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    Uploading Your IUSM Medical Education Day Works to IUPUI ScholarWorks
    (Ruth Lilly Medical Library, 2024-04-25) Craven, Hannah J.; Pieczko, Brandon T.
    This handout is intended for people presenting at the 2024 IUSM Education Day conference to assist with uploading their posters or presentations to IUPUI ScholarWorks.
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    Decision fatigue in hospital medicine: A scoping review
    (The Society for Hospital Medicine, 2024-04) Jones, Sarah; Perry, Kelsey; Stumpff, Julia C; Kruer, Rachel; Czosnowski, Lauren; Kara, Areeba
    BACKGROUND: Decision fatigue describes the erosion of decision-making capacity as a consequence of the repeated acts of decision making. The phenomenon has been detected in ambulatory settings with higher rates of inappropriate antimicrobial and opiate prescribing and lower rates of cancer screening associated with appointments that occur later in the day. As hospital medicine is acknowledged to be a cognitively intense specialty, we decided to explore decision fatigue in hospital medicine. METHODS: As a relatively unexplored concept, we undertook a scoping review to understand what is known about decision fatigue in hospital medicine. All studies including healthcare workers in acute care settings and exploring the concepts of decision fatigue, cognitive burden and/or fatigue were included. Conceptually related studies of sleep deprivation, shift work, Circadian disruption, and excessive workloads with actual or theoretical paths of causality related to patient outcomes were also included. RESULTS: Our preliminary search revealed fifteen studies that met our inclusion criteria. No study specifically included hospitalists. Most studies described the concept among nurses, residents, and/or emergency department physicians. The outcomes studied were diverse and included self reported perceptions (e.g. perceived impact on patient care) and validated scales to measure fatigue and psychomotor performance. Fewer studies investigated clinical decisions such as the use of consultations, imaging and disposition decisions through the emergency department. Mitigating circumstances such as age, experience, responsibilities outside the hospital (e.g. having children) were infrequently described. CONCLUSIONS: While hospital medicine's fast pace, multitasking, fragmentation between clinicians and interruptions make it susceptible to decision fatigue, the concept remains under-explored in hospital medicine. The lack of consistent terminology complicates the evaluation of a phenomenon which ultimately is the culmination of individual, patient, work system and work environment factors. There is a need to detect and defuse the impact of decision fatigue in hospital medicine.
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    Impact metrics for non-traditional research outlets Cheat Sheet
    (2024-03-07) Ramirez, Mirian; Whipple, Elizabeth C.; Dolan, Levi
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    Predictive Factors Influencing Internal Rotation Following Reverse Total Shoulder Arthroplasty
    (Elsevier, 2023) Luster, Taylor G.; Dean, Robert S.; Trasolini, Nicholas A.; Eichinger, Josef K.; Parada, Stephen A.; Ralston, Rick K.; Waterman, Brian R.; Ruth Lilly Medical Library, School of Medicine
    Introduction Reverse total shoulder arthroplasty (RSA) is increasingly utilized as a treatment modality for various pathologies. The purpose of this review is to identify preoperative risk factors associated with loss of IR following RSA. Methods A systematic review was conducted using preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Ovid MEDLINE, OVID Embase and Scopus were queried. The inclusion criteria were: English language, minimum one-year follow-up postoperatively, study published after 2012, minimum of ten patients in a series, surgery was RSA for any indication, IR is explicitly reported. The exclusion criteria were: full text was unavailable, unable to be translated to English, follow-up < one year, case reports or series of less than ten cases, review articles, tendon transfers were performed at the time of surgery, the procedure performed was not RSA, and the range of motion in IR was not reported. Results The search yielded 3,792 titles, and 1,497 duplicate records were removed before screening. Ultimately, 16 studies met inclusion criteria with a total of 5124 patients that underwent RSA. Three studies found that poor preoperative functional IR served as a significant risk factor for poor postoperative IR. Eight studies addressed the impact of subscapularis with four reporting no difference in IR based on subscapularis repair, and four reporting significant improvements with subscapularis repair. Additionally, two studies reported that BMI negatively affected IR, while two showed it had no impact. Preoperative opioid use was found to negatively affect IR. Other studies showed that glenoid retroversion, component lateralization and individualized component positioning affected postoperative IR. Discussion/Conclusion: This study found that preoperative IR, individualized implant version, preoperative opioid use, increased glenoid lateralization were all found to have a significant impact on IR following RSA. Studies that analyzed the impact of subscapularis repair and BMI reported conflicting results.
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    Interventions to support medical trainee well-being when dealing with patient death: a scoping review protocol
    (BMJ, 2023-06-08) Ibrahim, Halah; Vetter, Cecelia J.; West, Kelsey; Alsoud, Leen Oyoun; Sorrell, Sara; Ruth Lilly Medical Library, School of Medicine
    Introduction: Existing literature demonstrates that medical students and residents experience complex emotions and substantial grief after patient deaths. Over time, this can lead to burnout and depression and adversely impact patient care. In response, medical schools and training programmes worldwide have developed and implemented interventions to help medical trainees to better cope with patient deaths. This manuscript provides a scoping review protocol that aims to systematically identify and document the published research reporting on the implementation or delivery of interventions to support medical students and residents/fellows in dealing with patient death. Methods and analysis: A scoping review will be conducted following the Arksey-O'Malley five-stage scoping review method and the Scoping Review Methods Manual by the Joanna Briggs Institute. English language interventional studies published through 21 February 2023, will be identified in the following databases: MEDLINE, Scopus, Embase, Psych Info, Cochrane Database of Systematic Reviews, CINAHL and ERIC. Two reviewers will screen titles and abstracts and then independently screen full-text articles for inclusion. Two reviewers will assess the methodological quality of included studies using the Medical Education Research Study Quality Instrument. After extraction, data will be narratively synthesised. Experts in the field will be consulted to ensure the feasibility and relevance of the findings. Ethics and dissemination: Ethical approval is not required as all data will be collected from published literature. The study will be disseminated through publication in peer-reviewed journals and presentation at local and international conferences.
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    The History of Medicine Collection at Ruth Lilly Medical Library
    (Midwest Archives Conference, 2022-10-01) Pieczko, Brandon T.; Ruth Lilly Medical Library, School of Medicine
    The History of Medicine Collection is a special collection unit within the Ruth Lilly Medical Library located on the campus of Indiana University–Purdue University Indianapolis. As part of the Indiana University School of Medicine—the largest MD-granting medical school in the United States by enrollment—the mission of the History of Medicine Collection is to support the research, learning, and educational success of Indiana University students, faculty, and community members by collecting, preserving, interpreting, and providing access to unique materials documenting the history of medicine; medical education, training, research, and practice; and health and disease treatment and prevention in the state of Indiana and beyond.
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    Except for my commute, everything is the same: the shared lived experience of health sciences libraries during the COVID-19 pandemic
    (Medical Library Association, 2022) Ragon, Bart; Whipple, Elizabeth C.; Rethlefsen, Melissa L.; Ruth Lilly Medical Library, School of Medicine
    Objective: To understand the experience of academic health sciences libraries during the pandemic using a phenomenological approach. Methods: This study used a multisite, mixed-method approach to capture the direct experience of academic health sciences libraries as they evolved during the COVID-19 pandemic. Phase one of the study involved administering a qualitative survey to capture to capture current evolutions of programs and services. The survey for phases two (August 2020) and three (February 2021) contained eight questions asking participants to share updates on their evolution and experiences. Results: Qualitative data were analyzed using open coding techniques to ensure emergent themes were allowed to surface. Additional post-hoc sentiment analysis ascertained the frequency of positive and negative words in each data set. Of the 193 possible AAHSL libraries, 45 (23.3%) responded to the April 2020 survey, 26 to the August 2020 survey, and 16 to the February 2021 survey. Libraries represented 23 states and the District of Columbia. The majority of libraries closed in March 2020. The ease of transferring library services to a remote environment varied by type of service. For the quantitative analysis, ten distinct areas were analyzed using text coded as “Staff” as a lens for understanding the connection between codes. Conclusion: Innovations by libraries during the early stages of the pandemic are having a long-term impact on library culture and the delivery of services. Even as libraries returned to in-person services, elements of telecommuting, using online conferencing software, safety precautions, and monitoring of staff well-being persisted.
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    Ruth Lilly Medical Library History of Medicine Archives Intern
    (2023-12-08) Thomas-Fennelly, Adam
    Poster presented at the 2023 Luddy School of Informatics, Computing, and Engineering Capstone Showcase on December 8, 2023.
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    Asking Data Analysis Questions with PandasAI
    (2023-11-08) Dolan, Levi
    As easily accessible AI models have increased in visibility, one area of interest for those working with datasets programmatically is how AI might streamline common data analysis tasks. The recently-released PandasAI library is a Python library that connects to an OpenAI model (known for ChatGPT) and allows users to ask natural language-style questions about dataframes created in Pandas syntax. This lightning talk demonstrates how to start exploring this data analysis method using sample World Bank and World Happiness Report data. Potential limitations are also discussed.
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    From Overview to Hands-On Practice: Iterating NIH Data Management & Sharing Plan Support
    (2023-10-12) Dolan, Levi; Whipple, Elizabeth C.
    OBJECTIVES: In the past year, many librarians have been providing enhanced data management user support relating to NIH Data Management and Sharing Policy (DMSP) implementation. This study aims to make preliminary comparisons of attendee response and librarian workload surrounding two different hour-long library classes offered on the NIH DMSP. One class focused on policy overview and another was structured around active engagement with our institutional workflow, using materials and guidance we created. METHODS: Both classes were offered five times during the Fall 2022-beginning of Summer 2023. In Fall 2022, only the overview class was offered. The workflow class debuted in Spring 2023. We compared attendance numbers, demographics of attendees, and librarian time spent in DMSP consults before and after the second class was implemented. RESULTS: Mean attendance for both classes was similar; the overview class had slightly higher mean attendance than the workflow class. The highest attendance for a single class was for the first workflow class offered. The time spent on individual consults decreased after the workflow class was implemented. CONCLUSIONS: The decrease in time spent on consults after the workflow class was implemented is a potential indicator that this format increased instruction effectiveness and librarian efficiency. The comparisons are limited by small sample size and an unknown degree of variable dependency on timing related to other factors, such as the academic year and the NIH grant cycle calendar.