This study searched for the status of medical Systematic Review(SR) publications in Korea and elsewhere for last 10 years, closely analyzing SR research papers by co-authors of Korean librarians. Through interviews with Korean librarians participating in SR, the activities, roles, and difficulties of these librarians were identified, and the results of the interviews helped explore new ways to promote collaboration in SR research. The result of the studied showed that the number of domestic and foreign SR studies has recently increased, and the number of cases where Korean librarians participated in SR research being officially credited as a co-author or acknowledgment source was also grow. The SR librarians in the Korean medical libraries were not only search experts, data collectors, and reference writers, but also did various activities such as designing search strategies, SR search records with complete reproducibility, and DB search tutorship. To promote SR support librarians participated in the interview suggested recruiting new librarians, retraining current librarians, and reformation courses in library and information science. As it is expected that the level of information demand of users and expectations for librarians would also increase in near future, SR librarians’ activities and contributions seem to offer a guideline for academic library services that the others should pursue.