Question. Both the Long Range Planning Panel and the DeBakey report recommend increased training and retraining for health sciences librarians. However, the NLM budget justification appears to place primary emphasis training in medical informatics and biotechnology information in the disciplines of molecular biology and genetics. Please comment. This Answer. Both the 1987 NLM Long Range Plan and the recent DeBakey Outreach Report recommended training health science librarians in the use of computer technologies in medicine. is still of great interest to NLM. As NLM was beginning to formulate the issues for a planning panel on the training of medical librarians, the Medical Library Association convened a Knowledge and Skills Task Force. This Task Force is attempting to define the knowledge and skills required of the health science librarians of the future, and the educational policies which will assure the maintenance of those abilities throughout a professional career. The findings of this Task Force will be an important input into the NLM planning process. NLM has been kept regularly apprised of the progress of the Task Force and intends to convene its own planning panel of health professionals, librarians, and other information professionals following the issuance of the Task Force Report. Meanwhile, NLM continues to address the problem that there are not adequate numbers of persons in biomedical fields, including medical librarianship, who have had training in the use of modern computer and communications systems. Such training is supported through medical informatics training grants. This is a key concept of the HPCC initiative. Question. The Integrated Academic Information Management System (IAIMS) Program appears to incorporate some of the goals of the NREN project; does the President's budget request reflect an increase over 1991 funding for IAIMS grants? Answer. The IAIMS program is completely compatible with the NREN concepts. Indeed in many ways it directly exceeds these ideas. The IAIMS program is directed toward the institution-wide use of communications and information processing techniques to link and relate library systems with individual and constituent data bases and files inside and outside the institution for patient care, research, education and administration. The goal is to create an organizational mechanism within health institutions to manage biomedical knowledge more effectively, and to provide for a system of comprehensive information access. This is indeed in line with the goals of the High Performance Computing Program. Funding for IAIMS is sufficient to maintain the same level of funding as in FY 1991. SUBCOMMITTEE RECESS Senator HARKIN. Thank you. The subcommittee will stand in recess until 9:30 a.m., Tuesday, March 19, when we will meet in SD192 to hear from the Department of Education. [Whereupon, at 5:36 p.m., Thursday, March 14, the subcommittee was recessed, to reconvene at 9:30 a.m., Tuesday, March 19.] LIST OF WITNESSES, COMMUNICATIONS, AND PREPARED STATEMENTS Adams, Hon. Brock, US. Senator from Washington, questions submitted by ... Biographical sketch Prepared statement Archer, William R., M.D., Deputy Assistant Secretary for Population Affairs, Barnhart, Hon. Jo Anne B., Assistant Secretary, Family Support Administra- Prepared statement Bart, Kenneth J., M.D., M.P.H., Deputy Director, National Vaccine Program, 361 Bowen, Dr. G. Stephen, Acting Director, Bureau of Health Resources Development, Health Resources and Services Administration, Department of Health and Human Services .... 587 Briggs, Ethel, Executive Director, National Council on Disability 657 Biographical sketch....... 671 Broder, Dr. Samuel, Director, National Cancer Institute, National Institutes of Health, Department of Health and Human Services 739 Biographical sketch 746 Prepared statement 742 Burdick, Hon. Quentin N., U.S. Senator from North Dakota, questions sub- Clinton, Dr. J. Jarrett, Acting Administrator, Agency for Health Care Policy Cochran, Hon. Thad, US. Senator from Mississippi: Diggs, Dr. John, Deputy Director, Extramural Research, National Institutes of Health, Department of Health and Human Services 685 Dyer, John R., Deputy Commissioner for Finance, Assessment, and Management, Social Security Administration, Department of Health and Human Services ...... 291 Biographical sketch 320 Enoff, Louis D., Deputy Commissioner for Programs, Social Security Administration, Department of Health and Human Services 291 Biographical sketch ..... 319 Evans, Willard B., Jr., Acting Director, Office of Planning and Resource Management, Agency for Health Care Policy and Research, Department of Health and Human Services 439 Fauci, Dr. Anthony S., Director and Associate Director for HIV Research, Prepared statement Page 685, 855 Gall, Mary Sheila, Assistant Secretary, Office of Human Development Serv- 862 857 131 Biographical sketch 133 Letter from 139 Prepared statement 132 Gannon, John, Chairperson, Health Insurance Committee, National Council 657 Biographical sketch 670 Gaston, Dr. Marilyn, Director, Bureau of Health Care Delivery and Assist- Goldstein, Dr. Murray, Director, National Institute of Neurological Disorders Biographical sketch Prepared statement Goodwin, Frederick K., M.D., Administrator, Alcohol, Drug Abuse, and Men- Gorden, Dr. Phillip, Director, National Institute of Diabetes and Digestive 587 973 981 976 531 540 535 893 900 Prepared statement 895 Gordis, Enoch, M.D., Director, National Institute on Alcohol Abuse and Alco- 531 Gorton, Hon. Slade, U.S. Senator from Washington, questions submitted by Hatfield, Hon. Mark O., U.S. Senator from Oregon, questions submitted by 115, Prepared statement Hoel, Dr. David, Acting Director, National Institute of Environmental Health Prepared statement 1117 1124 1119 945 Biographical sketch 951 Hollings, Hon. Ernest F., U.S. Senator from South Carolina, questions sub- 948 67, 796 Hutchins, Dr. Vince L., Acting Director, Maternal and Child Health Bureau, 587 Johnson, Elaine M., Ph.D., Director, Office for Substance Abuse and Preven- 361 531 Page King, Gwendolyn S., Commissioner, Social Security Administration, Depart- 291 Biographical sketch 318 Prepared statement 294 Kirschstein, Dr. Ruth, Director, National Institute of General Medical 1011 Biographical sketch 1018 Prepared statement 1013 Kupfer, Dr. Carl, Director, National Eye Institute, National Institutes of 1033 Biographical sketch 1039 Prepared statement..... 1035 Kusserow, Richard P., Inspector General, Office of Inspector General, Depart- 179 Biographical sketch 184 Prepared statement 182 Lee, Dr. Leamon, Director, Division of Financial Management, National Insti- 685 Lenfant, Dr. Claude, Director, National Heart, Lung, and Blood_Institute, 822 Prepared statement 817 Leshner, Alan I., Ph.D., Acting Director, National Institute of Mental Health, 531 Lindberg, Dr. Donald, Director, National Library of Medicine, National Insti- 1163 Biographical sketch 1170 Prepared statement 1165 Little, W. Harell, Director, Division of Public Health Service Budget, Office 361 Loe, Dr. Harald, Director, National Institute of Dental Research, National 841 Biographical sketch 848 Prepared statement 843 Long, Stephen W., Director, Division of Financial Management, Alcohol, Drug Mahoney, John, Associate Director, Office of Administration, National Insti- 685. Mason, Dr. James O., Assistant Secretary, Office of the Assistant Secretary 361 370 364 McGinnis, J. Michael, M.D., Deputy Assistant Secretary for Health (disease 361 Mullan, Dr. Fitzhugh S.M., Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services... 587 Parrino, Sandra S., Chairperson, National Council on Disability 657 669 662 Pickelsimer, Claude, Director, Financial Management Office, Centers for Dis- 465 531 Raub, Dr. William F., Acting Director, National Institutes of Health, Depart- 685 Prepared statement 691 Reid, Hon. Harry, U.S. Senator from Nevada, questions submitted by Page Robinson, William A., M.D., M.P.H., Director, Office of Minority Health, Of. Roper, Dr. William O., Director, Centers for Disease Control, Department Prepared statement Rudman, Hon. Warren B., U.S. Senator from New Hampshire, questions 361 465 475 468 124, 582 Schambra, Dr. Philip, Director, Fogarty International Center for Advanced Prepared statement 957 964 959 Schuster, Charles R., Ph.D., Director, National Institute on Drug Abuse, Shulman, Dr. Lawrence D., Director, National Institute on Arthritis and Prepared statement 531 1083 1091 1086 .... Snow, Dr. James B., Jr., Director, National Institute on Deafness and Other Prepared statement 993 999 995 Specter, Hon. Arlen, U.S. Senator from Pennsylvania, questions submitted 172, 356, 432, 460, 529, 570, 653, 720, 806, 890, 922, 940, 956, 989, Stovenour, Robert, Director, Office of Management Services, Department of Thompson, Norm, Deputy Associate Administrator, Office of Financial Man- Walsh, Dr. James A., Associate Administrator for Operations and Manage- 131 1 8 77 587 Watson, Dr. James D., Director, National Center for Human Genome Re- 1141 Biographical sketch 1148 Prepared statement 1144 Whitney, Dr. Robert A., Director, National Center for Research Resources, Wilensky, Gail R., Administrator, Health Care Financing Administration, 215 Biographical sketch 224 Prepared statement 219 Williams, Dennis P., Deputy Assistant Secretary for Management and Budg- Biographical sketch Prepared statement 1057 1065 1060 |