Introduction: This study aims to examine the divide between curriculum and practice in library and information science (LIS) programs by identifying how academic and health sciences librarians acquire the foundational skills necessary for success in the field. Methods: An anonymous electronic survey was disseminated to practicing academic and health sciences librarians in the United States through various professional listservs. The survey captured demographic information, whether foundational skills were taught in LIS programs, if foundational skills were transferrable to practice, and how these skills were further developed after graduation. Results: Final results from this study are pending completion of data analysis. Primary outcomes of this study include how academic and health sciences librarians gain foundational skills, such as literature searching, efficient database navigation, effective research interview methodologies, and citation management practices. Secondary outcomes include a comparison of whether skills taught in LIS programs have changed based on graduation year and a review of current course descriptions of American Library Association (ALA)-accredited programs. Discussion: Reference and User Services, along with Research and Evidence-Based Practice, are key ALA competencies for the success of academic and health sciences librarians. Findings may inform iSchools and LIS educators on potential areas to enhance curriculums with these foundational skills. Additionally, the results may inform professional development opportunities for early career librarians (e.g., professional organizations), better preparing LIS students to meet the demands of the field and contribute meaningfully to the advancement of librarianship.