One of the most innovative health sciences libraries in the United States is the Spencer S. Eccles Health Sciences Library at the University of Utah. Last week, UofU (hey, that has a ring, doesn't it?) did some live-streaming of their "Access Horizon Conference, 2006" keynotes, including a few heavyweights from the medical library community.
I encourage all librarians interested in access - isn't open access, for us, a tautology? - to listen to & watch the U.S. National Librarian of Medicine, Donald Lindberg's talk on access to truthful and relevant scientific information.
Open access, if you must, is covered in "A Call to Change: Open Access Initiatives and the Movement to Transform Scholarly Communication" by Joyce L. Ogburn, Director, J. Willard Marriott Library Valeri Craigle, Digital Initiatives, Spencer S. Eccles Health Sciences Library (slides), RealMedia video of session.