History: Turn of 21st Century

• Few libraries really live in the vacuum of medical research libraries

  • Book citations aren’t as easily routable (they do not have consistent, commoditized identifiers like Medline Uis, though ISBNs help)
  • Staff training on constantly changing tools == $$

• Many communities increasingly focus on eprints (e.g. high-energy physics)

• Lending patterns are changing dramatically