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Full-Text Articles in Social and Behavioral Sciences

A Longitudinal Examination Of Mobile App Usage In Medical Students, Emily Weyant, Nakia Woodward, Rick Wallace, Aaron Castle Oct 2021

A Longitudinal Examination Of Mobile App Usage In Medical Students, Emily Weyant, Nakia Woodward, Rick Wallace, Aaron Castle

Southern Chapter/Medical Library Association Annual Conference

Objective: The objective of this study is to determine both the usefulness of librarian instruction on mobile apps and student preference for mobile apps during 3rd and 4th year clinical rotations.

Methods: An electronic RedCap survey was administered to students for the purpose of gathering baseline information on library-provided mobile apps and instruction. This brief survey was given to 3rd year medical students at the beginning of this school year (2021-2022) with a second follow-up survey scheduled for later in the academic year. (spring 22) The students were asked questions about their mobile app usage and preferences as well as …


We’Re Virtually There: Providing Health Sciences Education And Wellness Through Virtual Reality Experiences, Lachelle Smith, Gail Kouame, Jennifer Davis Oct 2021

We’Re Virtually There: Providing Health Sciences Education And Wellness Through Virtual Reality Experiences, Lachelle Smith, Gail Kouame, Jennifer Davis

Southern Chapter/Medical Library Association Annual Conference

Faculty librarians at the Greenblatt Library implemented two innovative approaches for incorporating virtual reality (VR) experiences in health sciences education. The first project involves using VR to develop an escape room that introduces players to research data management principles and best practices. The second project incorporates curriculum-based VR experiences developed for the university’s undergraduate medical students and makes them available through a public space in the health sciences library. The library is centrally located on campus and is open extended hours, allowing for increased access to the VR experiences. Additionally, because burnout and stress are common in the health sciences, …


The Status Of Scholarly Efforts Of Librarians In Health Literacy: A Bibliometric Analysis, Alexandria Wilson, Courtney Wombles, R. Eric Heidel, Kelsey Grabeel Oct 2021

The Status Of Scholarly Efforts Of Librarians In Health Literacy: A Bibliometric Analysis, Alexandria Wilson, Courtney Wombles, R. Eric Heidel, Kelsey Grabeel

Southern Chapter/Medical Library Association Annual Conference

Objective: In order to determine the status of scholarly efforts on health literacy by librarians, researchers examined the characteristics of health literacy publications authored by librarians from 2000 to 2020.

Methods: Bibliometrics were used to assess the productivity, affiliations, collaboration, and citation metrics of librarians in health literacy-related research. Data were collected using the Scopus database and articles were screened for inclusion in Rayyan software before importation into Microsoft Excel for analysis. SPSS statistical software used to run basic descriptive statistics.

Results: Of 797 search results, 460 publications met the inclusion criteria of librarian authorship. There was a significant linear …


Medical Resident Resource Use Trends: Looking At The Past To Inform Future Decisions, David Petersen, Martha Earl, Alexandria Wilson Oct 2021

Medical Resident Resource Use Trends: Looking At The Past To Inform Future Decisions, David Petersen, Martha Earl, Alexandria Wilson

Southern Chapter/Medical Library Association Annual Conference

Objective:

Since 2006, the University of Tennessee’s Preston Medical Library (PML) has collected survey feedback from exiting residents. One question asks residents which types of articles or sources they use to find information. In this study, we examine responses to this question, assessing the change in resident utilization of resources to better inform future library decisions on instruction and marketing.

Methods:

Surveys were distributed to exiting residents through targeted emails or at the required exit process in the library. The question asked them to select which types of articles or sources they used to find information from among the 16 …


The Future Of Conferences: Adapting To A New Way Of Life, Skye Bickett, Trey Lemley, Randall Watts Oct 2021

The Future Of Conferences: Adapting To A New Way Of Life, Skye Bickett, Trey Lemley, Randall Watts

Southern Chapter/Medical Library Association Annual Conference

Objectives This paper examines the changes to conferences over the past year and a half and recommends a path forward. The authors will discuss the challenges and opportunities of these changes and what that can mean for future conferences.

Methods The authors used their own experiences of attending and planning conferences and a review of current literature to develop recommendations for future conference programming.

Results We identified several benefits and challenges of online meetings. The benefits include offering similar content at a lower cost, more flexible and dynamic content, and a broader range of speakers and attendees. The challenges include …


Introducing Faculty And Graduate Students To Systematic Reviews: Evaluation Of A Stand-Alone Workshop, Adella Grabowsky Oct 2021

Introducing Faculty And Graduate Students To Systematic Reviews: Evaluation Of A Stand-Alone Workshop, Adella Grabowsky

Southern Chapter/Medical Library Association Annual Conference

Objective: To discuss the development, perception, and impact of a stand-alone workshop intended to introduce faculty and graduate students to systematic review methodology.

Methods: Development/revision of the workshop was examined through content analysis of lesson plans, PowerPoints, class examples and handouts. A short questionnaire was sent to participants within a few days of most workshops since 2018; all responses were analyzed to explore participant perceptions. Impact was assessed with an additional questionnaire sent in 2021 to all previous participants asking about progress and/or intentions to complete a systematic review.

Results: Between 9/7/2018 and 5/27/2018, there were 29 responses to the …


Dynamic Design: Creating An Intuitive Search Experience For A Library Resources Page, Michelle Keba Knecht, Tiffany Follin Oct 2021

Dynamic Design: Creating An Intuitive Search Experience For A Library Resources Page, Michelle Keba Knecht, Tiffany Follin

Southern Chapter/Medical Library Association Annual Conference

Introduction In this brief paper presentation, the presenters will describe how they used feedback from their College of Medicine to re-design their medical library resources webpage. In a recent survey of their medical students, the presenters found that complicated access to library resources via the Medical Library’s website was one of the top barriers to library access experienced by students.

Objectives The objective of this project was to create an intuitive, searchable library resources page by incorporating direct feedback from students, staff, and faculty. Rather than designing a webpage built by and for librarians, the presenters intentionally built the new …


Building Responsive Research Capacity: A Survey Of Academic Health Faculty, Ardis Hanson Phd, Mlis, Ahip, Krystal Bullers Mlis, Ahip, Stephanie Tomlinson Mlis, Ahip, Allison Howard Mlis, Ahip, William D. Keane Phd Oct 2021

Building Responsive Research Capacity: A Survey Of Academic Health Faculty, Ardis Hanson Phd, Mlis, Ahip, Krystal Bullers Mlis, Ahip, Stephanie Tomlinson Mlis, Ahip, Allison Howard Mlis, Ahip, William D. Keane Phd

Southern Chapter/Medical Library Association Annual Conference

The objective of this study was to evaluate the use of and satisfaction with the University of South Florida Health Libraries (USFHL) research support services (RSS). A secondary objective was to understand the research skills of academic health faculty. The data will help inform future service offerings.

The mixed methods study is comprised of two phases: a survey followed by focus groups. The survey assessed 1) knowledge of and satisfaction with specific RSS, 2) faculty confidence in performing 10 specific research tasks, and 3) preference for potential class topics. Open-ended fields allowed for additional comments and suggestions. Respondents self-identified if …


Librarian Collaboration In Guideline Development, Emily Brennan, Tara Brigham, Elaine Attridge Oct 2021

Librarian Collaboration In Guideline Development, Emily Brennan, Tara Brigham, Elaine Attridge

Southern Chapter/Medical Library Association Annual Conference

Objective: This paper describes the experience of three librarians from different institutions working together on a national guideline, the benefits of that collaboration, a suggested approach and the questions that should be asked beforehand to ensure the experience is efficient and the guideline is of the highest quality.

Methods: Participating in guidelines is challenging because of the need to balance best practices, time constraints, and researchers' needs. Most clinical guidelines include faculty authors from multiple institutions. When a librarian is invited to join a guideline development team, often times the librarian's role is poorly defined. Before agreeing to participate in …


Creating A Medical Library Terms Taxonomy For Citation Analysis, Shalu Gillum, Terri Gotschall, Pamela Herring, Deedra Walton, Natasha Williams Oct 2021

Creating A Medical Library Terms Taxonomy For Citation Analysis, Shalu Gillum, Terri Gotschall, Pamela Herring, Deedra Walton, Natasha Williams

Southern Chapter/Medical Library Association Annual Conference

Objective: To create a medical library terms taxonomy in order to find trends in the medical library literature.

In order to explore trends in scholarly publishing by health sciences librarians in the last five years, we endeavored to examine keywords used in articles published in four health sciences library journals during this time. From our initial review we determined that: author-created keywords are not always based on a controlled vocabulary; MeSH subheadings do not include terms unique to the library field; and Library of Congress taxonomy is too broad. Thus, it was necessary to create a taxonomy by grouping similar …


Going Remote: Marketing Library Resources And Services, Lin Wu, Sarah Thompson, Jennifer M. Langford, Kaylee Strahan Oct 2021

Going Remote: Marketing Library Resources And Services, Lin Wu, Sarah Thompson, Jennifer M. Langford, Kaylee Strahan

Southern Chapter/Medical Library Association Annual Conference

Objectives

• Describe the library’s efforts in restructuring marketing strategies strategies to reach out and engage library patrons in a virtual environment

• Examine the impact of the efforts on library services and resource access


Evolution Of A Virtual Book Club: Transforming Workplace Culture Through Book Clubs, Shannon Glover, Tanisha Mills, Jennifer Reagan Oct 2021

Evolution Of A Virtual Book Club: Transforming Workplace Culture Through Book Clubs, Shannon Glover, Tanisha Mills, Jennifer Reagan

Southern Chapter/Medical Library Association Annual Conference

Objective The objective of this project was to raise awareness of health/social topics by having meaningful conversations through virtual book club discussions. The goal is to address issues surrounding health disparities and diversity, equity, inclusion (DEI)concerns within the community.

Methods CME/Library team partnered with public library to select diverse health topics and books using NNLM Reading Club list. A plan was created to host multiple educational formats of virtual book club. The educational formats developed were (1) traditional virtual book club, (2) CME speaker in conjunction with book club, documentary screening, and panel discussion and (3) book club with physicians …


How The Morehouse School Of Medicine (Msm) Archives Reflect The School’S Mission, Roland Welmaker, Joe Swanson, Monica Riley Oct 2021

How The Morehouse School Of Medicine (Msm) Archives Reflect The School’S Mission, Roland Welmaker, Joe Swanson, Monica Riley

Southern Chapter/Medical Library Association Annual Conference

OBJECTIVE: To demonstrate how our archives embody the school’s mission.

METHODS: The importance of the artifacts will be revealed through relating the stories behind and significance of artifacts to the school’s history and mission. Included will be paintings, statuary, Mace, logo, bowls, symbols of presidency, publications, and special print collection. The story will be told through interviews with long term members of the school’s faculty and staff.

RESULTS: 1. From our beginning, key people (oval portraits) envisioned graduates (round pictures) being committed to working with patients in underserved areas, confronting disparity, and later pursuing equity in treatment. 2. President Valerie …


Using Focus Groups To Gather Student Opinions On Medical Library Resources And Space, Garrett Garner, Carolyn Klatt, Edward Klatt, Kim Meeks Oct 2021

Using Focus Groups To Gather Student Opinions On Medical Library Resources And Space, Garrett Garner, Carolyn Klatt, Edward Klatt, Kim Meeks

Southern Chapter/Medical Library Association Annual Conference

OBJECTIVE

Medical education evolves with advancing technologies, and medical students are utilizing new learning methodologies in their curriculum. Medical educators can use student feedback to assess student study habits for modifications to current resources and spaces provided by the school. We obtained student opinions to identify student utilization issues of existing library space and learning resources at [School]

METHODS

We performed a literature review on focus group studies at other medical schools to guide the formulation of our groups. We invited all current medical students at [School] to participate in focus groups moderated by one author and recorded via Zoom …


'I Can Become A Doctor Too'. Medical Libraries Influence On Community Health And Education, Rick Wallace, Elaine Evans, Herb Greenlee, Doug Taylor, Stephanie Cole Oct 2021

'I Can Become A Doctor Too'. Medical Libraries Influence On Community Health And Education, Rick Wallace, Elaine Evans, Herb Greenlee, Doug Taylor, Stephanie Cole

Southern Chapter/Medical Library Association Annual Conference

Objective: This poster discusses library collaboration with a community center to promote health as a profession and promote health information literacy in the African American community.

Methods: Library staff reached out to a local community center with the intention of introducing the health professions to students in the community. The library scheduled medical, pharmacy and physical therapy students to do unique classes for different ages of children. This relationship developed into further classes involving librarians who did health literacy classes for seniors in the community center and sponsored exercise classes and became involved in health fairs in the center. This …


Analyzing Point Of Care Tools Through Faculty, Resident, And Stakeholder Buy-In: A Cautionary Tale, J. Michael Lindsay, David Petersen, Abagail Pujol, Martha Earl Oct 2021

Analyzing Point Of Care Tools Through Faculty, Resident, And Stakeholder Buy-In: A Cautionary Tale, J. Michael Lindsay, David Petersen, Abagail Pujol, Martha Earl

Southern Chapter/Medical Library Association Annual Conference

Purpose: Costs for Preston Medical Library’s primary point-of-care (POC) clinical tool have increased to half of the acquisitions budget, while user affiliation data have not been provided to facilitate cost sharing. In response, user preferences for POC tools were analyzed to determine a viable, less expensive alternative to the current subscription.

Setting/Participants/Resources: Faculty and residents at the University of Tennessee Graduate School of Medicine (GSM), and other clinical staff at the University of Tennessee Medical Center (UTMC), a 685-bed teaching hospital.

Methodology: At the direction of school leadership, a working group of library staff, resident physicians, and medical faculty members …


Embracing The Value Of A Cme/Library Partnership: Growing From A Common Ground, Shannon Glover, Jennifer Reagan, Tanisha Mills, Susan Shields, Heather Smith Oct 2021

Embracing The Value Of A Cme/Library Partnership: Growing From A Common Ground, Shannon Glover, Jennifer Reagan, Tanisha Mills, Susan Shields, Heather Smith

Southern Chapter/Medical Library Association Annual Conference

Objective The objective of this poster is to validate the significance of the partnership between library services and continuing medical education (CME). We will show the value of our collaboration through planned and implemented multi-faceted educational activities.

Methods A diversity team was created to determine the types of education we would offer, the speakers who could meet the needs of our objectives, and planning of the activities. With Covid-19 and social unrest, we decided to focus on diversity, equity and inclusion (DEI) and how we could impact our health system. We worked with public relations to market events internally and …


Reaching Out: Rethinking Outreach When No One Can Hear You (Scream), Anya Mckinney Oct 2021

Reaching Out: Rethinking Outreach When No One Can Hear You (Scream), Anya Mckinney

Southern Chapter/Medical Library Association Annual Conference

OBJECTIVE Meeting faculty and students where they are is a challenge for libraries on any given day. With the advent of the COVID-19 pandemic, library outreach took a drastic hit as campuses closed and users went remote. Traditional outreach often relies on serendipitous in-person interactions as users ask for assistance with resources and research. Revising systems to meet users at a distance during a time of upheaval is a challenge and an opportunity for librarians to rethink information sharing and instruction methods.

METHODS All five locations of the South College Library closed in March 2020. While the Knoxville locations reopened …


New Beginnings: Starting A Career As A Medical Librarian During A Global Pandemic, Aaron Castle, Emily Weyan, Kelly Loyd, Jacob Bilek Oct 2021

New Beginnings: Starting A Career As A Medical Librarian During A Global Pandemic, Aaron Castle, Emily Weyan, Kelly Loyd, Jacob Bilek

Southern Chapter/Medical Library Association Annual Conference

Objective This poster aims to discuss experiential reflections of starting a new career as a medical library professional during the global pandemic and the respective supervisorial perspective. The reflections convey some of the challenges faced while beginning a career where traditional on-the-job experience was unavailable and the issues of providing training and mentoring remotely to subordinates.

Methods Written narratives from two library professionals who received their degrees during the global pandemic and their supervisors. It presents subjective pros and cons in a ‘new normal’ workplace from the reflections written by four medical library professionals. As well, it lists some of …


Preserving Family Treasures: An Opportunity For Outreach Programming, Misti Thornton Oct 2021

Preserving Family Treasures: An Opportunity For Outreach Programming, Misti Thornton

Southern Chapter/Medical Library Association Annual Conference

No abstract provided.


Considerations For Small Libraries In Adopting Virtual Reality Technology For Medical Education, Rachel Walden, Emily Weyant, Matthew Carroll Nov 2020

Considerations For Small Libraries In Adopting Virtual Reality Technology For Medical Education, Rachel Walden, Emily Weyant, Matthew Carroll

Southern Chapter/Medical Library Association Annual Conference

Objective: Describe considerations for small libraries considering the adoption of virtual reality technology as a resource for health sciences education.

Methods: A small academic medical library obtained grant funding to implement a virtual reality pilot project to support anatomy coursework.

Results: Observations were made related to the technology selection and purchasing process, space and safety requirements for implementing VR, student patterns of use, supplementary VR programs of interest to medical students (including gaming and meditation programs for stress relief), and staffing/scheduling/maintenance of the system.

Conclusions: Virtual reality technology is compelling for medical education; implementation resulted in increasing the library’s engagement …


The Path Forward: Using Canvas Commons For Online Information Literacy Instruction In The Health Sciences, Candace Vance, Katherine Farmer, Jeffrey Henry, Dana Statton Thompson, Megan Wilson Nov 2020

The Path Forward: Using Canvas Commons For Online Information Literacy Instruction In The Health Sciences, Candace Vance, Katherine Farmer, Jeffrey Henry, Dana Statton Thompson, Megan Wilson

Southern Chapter/Medical Library Association Annual Conference

Question: How can we improve the delivery of information literacy instruction in the health sciences in a virtual environment? This paper examines the integration of Canvas Commons Modules to provide downloadable, open-access information literacy tutorials for students across various disciplines, including the health sciences.

Setting/Participants/Resources: The Murray State University Libraries and multiple disciplines, including Nursing and Communication Disorders.

Brief Description: As higher education offers more online courses, addressing virtual learners’ information literacy needs has become critical. The modules were originally created in Fall, 2019 as an additional mode of instruction and an online substitute for in-person information literacy instruction sessions …


Accounting For Work From Home In The Time Of Covid, Ardis Hanson, Allison Howard, Stephanie Tomlinson, Krystal Bullers Nov 2020

Accounting For Work From Home In The Time Of Covid, Ardis Hanson, Allison Howard, Stephanie Tomlinson, Krystal Bullers

Southern Chapter/Medical Library Association Annual Conference

Objective: As our university moved to a work from home model in response to the COVID-19 pandemic, our research unit needed to reconsider how we accounted for our daily work. Our objective was to consolidate and standardize our data collection to meet requirements for a variety of different time-, project-, or college/program-based reports. Methods: We started by reviewing all the data elements that we might be asked to provide for internal and external reporting. Using the categories in our university activity report as the foundation, we discussed the level of granularity required and assigned activities to each group. We established …


Journal Usage Level Changes At Morehouse School Of Medicine Library 2011-2020, Joe Swanson, Roland B. Welmaker, Monica Riley, Tara Douglas-Williams Nov 2020

Journal Usage Level Changes At Morehouse School Of Medicine Library 2011-2020, Joe Swanson, Roland B. Welmaker, Monica Riley, Tara Douglas-Williams

Southern Chapter/Medical Library Association Annual Conference

OBJECTIVE: To determine faculty and researcher journal usage levels and their implications on library’s journal collection and access models for the past five years and compare to previous usage and implications.

1. The librarians would like to investigate changes made in the journal collection as we moved to fewer print based resources through a comparison of usage levels prior to the changes to usage levels after the changes. We had sought to seek optimum pathways for supporting the school’s curricula, research agendas, and health care enterprise. Our ultimate question is ‘How have changes correlated and compared to previous usage and …


What Medical Students Want: A Ten Year Library Survey At A New Medical School, Luda Dolinsky, Francisco Fajardo, Rebecca Roth Nov 2020

What Medical Students Want: A Ten Year Library Survey At A New Medical School, Luda Dolinsky, Francisco Fajardo, Rebecca Roth

Southern Chapter/Medical Library Association Annual Conference

Objective: To assess and evaluate the past and current performance of library services, resources, and space with the purpose of informing decisions in designing a library serving a new medical school.

Methods: The Herbert Wertheim College of Medicine (HWCOM) at Florida International University opened its doors to its first class in 2009. Shortly after, the medical library began seeking student feedback by administering a 15-question survey to each class. The inaugural Class of 2013 and other cohorts were queried at various points in their curriculum. Starting with the Class of 2017, the library began consistently administering its survey to students …


Building Community Through Programming With Nlm Traveling Exhibits, Rachel Walden, Nakia Woodward, Kelly Loyd Nov 2020

Building Community Through Programming With Nlm Traveling Exhibits, Rachel Walden, Nakia Woodward, Kelly Loyd

Southern Chapter/Medical Library Association Annual Conference

Objective: To demonstrate how programming around NLM’s traveling exhibit program can be used to connect and engage with communities outside the medical library.

Methods: The Quillen College of Medicine library hosted NLM’s “From DNA to Beer” and “Graphic Medicine: Ill-Conceived and Well-Drawn” exhibits and developed programming engaging with the university’s arts community, numerous locally owned businesses, and the local agricultural extension office.

Results: Exhibit planning was conducted with community engagement as a chief goal. Events included tours and talks at local craft breweries, trivia night at a downtown brewery, a bread-making workshop from extension agents, a presentation from a visiting …


Reimagining A To Z Database Descriptions To Improve User Experiences: A Database Description Project, Lauren Fletcher, Sarah Adcock Nov 2020

Reimagining A To Z Database Descriptions To Improve User Experiences: A Database Description Project, Lauren Fletcher, Sarah Adcock

Southern Chapter/Medical Library Association Annual Conference

Objective: This poster examines how a Research and Instruction Librarian team at Rowland Medical Library updated and re-envisioned the library’s A to Z Database list. Methods: Two librarians worked to reimagine the format of the database descriptions provided on the A-Z Database page to include the relevant information users routinely requested. To this end, the librarians determined that each description should include alternative names, subjects, content categories, date range, icons, and vendor information. The reimagined descriptions removed extraneous vendor content that confused users and focused on information users could use to make quick determinations on which databases were best for …


Maximizing Compensation For Public Academic Medical Librarians: Retirement Plan Benefits In The Sea/Nnlm Compared To Other Nnlm Regions, David Petersen Nov 2020

Maximizing Compensation For Public Academic Medical Librarians: Retirement Plan Benefits In The Sea/Nnlm Compared To Other Nnlm Regions, David Petersen

Southern Chapter/Medical Library Association Annual Conference

Objective: Full-time public academic medical librarians are often provided with an employer-sponsored retirement plan, a vital benefit to ensure long-term financial stability, particularly as COVID-19 restricts salary raises. Most of these librarians are classified as either faculty or exempt staff. One retirement option is the Optional Retirement Plan (ORP), a defined contribution plan where the employer and often the employee contribute. This study will assess whether public academic institutions in the Southeastern Atlantic Region of the National Network of Libraries of Medicine (SEA/NNLM) provide equivalent ORP benefits compared to peer institutions in other regions of the country.

Methods: States were …


Library Engagement In Exploring Stories Of Polio Survivors In North Central Florida, Nina Stoyan-Rosenzweig Nov 2020

Library Engagement In Exploring Stories Of Polio Survivors In North Central Florida, Nina Stoyan-Rosenzweig

Southern Chapter/Medical Library Association Annual Conference

Introduction/background: This project seeks to record stories of individuals who survived polio in the 1940s and 1950s in order to capture a unique moment in history, both in how polio impacted society- uniquely and similar to other disease outbreaks, and how individuals with polio negotiated their polio identity and told their story (or remembered through stories told by others).

For the former, infectious diseases can have a tremendous impact on culture, psychology, and the physical structure of society during the course of outbreaks and epidemics. Indeed the form of response often is similar from outbreak to outbreak, as people respond …


Confronting Inequity: Social Justice Dialogue In A Health Science Library, Gail Kouame, Darra Ballance, Jacob Gallay, Natalee Reese, Peter Shipman, Lachelle Smith, Shafer Tharrington Nov 2020

Confronting Inequity: Social Justice Dialogue In A Health Science Library, Gail Kouame, Darra Ballance, Jacob Gallay, Natalee Reese, Peter Shipman, Lachelle Smith, Shafer Tharrington

Southern Chapter/Medical Library Association Annual Conference

Objective: To demonstrate how a departmental social justice discussion group was successful in achieving its purpose in introducing and discussing health-related social justice narratives and perspectives with personal meaning to each department member.

Methods: In the aftermath George Floyd’s death, the Assistant Director of Research and Education Services at a health sciences library proposed devoting a portion of staff meetings to discuss issues in social justice and anti-racism. Each department member would generate a topic and organize readings or links to media in an internal LibGuide. Initially, there was a total of seven discussions, each lasting an average of twenty …