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The article presents a study on library revisions at the St. Francis Hospital Internal Medicine residency program in Evanston, Illinois. The questions asked to residents during the interview were designed based on the core competencies list by the Accreditation Council Graduate Medical Education. Findings show that the main information source was a decision-making tool followed by accessing the literature. Residents preferred electronic information retrieval in supporting patient care decisions. The process for appraising evidence from scientific studies related to patient health problems was to look for double-blind studies, randomized control studies, or meta-analysis, in peer reviewed journals.