SUMMARY This paper surveys four aspects of Bibliographic Management at Lane Medical Library, Stanford University Medical Center. First, a capsulized overview of the current scope and organization provides context. Second, counts of selected form/genre headings statistically present the extent and nature of databases maintained and illustrate our emphasis on form/genre. Third, descriptive summaries of selected policies and practices currently in effect illustrate how staff are attempting to improve bibliographic access and prepare for future retrieval systems. Because many of the positions taken may be controversial, discussion includes how the impact of differences is minimized in external systems. Last, selected new and/or experimental initiatives explore near future projects to further extend and enhance bibliographic control. The potential of these options derives from a more flexible integration and deployment of traditional and digital library resources focused on domain-specific user needs. A conjec...