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This study provides a systematic comparison of services and staffing within academic health sciences libraries serving College of Osteopathic Medicine programs in the U.S. Library directors, not only those affiliated with new medical schools, but also with long- standing, and more traditional schools, can use this data to make a case for new resources, services, or staffing. In addition, medical school administrators may find opportunities in this study’s results for more productive collaborations with the library, in areas such as curriculum-integrated instruction, research development, and scholarly publishing. Finally, leaders within developing medical schools will become better informed about current library services being provided, and staffing trends, in order to plan for an appropriate budget and staffing for their future health sciences libraries.