• Grey literature: this includes online reports not indexed in the National Library of Medicine as well as conference proceedings, quality improvement reports, academic blog posts and other output.
  • Community impact: if work you have done—published or not—has impact on the community, this is not always captured by altmetrics sources. This impact includes media coverage, changes to policy and program implementations or improvements.
  • Tracking impact not connected to a traditional academic URL database requires more creativity. Although each publication has its own PubMed-indexed URL, other academic output does not.