It is agreed that a degree of professional consensus is necessary. However, too great an emphasis on evidence-based medicine oversimplifies the complex and interpersonal nature of clinical care.

If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractThe role of librarians in the development and promotion of institutional repositories is discussed. It is presented as a continuation of their existing functions of acquiring, organising and making readily available the resources needed by academic staff and students. Library staff are collaborating with IT staff and academics to disseminate scholarly material and learning objects emanating from their institutions. The Open Archives Initiative and its Protocol for Metadata Harvesting, which provide the technical structure to support the repositories and enable their interoperability for searching purposes, are discussed. The benefits to institutions and their staffs are also reported. The skills needed by library staff are outlined, as well as the pitfalls and problems they may face in persuading academic staff of the virtues of institutional repositories. Electronic access

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Man can change and go on changing as long as he lives (Horney, 1942)