ABSTRACT
This case study describes the author's experience of creating a library for graduate medical education (GME) in a hospital without an existing library. Needs assessment, collection development, and end-user education activities are described, along with the process of working with hospital administration to establish a physical library. Issues discussed include impact of the hospital firewall on electronic collections and the provision of resources and services to non-GME hospital staff in a situation where library funding comes from medical education.