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This report looks closely at satisfaction with the medical library by scholars from medical faculties in more than 50 institutions worldwide, but particularly from the United States. A sample of 141 medical scholars rate their libraries for ease of use, accessibility, comfort, collection breadth, quality of interlibrary loan services, subject specialists, and technology. Also we asked the sample how they would spend their medical library's budget and whether they would spend more on eBooks, Print books, journals, librarians and library technology. Data is broken out by medical specialty, academic rank, gender, income level, type of medical school and other criteria.