AGENDA

Twenty-sixth Meeting of theBOARD OF REGENTS

Board Room9:00 A. M., March 16-17, 1967

I. CALL TO ORDER AND INTRODUCTORY REMARKS Dr. William Hubbard

II. OPENING REMARKS FROM THE SURGEON GENERAL Dr. William Stewart

III. CONSIDERATION OF MINUTES OF LAST MEETINGTAB 1

Dr. William Hubbard

IV. DATES OF FUTURE MEETINGS1967-68 Calendars in all books TAB IINext Meeting - June 15-16,1967Subsequent Meeting - November 16-17,1967Selection of Meeting Date for March 1968Possible Dates - March 7-8, 11-12, 18-19, 21-22

Dr. William Hubbard

V. REPORT OF THE DIRECTOR Dr. Martin Cummings

VI. PRELIMINARY PLANNING FOR THE NLM ANNEX Mr. Walter Kilham, Jr.

VII. MEETING OF MEDLARS LITERATURE SELECTIONCOMMITTEE TAB III

Dr. Clifford Bachrach

Lunch

VIII. STATUS OF SECOND GENERATION MEDLARSTV

Dr. Joseph Leiter

IX. OECD/WHO MEDLARS PLANS TAB V Mr. Scott Adams

X. TOXICOLOGY INFORMATION PROGRAM TAB VI Dr. Charles Rice

XI. MEETING ON CONTINUING EDUCATIONIN DENTISTRY

-2-

Dr. Russell DixonTAB VII

ADJOURNMENT

DINNER - Navy Officers' Club - Cocktails - 6:30 P.M., Dinner - 7:30 P.M.

GUEST SPEAKER - Dr. Stanhope Bayne-Jones - "A New Look at Walter Reed"

RECONVENE - 9:00 A.M., March 17, 1967

XII. EXECUTIVE SESSION

EXTRAMURAL PROGRAMS

XIII. INTRODUCTION AND OPENING REMARKS

XIV. REPORT OF THE ASSOCIATE DIRECTORTAB 1

(gray book)

XV. FACILITIES AND RESOURCES PROGRAMS T*B II

XVI. CONSIDERATION OF PENDING APPLICATIONSRESEARCH GRANTS TAB IIITRAINING GRANTS TAB IV

Dr. Marjorie Wilson

Dr. Marjorie Wilson

Dr. Carl Douglass

Mr. David Kefauver

Lunch

XVII. CONSIDERATION OF CONSTRUCTION GRANTAPPLICATIONS (separate books)

XVIII. CONSIDERATION OF MEDICAL LIBRARY RESOURCEGRANT APPLICATIONS TAB V

OTHER BUSINESS

ADJOURNMENT

Dr. Carl Douglass

Dr. Carl Douglass

THE BOARD OF REGENTSof the

NATIONAL LIBRARY OF MEDICINE

MINUTES OF THE 26TH MEETING

March 16-17, 1967 - Bethesda, Maryland

MEMBERS PRESENT!

MEMBERS ABSENT:

ALTERNATES:

GUESTS;

BEAN, BOHANNON, DIXON, FUSSLER, HUBBARD, MUMFORD, SMITH,TAGER, WOLF, WOODHALL

BROWN, CARLSON, ENGLE, HEATON, MCDERMOTT, STEWART, ZIPF

Brig. General George J. Hayes represented Lt. General Heaton

Captain W. F. Pierce represented Admiral Brown

Mr. Henry Dubester represented Dr. Carlson

Dr. F. W. Hartman represented Lt. General Bohannon duringthe afternoon of the first day and all of second day

Dr. Benjamin Wells represented Dr. Engle

Mr. Walter H. Kilham, jr., Architect, O'Connor and Kilham

Mr. Loren Hellickson, Division of Regional MedicalPrograms, NIH

Mr. Clarence Lowe, Office of Extramural Programs, OSG

Dr. Francis Schmehl, Health Research Facilities Branch,Division of Research Facilities and Resources, NIH

Mr. Arthur Broering, Office of Architecture and Engineering,Division of Research Facilities and Resources, NIH

Mr. Theodore Lorenzen, Division of Hospital and MedicalFacilities, PHS

Mr. Herbert Hollweg, Educational and Facilities Branch,Division of Dental Health, PHS

Mrs. Ilene Stewart, Executive Secretary, Advisory Committeeon Scientific Publications and History of the Life SciencesStudy Sections, Division of Research Grants, NIH

Dr. Samuel Moss, Executive Secretary, Human Embryology andDevelopment Study Section, Division of Research Grants, NIH

NLM STAFF; Dr. Martin M. Cummings, Mr. Scott Adams, Dr. Clifford Bachrach,Dr. John B. Blake, Miss Mary E. Corning, Dr. Burnet Davis,Dr. Ruth Davis, Dr. Carl D. Douglass, Mr. Herbert H. Fockler,Mr. Joseph Foley, Dr. Louis S. Gerber, Dr. Fritz P. Gluckstein,Mr. James G. Hill, Mr. James D. Isbister, Dr. Leonard Karel,Dr. Ann Kaufman, Mr. David F. Kefauver, Mr. Gerald N. Kurtz,Dr. Joseph Leiter, Mrs. Louise H. Miller, Miss Marilyn D. Miller,Mrs. Marguerite L. Pusey, Mr. Paul C. Redmer, Dr. Charles Rice,Mr. James P. Riley, Mr. Marcus Rosenblum, Mr. George Russell,Mine E. Winifred Sewell, Dr. Andrew M. Sherrington, Dr. Norman P.Shumway, Mr. John P. Spain, Mr. John A. Timour, Mr. RobertWalkington, Mr. Samuel Waters, Dr. Marjorie P. Wilson

Or. Hubbard opened the 26th meeting of the Board of Regents by welcomingDr. Kathryn M. Smith, Dean of the School of Nursing at the University ofColorado, one of the two new members. Mr. Alfred R. Zipf, Executive VicePresident of the Bank of America, the other new member, was unable to bepresent.

NEW STAFF MEMBERS

Dr. Cummings introduced the new staff members. They included;Dr. Charles N. Rice, consultant for the Toxicology Information Programand ahercly to b«coiM an Associate Director; Dr. Ruth M. Davis, AssociateDirector for Research and Development; Mr. George F. Russell, Jr.,Assistant Executive Officer; and Mr. Marcus Rosenblum, Staff Associate inthe Office of the Director, assisting Dr. Rice.

NOVEMBER 1966 MINUTES APPROVED. FORTHCOMING MEETINGS SCHEDULED

The minutes of the November 14-15, 1966, meeting were approved. The dates,of June 15-16, and November 16-17, 1967, were reaffirmed. March 11-12wastentatively set as the date of the first meeting in 1968.

REPORT OF THE DIRECTOR

Dr. Cummings stated that the NLM representatives were due to appear beforethe House Subcommittee on Appropriations on April 7. Representative DanielFlood of Pennsylvania had replaced the late John Fogarty as chairman of thesubcommittee. Dr. Cummings reviewed budget submissions for FY 1968.

GRACE, the prototype computer phototypesetter used to produce Index Medicus,Current Catalog, and other NLM publications, had been performing irregularly.The Library has requested permission to obtain a Photon 901, which is alisted production model. The Joint Committee on Printing, however, wantedNLM to use the developmental Linotron shortly to be installed at theGovernment Printing Office. The Library opposed this proposal because:

(1) The Linotron might well not be operational in time;

(2) Production cost of printouts would be significantly increased,particularly for small Jobs;

(3) There is no opportunity to edit the computer printout from the Linotron;

(4) The removal of a subsection of the total MEDLARS information retrievalsystem and waiting one's turn with others for printing was incompatiblewith the need to provide timely service to multiple users.

The Director made it clear that the Linotron was still a prototype, andthat considerable reprogramming would be necessary to operate the Library'sprograms. After discussion, the Board adopted the following statement:

The Board of Regents of the National Library of Medicineexpreases grave concern over the NLM's inability to obtainapproval of the Joint Committee on Printing to replace theprototype computer-driven photocomposer (GRACE) whoseperformance has deteriorated markedly in the last few months.The photocomposer is an integral component of the highlysuccessful Medical Literature Analysis and Retrieval System(MEDLABS). To disapprove the NLM's request to procure aproduction model photocomposer for its current operatingneeds will have a deleterious effect on the MEDLARS system.In fact, any major breakdown in GRACE will make it impossiblefor the NLM to 'provide needed information services to thehealth sciences community throughout the country. Therefore,specifically, continued production of Index Medicus and theNLM Current Catalog are threatened by the failure of thissubsystem of MEDLARS.

Dr. Cunnings stated that the NLM had maintained excellent relationshipswith other agencies concerned with scientific information, in particularthe National Science Foundation, the Department of Defense, and sisterelements of the Department of Health, Education, and Welefare. Cooperativerelationships in two fields were being developed with the two othernational libraries, the Library of Congress and the National AgriculturalLibrary. Proposed activities are (1) conversion programs to permit com-patibility of the MARC computer activities at.the Library of Congress withthe NLM MEDLARS, (2) cooperative work toward a national serials data file,(3) study of the relationships of subject heading systems.

The Director commended the success of the United Kingdom and SwedishMEDLARS centers: The United Kingdom center had been operational for 6months, while the Swedish center had rewritten the NLM programs so thatthey could be used on the 1401 and 7090 series. The center at Harvardwould be able to start shortly, using the Swedish program. This has beena welcome relief to the slow progress in programming In the United States,which had slowed the implementation of a number of MEDLARS centers.

Dr. Cummings had been asked by the Surgeon General to discuss with theBoard the Report of a task force studying the transfer of the PHSAudiovisual Facility from its organizational relationship with theCommunicable Disease Center at Atlanta. A copy of the NLM staff reactionhad also been sent to the Board. The Board resolved:

That the Surgeon General's "Study Committee on OrganizationalLocation of the Public Health Service Audiovisual Facility" iscommended for its February 20, 1967 Report. The concepts of theReport are in general agreement with policy recommendationspreviously submitted to the Surgeon General by the Regents.

The Report clearly identifies the need for the Public HealthService to establish a focus on blomedical communications in

one organizational unit drawing together parallel programs in theinterest of accelerating the flow of vital information to those whohave a need for it. The Regents endorse the Committee's recommendationto provide improved coordination of all hiomedical communications media-print and non-print.

However, it remains the Judgment of the Board of Regents that a Centerfor Biomedical Communications should be established within the NationalLibrary of Medicine--a role which was clearly defined in the Board ofRegents policy statement of 1966 and In the Library's 5-year programplan.

The plans of the National Library of Medicine to develop a Center forBiomedical Communications can easily be modified to accommodate thecoordinated and integrated needs of the program elements described inthe Study Committee's Report.

STATUS OF SECOND GENERATION MEDLARS

Dr. Leiter discussed four types of activity developed at NLM. Two weredesigned to bolster present operations and orlent staff towards new devel-opments, and two were for defining functional requirements and proceduresfor the new system.

In bolstering present activities, time per search had dropped from 44minutes to 10 in the last six months. It would thus be possible to handleup to 6000 searches per year with our present syscem. Between 550 and 600searches a month were currently being processed at NLM, including those forthe decentralized centers. These performance figures would enable NLM toprovide necessary services for the next two years until the next generationsystem became operational.. Throughput time had improved after, the morato-rium of last December, so that half: rhe searches were now processed withineleven days and ninety percent within three weeks. Less than one percenttook over one month. This represented approximately a threefold improve-ment. It.now took only one-third of the time previously taken to processrecurring bibliographies.

A contract was being negotiated to provide necessary maintenance to thecurrent system so that staff could be released to work on the new system.A small task force had been set up t:o prepare for rhe pew system.

The Library would shortly request bids for equipment and systemsdevelopment.

In defining functional requirements and procedures for the new system,in the Technical Services Division, all serial records would be consoli-dated into a single unit record su that the entire file could be auto-mated.

Freer input and freer use of input vocabulary was a problem that wasbeing tackled. In particular, the auxiliary chemical module was now nearlyready.

COMMITTEE ON SELECTION OF LITERATURE FOR MEDLARS

Dr. Bachrach reported on a meeting held on January 24. Five new members, re-presenting physicians, scientists, and medical editors, had been added to thecommittee. They included: Dr. William Bean, Chairman; Dr. Walsh McDermott;Dr. Morris Fishbein; Dr. John H. Talbott; and Dr. Franz J. Ingelfinger. Theincreased scope of the committee's activities was indicated by the change oftitle from Ad Hoc Panel on Selection of Journals for Index Medicus to Committeeon Selection of Literature for MEDLARS; Che committee will in the future beconcerned with nonserial as well as serial literature and with anything to beincluded in MEDLARS, not only Index Medicus.

The January meeting suggested that the contents of .Index Medicus andCumulated Index Medicus might not need to be identical in the future. Wasa comprehensive published store of citations still needed now that therewas an electronic store in existence? NLM should encourage indexing byauthors. Interested specialty groups might subsidize indexing in their ownfields. MEDLARS could produce timely abridged bibliographies and morecomprehensive ones less frequently.

Dr. Bachrach stated that since the meeting, indexing had been received fromKeio University, Tokyo, at the rate of 1,000 articles per month. NLM wasdeveloping a request for proposals from commercial firms to index for us.Recommendations were being developed for editors and authors on author in-dexing. Alternative proposals would be presented at the next committeemeeting on methods of reviewing relative worth of material indexed and tobe indexed.

PRELIMINARY PLANNING FOR NLM ANNEX

Mr. Kilham, of O'Connor and Kilham, the architects who built the presentlibrary building, presented plans for an annex. He outlined three alter-natives: a building the height of the present library building; one witha medium tower; and one with a high tower (15 stories). It would be sitedto the south of the present staff parking lot. A and B levels in the oldand new buildings would be connected. Because of the cost of constructingparking space under the low building, the cost of all three would beapproximately equal. There was room left to the north of the staff parkinglot for a further building.

The Board expressed its pleasure with the progress so far and its satisfactionwith the esthetics of the proposed building solution.

TOXICOLOGY INFORMATION PROGRAM

Dr. Rice described the events leading to the setting up of the ToxicologyInformation Program. Responsibility for the operational phases of theprogram lay with NLM. There was a Committee for Coordination in DHEW,chaired by Dr. Philip Le'e, the Assistant Secretary for Health and Scientific

Affairs. A computer-based file of toxicologlcal information was to be developed.This would be useful in referring inquiries to the appropriate place for anauthoritative response.

A file of medical literature on toxicology would be available in NLM. Unpublishedinformation might be added. The program could publish reference aids, such asdirectories, handbooks, bibliographies, and reviews. Eventually, on-line responseshould be furnished to inquirers. Development of the system is envisioned step-wise as follows:

(1) Establishment of a referral center;

(2) Establishment of a clearinghouse for documents and bibliographic infor-mation;

(3) Establishment of a center for evaluating toxicological information whichwill provide a data bank which in turn will enhance the value of theclearinghouse.

User studies and an inventory of resources would be developed to provide theinformation needed to set up the referral center.

OECD AND WHO MEDLARS PLANS

Mr. Adams reported on his visit to Paris and Geneva on February 6 through 8.In line with COSATI policy, MEDLARS system and tapes were offered to theOrganization for Economic Cooperation and Development (OECD) on a quid proquo basis. For these services, OECD would provide 50,000 indexed citationsannually in machine-readable form. A MEDLARS center would be set up, andOECD would decide whether to expand the current U.K. or Swedish centers, orbuild an additional one. In the meantime, the existing centers would providetrial services. Excerpta Medica offered to provide the base for servicingthe 50,000 citations. A further meeting would be held at NLM on April 5 and6.

With regard to WHO,Dr. Candau, the director-general, accepted in Decembera long-standing offer by the United States to make available the MEDLARSsystem to WHO. Current awareness services would be provided to 2,000scientist-members of expert panels and to staff in headquarters and theregional offices. WHO had budgeted for two staff members, startingJanuary 1, 1968, and was exploring the possibility of assistance through agrant to study areas in which the MEDLARS base might need expansion to satisfyall WHO requirements, and ways in which WHO might assist.

CONFERENCE ON THE ROLE OF NLM IN CONTINUING DENTAL EDUCATION

Dr. Dlxon, Consultant in Residence, summarized the account of the conferenceheld at NLM on January 26 and 27. A number of recommendations had been made;and NLM was requested to provide the opportunity for a selected group of

8

leaders and educators in dentistry to study its facilities, so that they could,after further consideration, designate specifically the best ways NLM's resourcescould be used to advance continuing education in dentistry and the related healthsciences. Dr. Dixon put this in the form of a motion and it was carried.

Dr. Dixon suggested that providing maximum services to continuing education indentistry might well differ in degree and direction from those needed in medicine.He stressed also the need for functional liaison to be established with dentaleducators, possibly through the American Association of Dental Schools.

EXTRAMURAL PROGRAMS If 2/ $/

OPENING REMARKS

Dr. Wilson introduced a new member of the Extramural Programs staff, Dr. Ann Kaufman.The Board was reminded of the confidentiality of the proceedings and the necessityfor a Board member to absent himself from tha meeting room when an application isdiscussed in which he or his institution has an interest. Attention was called tothe latest legislative developments and the recent changes in the administrationof grants as outlined in the DRG Administrative Report.

Dr. Wilson pointed out that the adopted procedure of having the Subcommittee ofthe Board for Extramural Programs meet with staff on the evening prior to the fullBoard meetings would be continued.

REVIEW OF APPLICATIONS NEEDING SPECIALCONSIDERATION BY THE BOARD OF REGENTS SUBCOMMITTEE

FOR EXTRAMURAL PROGRAMS

The Subcommittee met with the Extramural staff on March 15, 1967,to discusscertain research grant applications because of priority level, split-vote recom-mendations, or requests of over $50,000. Also discussed were procedures to beinitiated in the review of construction grant applications and amounts of funds tobe awarded. Interim actions on resource grants, as well as the formula for entitle-ment were reviewed.

l_f Proceedings of meetings are restricted unless cleared by the Office of theSurgeon General. The restriction relates to all material submitted fordiscussion at the meetings, the agenda for the meetings, the supplementalmaterial, and all other official documents.

2J For the record, it is noted that members absent themselves from the meetingroom when the Committee has under individual discussion applications(a) from their respective institutions or (b) in which a conflict ofinterest might occur.

3/ The Board of Regents, when considering the Extramural Programs of the NLM,also consists of the Board of Regents Advisory Council for Extramural Programsand National Medical Libraries Assistance Advisory Board and concurrentlydischarges the responsibilities of all three bodies.

CONSIDERATION OF PENDING APPLICATIONS

Research Grant Applications

Thirty research grant applications totaling $975,962 were reviewed, and 17totaling $431,399 were approved.

Training Grant Application

One training grant application totaling $52,698 was reviewed but not approved.

Construction Grant Applications

Eleven applications totaling $12,409,402 were reviewed; 5 totaling $7,035,803were approved; 3 were deferred; 3 disapproved.

The following were recommended for approval:

1 J06 LM 00281-01 Jefferson Medical College, Philadelphia, Pa.1 J06 LM 00288-01 University of Nebraska, Omaha, Nebraska1 J06 LM 00293-01 Wayne State University, Detroit, Michigan1 J06 LM 00298-01 Rutgers, The State University, New Brunswick, N.J.1 J06 LM 00300-01 George Washington University, Washington, D.C.

The above construction grant applications were the first reviewed and recommendedfor approval under the Medical Library Assistance Act of 1965. The Congressappropriated $7.5 million for construction in fiscal year 1967,but these fundshave been held in reserve and have not been apportioned for expenditure.

Resource Grant Applications

Sixty-four resource grant applications were reviewed; 40 were approved; 17 deferred;and 7 disapproved.

Dr. Douglass discussed a proposed change in the previously approved formula forcomputation of resource grant awards, and action was taken to approve the proposedchange. This change allows increased entitlements for many of the large librarieswith major commitments for service. Awards for increased amounts were recommendedfor approval.

Summaries of Board actions on Research, Training, Medical Library Resource, andConstruction Grant Applications are appended to these minutes.

Respectfully submitted,

~ fr.CL7*

Martin M. Cummings, M.D.Secretary to the Board of RegentsNational Library of Medicine

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RliEUME OF BOARD OF REGENTS RECOMMENDATIONS

M/;,CH 16-17, 1S67

CONSTRUCTION GRANTS

APPLICATION NUMBER INSTITUTION RECOMMENDATION PRIORITY

1501 J06 LM 201-C1

1 J06 LM 236-C1

1 J06 Lh 2C7-01

1 J06 LK 283-C1

1 J06 LM 2S2-01

1 J06 LM2S3-C1

1 J06 LM 2SC-C1

1 J06 LM2S9-01

1 J06 LM 30C-C1

1 J06 LM308-C1

DUALS

FR/llK/LM 3C4-C1

HMDH/LH 312-01

The Jefferson MedicclCollege of Philadelphia

Philadelphia, Pennsylvania

Medicnl College of VirginiaF.ichmond, Virginia

Baltimore City HospitalsBaltimore, Maryland

University of NebrrskrCollege of Medicine

Omaha, Webrtska

University of UtahCollege of Medicine

Gelt Lake City, Utah

Wayne St*te UniversityDetroit, Michigan

$1,842,656*

DEFERRAL

DISAPPROVAL

1,000,000*

DEFERRAL

1,500,000*

Rutgers, The State University 541,293*New Brunswick, New Jersey

H. L. Snyder Memorirl Research DISAPPROVALFoundation, Inc.

Winfield, Kansas

The George WashingtonUniversity

Washington, D. C.

1,351,054*

The University of Texas, S.W. DISAPPROVALMedical.School

Delias, Texas

St. Louis UniversitySchool of Medicine

St. Louis, Missouri

Indiana University Schoolof Dentistry

Indianrpolis, Indir.na

DISAPPROVAL

DEFERRAL

191

136

142

150

* EXACT AMOUNTS TO BE DET7.;3MINED

-2-

KXTUAMDHAL 1'KOCiHAMS

XI, INTRODUCTION AND OPENING UBMAllKS

XII. REPORT OP THE ASSOCIATE DIRECTORTAD I

(gray book)

XIII, COMMENTS ON REGIONAL MEDICAL LIBRARY PROGRAM

XIV, REVIEW OF COUNCIL OPERATING PROCEDURESTAD II

XV. CONSIDERATION OF PENDING APPLICATIONS

RESEARCH & PUBLICATION GRANTS TAB III

TRAINING GRANTS TAD IV

Lunch

CONSTRUCTION GRANTS Green Books

RESOURCE GRANTS TAB V

REGIONAL GRANT TAB VI

Dr. Murjorio Wilaon

Dr. Mnrjoric Wilaon

Dr. Herman Fussier

Mr. David Kefouver

Mr. David Kefauver

Dr. Carl Douglass

XVI. OTHER BUSINESS

ADJOURNMENT

Dr. William Hubbard

AGENDA

Twenty-seventh Mooi'lnp, o£ the110AHI) OF IlEGIiNTS

Board Kooni9:00 a.m., June 13-16, 1967

I. CALL TO ORDER AND INTRODUCTORY REMARKS Dr. William Kubbard

II. CONSIDERATION OF MINUTES OF LAST MINTINGTAIJ I

III, DATES OF FUTURE MEETINGS1967-68 Calendars in all books TAIJ II(June 1968 tabulation of mcclingo also included)Next Meeting - November 16-17, 1967Subsequent Meeting - March 11-12, 1968Selection of Meeting Dole - Juno 1968Possible Dates: , June 20-21, 6-7

IV. REPORT OF THE DIRECTOR

V. REPORT ON COSATI ACTIVITIES

TAD III

VI. STATUS REPORT ON SECOND GENERATION MEDLARSTAD IV

Lunch

VII, SERVICE POLICIES FOR NLM

VIII, COPYRIGHT PROBLEMS

TAD V

TAD VI

Dr. WiIlium Hubbard

Dr. William Hubbard

Dr. Martin Cummings

Colonel Andrew Ainos

Dr. Joseph Loiter

IX, PROSPECTUS FOR RESEARCH AND DEVELOPMENT PROGRAMTAD VII

ADJOURNMENT

DINNER - Navy Officers1 Club Cocktaila - 6:30 p.m.

GUEST SPEAKER - Dr. William U. Bcun - "Oilier,. The Myth

Mr. Jumeo I3bister

Mr. Samuel Waters

Dr. Ruth Davis

Diunur - 7:30 p.m.

mid the Mim"

RECONVENE • 9:00 a.m., June 16, 1967

X. EXECUTIVE SESSION

-2-

EXTRAMURAL PROGRAMS

XI, INTRODUCTION AND OPENING REMARKS Dr. Marjorie Wilaon

XII. REPORT OF THE ASSOCIATE DIRECTOR Dr. Marjorle WilsonTAB t

(gray book)

XIII, COMMENTS ON REGIONAL MEDICAL LIBRARY PROGRAM Dr. Herman Fussier

XJCV, REVIEW OP COUNCIL OPERATING PROCEDURES Mr. David KefauverTAB II

XV. CONSIDERATION OF PENDING APPLICATIONS

RESEARCH & PUBLICATION GRANTS TAB III Mr. David Kefauvet

TRAINING GRANTS TAB IV

Lunch

CONSTRUCTION GRANTS Green Books Dr« Carl Douglass

RESOURCE GRANTS TAB V

REGIONAL GRANT TAB VI

XVI. OTHER BUSINESS Dr. William Uubbard

ADJOURNMENT

THE BOARD OF REGENTSof the

NATIONAL LIBRARY OF MEDICINE

MINUTES OF THE 27TH MEETING

June 15-16, 1967 - Bethesda, Maryland

MEMBERS PRESENT; BEAN, BOHANNON, DIXON, ENGLE, FUSSLER, HUBBARD, MCDERMOTTMUMFORD, SMITH, TAGER, WOLF, WOODHALL, ZIPF

MEMBERS ABSENT;

ALTERNATES:

GUESTS:

BROWN, CARLSON, HEATON, STEWART

Brig. General Qeorge J. Hayes represented Lt. General Heaton

Captain W. F. Pierce represented Admiral Brown

Dr. F. W. Hartman represented Lt. General Bohannon

Dr. Burton W. Adkinson represented Dr. Harve Carlson

Colonel Andrew Aines, Executive Secretary, C08ATI, 08T

Mr. Bernard Feiner, Office of General Counsel, Office ofSecretary, DHEW

Dr. Robert Milch, Office of Science and Technology

Mr. Edward McClellan, representing Dr. James Liebennan,PH8 Audiovisual Facility, Communicable Disease Center, Atlanta

Mr. Alphonse Strachocki, representing Dr. Ian Mitchell,Regional Medical Programs, NIH

Mrs. Marjorie J. Wagner, representing Mr. Walter A. Klieger,Division of Dental Health, Bureau of Health Manpower

Mr. Theodore Lorenzen, Division of Hospital and MedicalFacilities, PHS

Mr. Herbert Hollweg, Educational and Facilities Branch,Division of Dental Health, PHS

Mr. Arthur Broering, Office of Architecture and Engineering,Division of Research Facilities and Resources, NIH

Dr. Francis Schmehl and Mr. David Tilson, Health ResearchFacilities Branch, Division of Research Facilities andResources, NIH

Dr. Ilene Stewart, Executive Secretary, Advittory Committeeon Scientific Publications and History of thp Life SciencesStudy Sections, Division of Research Grantn, iT

Dr. Clair Bpealnan, Special Study Section, DRG, NIH

STAFF: Dr. Martin Cummings, Dr. Clifford Bachrach, Dr. John Blake,Miss Mary E. Corning, Dr. Burnet Davis, Dr. Ruth Davis,Dr. Carl Douglass, Dr. Malcolm S. Ferguson, Mr. Herbert Fockler,Mr. Joseph Foley, Dr. Louis S. Gerber, Dr. Fritz P. Gluckstein,Mr. James D. Isbister, Dr. Leonard Karel, Dr. Ann Kaufman,Mr. David F. Kefauver, Mr. Gerald N. Kurtz, Dr. Joseph Leiter,Mrs. Louise H. Miller, Miss Marilyn D. Miller,Mrs. Marguerite L. Pusey, Mr. Paul C. Redmer, Dr. Charles Rice,Mr. James P. Riley, Mr. Marcus Rosenblum, Mr. George Russell,Dr. Andrew M. Sherrington, Dr. Norman P. Shumway,Mr. John P. Spain, Mr. Michael Springer, Mr. Robert Walkington,Mr. Samuel Waters, Dr, Marjorie P. Wilson

Dr. Hubbard opened the meeting of the Board of Regents by welcomingMr. Alfred Zipf, Executive Vice President of the Bank of America,San Francisco.

NEW STAFF MEMBER

Dr. Cummings introduced Dr. Malcolm Ferguson, who had come to theLibrary from the National Institutes of Health.

MARCH 1967 MINUTES APPROVED. FORTHCOMING MEETINGS SCHEDULED

The minutes of the March 16-17, 1967, meeting were approved. Thedates of November 16-17, 1967, and March 11-12, 1968, were reaffirmed.June 20-21was tentatively set as the date of the second meeting in1968.

REPORT OF THE DIRECTOR

Dr. Cummings, announcing the loss of Dr. Marjorie Wilson, AssociateDirector for Extramural Programs, expressed his warm thanks to her forall the contributions she has made to the NLM and wished her well inher new assignment at NIH.

The Director then put in perspective the investment on the Libraryin the two milieus - expenditure on health and expenditure on infor-mation services. In the first, some $1*3 billion was being spent forhealth services, and about five percent of this went for medical research.The $20 million spent on NLM represented about 0.05 percent of the whole.In information handling, about $265 million was expended in the academicsetting, and about $260 million in the Fcdorul ucllirif.',, the $20 mil].ionin this milieu representing 3.8 percent of the whole.

Because of the new program and budget procedure within the Department ofHealth, Education, and Welfare, Dr. Cummings said that the FY 1969budget would be presented at the next meeting of the Board of Regents.

The Library had had a number of informal meetings with the Office ofScience and Technology and the Bureau of the Budget about the Centerfor Biomedical Communications.

NLM had had a request to replace GRACE, its computer-driven phototypesetter,by a model of similar size, turned down by the Joint Committee on Printing.However, permission had been granted to purchase a smaller and slowerPhoton 713,and if one was not enough to maintain production flow, tosupplement it with a second.

Dr. Cummings drew the attention of the Board to a number of donations madeby private individuals to the Library. He singled out for special recognitionDr. Stanhope Bayne-Jones, Dr. Edward Gushing, Dr. Robert Livingston,Dr. Irving Page, Dr. Saul Jarcho, Dr. Chauncey Leake, and Dr. William Bean.

On its part, over the past three years, NLM had donated 100,000 book creditsin the U.S.Book Exchange to new medical school libraries in this countryand abroad. More recently, the Library had given the World Health Organi-zation a XVIIth century etching depicting a plague epidemic in Rome in1656-7. The Surgeon General and Senator Edward M. Kennedy presented theetching to Dr. Candau, the W.H.O. Director General, in a ceremony at Geneva;it will be hung in the W.H.O. Library.

The three national libraries (TheLibrary of Congress, National AgriculturalLibrary, and NLM) had established a working task force to achieve thefollowing common objectives:

1. Compatibility of bibliographic data elements, or at least the developmentof a common basis convertible to a national standard;

2. Common outputs in catalog card production, book catalog production, and,in the future, a mechanism for the common search of the three libraries'files;

3. Development and maintenance of a national centralized pool of machine-readable data relating to serial identification and holdings. Fundshad been transferred to the Library of Congress by the National Agri-cultural Library and NLM for this purpose; these would be supplementedby a grant from the Council on Library Resources;

k. Common vocabulary nomenclature and classification schemes.

In the international area, the Deputy Director had been working for sixmonths as a member of the U.S.delegation to the Organization for EconomicCooperation and Development (OECD) to develop a mechanism whereby OECD couldshare in the MEDLARS system. OECD would provide 50,000 indexed citations inmachine-readable form as quid pro quo. Several important administrativeproblems had still to be worked out by OECD, particularly the training ofpersonnel.

TRANSFER TO NLM OF PHS AUDIOVISUAL FACILITY

Dr. Cummings reported that the Secretary, DHEW, had ordered the organizationaltransfer of the PHS Audiovisual Facility to the National Library of Medicine.Mr. Edward McClellan, the Deputy Director of the Facility, who was deputizingfor Dr. Lieberman, said that the Facility looked forward to the first of Julywhen they would be contributing to NLM's program. He showed a film transferof the dedication ceremonies of the Community Medical Television System inAtlanta. A 2500 Megaherzian system links Emory University Hospital, theEmory School of Medicine, Grady Memorial Hospital, the Veterans AdministrationHospital, the Georgia Department of Public Health and its Mental HealthInstitute, and the PHS Audiovisual Facility. The Surgeon General, announcingthe transfer in a videotape shown at the ceremony, said that the Facilitywould be renamed the National Medical Audiovisual Center. Dr. Cummingswelcomed the Facility to membership in the NLM family. Mr. McClellan invitedMembers of the Board to visit the new Center. Dr. Hubbard expressed the Board'swelcome and said this transfer would enhance the possibilities of providinginformation to modify practitioners' practice to the patient's benefit.

VISITS ABROAD BY BOARD MEMBERS

Dr. Wolf reported on his visit to Israel to discuss critical reviews, indexing,preparation of Oral Research Abstracts. Drug Digests, and other activitiesfunded by PL U80 funds. Dr. Woodhall had been in Australia and had discussedwith the National Health and Medical Research Council the possibility of adecentralized MEDLARS center in that country.

INTER-AGENCY COMMITTEE OH SCIENTIFIC AND TECHNICAL INFORMATION (COSATI)

Col. Aines highlighted some of the important problems facing COSATI. Howcould one Judge the need for information systems or evaluate their performance?How would communications change when consoles and computerized systems andnetworks were introduced? Would there be new requirements? How would thelarger information systems be paid for? What would be the role of the Govern-ment, industry, the unions, and the professional societies? How will the defacto system operating today be affected by new programs, proposals, andapproaches? How can the education of information users be improved? Howcould legal problems like copyright and patents modify the development ofinformational systems? How could operations research, systems analysis, andsystems development be applied? Could national, federal, and internationalsystems be developed simultaneously? How could marginal and worthlessinformation be screened out? How could libraries be integrated into thetotal information complex? What was the future of the learned Journal?Would information networks become sufficiently cheap to become part ofeveryday information systems?

Col. Aines admitted that there were currently far more problems than solutions.

STATUS REPORT OH SECOND GENERATION MEDLARS

Dr. Leiter said that after more than one year of preparatory work involvingthe bolstering of the present system to maintain services until a new systemwas installed, and developing, with the aid of a management contract, a detaileddescription of the functional requirements of the second generation system(Auerbach Report), the Library was entering the final phase for obtainingcompetitive bids prior to selection of hardware and systems design.

This phase would require an estimated period of nine months before a finalcontract could be anticipated. During this time a number of teams consistingof NLM staff members, members of the Auerbach staff, and a selected group ofoutside technical consultants vould be heavily involved in planning and con-ducting bidders' briefings; developing criteria for selection; reviewing andevaluating the proposals; and preparing a comprehensive assessment of theproposals leading to the final selection of a contractor.

It was hoped to identify the final contract for the system by the end ofFiscal Year 1968.

SERVICE POLICIES FOR NLM

Mr. Isbister discussed the implications for the Library of PL 89-U87, theFreedom of Information Act, which would become effective on July k. The Actchanged the emphasis in the information processes of the Federal Government,from a situation where an individual had to Justify his claim to informationto one where the Government had to Justify withholding information.

DHEW was developing regulations. Reference materials in libraries would bespecifically excluded from the provisions of the Act. NLM was making thenecessary preparations for implementing the Act in accordance with theDepartment regulations.

Mr. Isbister also discussed the possibility of recovering from users some ofthe costs of services, in particular those of MEDLARS demand searches.

The Board resolved to reaffirm its^'previous policy of providing services toall qualified users without charge as a public service, but to reevaluate thispolicy not less than once a year.

COPYRIGHT PROBLEMS

Mr. Waters reviewed the history of copyright. Matters had been brought to ahead by Williams and Wilkins, who had requested the Library to pay them 2 centsper page for copying their Journals or cease copying. The Office of the GeneralCounsel of DHEW had been asked for advice, and in the light of this the Libraryhad resumed copying articles from Williams and Wilkins Journals.

Mr. Waters reiterated NLM policy: the Library would in general not copy morethan a single article, certainly not a whole issue of a Journal. Individualswere restricted to a single copy.

The new Copyright Bill before Congress restates the Doctrine of FairUse.Problems might arise, however, if abstracts were included in the MEDLARSsystem. Preservation filming of published materials would constitute infringe-ment and the Director had consulted with the other national libraries aboutrequesting an amendment which would permit these three libraries to copypublished materials for preservation. A meeting in the fall would gauge thereaction of publishers to this possibility.

The projected Graphic Image program would also be affected. The idea here wasto film materials in advance and store this in a mechanically retrievable form,which could be printed out automatically. Providing copies of this store toregional medical libraries would raise problems. Transmission of copiesoff-site by facsimile transmission was,by implication, not permissible.

Mr. Waters thought that the Library's position was materially worsened by thenew Bill. He noted that COSATI was recommending that the Bill should beamended so that National Information Systems were exempted from actions forinfringement, especially with regard to making single copies for research,preservation copies, and inputting abstracts. Also, Senator McClellan haddecided to support legislation to establish a national commission to studycopyright and make recommendations.

Mr. Feiner, of the Office of the General Counsel, confirmed that there was notest case on photocopying by libraries. It would be open to an aggrieved partyto file suit against the Government in a Court of Claims. This suit had to befor pecuniary damages; and it protected individual employees since the suitwould have to be against the Government. There was a case involving anotherFederal agency pending under this mechanism.

Inputting material into a computer would not constitute infringement until itwas output.

Mr. Feinur c-onsidered that the damage to the Library might be in what the Billdoes not include, and the fact that certain areas are not clarified.

Dr. Hubbard thanked the Office of General Counsel on behalf of the Board.

The Board expressed its approval and appreciation for the Director and staffin the action they had taken in regard to copyright.

NLM RESEARCH AND DEVELOPMENT PROGRAM

l)r. Ruth Davis, Associate Director for Research and Development, outlined herproposed program. The Board passed the following resolution:

The Board of Regents of the National Library of Medicine enthusiasticallyendorses the Research and Development Program in Biomedical Communicationsas presented to the Board and as transmitted to the Office of the SurgeonGeneral. In particular, the Board supports fully the concept of directedresearch and development. The Board recognizes an urgent need to improveall facets of biomedical communication and supports NLM's plan to approachthis objective through a combination of intramural expertise and extramuralcapability.

The Board believes that the objectives of the Research and DevelopmentProgram stated below reflect accurately those areas in which theapplication o.i' technology offers the greatest potential for effectingsignificant advances in biomedical communication practices. To ensureprogress towards these objectives the Board strongly urges the SurgeonGeneral to give his full support to the five-year program of manpower,contract funding, and facilities requirements submitted by the NLM.

Objectives of the Research and Development Program

1. An automated document-handling (library) network

2. Automated information-handling networks

3. System management through system monitoring, system adaptivity,controlled feed-back and application of control system procedures

I*. Experimentation with communications systems in controlled environments:observation and evaluation of operational systems to identify systemparameters, system inadequacies, and component relationships

5. Structuring of query languages, information banks, and documentcollections to provide direct communication by the biomedicalprofessional

6. Automated assistance in medical problem solving

7. Application of advanced techniques to specific needs of the indi-vidual biomedical professional, e.g., requirements for color incommunication, remote browsing., and high resolution materialtransmission

8. Education through automated information and communications networks.

The Board of Regents is satisfied tbat the NLM now has the capability toimplement such a program under the technical leadership of Dr. Ruth Daviswho demonstrated her ability to identify the principal problems to besolved and particularly to organize approaches to the solution of theseproblems,

WILLIAM A. JUi-.P MEMORIAL AWARD

Dr. Cummings announced that Mr. James Ishister, NLM Executive Officer, hadbeen accorded special recognition by the William A. Jump Memorial Committee.

SURGEON GENERAL'S MAJOR PROGRAM OIVJtCTIVES FOR 1973

Dr. Cummings read to the Board the sdtun entitled "Non-allocable Scientificand ledical Information" which dealt with the Library's Program.

EXTRAMURAL PROGRAMS I/ 2/ J/

l_l Proceedings of meetings are restricted >iniess cleared by the Office of theSurgeon General* The restriction relates to all material submitted fordiscussion at the meetings, the agenda for the meetings., the supplementalmaterial, and all other official documents.

2/ For the record, it is noted that members absent themselves from the meetingroom when the Committee ".as under individual discussion applications(a) from their respective inst it-<• lens or (b.) in w^.kh a conflict ofinterest might occur.

3/ The Board of Regents, when considering f->e Extramural Programs of the NLM,also consists of the Board of Regents Advisory Council for Extramural Programsand National Medical Libraries Assistance Ad- isory Board and concurrentlydischarges the responsibilities of all three bodies.

EXTRAMURAL PROGRAMS

REPORT OF THE ASSOC'ATEDIRECTOR FOR EXTRAMURAL PROGRAM^

The Associate Director for Extramural Programs reported on developments,accomplishments, and plans for the extramural programs which includesupport for the construction and improvement of medit.al libraries andother health science information centers and resources, training ofhealth science information specialists, researcf on techniques andsystems for biomedical information :ommunu it ion and the establish-ment of regional medical libraries.

REVIEW OF APPLICATIONS NEEDING SPECIALCONSIDERATION BY THE BOARD OF REGENTS S1.BCOMMITTEE

FOR EXTRAMURAL PROGRAMS

The Subcommittee met wit1! the Extram.irai stdff on h.ne 14, 1967, to discusscertain research and training grant applications which reqiired specialconsideration such as those applications r=-qi.esting more than $50,000 peryear.

CONSIDERATION OF FENDING %Pyi.U

Review of Grant Applications

The Board of Regents acting uonc.irrent iy ds> the Board of RegentsAdvisory Council for Extramural Prc.grams and as t!> National MedicalLibraries Assistance Advisory Board, re*, u-.wcd r'pij. following grantapplications:

Research Grants

Training Grants

Resource Grants

ReviewedApproved

Rev iewedApproved

ReviewedApprovedDe f erredDisapprrved

289

22

6036159

tot.il ingtotal ing

total ingtota 1 ing

S 708,877145,021

167,91216;,912

Construction Grants ReviewedApprovedDeferred

Regional MedicalLibrary Grant Reviewed

Approved

totalingtotaling

I totaling1 totaling

5,244,567552,241

1 J'*98/2104,872

10

Approval was recommended for the following library construction grantapplications:

1 J06 LM 00333-01 Scott and White Memorial Hospital, Temple, Texas

1 J06 LM 00338-01 Postgraduate Center for Mental Health, New York,N.Y.

1 J06 LM 003 *8-01 Southern School of Pharmacy of Mercer University,Atlanta, Georgia

1 J06 LM 00350-01 Roger Williams General Hospital, Providence, R.I.

Approval was recommended for the following regional medical librarygrant:

1 PlH LM OOU76 Francis A. Countway Library of Medicine, HarvardMedical School, Boston, Massachusetts

RESOLUTIONS OF APPRECIATION

The Board adopted resolutions expressing appreciation for the outstandingservice which Dr Marjorie Wilson and Dr. Carl Douglass have given tothe National Library of Medicine. The Board was pleased to learn thatMr. David Kefauver had accepted the position of Associate Director forExtramural Programs, The Board expressed appreciation to Dr. William Hubbardfor his service as Chairman of the Board during the past two years.

Respectfully submitted,

<? '

Martin M CummingsSecretary to the Board of RegentsNational Library of Medicine

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RESUME OF BOARD OF AGENTS RECOMMENDATIONSJune 16-17, 1967

Resource Grants

APPLICATION NO.P12 - Li.: - INSTITUTION - ADDRESS

00105-01 i'iercy Hospitaliluskegon, llichigan

0014C-01 University of ToledoCollege of PharmacyToledo, Ohio

00180-01 iironson riethodist HospitalKalamazoo, i-iichigan

00299-01 Shasta Memorial Weurovascularand Rehabilitation Institute

bedding, California

00338-01 Jrookdale Hospital CenterBrooklyn, Mew York

00343-01 St. Anthony HospitalDenver, Colorado

001;64-01 Texas Institute for Rehabilitationand research Hospital

Houston, Texas

00365-01 Montana State JnivercitySchool of NursingjJozeman, Montana

00366-01 University of MontanaSchool of Pharmacyiiioooula, liontana

00367-01 Willc Eye Hospital and ResearchInstitute

Philadelphia, Pennsylvania

00373-01 Weld County General HospitalGreeley, Colorado

00581-01 Medical Library of iiecklenburgCounty

Charlotte, i'lorth Carolina

OO r.5-01 University of CaliforniaHealth Sciences LibraryCan Francificn, California

RECa&lENDATIOH01 ENTITLEMENT PRIOHITY

$ 1,696

1,997

DISAPPROVAL

DEFERKAL

3,823

1,239

1,211

DISAPPROVAL

DEFERRAL

1,908

DEFEFJ.1AL

4,011

50,000

458

325

318

375

275

267

436

150

- 2 -

ileooui'cc Grants

AK?LICATIOil JG.P12 - La - INSTITUTION - ADDUESS

003f;0-01 American Optometric AssociationSt. Louis, Missouri

003S1-G1 Kennepin County uedical SocietyMinneapolis, iiinnesota

00400-01 A». Barton HepburnHospitalCgdensburg, 'New York

00406-01 "heeling HospitalWheeling, VIest Virginia

00410-01 DeWitt State HospitalAuburn, California

00412-01 Kerrick lieiaorial I-IospitalBerkeley, California

00413-01 Florida State jJoard of HealthJacksonville, Florida

00414-01 Grouse-Irving llocpitalCyracuce, i'Teu York

00415-01 iiercy I-Iospital School ofNursing

Johnstoxjn, Pennsylvania

00415-01 iiercy School of WurcingCharlotte, North Carolina

00417-01 City of Hope aedical CenterDuarte, California

00436-01 iiercy Hospital School of llursingAltoona, Pennsylvania

00437-01 Chicago liedical SchoolChicago, Illinois

0043C-01 Ct. Joseph's HospitalYonkers, Nev; York

C043i/-01 Loretto HospitalChicago, Illinois

0(Vi/iO-01 Tfliiipa General HospitalTampa, I1'lorida

RECOIilEl'IDATIOWGil Ei:TITLUI.Ei-]T PRIORITY

$ &&$& 473

3,642

DISAPPROVAL

DISAPPROVAL

3,352

DISAPPROVAL

8,249

1,712

DEFZRRAL

DISAPPROVAL

11,575

DICAPKiOVAL

16,605

3,20C

DISAPPROVAL

DEFERl'AL

4C2

417

203

375

217

150

417

Resource Crane.:

APl'LICATIGJ HO.P12 - U-l - IWETITUTIOil - AD3BES

00441-01

00442-01

00443-01

OCX:44-01

00445-01

00446-01.

00447-01

0044C-01

0044S-01

00450-01

00451-01

00452-01

00456-01

00457-01

0045C-01

00/:.5?-Ol

Uarren State HospitalT-Jarrcn, Pennsylvania

iiiddletoun State HospitalLiiddletown, Hew York

Holy Family HospitalAtlanta, Georgia

uaui iieuiorial HospitalTIailuku, Maui, Hawaii

D'Youville CollegeBuffalo, New York

ew Jersey Ctate hospitalMarlboro, iionmouth CountyHew Jersey

Ct. Peter's HoopitalHelena, Montana

Continental Research Instituteilet? York, Hew York

Uecley Hecical CenterUichita, Kancac

r>eekvaan-Downtown Hospitaliiew York, Jew York

Annie 1-i. Warner HospitalGettysburg, Pennsylvania

South Dakota State UniversityCollege of i..:ursing andCollege of Pharmacy

Brookingc, Couth Dakota

Cleveland Cuatc IlocpitalCleveland, Ohio

iiew Hanover Hemorial HoopitalUilmington, North Carolina

JairvieT? State HospitalCosta llesa, California

Children's iiemorial IlcepitalChicago, Illinois

RECOiiLiEilDATIOl!OR EWTITLEI'iEMT

$ 5,161

4,36

DEFEIUtAL

D33EU2AL

DEFEPJ^L

2,940

DEFEIUAL

DISAPPROVAL

5,3C2

2,953

DEFEllTiAL

C,5CO

2,59?.

2,725

7,195

30C

325

400

325

40C

320

3C3

400

255

ov-x Resource Grants

- 4 -

APPLICATIOi-1P12 - Li-i -

00460-01

00461-01

00462-01

00463-01

we.IilSTITUTIOU - ADDi!ES3

University of Chicago LibraryChicago, Illinois

Institutum Divi ThomaeCincinnati, Ohio

Evanston HospitalEvanston, Illinoic

'Michael Reese Hospital and

ilEC&L-JSHDATICil!0.1 EUTITLEi-JEiJX

$ 27,033

1,603

4,627

13,043

Piiican

100

336

310

164

O

O

Licdical CenterChicago, Illinois

00464-01 blew Jersey College of aedicineand Dentistry

Jersey City, New Jersey

00465-01 Boston CollegeSchool of rlursingGushing HallChestnut Hill, Massachusetts

00466-01 Department of Health andHospitals, Inc.

Boston, i-iaosachusetto

00467-01 Ohio Northern UniversityCollege of PharmacyAda, Ohio

0046C-01 Houston State Psychiatricinstitute

Houston, Texas

00469-01 Research Foundation for CentalHygiene, Inc.,

Hew York State Department ofiiental Hygiene

Weu York, New York

00470-01 Delvrare f?tate Hospitallieu Cattle, Delaware

00471-01 i^lorth Dakota State UniversityFargo, Worth Dakota

00472-01 St. Francis HospitalGrant Inland, Nebraska

19,29G

7,210

4,092

5,959

10,666

2,46£

DEFEICAL

DEFE311AL

127

102

270

350

270

420

- 5 -

Resource Grafts

APPLICATION .1C.P12 - LI: - IIISTITUTIOII -

00473-01 Roosevelt HocpitalNew York, New York

00474-01 San. JJrancicco PoychoanalytlcInstitute and Society

San Francisco, California

0?v

$ 5,677

PRIORITY

290

DliFELV-AL

RESUME OF BOARD OF REGENTS RECOMMENDATIONS

JUNE 15 & 16, 1967

CONSTRUCTION GRANTS

Grant Mo.

1 JC6 LM 00333-01 (J)

1 JOG LM 00337-01

1 J06 LM 00338-01

1 J06 LM 00340-01 (J)

1 J06 LM 00345-01

1 JC6 LM 00348-01 (J)

1 J06 LM 00350-01

Institution

Scott and White MemorialHospital

Temple, Texas

University of MassachusettsSchool of Medicine

Worcester, Massachusetts

Postgraduate Center forMental Health

New York, New York

Southern College ofOptometry

Memphis, Shelby, Tennessee

The University of TexasMedical Branch

Calveston, Texas

Southern School of Pharmacyof Mercer University

Atlanta, Georgia

Roger Williams GeneralHospital

Providence, Rhode Island

GrantRecommended

$ 210,444

DEFERRAL

99,780

DEFERRAL

DEFERRAL

167,196

66,821

PriorityScore

277

200

195

J77

RESUME OF BOARD OP RECIINTS RECOMMENDATIONS

JUNE 15-16, 1967

Regional Medical Library Grants

APPLICATION NO. INSTITUTION - ADDRESS AMOUNT RECOMMENDATION

1 P14 LM 00476-01 Francis A. Countway Library $104,872 Approvalof Medicine

Boston, Massachusetts

AGENDA

Twenty-eighth Moctjnf; of theBOARD OP REGENTS

Board RoomNational Library of Medicine9:00 a.m., November 16-17, 1967

I. CALL TO ORDER AND INTRODUCTORY REMARKS

II, CuN.HDERATION OF MINUTES OF LAST MEETINGTAB I

(orange book)

Dr, Barnes Woodhall

Dr. Harriett Woodhall

III. DATES OF FUTURE MEETINGS1968 Calendars in all books TAB IINext Meeting - March 11-12, 1968Subsequent Meeting - June 20-21, 1968Selection of Meeting Date - November 1966Possible Dates:7-8, 1 -15, 21-22

Dr. Barnes Woodhall

IV. OPENING REMARKS FROM THE SURGEON GENERAL

V. REPORT OF THE DIRECTOR TAB III Dr. Martin Cuznmings

VI. DRAFT REGULATIONS FOR NLM TAB IV Mr. Scott Adams

VII. A. DESCRIPTION OF MODIFIED NLM NETWORK PLAN(as defined in Request for Proposal for

new MEDLARS system)B. ELEMENTS OF NLM INTERACTION AND CONTROL-C. IMPLICATIONS FOR THE FUNDING OF REGIONAL

LIBRARIES TAB V

Dr. Ruth Davis

Dr. Joseph LeiterMr. David Kefauver

VIII. REPORT ON OVERSEAS MEDLARS CENTERS Dr. William Bean

LUNCH

IX. CONSTRUCTION GRANT PROGRAM REVIEW Mr. Robert Walitinrton

X. CONSIDERATION OF PENDING GRANT APPLICATIONSTAB I

(gray book)

A. RESEARCH AND PUBLICATION GRANTS TAB II

B. TRAINING GRANTS TAB III

C. MEDICAL LIBRARY RESOURCE GRANTS TAB IV

D. REGIONAL MEDICAL LIBRARY GRANTS TAB V

ADJOURNMENT

DINNER NATIONAL NAVAL MEDICAL CENTER OFFICERS CLUB (TERRACE ROOM)

COCKTAILS 7:00 p.m. DINNER 6:00 p.m.

GUEST SPEAKER - Dr. Stewart'G. Wolf, Jr. - "Charles Richetj Physiologist,Poet, Playwright, and Rival of the Wright Brothers."

RECONVENE - 9:00 a.m., November 17, 1967

X. CONSIDERATION OF PENDING GRANT APPLICATIONS (CONTINUED)

E.- CONSTRUCTION GRANTS . (green'books)

XI. USE OF CONTRACTS TO SUPPLEMENT NLMPRODUCTION CAPABILITIES TAB VI

(orange book)

Dr. Joseph LeiterMr. George Russell

XII. JOINT AUTOMATION GOALS OF THE THREENATIONAL LIBRARIES TAB VII

Mr. James Riley

XIII. REPORT OF THE SUBCOMMITTEE TO STUDY THEROLE OF THE NATIONAL MEDICAL AUDIOVISUALCENTER TAB VIII

Dr. E. Grey Dimond

LUNCH

XIV. EXECUTIVE SESSION

XV. OTHER BUSINESS

ADJOURNMENT

THE BOARD OF REGENTSof the

NATIONAL LIBRARY OF MEDICINE

MINUTES OF THE 28TH MEETING

November 16-17, 1967 - Bethesda, Maryland

MEMBERS PRESENT; AUGENSTEIN, BEAN, BOHANNON, BROWN, CARLSON, EBERT, MCDERMOTI1,MUMFORD, SMITH, STEWART, TAGER, WAGMAN, WOLF, WOODHALL, ZIFF

MEMBERS ABSENT;

ALTERNATES;

GUESTS;

ENGLE, HEATON

Dr. John J. Downey represented Vice Admiral Brown theafternoon of the first day and all of the second day

Dr. F. W. Hartman represented Lt. General Bohannon theafternoon of the first day and all of the second day

Brig. General George J. Hayes represented Lt. General Heatonboth days

Dr. Harold Schoolman represented Dr. H. Martin Engle both days

Dr. Edward Offutt and Mr. Clarence Lowe represented theOffice of the Surgeon General

Dr. Samuel Koslov, Rand Corporation

Dr. Frank Husted and Mr. Alphonse Strachocki, Division ofRegional Medical Programs, NIH

Mrs. Ileen Stewart, Scientific Publications Advisory Committeeand History of the Life Sciences Study Sections, Division ofResearch Grants, NIH

Dr. Wilton M. Fisher, Executive Secretary, General Medicine "A"Study Section, Division of Research Grants, NIH

Dr. Bengt Liljeroot represented Mr. David Tilson, Division ofResearch Facilities and Resources, NIH

Miss Karen Hansen represented Mr. Henry Cram, Division ofPhysician Manpower, PHS

Dr. Foster Mohrhardt, Director, National Agricultural Library

Dr. Fred Cole, President, Council on Library Resources, Inc.

Dr. Stephen McCarthy, Executive Director, Association ofResearch Libraries

Mr. Arthur Broering, Office of Architecture and Engineering,Division of Research Facilities and Resources, NIH

Dr. E. Grey Dimond, Scholar-in-Residence, NLM

STAFF; Dr. Martin M. Cummings, Mr. Scott Adams, Dr. Clifford A. Bachrach,Dr. John B. Blake, Dr. Jeanne Brand, Mr. Ray Brown,Mr. Lawrence K. Coffin, Miss Mary E. Corning, Dr. Burnet M. Davis,Dr. Ruth M. Davis, Mr. Allan P. Doris, Dr. Malcolm Ferguson,Mr. Herbert H. Fockler, Mr. Joseph B. Foley, Dr. Louis S. Gerber,Mr. David Gull, Dr. Raquel 8. Halegua, Mr. Charles F. Herbert,Mr. JMMI 0. Hill, Mr. James D. Isbistcr, Mr. Thomas Joyce,Dr. Ann A. Kaufman, Mr. David F. Kefauver, Mr. Gerald N. Kurtz,Dr. Joseph Leiter, Dr. James Lieberman, Dr. Kenneth C. Lynn,Mr. Davis B. McCarn, Mr. Robert B. Mehnert, Mrs. Louise H. Miller,Miss Marilyn D. Miller, Mr. James P. Riley, Mr. George F. Russell, Jr.Dr. Norman P. Shumway, Mr. Ralph Simmons, Mr. Stanley Smith,Mr. John P. Spain, Mr. John A. Timour, Dr. Margaret Urist,Mr. Robert A. Walkington, Mr. Samuel T. Waters.

HEW BOARD MEMBERS WELCOMED

Robert H. Ebert, M.D., Ph.D., Dean of the Harvard Medical School,Frederick H. Wagman, Ph.D., Director of the University of Michigan Library,and Bruno W. Augenatein, Vice President for Research, RAND Corporation,vere welcomed to the Board of Regents by Dr. Woodhall.

RETIREMENT OF BOARD MEMBER

Dr. Cummings drew the attention of the Board to the lobby exhibit on spacemedicine, in honor of Lt. General Richard L. Bohannon who will be retiringNovember 30 as Surgeon General of the Air Force.

NEW STAFF MEMBERS

Dr. Cummings introduced several new NLM staff members to the Board:

1. Mr. Davis B. MeCam, Deputy Associate Director, Office of Research andDevelopment

2. Mr. Ralph A. Simmons, Head, Information Science and Computer ScienceGroup, Office of Research and Development

3. Mr. Thomas Joyce, Program Operations Manager, Office of the DirectorU. Mr. Stanley Smith, Acting Chief, Technical Services Division5. Mr. George F. Russell, Jr., Executive Officer

Dr. Cummings noted vith regret the leaving of Mr. James D. Isbister, ExecutiveOfficer, who will assume a new post vith the National Institute of Mental Health.

JUNE 1967 MINUTES APPROVED. FORTHCOMING MEETINGS SCHEDULED

The minutes of the June 15-16, 1967» meeting vere approved. The dates ofMarch 11-12 and June 20-21, 1968, vere reaffirmed. November 7-8 vas tentativelyset as the date of the third meeting in 1968. The March 12, 1968 session villbe held at the National Medical Audiovisual Center, Atlanta, Ga.

REPORT OF THE DIRECTOR

Dr. Cummings summarized for the Board the history of the 1968 and 1969 budgetestimates. The program base for Fiscal Year 1968 totals $21,67 ,000, consistingof funds appropriated for NLM of $19,912,000 and $1,762,000 in funds transferredfrom the Communicable Disease Center for the National Medical Audiovisual Center.The preliminary request to the Public Health Service for Fiscal Year 1969 vas838 positions and $1*3,788,000 and vas forvarded to the Department vithout change.DHEW applied a reduction of $11,713,000 and llU positions leaving a firstallowance of 72U positions $32,075,000. Subsequently, a second DHEW allowancereduced the amounts to 723 positions and $28,863,000.

The Director forecast stringent personnel restrictions and actual cuts in1968 funds and significant further reductions in the 1969 request.

A plan for reorganization* of Library programs (based on previous suggestionsby the Executive Committee of the Board), now awaiting approval in the Officeof the Secretary, was presented to the Board by the Director. The new organi-zational configuration will consist of four major operating activities:National Medical Audiovisual Center; Specialized Information Services (includingToxicology Information Program and the Drug Literature Program); Direct LibraryOperationsi and Extramural Programs. The Research and Development Program andthe Office of Computer and Engineering Services will serve all the majoroperating activities.

The Library has maintained excellent working relationships within the Serviceand Department, with other Federal agencies such as the National ScienceFoundation and NASA, and with outside organizations such as Chemical AbstractsServices, American Dental Association, and American Medical Association. TheLibrary has been working closely with the AMA on the development of an AbridgedIndex Medicus (AIM would include references to citations from some 100 English-language Journals).

Internationally, the Library has cooperated with the Commonwealth Fund andthe Pan American Health Organization in implementing a Regional Medical Libraryfor South America. One of the Library's senior staff has been detailed to workfor 90 days in Sao Paulo, Brazil, the site of the Regional Library. NLM willserve as a technical backstop to this Center. As a followup to the SurgeonGeneral's discussion with the Minister of Health, NLM is also working withthe Government of Mexico to advise and assist in the establishment of a NationalLibrary of Medicine for that country. NLM is continuing to work with OECD andWHO for the provision of MEDLARS search capability to those organizations.

In response to a request from a panel of the President's Library Commission,NLM advocated the establishment of a permanent National Library Commission inthe Executive Office of the President and suggested that consideration begiven to the establishment of a National Library of Physical Sciences andEngineering. The Library also suggested appointing advisory structures to theother two national libraries so that there would be more formal relationshipsbetween these institutions.

DRAFT REGULATIONS* FOR NLM

Mr. Scott Adams presented for the Board's consideration draft regulationsgoverning access to the NLM facilities and collection and the availability ofits bibliographic reproduction, reference, and related services. Two circum-stances precipitated the development of the regulations: the need, recognizedby the Board of Regents, to establish policy and to control the development ofthe Library as a modern information center and center of a national network;and the Freedom of Information Act (P.L. 89-1*87) which requires the publicationof any substantive rules of general applicability adopted as authorized by law,and statements of general policy formulated and adopted by each Federal agency.

* See list of Board Actions

The draft regulations provide for delegation from the Surgeon General to theDirector of the National Library of Medicine the authority to determine rulesof practice for providing Library services. Since MEDLARS decentralizationis a mechanism and not a service, it is excluded from these regulations to behandled by a system of individual agreements. When approved, regulations villbe published in the Federal Register.

The Board of Regents voted to endorse the general principles of the draftregulations.

MODIFIED NLM NETWORK PLAN

Dr. Ruth M. Davis discussed the NLM network plan with its objectives ofaccelerating continuing medical education, and distributing fairly amonglibraries, information services, and educational institutions the responsi-bility and resources for developing information transfer mechanisms. Supportwill be provided to two categories of users: individual (practitioners,researchers, educators, students), and intermediate agencies between NLM andthe individual user (regional libraries, information analysis centers, edu-cational institutions, hospitals, MEDLARS centers). To assume ultimateresponsibility NLM must plan for a "controlled" rather than "permissive"network — controlled in the sense of determining who has the capability toprovide MEDLARS support, who has the capability to provide audiovisualsupport, etc. NLM must have the ability to plan and regulate network growthand development.

The proposed network is separated into five components: library; specializedinformation services; educational and instructional TV; audio and audiovisualservices; and data processing and data transmission facilities. The networkwill depend heavily on the effectiveness of decentralized MEDLARS stations,programs under the Medical Library Assistance Act (particularly RegionalMedical Library activities), and the Regional Medical Program of NIH.

The Board reaffirmed its endorsement of the NLM research and development plan.

DECENTRALIZED MEDLARS STATIONS

Dr. Joseph Leiter recounted to the Board the Library's recent experience indecentralizing the formulating of MEDLARS demand searches and centralizingthe machine processing of the searches. Costs were lowered and throughputtime decreased by having the six university-based MEDLARS stations do moreof the intellectual work related to processing demand search requests(formulation and review of output) and having NLM perform the machine processingcentrally.

IMPLICATIONS FOR THE PUMPING OF REGIONAL MEDICAL LIBRARIES

Mr. David Kefauver discussed Section 398 of the Medical Library AssistanceAct which authorizes a program of grants for the establishment of a system ofregional medical libraries, and the steps taken by NLM to implement this sectionof the Act. He outlined the services that a regional library will be required

to perform and noted that probably no more than ten such libraries could bedesignated by 1970. He reported that there had been consultation with planninggroups in the various regions of the U.S. At its June meeting, the Board ofRegents recommended approval for the first regional library grant to HarvardUniversity. The grant became active on July 1, and a program at Harvard wasformally activated on October 1, 1967*

The question was raised whether the authorities and the resources for theImplementation of the NLM network plan can be found in the Medical LibraryAssistance Act. Looking ahead to the year 1970, when the Act expires, itis not too early to consider alternative possibilities of legislative authorityfor the support of the network.

REPORT ON OVERSEAS MEDLARS CENTERS

Dr. Bean reported on site visits which he made with Dr. Leiter to the MEDLARSunits at the National Science Lending Library in Boston Spa, England, and atthe Karolinska Institutet in Sweden. The U.K. facility put into effect aliterature search program making very efficient use of MEDLARS tapes. TheKarolinska Institutet, after overcoming initial difficulties, is now operatingefficiently. Orientation programs now in the U.K. for users of MEDLARS haveresulted in much more specific and useful searches being formulated.

REVIEW OF CONSTRUCTION GRANT PROGRAM

Mr. Walkington outlined the nationwide needs for additional medical libraryspace. He reviewed the procedures for handling construction grant applicationsunder the Medical Library Assistance Act and the criteria used in arriving atdecisions. He emphasized three problems in considering construction grantapplications: cost allocation for Joint facilities; the need for and subsequentdevelopment of a formula to assure that the funds available are used with maximumimpact for the greatest number of institutions; the lack of detailed planningevidenced in some applications ~there is often only a vague relationshipbetween the functional needs of the institution and the space requirements.

It was noted that none of the funds appropriated in fiscal year 1967 and 1968for the construction program have been released to the Library, therefore, noconstruction grant awards have been made. Considerable discussion ensued, andthe serious.concern of the Board was expressed in a formal resolution.*

The Chairman of the Board expressed his interest in continuing such programanalysis on a recurring basis.

NLM USE OF CONTRACTS TO SUPPLEMENT PRODUCTION CAPABILITY

Dr. Leiter and Mr. Russell described the need of NLM, faced with a gap betweenincreasing services and a lack of adequate resources to rely increasingly oncontractor services. Plans for Fiscal Year 1968 call for about $0 contracts forJust under $3,000,000.

See list of Board Actions

1. Beginning this year and continuing for the next four or five years, theLibrary will attempt to negotiate a series of contracts for the new computersystem. The first contract this year will be for the system design requiringabout $900,000.

2. Six contracts vith universities are now active for decentralized MEDLARSstations.

3. In support of other MEDLARS and library operations there are four areasin which we use contracts ~indexing, input typing, microfilm, and servicessupporting programming and computer operations.

U. Contracts for new programs (Toxicology, Research and Development) arebeing developed. Implementation must await availability of funds. At presentwe are being held to spending at the '67 level. Programs with no FY 67 base(e.g.,, Toxicology) have not been able to be implemented as planned.

In July of this year NLM received authority to negotiate its own contracts.The Library will continue to use the contract negotiation staff at NIH, however,until a staff is assembled at NLM.

JOINT AUTOMATION GOALS OF THE THREE NATIONAL LIBRARIES

Mr. Riley reported on progress of the National Libraries Task Force on Automationand Cooperative Services, established at the July 26, 1967 meeting of the AmericanLibrary Association by the directors of the Library of Congress, National Agri-cultural Library, and National Library of Medicine. The directors agreed thatthe three national libraries should adopt common goals as they move ahead toautomate their libraries.

The Task Force is investigating cooperation in the following areas: bookcatalogs; off-line production of catalog cards; machine-readable catalogingdata; and bibliographies. Much coordination is needed in cataloging activities,especially in the area of subject headings. Reference services and acquisitionsare other activities which could profit from cooperation among the libraries.

The Task Force has established sub-groups to investigate the following:

Machine-readable data formatsand character sets

Language and place codesMain entry and author file problemsSerial data programsAcquisitions policy

The Board enthusiastically endorsed this effort and urged NLM to continue itsleadership in this direction.*

See list of Board Actions

8

REPORT OF THE SUBCOMMITTEE TO STUDY THE ROLE OF THE NATIONAL MEDICALAUDIOVISUAL CENTER*

Dr. Dimond presented findings and recommendations of a Subcommittee namedby the Ad Hoc Group on Biomedical Audiovisual Communications which met atNLM on August 17 to discuss NLM/NMAC relationships. The Subcommittee metat Atlanta on October 11, 12, 13 to study the activities of the NationalMedical Audiovisual Center.

The Chairman of the Board, after receiving the reports and after discussionby the members, appointed a Subcommittee to study this report' and bring theirrecommendations to the next Board meeting in Marchi Dr. Tager, Dr. Ebert,and Mr. Augenstein were named to the Subcommittee.

REVIEW OF GRANT APPLICATIONS

The Board of Regents, acting concurrently as the Bdard of Regents AdvisoryCouncil for Extramural Programs and as the National Medical LibrariesAssistance Advisory Board, reviewed the following grant applications:

Research Grants ReviewedApproved

ReviewedApproved

Resource Grants

Construction Grants ReviewedApprovedDeferredDisapproved

Regional MedicalLibrary Grants Reviewed

ApprovedDeferred

35 totaling13 totaling

2 totaling1 totaling

Reviewed 1*7Approved 39Deferred 5Disapproved 3

9 totaling6 totaling12

3 totaling2 totaling1 totaling

863,103239,1*79

78,81*8U9J09

$6,6U5,2896,066,727

929,078316,213612,865

• See list of Board Actions

Approval was recommended for the following library construction grantapplications:

1 J06 LM 00286-01 Medical College of Virginia, Richmond, Virginia

1 J06 LM 003UO-01 (J) Southern College of Optometry, Memphis, Shelby,Tennessee

1 J06 LM 0031+5-01 The University of Texas Medical Branch,Galveston, Texas

1 J06 LM 00363-01 Boston University Medical SchoolBoston, Massachusetts

1 J06 LM 0037U-01 University of Oklahoma Medical CenterOklahoma City, Oklahoma

1 J06 LM 00373-01 Brown UniversityProvidence, Rhode Island

Approval was recommended for the following regional medical library grants:

PlU LM 55U-01 University of Washington, Seattle, Washington

PlH LM 556-01 College of Physicians of PhiladelphiaPhiladelphia, Pennsylvania

Respectfully submitted,

/Martin M. CunmingsSecretary to the Board of RegentsRational Library of Medicine

RESOLUTION

OF THE

BOARD OF REGENTS OF THE NATIONAL LIBRARY OF MEDICINE

NOVEMBER 17. 1967

The Board of Regents of the National Library of Medicine, having considered atits meeting on November 17* 1967, reports from the Director of the Library, theLibrarian of Congress, and the Director of the National Agricultural Library onthe present state and plans for increased cooperation as the three NationalLibraries engage in automation, wishes to express its enthusiastic endorsementof such cooperation in the national interest.

Specifically, the objectives of the three libraries in identifying the commongoals of a national data bank of machine-readable cataloging information, of.,establishing a national data bank of information on serials publications, andof achieving increased compatibility of their technical and processing functionsto make these possible are to be commended as being in the highest interest ofpublic service.

Federal leadership is essential if the revolution of computer technology isto be applied optimally to the libraries and bibliographic information servicesof the country to the benefit of education, science and technology, and scholar-ship generally.

The assumption of this leadership by three National Libraries, in differentbranches of the Government, each sensitive to the needs of the large communi-ties it serves, and each concerned with an overall national purpose, is anexercise in statesmanship on the part of the Directors of the three NationalLibraries.

The Board of Regents of the National Library of Medicine, in voting its endorse-ment of this cooperative move, wishes to call its appreciation to the attentionof the Surgeon General of the Public Health Service, the Secretary, Departmentof Health, Education and Welfare, the Secretary of Agriculture, the President'sScience Adviser, and the Chairman of the Joint Committee of the Congress on theLibrary of Congress.

RESOLUTION

OF THE

BOARD OF REGENTS OF THE NATIONAL LIBRARY OF MEDICINE

NOVEMBER 17, 196?

The Board of Regents of the National Library of Medicine wishes to expressand record its concern with the continuing inability of the National Libraryof Medicine to secure the release of appropriated funds to support theconstruction of much needed medical library facilities. In our view thisstricture may vitiate some extremely important planning and adversely affectthe many efforts and programs directed toward the accomplishment of nationalhealth objectives.

The Medical Library Assistance Act, passed by the Congress in 1965, gaveclear recognition to the enormous importance of disseminating health infor-mation to practicing physicians, other health personnel, and students inthe various fields related to medicine. The Act acknowledged the fact thathealth science library facilities had failed to keep pace with the rapidlygrowing information needs of expanded national activities in health-relatedresearch, education, and service. Failure to construct such sorely neededfacilities, coordinated as they would be with programs to expand and improvemedical library services, will have adverse effects on the whole nationalhealth program. At the time that the Medical Library Assistance Act of 196?became law, it was estimated that the need for medical school libraries alonewould require over $100 million in construction funds. Accordingly, theCongress authorized in the Act a program to assist in the construction ofhealth science libraries and provided for a modest maximum appropriationauthorization of $10 million per annum. This was the first and remains theonly specific authority for the construction of medical libraries.

In fiscal 1967, the Congress appropriated $7.5 million for medical libraryconstruction. In fiscal 1968, it appropriated $3.75 million more. TheBoard of Regents has reviewed 27 applications for the construction of medicallibrary facilities during these years and approved 15 well thought out andhighly essential plans to expand and upgrade health information services.The Board wishes to point out that, to date, no funds have been released bythe Bureau of the Budget to the National Library of Medicine to fund approvedconstruction projects. Therefore, the backlog of 15 projects, in the totalamount of $13, 35,133, recommended for approval, remains unawarded, leavinga critical and unmet need of the medical schools for expanded and improvedlibrary facilities. Appended is a list of examples representing 10 of themost urgent projects where failure to fund will disrupt other health facilitiesconstruction or the planned increases in the number of medical graduates.

Since a variety of education and health-related construction programs,including'this program, have met with a favorable response from the Congressin their requests for appropriations, and since funds have continued to beavailable for construction of other health facilities as well as for theconstruction of non-health oriented libraries, the Board finds it difficult

to understand why the National Library of Medicine medical library constructionprogram continues to be without funds. The Board has reviewed the appropriationtestimony before the House for 1968 and is encouraged to note the statement bya Department official in response to a committee question that the 1967 appro-priation will be released during 1968. These funds will be lost to the programon June 30, 1968. The Director has operated under this assurance anticipatingthat these funds, although less than adequate to meet the need as defined in1965, would permit support for at least a few excellent programs to achieveadequate medical library facilities essential to the advancement of the healthsciences.

Therefore, the Board urges the Surgeon General of the Public Health Service toacknowledge and make known to the appropriate authorities our serious concernover these circumstances. Specifically, the Board urges and requests that everyeffort be made to provide to the National Library of Medicine the $7.5 millionappropriated for library construction in fiscal 1967 as well as the $3.7$ millionappropriated in 1968. The Board believes that the need for and value of thisprogram have been demonstrated and urges that it be activated at once.

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APPENDIX II

Actions Taken by Board of Regents

1. In the event of Departmental reorganization which would create an UnderSecretary of Health, with line and staff responsibilities, the Boardvoted its endorsement of a plan which would locate the NLM in a lineand staff relationship to the Under Secretary or Chief Medical Officer.(Executive Session)

2. The Board voted to endorse the general principles of the NLM draftregulations governing access to facilities and collection and provisionof Library Services.

3. The Board adopted a resolution urging the Surgeon General to assist insecuring the release of appropriated FY 67 and FY 68 funds for the supportof approved grant applications for medical library construction under theMedical Library Assistance Act. (Executive Session)

U. The Board adopted a resolution commending the Directors of the threenational libraries for their efforts toward the establishment of commongoals as the three libraries apply automation to their functions.(Executive Session)

5. The Board appointed a subcommittee consisting of Dr. Tager, Chairman,Mr. Augenstein, and Dr. Ebert, to advise on functions and programs ofthe National Medical Audiovisual Center, authorizing it to utilizeconsultants as required. (Executive Session)

6. The Chairman of the Board named Dr. Stewart G. Wolf, Alternate Chairman,to act in the absence of the Chairman. (Executive Session)

7. The Board agreed to hold part of its March 11-12, 1968 meeting at theNational Medical Audiovisual Center in Atlanta, Georgia. (Executive Session)