October 2021 | Issue 397

The Duke Medical Center Library & Archives celebrates National Medical Librarians Month (NMLM) in October. NMLM was established by the Medical Library Association in 1997 to raise awareness of the important role of medical librarians. This year's theme, Avoid Misinformation! Take the Right Path: Partner with your Medical Librarian, is a reminder that we are the perfect partners for providing quality, authoritative health information, research, and search instruction.

The NMLM celebration will include the following activities:

• Open Access Week will be observed the week of October 25-31. 
• October is also Archives Month and the Society of North Carolina Archivists is highlighting North Carolina Travel, Tourism, and Vacation!  
• In lieu of our annual event in the Library, It Came From the Archives  for this issue will feature a group of materials that you might be surprised to find in the Medical Center Archives -- fallout shelter plans and pamphlets.   

We will continue to "Aim for Excellence" by providing quality resources, services and expertise to impact medical care, education, and research at Duke Health.

Megan von Isenburg, Associate Dean for Library Services & Archives

We recently conducted the biennial Medical Center Library and Archives satisfaction survey. It was sent to students, faculty, and clinicians in Duke Health in early May 2021. Approximately 450 responses were received, reflecting a response rate of about 15%. The survey asked respondents to rate their satisfaction with and perceived importance of many library resources, services, and spaces. By looking at ratings for both importance and satisfaction, we can identify potential gaps where we may not be meeting expectations. We can also look across categories to determine the most important and highest-rated aspects of the Library and Archives' services and collections. 

The survey results strongly indicated the necessity of library and archival resources and services. Ninety percent of respondents noted that in the last two weeks they had encountered a situation in which they had a research-related question, a clinical question, or another information need either frequently (54%) or occasionally (36%). 

Satisfaction and Importance 

	Respondent satisfaction with resources was high and closely aligned with ratings for importance. Top resources included online search tools, such as PubMed (97% rated as highly important; 94% rated as highly satisfied), followed by E-Journals (94% rated as highly important; 87% rated as highly satisfied), and Clinical Tools, such as UpToDate (82% rated as highly important; 95% rated as highly satisfied).   E-Journals and Online Search Tools were the only items across all categories where the importance was ranked higher than satisfaction, indicating that we may not be meeting the high expectations of our respondents. Interestingly, these were also the top two most important items across all categories and their high ratings underscored the importance of access to e-journals and online search tools in the health sciences. While it would not be feasible nor cost-effective for us to purchase every e-journal, we are working to make it simpler to gain access to those journal articles to which Duke does not subscribe. For example, we are now piloting "no fee" interlibrary loan requests. During this pilot, Duke Health faculty, students, and staff can request articles from other libraries through our Document Delivery/Interlibrary Loan Services at no cost to them. Instead, the Library will cover fees for these articles.
	Our services received some of the highest satisfaction ratings of any aspect of the Library and Archives. Nighty-seven percent of respondents stated they were highly satisfied with consultations with librarians, and 95% stated they were highly satisfied with research assistance through chat, phone, or email. Several free-text comments further illustrated the satisfaction many respondents reported for our services:  The staff is uniformly excellent, professional, upbeat, enthusiastic, welcoming and extremely knowledgeable. Great resources to have at Duke! The Duke Medical Library is a core component to meeting our mission and vision goals at Duke. I am a clinician and have some scholarly works on clinical sciences and need the support of the Duke Library and librarians. I have used them to educate me in better search strategies in Pubmed/Scopus, using EndNote, and other things. Really can't imagine doing my job without them.
	Satisfaction with all facilities-related items ranked higher than importance ratings, indicating that our spaces are generally meeting expectations. However, ratings for both the importance of and satisfaction with facilities was lower this year than it was when the survey was last conducted two years ago. This drop may be due to pandemic-related disruptions to both our physical spaces and patrons' individual workflows. We also received several comments suggesting improvements to the facility, with many respondents noting that the building was "a bit of a sad looking place" and "feels like entering a dungeon." We hear you and we are looking into ways to make our space more inviting!
	Survey results also revealed that there are many services and resources that our respondents are not aware of, most of which are relatively specialized or for specific needs, such as student study guides, help with the NIH Public Access Policy, and extra monitors within the facility. Analysis of the free-text comments revealed gaps in respondents' awareness of Library and Archives services. There were requests for journals or books we already subscribe to, complaints about policies that have changed in recent years, and general comments about being unaware of services and resources mentioned in the survey. We will continue to get the word out so that our patrons have a better understanding of current resources, services, and policies. We invite you to forward this newsletter to others in your departments or suggest they subscribe as a good way to start!

Thank you to everyone who completed the survey. We know that you are busy and that surveys take time to complete. We welcome your thoughts on these results and on our services and resources in general. Please email me at megan.vonisenburg@duke.edu to share your feedback and perspectives. 

International Open Access (OA) Week will be celebrated Oct. 25 – 31, 2021

This year's theme "It Matters How We Open Knowledge: Building Structural Equity" reminds us of the need to continually prioritize diversity, equity, and inclusion as integral parts of the fabric of the open community.  It is an important opportunity to "catalyze new conversations, create connections across and between communities that can facilitate this co-design, and advance progress to build more equitable foundations for opening knowledge."

For specific actions consider:

• Negotiating your author rights when publishing.  https://scholarworks.duke.edu/open-access/
• Fully participating in Duke's OA Policy which applies to all Duke faculty members and provides Duke a license to make scholarly articles authored by Duke faculty freely available via DukeSpace, a Duke University Libraries repository.
• Engaging in Duke's Open Access community by making your work available through the Duke Research Data Repository (for data, documentation, and software code) and the Duke Digital Repositories (for publications).
• Depositing your scholarly outputs through Scholars@Duke. This site has a tool to help you determine if the journal has provided you with the rights to do this.
• Applying for COPE funds to help cover publication fees for making your work open access. These funds are available to Duke authors and supported by Duke University Libraries, the Office of the Provost, the School of Medicine, and the School of Nursing.
• Making sure articles funded by NIH grants and contracts are compliant with the NIH Public Access Policy.
• Completing the free Wiley Researcher Academy e-learning module "Open Access to Scientific Literature." Note: Registration is required, but accounts are free.
• Reading more about being part of the OA movement by visiting our guide on Getting Published: Open Access.
• Exploring Open Access by numbers and Open Access Timeline to see the growth of Open Access.

For more information about International Open Access Week, please visit www.openaccessweek.org. The official twitter hashtag for the week is #OAWeek.

Lucy Waldrop, Archives Assistant Director and Technical Services Head

Archives Month is an annual, month-long observance of the agencies and people responsible for maintaining and making available the archival and historical records of our nation, state, communities, and people. Archives serve as the memory of our nation, and by celebrating, we recognize and give legitimacy to the enduring value of American records and America’s archives.

We encourage you to check out our Instagram account where we'll be highlighting treasures from the Medical Center Archives collection all month long. This month the Society of North Carolina Archivists theme is North Carolina Travel, Tourism, and Vacation!. Throughout October, we invite you to join us in celebrating the importance of archives as we highlight the history of Duke Health.  Additionally on October 13, 2021, archivists around the country will take to Twitter to respond to questions tweeted with the hashtag #AskAnArchivistDay.

To learn more about DUMC history, visit the Duke University Medical Center Archives Website or email dumc.archives@mc.duke.edu

Leila Ledbetter, Research & Education

Writing and publishing articles can be challenging. Obstacles to getting published include lack of time to write, not knowing the right journal to send your manuscript to, and lack of familiarity with the entire research to writing process. Few researchers are formally taught about the publication process. To address this, the Medical Center Library & Archives, in partnership with Wiley Researcher Academy, offers online instruction on over a dozen topics in publishing.

Wiley Researcher Academy is a modular, self-paced online learning program for early career researchers who wish to develop their expertise and understanding of the scientific publishing process. Mid-career researchers seeking to update and perfect their skills will also find it beneficial.

It consists of 14 interactive learning paths that individuals can complete at their own pace. Topics include:

• Funding the research project
• Selecting an appropriate journal
• Best practices in writing scientific articles
• Managing research data
• Post publication activities and driving visibility
• Becoming a peer reviewer

We encourage you to explore the Researcher Academy. Registration is required, but accounts are free.

Brandi Tuttle, Research & Education

Ready to test your medical diagnostic skills with visual clues (photos, radiographs, EKG, pathology slide, etc)? By using Harrison's Visual Case Challenge via AccessMedicine, this just got easier! Each challenge presents a case that includes two conditions for each patient. You can make a diagnosis based soley on the visual information provided or you can request more information on the patient before making your diagnosis. To ensure you understand the content, there are nearly 70 Clinical Pearls currently provided covering a variety of general internal medicine topics, with more coming!

Here's how you can get started:

• Go to AccessMedicine (If you are off-campus, you'll be prompted to login with your Duke NetID/password)
• Click on the Cases drop down menu at the top of the page
• Click on the link for Harrison's Visual Case Challenge
• Pick a case and start diagnosing!

We offer a variety of online classes on research and searching topics every month. All classes are free and offered virtually, though registration through our Website is required. In addition to these classes, you can also request an online session for yourself or a group or schedule an appointment for a research consultation.

Lucy Waldrop, Assistant Director for Medical Center Archives

In the August 2021 issue of our newsletter, we featured “Archives Oral Histories" which outlined what an oral history is and the types of oral histories held at the Medical Center Archives. In this issue, we are continuing with the second offering of what will be a multipart series on oral histories at the Medical Center Archives.

An oral history is an interview that records an individual’s personal recollections of the past and historical events. The Women in Duke Health oral history project began in the fall of 2006, when Jessica Roseberry, who at the time was the Oral History Program Coordinator at the Medical Center Archives, was approached by Dr. Ann Brown, Associate Vice Dean for Faculty Development and Director, Duke Academic Program in Women's Health. Dr. Brown was representing the Faculty Women’s Committee that wanted to create an exhibit in the hospital celebrating the contributions of women in medicine at Duke. During their inquiries, they learned of Roseberry and asked her to help them discover and interview women who played a significant role at Duke Medicine (now Duke Health). 

As the project evolved, Dr. Brown’s office received a grant from the Josiah Trent Foundation to aid Roseberry, as oral historian, in transcribing future interviews about women. The end goal of this project was to create more than the original exhibit, as it expanded to include an online repository showcasing women in the Medical Center who made significant impacts on Duke Medicine. The repository also grew to include those interviews collected through a previous Trent Foundation grant (before the project officially began) as well as those conducted in the regular course of interviewing. For the women included in the project who were deceased, the oral historian interviewed relatives and/or coworkers or used archival and other materials to uncover their stories.

This project is still ongoing, and the oral histories are housed at the Medical Center Archives. In March 2021, the Library & Archives debuted the newly redesigned and updated online exhibit of Women in Duke Health.

This collection of oral histories and subsequent online exhibit offers a unique historical perspective from the interviewees’ lived experiences - through their own stories and in their own words - and gives space to women who were pioneers and firsts in their disciplines.

If you are interested in learning more about the Women in Duke Health oral histories or any of our Archives holdings, please contact the Archives staff.

Victor Gordon, Associate Director for Administration

The Reading Room on Level 1 of the Library has undergone changes this summer. A year ago, it was locked down due to the pandemic and was used by Randy Marsh, User Services and Interlibrary Loan Assistant, as a command center for processing holds and other book requests. Now that it is open again, the familiar tables, lamps, and soft seating have returned. And while it looks remarkably similar to its pre-Covid form, there are a few noticeable differences.

Before the lockdown, many of the paintings on the walls had a similar vibe: portraits of white males, painted in oil on canvas, and displayed in large wooden frames. Taking the opportunity while the room was closed, a few staff members volunteered to peruse images from the Medical Center Archives to find something non-traditional for the décor. After brainstorming several ideas, four images were selected from the protein illustration collection of Jane Richardson, Ph.D, James B.Duke Professor of Biochemistry.

These fascinating and creative images only represent a sample of the many different illustrations from her highly useful work that were donated by the Richardson Lab in 2019. To someone unfamiliar with biochemistry, they may appear as very abstract ribbon like drawings in both color and black and white. If you are interested in seeing these for yourself, stop by the Reading Room Monday - Friday, 8a-5:30p.

Neal Fricks, User Services Manager, Content & Discovery

The Medical Center Library & Archives has a self-checkout station located in the Reading Room on Level 1. This self-contained machine uses smart-cloud technology to checkout and desensitize library materials. Simply login to your Duke University Library account, follow the prompts on the kiosk, scan the barcode, and desensitize your item as instructed below.

1. Press the START button on the kiosk screen.
2. Login to your Duke Library account with your DukeNet ID/password.
3. Find the Medical Center Library barcode on the book.
4. Place book on top of the demagnetizer next to the kiosk. Make sure the spine is against the back of the demagnetizer as shown.
5. Hold the barcode under the red scanner light. Each checked out book will appear in a list on the kiosk screen.
6. When done, click FINISH on the kiosk to log out.
7. An automated Checkout Receipt with the due date will be emailed to your Duke email address.

Frank Libman Engel, M.D., 1913-1963, was at Duke University from 1947 until his early death at age 49 in 1963. He was Chief of the Division of Endocrinology in the Department of Medicine and Professor of Medicine and Associate Professor of Physiology.

Dr. Engel, known internationally for his research in the fields of endocrinology and metabolic diseases, was a man of many talents and diverse interests. His peers have described him as a gifted teacher, excellent physician, leading experimental endocrinologist, and an administrator endowed with a creative imagination, a scholarly perspective, and the capacity for sustained inquiry.

To honor the memory of this man who loved medicine, but enjoyed many other things, his colleagues created a special reading collection to broaden the interests and horizons of health professionals and students. The Engel Collection offers a broad range of cultural and informative reading, including books of general and scientific interest not usually found in a medical library. It remains one of the most popular collections in the Medical Center Library & Archives. A special book plate, based on a caricature of Dr. Engel by Elec Emile Leclercq, identifies each volume.

The Engel Collection has been sustained over the years through gifts from his wife, Mildred Engel Handleman, and now his daughter, Susan Engel Zarutskie, M.D. Dr. Zarutskie has also provided a large bequest to support this highly used and cherished collection well into the future.

Barbara Dietsch, Electronic Resources & Acquisitions Manager, Content & Discovery

Several new titles have been added to the Library’s special collection established in memory of Dr. Frank Engel, who always thought students should have other reading sources that took them beyond their medical studies. Most reviews are excerpted from Amazon.com.

A Funny Thing Happened on the Way to Stockholm...
Robert Lefkowitz

This rollicking memoir from the cardiologist turned legendary scientist and winner of the Nobel Prize revels in the joy of science and discovery. Like Richard Feynman in the field of physics, Dr. Robert Lefkowitz is also known for being a larger-than-life character: a not-immodest, often self-deprecating, and always entertaining raconteur. Indeed, when he received the Nobel Prize, the press corps in Sweden covered him intensively, describing him as "the happiest Laureate."

A History of the Human Brain: From the Sea Sponge to CRISPR, How Our Brain Evolved
Bret Stetka

Bret Stetka takes us on this far-reaching journey, explaining exactly how our most mysterious organ developed. From the brain’s improbable, watery beginnings to the marvel that sits in the head of homosapiens today. Clearly and expertly told, this intriguing account is the story of who we are. By examining the history of the brain, we can begin to piece together what it truly means to be human.

The Code Breaker: Jennifer Doudna, Gene Editing, and the Future of the Human Race
Walter Isaacson

This book reprises several of Isaacson's previous themes including science, genius, experiment, code, and thinking differently. For the first time, he devotes the full length to a female subject. Despite the title, Isaacson offers a deeper reach, devoting much discussion to the ethics of gene editing, especially when it comes to "germline" changes that can be passed on through generations and "enhancements" such as green eyes or high I.Q. that prospective parents could insert into their offspring’s genomes.

Breath Taking: The Power, Fragility, and Future of Our Extraordinary Lungs
Michael J. Stephen

Pulmonologist Michael Stephen takes us on a journey to shed much-needed light on our neglected and extraordinary lungs, at a most critical societal moment. He relates the history of oxygen on Earth and the evolutionary origins of breathing, and explores the healing power of breath and its spiritual potential. He explains in lay terms the links our lungs have with our immune system and with society at large. Presenting lluminating chronicles of pulmonary research and discovery in the time of COVID-19, Breath Taking offers inspiration and hope to millions whose lungs are affected and vital perspective to us all.

Brandi Tuttle, Research & Education

Have you noticed the newly designed front page for ClinicalKey? There have been some massive changes to the resource beyond just a facelift. Read on for more info and tips to get the most out of this great resource!

First, in case you are unfamiliar, Elsevier’s ClinicalKey is a medical search engine that gives you access to:

• Full-text reference books (over a 1000!) and journals including top titles such as Gray’s Anatomy, Goldman’s Cecil Medicine, Braunwald’s Heart Disease, The Lancet and Mayo Clinic Proceedings
• Clinical Overviews that provide succinct, easy-to-navigate summaries for quick answers
• Drug monographs
• Clinical calculators
• Practice guidelines
• Customizable patient education handouts
• Drug indications, do not crush list, identifier, and adverse reactions
• Medical and procedure videos, images, and more

Wondering about some of the changes in ClinicalKey? The redesigned homepages features a new search bar with improved auto-suggest delivering more relevant results.

The cards displayed below the search box help you to quickly see available content. Now you can browse more quickly for specific clinical topics, drug information, tools, books, and journals.

The new interface matches the clinical workflow so you can spend less time searching for answers and more time where it matters. Results are sorted by clinical relevance and links to steps in the clinical flow (such as workup, treatment, and diagnosis) are color-coded, making information easy to scan and highly accessible.

To take advantage of all the features of ClinicalKey, create an account by going to ClinicalKey and click Register in the top right corner. *Be sure to use your Duke email address when registering. Once you register for a personal account, you’ll have the ability to earn, track and claim CME credits, use the Presentation Maker tool, save content (like chapter PDFs), and more!

Take a deep dive into ClinicalKey and let us know if you have any questions! Happy searching.

Rebecca Williams, Archives Librarian for Research, Outreach, and Education

Every October during Archives Month, we enjoy sharing spooky materials from our collections, including some your favorites like medical illustrations and old surgical instruments. Though we will not be having an open house setting in the Library this year, we are highlighting a group of materials that you might be surprised to find in the Medical Center Archives -- fallout shelter plans and pamphlets.

During the 1960s, the prospect of nuclear war was a deep fear for many Americans. Consequently, many plans were made across the country for the building and preparing fallout shelters. These were sites "intended to give some protection against fallout radiation and other effects of a nuclear explosion, either an existing area such as a basement or tunnel, or a structure specially constructed for this purpose" (Dictionary of Energy, p. 218). In the Bernard Fetter Papers, there is an Engineering Design Study for Fallout Shelter Areas at Duke University dated February 22, 1963. The study contains detailed plans of all possible shelter areas on Duke’s campus down to the number of lamps and circuits in each building.

This detailed plan is not out of the norm as Fetter’s collection also contains a sampling of medical literature devoted to the danger of nuclear war. Clinical Symposia devoted an entire issue in early 1962 to “Survival in Nuclear Warfare.” Around the same time, the Southern Medical Bulletin also published a similar issue titled “Symposium: When Disaster Strikes!" While they do provide suggestions on how physicians should act in the case of nuclear attack, they go much further than pure medical instruction.
Frank Netter provides detailed illustrations of atomic fission and atomic fusion in Clinical Symposia. In the Southern Medical Bulletin, Dr. Joseph R. Schaeffer writes in his article, The Role of the Physician in a Nuclear Age, "As a nation we have grown soft. True, we have been and are living well 'high on the hog.' One would without doubt find it necessary to go back into the ancient history of Greece to uncover any similar situation. That civilization grew soft and disappeared.” (p. 20-21) Duke clearly took these warnings seriously as the Civilian Defense Organization prepared several pamphlets detailing key survival tips both for the Duke community and the city of Durham. Looking back at old publications and journal themes reveal a lot about the priorities of the medical community at the time of publication. Contact Archives staff to learn more about these materials or other historical publications.

Leila Ledbetter, Research & Education Librarian and Liaison to the School of Nursing, has co-authored the article: Torres GCS, Fernandez DF, Ledbetter L, Relf MV. "Systematic Review of Preoperative Patient Readiness," AORN Journal, 114(1):47-59, July 2021.

Beverly Murphy, Assistant Director, Communications & Web Content and DUHS Hospital Nursing Liaison, and  Shannon D. Jones (Director of Libraries, Medical University of South Carolina, Charleston) have recorded a podcast on "Diversity, Equity, and Inclusion in Libraries" for Press, Play, Connect on MLANet, a monthly podcast offering a diverse array of special guests who share their insight into Medical Library Association (MLA) career discovery, networking opportunities and professional development.

Megan von Isenburg, Associate Dean for Library Services & Archives and Liaison to Global Health, has co-authored the article: Joiner A, Lee A, Chowa P, Kharel R, Kumar L, Caruzzo NM, Ramirez T, Reynolds L, Sakita F, Van Vleet L, von Isenburg M, Yaffee AQ, Staton C, Vissoci JRN. "Access to Care Solutions in Healthcare for Obstetric Care in Africa: A Systematic Review," PloS One, 16(6), June 2021.

ZScaler, an Internet and Web gateway security tool, is being implemented across Duke Health. Early users reported barriers to accessing Library resources when ZScaler was running on their Duke computers.

We have devised a strategy that allows Library access, but you will need to use the Library Website to get that access. In order to be recognized as an authorized Duke user, you must access the Library Websites/systems and sign in.

If you are having issues getting access, please submit a ticket to DHTS at https://duke.service-now.com/sp

The Medical Center Library & Archives offers online training on a variety of topics. Request an online session for yourself or a group, schedule an appointment for a research consultation, or register for a class.

Duke University Medical Center Library & Archives News is published bimonthly.