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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

Reviews

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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