BACKGROUND Duke University Medical Center Library and Archives (MCLA) was created to be the center of educational, health care, and research endeavors. It is located in the heart of the medical center campus in the Seeley G. Mudd Building. The Duke Medicine campus includes Duke University Hospital, Duke Clinics (an ambulatory center), the school of medicine, and the school of nursing. MCLA is located on a walkway between the hospital and the buildings that hold the clinics and school of medicine. The Duke University Cancer Center is part of the clinic facility and is the closest ambulatory service to the library building. More than ninety buildings that support clinical and basic science faculty and the research enterprise surround MCLA.