation of a booklet on breast cancer supplies and services in Atlantic Canada. A summary paper was published in the journal "Cancer Prevention and Control" in February 1998. More information is available through a website at Memorial University of Newfoundland.
Source: Grace Johnston: Email:gjohnston@kilcom1.ucis.dal.ca

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¶DIVISION OF MEDICAL EDUCATION

Website: Division of Medical Education: http://dme.medicine.dal.ca/: Includes an overview of the division (location, people, history, facilities, etc.), info on programs, including Medical Informatics, and information about research and development activities, including education technology. COMMUNICATION
Online Continuing Medical Education Learning System: A comprehensive online CME learning system plus a set of learning modules are being developed for Nova Scotia physicians. Several modules are currently available on MedNet, which is an Internet-based information system for physicians. Other modules are continually being developed. The project is being conducted by a consortium of public and private-sector partners: Nova Scotia Medical Society, Dalhousie CME, Concentrics Communication, and Digital Image FX.
Virtual Reality Prostate Examination: A tactile virtual reality simulation of the prostate examination is being developed for medical students, residents and physicians. The simulation is being developed by the Division of Mediacl Education in collaboration with a Nova Scotia Company, Digital Image FX. It uses a tactile feedback device, called the PHANToM, which was developed at MIT. A CD ROM consisting of many cases, as well as didactic teaching material, will be integrated with the PHANToM simulation. EDUCATION, INTERFACE TECHNOLOGY
Website: Canadian Association for Medical Education (CAME): This site, created by Dr. David Kaufman of the Division of Medical Education, contains information about CAME and has links to other relevant medical education sites. COMMUNICATION.
Source: Dr. David Kaufman: Associate Professor, Division of Medical Education

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¶EMERGENCY MEDICINE DIVISION

To be updated Mar 1998. Return to Top of Page

¶FAMILY MEDICINE

Website: Department of Family Medicine: http://family.medicine.dal.ca: This site provides an overview of the department including some history, faculty and residents, facilities, information on the postgraduate training program, clinical practice guidelines, and a family medicine informatics resource centre which includes links to tutorials and self-instructional materials. There are also links to other medically related www sites.
Family Medicine Medical Informatics Curriculum: Dr. Cameron is developing an informatics curriculum for residents in the Dalhousie Family Medicine Program. As part of this effort there will be faculty informatics teaching. The curriculum is under consideration by the national college as part of program accreditation. EDUCATION
Internet Review: The Department of Family Medicine is discussing the provision of critical review for consumer health information posted on the Chebucto Community Net. Expected to be available soon is a website outlining criteria for the consumer to use when evaluating Internet health information EDUCATION, COMMUNICATION
Online Expert Systems Tutorial http://www.dal.ca/~fmwww.html/expert.html: Dr. Cameron has designed an expert systems tutorial which is available on the web for Faculty and postgraduate students. EDUCATION.
Source: Stewart Cameron: Cheif of Family Medicine; Phone: (902) 473-6238 or (902) 496-6250
Management of Alcohol Problems in Office Practice: an Online Course: This is a six week online discussion-based course on managing patients with alcohol problems, intended for use by family doctors and residents but is open for use by other approriate individuals such as addiction counsellors. Heading up this project is Dr. Anna Burditt in the Department of Family Medicine with collaboration with Dr. Kaufman in the Division of Medical Education, and Dalhousie CME. Funding is provided by a SEED Grant from the Dean's Office, Faculty of Medicine.
Source: Dr. David Kaufman: Associate Professor, Division of Medical Education
Optimal Prescribing Project: This project creates drug therapy decision trees for patient management. Recommendations from published guideline papers are extracted and presented in algorithm format, each decision labeled as to the validity of the evidence. A process that uses input from real life settings from family physicians, pharmacists and seniors throughout the province allows the algorithms to be refined to be supported by currently accepted medical practice.
Source: Dr. Wayne Putnam: Associate Professor of Family Medicine

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¶MEDICINE

Computer Training: The department runs hands-on computer training courses throughout the year for physicians. EDUCATION
Databases: Administrative databases are used to estimate population-based costs of direct colorectal cancer care.
Prescribing Practices: Changes in prescribing practices are being measured in response to educational interventions and changes in government guidelines and restrictions for prescriptions. OUTCOME MEASUREMENTS.
Knowledge and Skills Tracking: The department is developing measurement tools for assessing change in the level knowledge and skills of medical students and other learners on the clinical teaching units. OUTCOME MEASUREMENTS.
Health Indicators: Health status indicators are being developed for use in both in and out patient care settings. PATIENT MANAGEMENT.
Source: Dr. Brian O'Brien: General Internal Medicine, Dalhousie University and QEII Health Sciences Center

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¶MICROBIOLOGY AND IMMUNOLOGY

Website: Department of Microbiology and Immunology: http://microbiology.medicine.dal.ca/: Presents general information about the department including faculty and research projects, and links to other micro/immunology sites as well as links to teaching-related pages produced by the department.
Online Pathology, Immunology and Microbiology Unit: http://www.medicine.dal.ca/smed/med1 /pim/index.html: Provides a complete picture of the Med1 PIM unit including content, schedules, resource persons and materials, objectives, info about labs, minicases, and evaluation, and computer resources.
Online Immunology Book Case: http://microbiology.medicine.dal.ca/pim/: Detailed online text that teaches about immunology. Hypertext links allow for quick jumps to related figures and definitions. It also includes a table of contents and practice exam.

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¶OBSTETRICS AND GYNECOLOGY

Website: Obstetrics and Gynecology http://obstetrics.medicine.dal.ca/
Nova Scotia Atlee Perinatal Database: Since 1988 the Reproductive Care Program of Nova Scotia, with funding from the Department of Health, has been collecting into database format information on hundreds of variables relating to each and every birth in the province. The data is used in many ways, including regular reporting to the contributing hospitals; audit of clinical outcomes in response to practice guidelines, clinical standards, and changes in the health care delivery systems; and health care planning. The information in the database is available for use by independent research groups as well. For facilitation of linkability with other databases conversion to ORACLE format in now in progress. OUTCOME MEASUREMENTS
Fetal Anomalies Database: This effort in collecting data on fetal anomalies is headed by Dr. Liston and is a collaboration between Obs/Gyn and Medical Genetics. The purpose is to assess the relation between antenatal care and anomalies for improved prevention and management. OUTCOME MEASUREMENTS.
Fetal Assessment Unit Database: Dr. Liston and Dr. VanderHoff are in the initial stages of implementing this database to record the variables from initial fetal assessments on mothers arriving at the hospital. OUTCOME MEASUREMENTS
Perinatal Followup Database: Michael Vincent is directing this project to monitor the progress of infants born weighing 1500g or less. This database of information will be analysed to optimize the care of low birth weight babies. OUTCOME MEASUREMENTS
Source: Rebecca Attenborough: Co-ordinator, Reproductive Care Program of Nova Scotia
Website: Dalhousie Gynecologic Oncology Division Home Page http://is.dal.ca/~gynonc/gynonchome.html

Updated March 1998. Return to Top of Page

¶OPHTHALMOLOGY

Website: Department of Ophthalmology: http://ophthalmology.medicine.dal.ca/: This site provides information about the department, its people, its educational programs, and research activities.
Retinal Physiology and Electroretinography Self-Tutorial Teaching Software: Dr. Francois Tremblay is developing this Macromedia's Director 6.0-based tutorial for ophthalmology residents, medical undergraduates and orthoptics students. It will include a stimulation-response feature allowing the user to try different parameters of retinal stimulation, a section on retinal diseases based on symptomatology, an animated course on retinal physiology and photo transduction, and a selection of cases dealing with various retinal disorders. EDUCATION.
Patient Information Package: This project, also being developed by Dr. Tremblay, is intended for use by patients in the waiting room of the IWK ophthalmology clinic. Included in this package will be information about the clinic, testing, procedures, doctors and specialists, and general information about ophthalmology and the hospital's services (parking, cafeteria, routes out of the city, nearest shopping, etc.). This is also based on Director 6.0 software. CONSUMER EDUCATION
Source: Francois Tremblay: IWK Grace Health Centre, Department of Surgery, Division of Ophthalmology

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¶OTOLARYNGOLOGY

Website: Department of Otolaryngology http://surgery.medicine.dal.ca/otolaryngology/: The site provides an overview of the department with information about the history of the department, staff and residents and the residency program, research, clinical programs, upcoming events, undergraduate education, CME, and the visiting professor program. It also includes links to other related sites. COMMUNICATION.
Source: Michael Fam: Administrator, Department of Otolaryngology
Website: Practical ENT for the Primary Care Physician: http://icarus.med.utoronto.ca/carr/manual/: This site, by Dalhousie Otolaryngology resident Michele Carr, is a clinical resource for family doctors of many important ENT topics. Several topics have photographs to complement the text. There are also links to other related websites.

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¶PATHOLOGY

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¶PEDIATRICS

Auscultation Teaching Program: The auscultation teaching program, "Ears On", By Doug Roy and Brian Hoyt, was produced by Carsonics, Halifax, NS. It was designed to teach cardiac auscultation to students, family physicians and nurses. It introduces the theory of heart sounds and auscultation using comprehensive text and diagrams which are complimented by normal and pathological heart sounds audio clips. A controlled trial showed that in general, the performance of students who had learned the material using the CD ROM was equivalent to that achieved by students taught in the classroom setting with stethophones and instructor-based discussion. The study is soon to appear in the journal, Medical Education. EDUCATION
Source: John P. Finley: Department of Pediatrics
Medical Student ER (Emergency Room) Feedback Analysis: Dr. Kim Blake and Dr. Patty Wren have implemented data collection of pediatric undergraduate clerkship experiences from the ER. The feedback information will be assembled into a database format to elicit trends in student performance and to provide direction for improvement in the undergraduate pediatric rotation experience. Approximately 3 months of data have been collected thus far. Database design, data entry and analysis may be offered to a medical student as a summer project. Dr. Wren is hoping to expand the effort to include analysis of post graduate ER experiences.
Videoconferencing Feedback Analysis: Dr. Blake has collected feedback from tutors using the videoconferencing system for pediatric case tutorials. Data has been analysed from a six month period. A research grant is tentatively planned to continue funding of this project.
Simulated Adolescent-Student Encounters Analysis: This research project of Dr. Kim Blake's will analyse the feedback from simulators portraying patients and parents on their encounters (history taking and physical examination) with medical students. This study will determine if feedback from the simulators can positively affect medical students' abilities to interview and examine an adolescent patient. Funding is from a 1998 grant from the Division of Medical Education.
Pediatric Community Experience Analysis: In the near future, as part of the undergraduate experience in pediatrics, students will have the opportunity to follow patients that they have seen in the hospital setting to the community. The students will see first hand the lifestyle changes that can come about after a hospital stay and with alterations in health care requirements. Feedback from students, parents, and students involved in the program will be analysed to determine the usefulness of this line of education and insight into "the patient at home" and used as a research model. It is hoped that there will be interfaculty collaboration for this project headed by Dr. Blake and Dr. Yhap.
Source: Dr. Kim Blake: Assistant Professor in Medicine (Pediatrics) and Director of Undergraduate Pediatric Education
Website: Department of Pediatrics: http://pediatrics.medicine.dal.ca/: This site provides a brief look at the division of neurology at the IWK including faculty members and areas of research.

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¶PHARMACOLOGY

Website: Pharmacology http://pharmacology.medicine.dal.ca/

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¶PHYSIOLOGY AND BIOPHYSICS

Website: Department of Physiology and Biophysics: http://physiology.medicine.dal.ca/
Auscultation Teaching Program: The auscultation teaching program, "Ears On", By Doug Roy and Brian Hoyt, was produced by Carsonics, Halifax, NS. It was designed to teach cardiac auscultation to students, family physicians and nurses. It introduces the theory of heart sounds and auscultation using comprehensive text and diagrams which are complimented by normal and pathological heart sounds audio clips. A controlled trial showed that in general, the performance of students who had learned the material using the CD ROM was equivalent to that achieved by students taught in the classroom setting with stethophones and instructor-based discussion. The study is soon to appear in the journal, Medical Education. EDUCATION
Source: Dr. Douglas Roy: CorSonics Inc
Computer-Aided Guiding System For Arrythmia Ablation: INTRODUCTION: Various approaches have been used to investigate the electrical activation sequence in the heart; they include invasive methods that require recording multiple electrograms on the inner or outer surface of the heart, and noninvasive methods based on recording multiple electrocardiograms (ECGs) on the body surface. Collectively, these approaches are referred to as cardiac mapping. One of the important applications of cardiac mapping is to investigate the activation sequence in patients at risk of life-threatening arrhythmias. The accurate localization of arrhythmogenic regions is essential for understanding the mechanisms that underlie the arrhythmia, for evaluating the effect of drugs, and for guiding surgical or catheter ablation procedures. With current computer technology, one can perform noninvasive body-surface potential mapping (BSPM) by acquiring simultaneously an entire set of ECGs at many locations on the thorax (using from 32 to 240 leads). Invasive acquisition of cardiac electrograms can also be performed simultaneously from many sites, using endocardial ``basket catheters'' that are introduced percutaneously into the heart chambers. One major drawback of the currently used methods of catheter-based endocardial mapping is that they cannot relate the individual intracardiac electrograms to the entire activation sequence in the heart. Our proposed method---combining endocardial mapping and three-dimensional computer modelling of the heart's activation sequence---addresses this drawback.
PROPOSAL: We propose a new method and system for remotely (via network) guiding ablation therapy in patients at risk of life-threatening cardiac arrhythmias. Our method requires that the arrhythmogenic substrate in the heart be first explored by the catheter-based mapping that yields direct measurements of electrograms at multiple endocardial sites together with their topographic data; this information is to be used in constructing 3D electroanatomical maps of the heart's chambers. The kernel of our method---and its unique feature---consists of computer simulations of atrial/ventricular activation sequences in a realistic anisotropic model of the human heart, under conditions that simulate the anatomical and electrophysiological substrate, as documented by electroanatomical mapping, underlying each individual patient's arrhythmia. To implement this method for guiding the ablation therapy of life-threatening ventricular arrhythmias and to test the feasibility of guiding the ablation via network, we propose to perform a pilot study at Toronto General Hospital, QEII hospital in Halifax and at Hopital Sacre Coeur in Montreal; all these medical centers will be networked with the remote powerful computing facilities at Dalhousie University, which will perform data processing and heart-model simulations. Thus, in summary, we propose to develop new guiding procedures for ablating lethal cardiac arrhythmias by combining existing techniques of endocardial electroanatomical mapping and body-surface potential mapping with a computer model of the cardiac electrical activation process, which would be available as a remote ``consultant'' to the participating medical centers. Although a large part of our proposed work will consist of software development (heart model, very-fast processing of measured electrograms), the most important component of this study will be to test the feasibility of ``remote consultation'' requiring massive amounts of data to be transfered via network at high speed. SIMULATION, COMMUNICATION.
Source: Milan Horacek, Ph.D.: Professor, Department of Physiology and Biophysics

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¶PSYCHIATRY

Computer-Based Training: Awaiting release is a CD-ROM designed as a teaching tool about narcolepsy. This project was created by the efforts of Draxis Pharmaceuticals and several individual collaborators across Canada including Dr. Rachel Morehouse at the QEII Sleep Lab. It includes video footage of several QEII patients. The sleep disorders clinic and lab also has a Windows-based tutorial called Journey Into Sleep which was developed at the University of Manitoba. EDUCATIONAL
Computer-Based Simulations: In use for patient evaluation is a program called Steer Clear, developed in California, which tests patients' vigilance and response using simulated driving. SIMULATION, TESTING
Source: Dr. Rachel Morehouse: Medical Director of the Sleep Disorders Clinic and Lab at the QEII
Website: Department of Psychiatry: http://psychiatry.medicine.dal.ca/: This site, developed by Dr. Risk Kronfli, resident in psychiatry, provides a look at the department from many angles including history, faculty, research, and educational programs. It also has some patient education materials, links to other related sites, and information on community-based psychiatric programs and events. COMMINUCATION
Multiple Choice Question Database: Dr. Stokes, Clerkship Coordinator for the Department of Psychiatry, plans to assemble a database of psychiatry MCQs for use in creating practice examinations for clinical clerks. EDUCATION
Source: Annette Cossar: Education Administrator Dept of Psychiatry

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¶RADIATION ONCOLOGY

Website: Dalhousie Gynecologic Oncology Division Home Page http://is.dal.ca/~gynonc/gynonchome.html

Updated March 1998. Return to Top of Page

¶RADIOLOGY

Website: Department of Radiology: http://radiology.medicine.dal.ca/: Here one can find some basic information about the department such as the educational program for undergraduates and residents, CME and research activities, and the divisions of diagnostic imaging and nuclear medicine.
CD-ROM Learning Tools: Dr. Cupido Daniels, Head of the Diagnostic Medical Physics Division and Associate Professor of Radiology is the visionary and the technician behind the development of a series of Radiology teaching CD-ROMs. The CD tutorials use text and x-rays to teach about imaging modalities, detectable anatomy and pathology and related cases are presented. Since developing the first CD, Fundamentals of Diagnostic Radiology, Daniels has collaborated with radiologists at the University of Montreal and the University of Toronto to produce Fundamentals of Breast Imaging, Imaging of Low Back Pain, and Trauma in the Adult Head. A new addition has been Fundamentals of Pediatric Radiology.
Source: Cupido Daniels, MS, MSc, FCCCPM,: Learning Centre, Radiology Department, VGH

Updated March 1998. Return to Top of Page

¶SURGERY

Website: Division of Neurosurgery: http://neurosurgery.medicine.dal.ca/: This site includes history, faculty, education, neurotransplants, research and links to other related sites.

To be updated March 1998. Return to Top of Page

¶UROLOGY

Website: Department of Urology: http://urology.medicine.dal.ca/: Linked to the Dalhousie University Faculty of Medicine Home Page, this site features information about the Department of Urology including staff, educational programs, news, research activities and links to other related websites. COMMUNICATION
Medical Records System: Dr. J.B. Gajewski has taken the Carefiler Medical Records System and customized it for urology patients and now has nearly ten thousand electronic patient files. This includes information on the results of tests and procedures, medications, and patient progress. It also allows easy collection of summary data for analysis for research and statistics. The form letter feature makes procedure and clinic notes a breeze, virtually eliminating dictating and its sometimes long turnaround time. PATIENT MANAGEMENT
"Prostate Crystal Ball": This Windows-based computer program, created by David Bell, Jerzy Gajewski, Jedrzej Gajewski, and Riki Sahajpal, aids in making treatment decisions for patients with prostate cancer. Using survival data from the Framingham Study and Statistics Canada, as well as published progression rates of prostate cancer, this program estimates the patient's life expectancy with and without prostate cancer helping urologists determine if radical therapy or conservative measures would be more appropriate. PHYSICIAN DECISION SUPPORT
Image Enhancement: Jerzy Gajewski, Richard Norman, Kesava Rajagopalan and Peter Gregson collaborated on a geometric filtering system for enhancement of prostate transrectal ultrasound images. This image processing significantly improves the contrast in the detection of hypoechoic lesions. INTERFACE TECHNOLOGY
Source: Jerzy Gajewski: Department of Urology
Male Infertility Teaching Application: This application created on File Maker Pro by Dr. Grantmyre and Arun Mathur (resident) presents information on a variety of aspects of male infertility for resident and student teaching. It incorporates a patient database whereby information from simulated histories and physicals is used to provide interactive case studies. This application has been presented at National Urology Meetings. EDUCATION
Source: Dr. Grantmyre: Associate Professor, Dept of Urology

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¶W.K.K. KELLOG HEALTH SCIENCES LIBRARY

Kellogg Library Website: http://www.library.dal.ca/kellogg: Interwoven with the Dalhousie University Libraries homepage this site provides information about the Library's policies and services, announcements and notices, as well as links and instructions for access to the databases which have remote and campus-wide access capabilities, and links to other related internet websites. COMMUNICATION
Database Access: Many bibliographic databases are currently accessible from outside the Library. Medline, Cinahl, HealthStar, Bioethicsline, and International Pharmaceutical Abstracts are all usable from home or off-campus office via the internet through the Library's web page. Also available, but only to those users hardwired to the Dal ethernet, including some locations in the QE II and IWK Grace, are Health Indicators, and PsycLit.
Document Delivery Service: Automated routing allows document requests to be immediately sent to a North American medical library that can fill the request. With document scanning and delivery via the internet documents can usually be delivered within three working days. COMMUNICATION
Source: Ann Barrett: W.K. Kellogg Health Sciences Library

Updated March 1998. Return to Top of Page

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This page last updated May 15, 1998. Entries submitted by Chris Caudle, Class of 1998. Please send comments to Grace Paterson, Medical Informatics, Dalhousie University, Halifax, N.S. B3H 4H7