Royal Free Hospital Medical Library Blog

Inspiration in the Library: John Horder

By Steven J Bembridge, on 19 May 2017

In the early 1990s, Dr. John Horder (1919–2012)—pictured here—presented a patchwork quilt to the Library. It now hangs on the first floor—on the wall between Group Study Room 1 and Group Study Room 2. Horder’s sister made it, and its many constituent parts perhaps act as a metaphor for Horder’s own life. Indeed, he summarised his life as one of ‘varied experience and opportunities in parallel to each other’—rather like the quilt itself (1).

blog quilt

Dr. Horder was an influential general practitioner and—amongst many accomplishments too large to list—was President of the Royal College of General Practitioners from 1979–1982. He also led the editorial team that wrote the now classic textbook The Future General Practitioner – Learning and Teaching, which continues to be available at the Cruciform Library (CRUCIFORM W 89 ROY) (2).

Initially enrolled to study Classics at Oxford, the intervention of the Second World War decided Horder to pursue a career in medicine because ‘the prospect of killing fellow humans appalled’ him (2). The Times’ obituary to Horder recalls his ‘passion for the NHS,’ and perhaps fittingly, Horder sat his final medical examinations in 1948—the same year in which the NHS was founded (3). He described its establishment as a ‘welcome release’ from the ‘dilemmas about whether or not to charge at all’ and the pressure to ‘balance the losses’ (4).

Despite the conflicting demands of his busy professional life that continue to resonate in our economic and political climate, Dr. Horder was also an accomplished pianist and artist; he even chaired the Royal Free’s art committee. His own watercolour ‘A View of the College from Hyde Park’ shows an interpretation of the Royal College of General Practitioners that formed such an important part of his life. Closer to the Royal Free, his work ‘Primrose Hill‘ represents the area of London where he lived with his wife. So, the next time you walk past the quilt on the way to or from a meeting—or perhaps to the Quiet Study Area as you work towards your own dream of becoming a doctor—the quilt that may seem a little out of place in a library has a story to tell of Dr. John Horder.

Bibliography

  1. Horder J. An account of my life. London journal of primary care. 2008;1(1):51-4.
  2. Horder J. An account of my life. London journal of primary care. 2009;2(1):74-6.
  3. “Lives remembered: Dr John Horder.” https://www.thetimes.co.uk/article/lives-remembered-dr-john-horder-cjb6j2lgqkz (accessed May 11, 2017).
  4. Horder J. An account of my life. London journal of primary care. 2009;2(2):172-4.

Searching top tips – Choosing your databases

By Sophie J Pattison, on 12 May 2017

Searchingcropped

This blog post is the first of our Searching top tips series. These tips are especially important for systematic and comprehensive searching. This first post focuses on choosing which databases to search.

In order to undertake a comprehensive search you will need to search more than one database. There are many databases available so you should familiarise yourself with those most appropriate to your research topic. Ask a librarian if you’re unsure!


Core biomedical databases – Medline/PubMed and Embase

For biomedical topics, at the very least you should search Medline and Embase. These databases are both large biomedical databases.  In most cases you will not need to search PubMed as well, as the majority of PubMed records are also within Medline. You could however consider a supplementary search of PubMed following the method recommended by Duffy et al. (2016).


Specialist databases to be searched depending on topic

This is not an exhaustive list so do speak to a librarian, especially for subjects which broach non-health and biomedical areas such as bioengineering and technology.

– CINAHL (Cumulative Index of Nursing and Allied Health Literature) via EBSCO – a good database for subjects related to nursing, allied health, public health and complimentary medicine.

– AMED (Allied and Complimentary Medicine) (Ovid) – a small database covering allied health and complimentary medicine. Also good for palliative care.

– Cochrane Central Register of Controlled Trials (CENTRAL) – Contains randomised and quasi-randomised controlled trials, so highly recommended if you are looking for this study design.

– PsycINFO (Ovid) –psychological and behavioural sciences

– Maternity and Infant Care –midwifery, pregnancy and birth, postnatal care and infant feeding, including care of the infant from 0-2 years

– ASSIA (Applied Social Sciences Index and Abstracts) – covers social and psychosocial topics, as well as literature around social services such as social work and prison services

– Social Care Online –social care and social work

– HMIC – UK focused health and social care management information. A rich source of grey literature.

– Health Business Elite – Healthcare management and administration


Multidisciplinary/citation reference searching databases

There are two multidisciplinary databases (Web of Science Core Collection and Scopus) worth considering for topics benefiting from a broad search crossing the scientific (e.g. engineering and technology), social sciences and arts and humanities.

Web of Science Core Collection and Scopus also allow you to do something called cited reference searching, which is a supplementary search technique whereby you can identify articles which have cited a known relevant article in the hope that papers referring a relevant study may also be relevant.


Grey and unpublished literature

If you are undertaking a systematic review or a comprehensive search then it’s important to search for unpublished studies and grey literature (studies not commercially published). Searching for unpublished clinical trials can help to reduce the problem of publication bias.

To identify registered clinical trials, we recommend searching the WHO International Clinical Trials Registry Platform. Grey literature can exist in many formats, such as reports from professional organisations or research groups, or even as a PhD thesis. Conference abstracts are another source of grey literature that can be searched for in some databases and may report on research that is never fully written up in an academic journal. Get in touch with one of our librarians if you’d like advice about potential sources of grey literature.


References and further reading

Duffy S, de Kock S, Misso K, Noake C, Ross J, Stirk L. (2016) Supplementary searches of PubMed to improve currency of MEDLINE and MEDLINE In-Process searches via Ovid. Journal of the Medical Library Association, 104(4):309-312. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079494/

Higgins JPT, Green S (2011) 6.2 Sources to search. In Higgins JPT, Green S (eds.) Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration. Available at: http://handbook.cochrane.org/chapter_6/6_2_sources_to_search.htm

Inspiration in the Library: William Marsden

By Jennifer R Ford, on 25 April 2017

Our recent posts have highlighted some famous figures in the history of the Royal Free Hospital and their links to the library – Elizabeth Garrett Anderson and Sheila Sherlock. This month we’re focusing on the founding father of the Hospital, William Marsden.

William Marsden Portrait

Marsden was born in 1796 in Yorkshire, probably to humble beginnings.

Following an early career as an assistant apothecary, in 1824 Marsden studied surgery under John Abernathy at St Bartholomew’s, qualifying as MCRS in 1827. Late that year, an event occurred that had a profound influence on the direction his life would take.

Walking home shortly before Christmas, Marsden found a young girl almost dead from disease and starvation on the steps of St Andrew’s Church in Holborn.

He tried to find treatment for her at several hospitals but was refused; at the time admission to hospitals required a letter from a hospital governor, and therefore the power of admission was held exclusively in the hands of the rich who supported the hospital.

The girl died two days later.

Distressed at this state of affairs, Marsden called a meeting of city businessmen, and proposed the founding of a free hospital; the ‘London General Institution for the Gratuitous Care of Malignant Diseases’ opened its doors on April 17th 1828. The dispensary treated all diseases and conditions, including venereal disease, which most other institutions were reluctant to treat. In 1832, when cholera reached London, the free hospital opened its doors to cholera patients. As a result Marsden became a leading authority on the treatment of the disease, saving many patients.

In 1835, King William IV became a patron of the hospital, and the institution became known as the ‘Free Hospital.’ In 1837, Queen Victoria granted the title of ‘Royal’ to the Free Hospital, bringing much publicity. The Royal Free Hospital relocated to Gray’s Inn Road in 1843, reaching a capacity to admit hundreds of patients. In 1853 Marsden and two colleagues proposed that the Royal Free Hospital was now in the position to start a medical school.

Alongside the Royal Free Hospital, William Marsden also founded the first hospital exclusively for cancer patients, now known as the Royal Marsden Hospital. According to his obituary in the British Medical Journal, Marsden was:

“…like all men of his mark, self-contained, and did not ever give up the object he had set his heart upon because he was opposed by great and authoritative personages; neither was he ever greatly elated by the accession to his views if important people.” (BMJ, 1867, p. 97)

Visitors to the library may notice the impressive portrait of Marsden on the ground floor, painted by Thomas Illidge in 1850. The library is proud to provide a home for this representation of the founder of the Royal Free Hospital and pioneer in social medicine. We hope that our users will also find inspiration in the wonderful history of the Royal Free Hospital that can be found within the Library’s walls.

Sources:

  1. William Marsden. Br Med J, 1, 96.

MAGEE, R. 2009. William Marsden, a pioneer in social medicine. ANZ journal of surgery, 79, 918-921.

MCINTYRE, N. 2004. William Marsden’s Yorkshire family, 1749-1922. Journal of Medical Biography, 12, 154-160.