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Images Locating and Using Medical Images YouTube (54 minutes)
In general, images used in the classroom, for a scholarly lecture, or in unpublished papers/posters do fall under Fair Use or The TEACH Act but always check the Terms of Use and copyright statement to be sure.

Click the info-graphic to the right to enlarge a handy decision chart. Whenever possible, MUSM librarians include language in our licenses that allow lecturers and students to use graphics and images from our subscribed resources in the classroom setting.
Images Decision Chart
Tools by the American Library Asociation to educate librarians, educators, and others about copyright. They include the Public Domain Slider, the Section 108 Spinner, the Fair Use Evaluator, the Exceptions for Instructors eTool and the Copyright Genie.
Subscribed Resources
The MUSM Libraries subscription to the resources below includes payment for rights to include these images in MUSM course packs (ie Canvas) for no extra cost. Please provide citation information when possible.
Resource Description
AccessMedicine via the Mercer Skelton Medical Libraries

Copyright and Fair Use

Access Medicine Example
Images in MUSM's AccessMedicine resources can be used in the classroom. Use the handy Download Slide link to access an explanation and a correct citation along with the image.

Linking to images.
1. Click on the image.
2. Cut and paste the url from the address bar.
3. Check to see if medlib-proxy.mercer.edu is in the url.
If it is not, before the url add:
http://medlib-proxy.mercer.edu/login?url=
Images and videos from McGraw Hill electronic textbooks and reference books including: Harrison's Principles of Internal Medicine; Hurst’s the Heart; Metabolic and Molecular Bases of Inherited Diseases; the Lange series in the basic medical and clinical sciences; and color atlases of cardiology, dermatology, microbiology, hematology, endoscopy and others.

To find videos, click on "Multimedia" on the top menu bar and then choose "Videos by Category" or "Videos by System".

To find images:

Do a keyword search in the main search bar and limit to images by selecting the Images filter in the search results page near the bottom of the left hand menu column.

To download images:

Clicking on an image will allow you to download it as a powerpoint. Use the handy Download Slide link to access an explanation and a correct citation along with the image.

For access from anywhere and via mobile device, create an account by following this AccessMedicine link to their website.
1. Click the down arrow next to the Mercer University box in the right hand upper corner.
2. Then "Login or Create a Free Personal Account"
3. A popup window will appear. Select "Don't have a MyAccess account?" and fill in the requested information and select "Create Account"
4. On your mobile device go to the App/Google Play store and download AccessMedicine. Log in and content should download.
5. Watch a video for directions at: https://www.youtube.com/watch?v=eYb8Su6VT1o
ClinicalKey via the Mercer Skelton Medical Libraries

Copyright and Fair Use

Images from ClinicalKey can be used in the classroom. When you find images in ClinicalKey that you’d like to use in a presentation, you can save them for later use without leaving the results page. Images can be dragged and dropped from the search results list into Presentation Maker, or saved using the “Add to Presentation” button. You can also view, move and delete content within the Presentation Maker panel. The Presentation Maker will automatically insert citation information for you.

Linking to chapters that contain images:

You will need to get the durable url for the book chapter. The url in the addess bar is not a durable url.
1. Click on this ClinicalKey link to go to the main Clinicalkey page.
3. Click on the Resource Center link at the bottom of the page.
4. Click on Implementation in the left Overview menu.
5. Go to the bottom of the page and click on Download Book Chapter URLs.
6. Before the url add:
http://medlib-proxy.mercer.edu/login?url=
Quickly search over 1 million high-quality medical images and videos from the medical books and journals on ClinicalKey. Includes photos, tables, graphs and more.

To find images and videos:

Searches can be limited to images and/or videos by selecting Multimedia in the drop down menu to the right of "All Types" next to the search box. Or search for keyword/s and limit the source type to Images and/or Videos.

You can also limit to Procedures Consult. These include a detailed video, text and illustrations covering top medical procedures, with a focus on patient safety guidelines. Each includes discussion of indications, contraindications, anatomy, equipment used, complications, etc, with references.

To download images:

To download images you must sign up for and/or log in to your ClinicalKey account. Use your email address as your username and sign up for it while accessing ClinicalKey through the MUSM Library Webpage. ClinicalKey will save all the images to your account and you can go to the "presentations" folder in your account to download a powerpoint of images to your personal desktop.

1. For a single image:

Click the image you would like to download and either select the "save" or "add to presentation" icon.

From the search results page: Once selected click the "add to presentation" icons at the top right of the results page to download the image to your ClinicalKey account's "presentation" folder.

2. For multiple images:

To select multiple images from the image results page make sure the "Subscribed Content" box is checked. Then select multiple images by clicking on the box in their upper right hand corner. This box will change from transparent to orange when an image is selected.

Once selected click the "add to presentation" icon at the top left of the results page to download the images to your ClinicalKey account's "presentation" folder.
LWW Health Library via the Mercer Skelton Medical Libraries

Copyright and Fair Use

LWW Health Library Example
Copyright © Lippincott Williams & Wilkins - All Rights Reserved
Images from the LWW Health Library can be used in the classroom. LWW Health Library Books provide a Slide link right under their images

Linking to images.
1. Click on the image.
2. Cut and paste the url from the address bar.
3. Check to see if medlib-proxy.mercer.edu is in the url.
If it is not, before the url add:
http://medlib-proxy.mercer.edu/login?url=
Images and videos from textbooks in support of medical education and clerkship/clinical rotations from the LWW Health Libray.

To find videos, click on "Video & Audio" in the top menu bar.

To find images you may:

1. Search for a keyword in the main search box. On the results pages scroll down and select "image" as the content type - found under Media in the left-side menu. You can narrow further by subject or specific title in the same menu.

2. Search within a specific text by choosing the texts button on the homepage followed by narrowing it to an individual book and then a chapter within the book and then choosing Views to view all the images within it.

To download and save images you have two options:

1. Click View Original and the image will open in a new browser tab/page, right click, and select Save Image As or Save Picture As. The figure caption and citation information do not appear in saved images, so make sure to note where an image came from when downloading them to your computer.

2. Click Slide (.ppt), the image will open as a PowerPoint slide with all of the image attributes including the title of the chapter; the name of the textbook, its edition and publication date; and a copyright statement.

Please use the following citation on all images: Copyright © Lippincott Williams & Wilkins - All Rights Reserved
Register and sign in with a free personal account to save your favorite content and for access from anywhere.
NEJM via the Mercer Skelton Medical Libraries

Copyright and Fair Use

NEJM Example
Download complete articles into PowerPoint Slide Sets, which include a title page with citations, a summary of the article’s main points and conclusions, plus all associated images, illustrations, and tables. Slide Sets are available for most current and many archived articles including Original and Review Articles, Case Records of the MGH, Clinical Practice, and Clinical Therapeutics articles.
PowerPoint slide sets and downloadable images, figures, and videos for classroom presentations and teaching.

Videos in Clinical Medicine demonstrate common clinical procedures. Peer-reviewed and chaptered for easy reference with PDF summaries available for download.

To find images:

1, Perform a search, then click on Figures/Multimedia
2, Click on Filter and limit further by Specialty, Media Type, and Date.

To download an image:

1. Click on the image.
2. Click on the Download Slide icon (the downward pointing arrow with the line under it).
3. A PowerPoint slide will be created with citation information, the NEJM logo, and information about the figure/image.

Linking to images:
1. Right click on the image.
2. Select Copy image address.
3. Paste address.
3. Check to see if medlib-proxy.mercer.edu is in the url.
If it is not, before the url add:
http://medlib-proxy.mercer.edu/login?url=
Thieme Teaching Assistant: Anatomy via the Mercer Skelton Medical Libraries

Copyright and Fair Use

Thieme Example
Images from The Thieme Teaching Assistant can be used in the classroom.The Image Editor can be used to make a number of modifications. Leader lines and labels can be turned off individually or globally, the image can be moved around, different areas can be zoomed into, and the image can then be saved. Clicking on an image thumbnail will automatically bring up the Image Editor.
The Thieme Teaching Assistant allows you to customize images and create presentations, and contains all of the images from Thieme's top educational anatomy titles: Gilroy Atlas of Anatomy, 3rd edition; Anatomy: An Essential Textbook; Anatomy for Dental Medicine; Thieme Atlas of Anatomy: General Anatomy and Musculoskeletal System; Thieme Atlas of Antomy: Internal Organs; Thieme Atlas of Anatomy: Head, Neck and Neuroanatomy, Atlas of Anatomy, 2nd edition.

You must create an account within Thieme in order to save images. Accounts are free. An account can be created by clicking on the Register button in the menu bar at the top of the screen.

After logging into your account, you may choose a book to browse. You may also search across all the books at once using the search box. Figure numbers, captions, labels, and other text are all searchable, and autocomplete suggestions are offered.

Once an image is located the Image Editor can be used to make a number of modifications.

After using the Image Editor save your images by selecting the Save button. Images can be saved directly to your desktop, or organized in your account folders for archiving or preparing presentations. Saved images can be accessed by clicking on My Account in the top menu bar, then selecting the Manage Folders and Illustrations link.

You can create different folders and organize your images. Images can be transformed into a JPG image format or exported directly into PowerPoint, ZIP, or PDF files.

The Demo or Quick Tips sections can be consulted for more information on how to use the Thieme Teaching Assistant.

Please use the following citation on all images: Gilroy et al., Atlas of Anatomy. All rights reserved. © Thieme 2008. www.thieme.com
VisualDx via the Mercer Skelton Medical Libraries

Copyright and Fair Use


Linking to images.
1. Click on the image.
2. Cut and paste the url from the address bar.
3. Check to see if medlib-proxy.mercer.edu is in the url.
If it is not, before the url add:
http://medlib-proxy.mercer.edu/login?url=
VisualDx is a web-based clinical decision support system designed to aid in the identification of dermatologic, infectious, genetic, metabolic, nutritional and occupational diseases, benign and malignant growths, drug-induce conditions, and other injuries. Covers more than 1,300 pediatric and adult conditions represented by nearly 30,000 images.

Images can be added to course materials

Access and Save:

1. Log in to VisualDx.
2. Search for the diagnosis you would like to present.
3. Click on an image to open in it in full screen.
4. Right click on the image and “Save Image As” to your computer.
5. Place the image into your presentation.
6. Include the source reference, “Image Source: VisualDx.com”.

Screen capture:

1. Open an image in full-page view
2. Press and hold the [CTRL] key and the print screen [PrtScr] on your keyboard
3. Paste the screen capture into your document.

The Logical Images copyright watermark must be visible and intact.

Please use the following citation on all images: Image source: Visual Dx (VisualDx.com).
WebPath: The Internet Pathology Laboratory for Medical Education via the Mercer Skelton Medical Libraries

Copyright and Fair Use

WebPath Example
Images from WebPath can be used in the classroom. The Index of Images links to a list of available images

Linking to images.
1. Click on the image.
2. Cut and paste the url from the address bar.
3. Check to see if medlib-proxy.mercer.edu is in the url.
If it is not, before the url add:
http://medlib-proxy.mercer.edu/login?url=
The WebPath® educational resource contains images with text that illustrate gross and microscopic pathologic findings along with radiologic imaging associated with human disease conditions. For self-assessment and self-directed study there are examination items in specific subject areas. These computer-aided instructional materials support educational programs in the health sciences.

Images can be added to course materials presented within the institution

Access and Save:

1. Log in to WebPath
2. Search for an image
3. Right click on the image and “Save Image As” to your computer.
4. Place the image into your presentation.
5. Include the source reference

Screen capture:

1. Open an image in full-page view
2. Press and hold the [CTRL] key and the print screen [PrtScr] on your keyboard
3. Paste the screen capture into your document.

Please use the following citation on all images: Image source: WebPath®: The Internet Pathology Laboratory for Medical Education.
Free Resources
The following resources have images that are freely available for use. Some are part of the public domain, while others have a Creative Commons License. All images must be properly credited, and some may have restrictions on editing or altering the original image.

Unless otherwise specified, please use the following citation format when attributing images: Year, Author First and Last Name, Image Title, Public Domain Image or type of Creative Commons License used, courtesy of Image Provider. Retrieved from website URL on date.

Please make every attempt possible to credit the original content author when citing an image.
Resource Description
TinEye A reverse lookup search engine. If you have a picture and don't know what it is or where it came from, TinEye may be of help.
ARRS GoldMiner Provides access to thousands of images published in over 200 peer-reviewed radiology journals. Search for images by findings, anatomy, imaging technique, and patient age and sex. From the American Roentgen Ray Society.
Google Images If you want to limit the images that you find to only those that you are allowed to reuse follow these steps:
1. Do an initial search on the Google Images homepage
2. On the results page click the"Tools" button to reveal more options
3. Select "Usage Rights"
4.Select the license you want.
Most likely, "Labeled for noncommercial reuse" will be the option you want if you are looking for images to use for teaching or presentations. Remember that you still need to cite the image and where you got it from.
Health Education Assets Library (HEAL) Over 22,000 freely available digital materials for health sciences education housed at the University of Utah J. Willard Marriott Digital Library. Items are licensed under various Creative Commons licenses, and links to license types explain any usage restrictions that apply to specific images.
MedEdPortal The MedEdPORTAL is a free collection of teaching resources provided by the Association of American Medical Colleges (AAMC). Publications have undergone a rigorous peer review process, and a (free) AAMC account is required to view materials. Items are licensed under various Creative Commons licenses, and links to license types explain any usage restrictions that apply.
MedPix Provided by the National Library of Medicine, MedPix® is a free open-access online database of medical images, teaching cases, and clinical topics, integrating images and textual metadata including over 12,000 patient case scenarios, 9,000 topics, and nearly 59,000 images. 

MedPix® images and case materials were contributed by many individuals. They are organized, reviewed, approved, and curated free of charge for your personal use and for local teaching at your institution - including distribution of handouts and syllabi. For anything other than personal use, you should respect the original contributor and contact them for additional permission requests.
National Cancer Institute (NCI) Visuals Online Contains over 2000 photos, diagrams, and drawings that span everything from biomedical, science, and patient-care images to portraits of historical figures at the National Cancer Institute. A majority of the images are in the public domain, although some are protected by copyright. Those in the public domain can be copied, adapted, and distributed as needed, but those with copyright require permission from the rights owner to use.
National Library of Medicine (NLM) History of Medicine Images From the NLM historical collection, visual media including fine art, photographs, engravings, and posters that illustrate the social and historical aspects of medicine dating from the 15th - 21st century.
OPENi: Open Access Biomedical Image Search Engine A service of the National Library of Medicine (NLM). The database includes images from articles in PubMed Central, Indiana University hospital network, USC Digital Library Orthopedic Surgical Anatomy Teaching Collection, the NLM's History of Medicine division, and MedPix. Reuse of Open-i images is determined by each image's license type. If available, a link to the applicable license type will be below the individual image on the detailed view page.
PEIR Digital Library Pathology Education Informational Resource (PEIR), a multidisciplinary public access for use in medical education. Copyright and usage statements must be included in any presentation.
Pixabay Vibrant, high definition images and videos. Images are copyright-free, you may copy, modify, distribute, and use the images, even commercially, without asking for permission or giving credits to the artist.
Public Health Image Library (PHIL) The imagery showcased in the PHIL is historic in nature; the contents depicted, though appropriate at the time a photograph was captured, may no longer be appropriate in the context of the current time period, and is not to be viewed as a source of the most current public health information.
PubMed Central (PMC) Images PubMed Central (PMC) is the U.S. National Institutes of Health (NIH) digital archive of biomedical and life sciences journal literature. To view images, run your search, then view images on right side of results page.

Copyright: NLM does not hold the copyright for any of the material in PMC and cannot grant others permission to reuse or reproduce any of it (see PMC Copyright Notice ). Many articles in PMC have a license (e.g., a Creative Commons license) that explicitly allows some degree of reuse or redistribution of the content. The licenses vary in what they allow; you need to determine whether a particular license permits the type of use you want to make. NLM cannot interpret the licenses for you. If an article has standard copyright protection and no special license, or if you are unsure of what the license allows, you should contact the respective journal publisher for permission. http://www.ncbi.nlm.nih.gov/pmc/about/faq/#q20
USA.gov This database provides an easy way to find government information and services. It includes an image search that spans a number of government sites, including the CDC.
Wikimedia Commons Wikimedia Commons has thousands of images. Some are public domain and others use a variety of different creative commons licenses. Pay close attention to the "Summary" table below the image - this will give you information about the image's date, author, title, and permissions.
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