The Pacific Southwest Regional Medical Library (PSRML) launched a proj
ect in 1988 to assess the feasibility of electronic linkages between h
ealth professionals using GRATEFUL MED(R)-the National Library of Medi
cine's (NLM) software program for searching the MEDLARS databases-and
libraries using DOCLINE(R), NLM's automated interlibrary loan request-
and-referral system. This paper describes the origins of LOANSOME DOC(
TM) and initial usage experiences. Results of the LOANSOME DOC beta te
st, including usage statistics, are reported. The paper also describes
the mechanics of nationwide implementation of LOANSOME DOC, including
guidelines used by the Regional Medical Libraries (RMLs) to refer una
ffiliated health professionals to DOCLINE libraries for LOANSOME DOC s
ervice. National usage statistics for the first full year of implement
ation (October 1, 1991, to September 30, 1992) are provided, and user
satisfaction surveys conducted in 1993 by two RMLs are examined. Futur
e enhancements to LOANSOME DOC are suggested.