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Howard Bauchner's avatar

Michael

I do agree that in general editorials have became less critical and more congratulatory - a loss for medicine. But sites like Sensible Medicine (and others) have tried to highlight both the strengths and challenges of major studies. And as you point out many journals do allow for commenting.

I also agree that journals rarely have opposing political views expressed. NEJM does a great job with respect to clinical issues - clinical question posed and then 2 authors with different views respond. It would be nice to see the same with some of the sensitive issues where journals have generally avoided much debate.

HCB

Michael Plunkett's avatar

A little too academic for me but it’s ok. For myself it’s been a downhill course since the days of Dr. Ingelfinger. Specifically the NEJM is almost an embarrassment. Unless you’re woke the introductory faux liberal screeds belong more in Pravda. Most of us skip them entirely. And then their editorials just regurgitate what the article’s authors tried to fool you. I remember when the editor dug into the weaknesses of the article. No more. They’re all made men.

Then there’s the late lamented JAMA. When’s the last time I found any medicine in it. It’s all social commentary.

And both the aforementioned journals don’t brook constructive criticism. I teach my residents always to view the comments. Within 6 or 7 you’ll see an interesting idea. Not possible with the above journals. It’s easier for a camel to enter…than to comment real time or read real time others thoughts on their articles.

Sorry for the thoughts of disillusionment.

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