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New Directions for the ARCHIVES
Arch Pediatr Adolesc Med. 2001;155:11-12.
IN THIS issue of the ARCHIVES, we publish our revised instructions to
authors. There are a number of changes and new features we would like to call
to the attention of both prospective authors as well as our readers.
- Improving the timely reporting of important
new findings. We continue to work at decreasing the time between manuscript
submission, acceptance, and publication in the ARCHIVES. We encourage authors
to submit manuscripts electronically, allowing us to send the electronic copy
to peer reviewers, which should facilitate the process. In addition, we will
be instituting Archives Express. This will provide
a rapid, expedited peer review, processing, and publication of articles with
great clinical or public health importance. Studies eligible for this expedited
process are those of high scientific quality that might have an immediate
important effect on the health of children and adolescents. A number of steps
are required to achieve this rapid publication of studies. First, authors
should contact the editors by e-mail at apam{at}u.washington.edu
about submitting a manuscript to Archives Express
and send a draft of the manuscript for informal review. Within 2 days, the
editors will notify the authors whether the manuscript is appropriate for Archives Express, and if so, ask that the manuscript and
all appropriate forms be formally submitted. We will ask peer reviewers to
complete their reviews within 5 working days and in turn ask authors to have
an equally rapid response to these comments. We believe that Archives Express will help to provide our readers and the public with
rapid information on rigorously peer-reviewed articles of the most important
studies in pediatrics.
- Changes to improve methodological rigor and
quality of published studies. The essence of any journal is the scientific
methodological rigor and quality of its published studies. These new guidelines
require authors to follow a standard format in reporting results of randomized
controlled trials. At the journal, we take our responsibility to safeguard
against inappropriate analyses seriously. The ubiquitous availability of computers
and statistical programs increases the likelihood of inappropriate analyses,
and all-too-great an emphasis on the magic "P<.05."
We specify new guidelines for statistical testing and have added a statistical
consultant, Peter Cummings, MD, MPH, to insure the validity and clarity of
what we report.
- Improving clinical decision making. One
of the main goals of the ARCHIVES is to help clinicians provide the best possible
care to our patients. Increasingly, numerousand at times conflictingstudies
address important clinical topics, challenging readers who struggle to remain
informed on current issues. A new section of systematic reviews will endeavor
to identify and critically appraise all the relevant literature on a topic
and summarize it in a clear objective fashion. In addition, a new series on
clinical problem solving will combine our popular features, such as "Picture
of the Month," "Radiological Case of the Month," and "Pathological Case of
the Month," in the context of a single case. Our aim is to demonstrate the
thinking process of a master clinician involved in approaching a patient with
an unknown illness. The discussions of such cases will attempt to place the
clinician's expertise into the context of the prevailing medical literature
on the topic.
- Enhanced readability. Two new formatting
details are intended to help busy clinicians determine the content of the
journal of most interest to them. "This Month in the ARCHIVES" will provide
brief outlines of a few of the more important articles found within the journal's
covers. In addition, a box will now accompany each original contribution.
Written by the authors themselves, this box will succinctly answer 2 questions:
"What is known on this topic?" and "What does this study add?" The medical
literature is an ongoing dialogue between past and present. We expect new
studies to add to previous ones and would like our authors to communicate
this directly to our readers.
- Evidence-Based Journal Club. The peer
review process is but one step in the critical path of improving the care
of patients through the publication of research. Equally important is the
postpublication process of evaluating the validity and applicability of a
study's findings. Ultimately, providers must decide individually or collectively
how or if to apply given results to their patients. Starting next month, the
ARCHIVES will begin an occasional feature called "Evidence-Based Journal Club."
This feature will serve several purposes: (1) to foster dialogue about an
article's merits with structured critiques of important studies; (2) to help
readers develop their critical appraisal skills; (3) to provide teachers with
models of using evidence-based medicine (EBM) in residency-based journal clubs;
and (4) to provide readers with a sense of the usefulness of the worldwide
Web in performing EBM reviews. Working with residents at various teaching
institutions, faculty with expertise in epidemiology and biostatistics will
systematically review a study and present their opinions to a set of pertinent
methodological questions. In addition, we will attempt to use the Web in novel
ways to provide readers with the tools they need to conduct such reviews on
their own. Ultimately, using the power of the Internet, we hope to expand
participation to a large portion of our readership, creating a national virtual
journal club.
- Author accountability. We have long required
authors to attest that they take responsibility for the contents of their
submission and to disclose any financial conflicts of interest. In our revised
instructions to authors, we are now asking in addition that authors disclose
to us their specific contributions to the study and to the manuscript. The
issues of scientific integrity are much in the public's consciousness. The
days during which authors were added as a "gift" to help young faculty or
because the work was carried out in a senior faculty's laboratory or program
are long over. The ARCHIVES has also limited the number of authors to 6. By
asking authors to tell the editors their specific contributions to the study,
we are further assuring the readers of the scientific integrity of the work.
- Inspiring as well as enlightening the reader. Our readers are busy professionals who work to improve the health
of children and adolescents. The ARCHIVES helps achieve this goal primarily
by providing new information on preventing, diagnosing, and treating illnesses.
A scientific journal should also provide inspiration and enjoyment. We hope
to enhance these qualities with a number of new and expanded features. Our
book review section is being expanded to include reviews of other media and
of books that enlighten us in different ways regarding the care of children
and adolescents. We will be publishing poetry and will institute an "On My
Mind" section of essays that capture heartfelt feelings or insights experienced
while caring for children and adolescents.
We believe these changes to the journal will insure that the Archives of Pediatrics and Adolescent Medicine will remain at the forefront
of scientific publications and will continue to make important contributions
to the health of children and adolescents. Please send us your thoughts and
reactions.
Frederick P. Rivara, MD, MPH, Editor
The Child Health Institute University of Washington 146 N Canal St Seattle, WA 98103-3573
Abraham B. Bergman, MD, Associate Editor;
Dimitri A. Christakis, MD, MPH, Associate Editor
Seattle
Alain Joffe, MD, MPH, Associate Editor
Baltimore, Md
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Lehmann
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