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The Trouble with Medical Journals

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Table of Contents

Introduction Introduction: medical journals are probably a force for good but need considerable reform The nature of medical journals Why bother with medical journals and whether they are honest? What and who are medical journals for? Can medical journals lead or must they follow? What are and what should be the values of medical journals? The processes of pubishing medical research The complexities and confusions of medical science Peer review: a flawed process at the heart of science and journals Problems in publishing medical research Research misconduct: the poisoning of the well The death of the author and the birth of the contributor? Publishing too much and nothing: serious problems not just nuisances Conflicts of interest: how money clouds objectivity Editorial misconduct, freedom and accountability: amateurs at work Important relationships of medical journals Patients and medical journals: from objects to partners Medical journals and the mass media: moving from love and hate to love Trying to stop failing the developing world Medical journals and pharmaceutical companies: uneasy bedfellows The highly profitable but perhaps unethical business of publishing medical research Ethical accountability of researchers and journals Relations between research ethics committees and medical journals: guarding the probity of research Ethical support and accountability for journals: an ombudsman, an ethics committee, and next? Libel and medical journals: proper constraint or against the public interest? The case that concern with ethical issues in publishing medical research is overdone The future Ethical manifestos for four different futures for medical publishing References

About the Author

Richard Smith, Chief Executive, United Healthcare Europe. Former Editor of BMJ and Chief Executive of BMJ Publishing Group


Lively, full of anecdote and he [Smith] is brutally honest British Journal of Hospital MedicineThis is a unique offering by the former BMJ editor- challenging, comprehensive and controversial. This must be the most controversial medical book of the 21st Century John Illman, MJA News

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