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Publishing Your Medical Research
Daniel Byrne
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
1
Peer Review Survey
• The following slides summarize - in a question/answer
format - the results of a survey conducted in January
2016.
• The methodology and complete results can be found
in:
– Byrne DW. Publishing Your Medical Research. Wolters
Kluwer 2017.
• The methodology for the previous version of this
survey can be found in:
– Byrne DW. Common reasons for rejecting manuscripts at
medical journals: A survey of editors and peer reviewers.
Science Editor (formerly CBE Views) March-April 2000;
23:39-44.
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
2
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
3
Which section of a manuscript is usually:
a ) too long?
b ) too short?
1) Introduction
2) Methods
3) Results
4) Discussion
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
4
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
5
What are the 6 steps of the scientific
method?
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
6
The 6 Steps of the Scientific Method
• 1. State the problem.
• 2. Formulate the (null) hypothesis.
• 3. Design the study.
• 4. Collect data.
• 5. Analyze the results.
• 6. Draw conclusions.
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
7
What is the single most common type of
flaw that results in outright rejection of a
manuscript?
• 1. Importance of the topic.
• 2. Presentation of the results.
• 3. Design of the study.
• 4. Interpretation of the findings.
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
12/9/2018 8
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
12/9/2018 9
Steps to Avoid Having Your Paper
Rejected for Study Design Issues
• Carefully plan for rigorous reproducible
research.
• Minimize, but measure, biases.
• Randomize whenever possible.
• Learn more about study design issues
– (see following slide)
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
10
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
11
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
12
Of the following nine problems, which is most
often responsible for outright rejection?
• 1. Inadequate control of variables
• 2. Deficiency in methodology
• 3. Research design problems
• 4. Poor conceptualization of problem or approach
• 5. Inappropriate statistical analysis
• 6. Duplication of previous work
• 7. Lack of medical supervision
• 8. Poor literature review
• 9. Inadequate protection of human subjects
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
13
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
14
What is the Key Question to Answer in
Each of the 4 Sections?
• Introduction
• Methods
• Results
• Discussion
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
15
The Key Question to Answer in Each of
the 4 Sections…
• Introduction – Why did you perform this study?
• Methods – What did you do?
• Results – What did you find?
• Discussion – What do your results mean?
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
16
Of the following four problems, which is most
often responsible for outright rejection?
• 1. Failure to collect data on variables that
could influence the interpretation of results
• 2. Poor response rates in surveys
• 3. Subjects lost to follow-up or inadequate
duration of follow-up in long-term studies
• 4. Extensive missing data and quality control
problems
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
17
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
18
Spreadsheet from Hell
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
19
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
20
Spreadsheet from Heaven
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
21
Of the following eight problems, which is most
often responsible for outright rejection?
• 1. Weak discussion
• 2. Weak conclusions
• 3. Poor presentation
• 4. Poor methods
• 5. Inadequate results
• 6. Lack of originality
• 7. Failure to adhere to journal format and policy
• 8. Inappropriate statistical analysis
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
22
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
23
What is regression to the mean?
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
12/9/2018 24
Regression to the Mean
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
12/9/2018 25
Of the following problems, which is most often
responsible for outright rejection of a paper?
• Data too preliminary
• Data inconclusive
• Conclusions unsupported by data
• Unconvincing evidence of cause and effect
• Results not generalizable
• Excessive bias in interpretation
• Insufficient recognition of previous research
• Economic consequences ignored or
overinterpreted
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
26
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
27
Which section is most often
responsible for outright rejection?
• Introduction
• Methods
• Results
• Discussion
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
28
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
29
What are the 10 most prestigious
medical and biomedical research
journals?
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
30
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
31
Of the eight problems listed above, which is
most often responsible for outright rejection?
• Rationale confused or contradictory
• Important work by others ignored
• Failure to give a detailed explanation of the
experimental design
• Inadequate or inappropriate presentation of data
• Essential data omitted or ignored
• Poorly written; excessive jargon
• Excessive zeal and self-promotion
• Boring
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
32
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
33
What is the definition of impact
factor?
Which journals have the highest
impact factor?
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
34
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
35
Of the seven problems listed above, which is the
most often responsible for outright rejection?
• Insufficient information about the patient population
• Inadequate sample size
• Biased sample that reduced the representativeness of
the population studied
• Confounding factors that were not taken into account
• Vague end points, such as, “much improved,” without
explanation
• Straying from the hypothesis or changing the objective
• Poor control of numbers (errors or inconsistences)
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
36
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
37
What is the definition of each of the
following 4 study designs?
• Prospective cohort
• Retrospective cohort
• Case-control
• Cross-sectional
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
38
Flowchart of Study Designs
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
39
When are exposure and outcome measured in
each of the following 4 study designs?
• Prospective cohort
• Retrospective cohort
• Case-control
• Cross-sectional
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
40
When exposure and outcome are measured in
each of the following 4 study designs.
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
41
What are the 3 levels of
measurement?
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
42
The 3 levels of measurement
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
43
Which statistical test should I use to …
• determine whether the in-hospital mortality
differs between men and women following a
hip fracture?
• determine whether the hospital length of stay
differs between men and women following a
hip fracture?
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
44
Flowchart of Common Inferential Statistics
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
45
Answer these Questions to Select the
Correct Statistical Test.
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
46
What are the most commonly used
inferential statistical techniques in
modern medical research?
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
47
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
48
Which words and phrases should avoid
starting a sentence with?
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
49
Don’t Start a Sentence With…
• It
• There
• However
– (move it in a few words …, however,…)
• More importantly
– Change to “More important…”
• 150 patients
– Change to “A total of 150 patients…”
• In order to
– Change to “To…”
• Y’all
12/9/2018
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
50
For More Detail See
https://www.amazon.com/dp/1496353862
(c) 2017 Daniel Byrne - Publishing Your
Medical Research
12/9/2018 51

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Publishing Your Medical Research

  • 1. Publishing Your Medical Research Daniel Byrne 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 1
  • 2. Peer Review Survey • The following slides summarize - in a question/answer format - the results of a survey conducted in January 2016. • The methodology and complete results can be found in: – Byrne DW. Publishing Your Medical Research. Wolters Kluwer 2017. • The methodology for the previous version of this survey can be found in: – Byrne DW. Common reasons for rejecting manuscripts at medical journals: A survey of editors and peer reviewers. Science Editor (formerly CBE Views) March-April 2000; 23:39-44. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 2
  • 3. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 3
  • 4. Which section of a manuscript is usually: a ) too long? b ) too short? 1) Introduction 2) Methods 3) Results 4) Discussion 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 4
  • 5. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 5
  • 6. What are the 6 steps of the scientific method? 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 6
  • 7. The 6 Steps of the Scientific Method • 1. State the problem. • 2. Formulate the (null) hypothesis. • 3. Design the study. • 4. Collect data. • 5. Analyze the results. • 6. Draw conclusions. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 7
  • 8. What is the single most common type of flaw that results in outright rejection of a manuscript? • 1. Importance of the topic. • 2. Presentation of the results. • 3. Design of the study. • 4. Interpretation of the findings. (c) 2017 Daniel Byrne - Publishing Your Medical Research 12/9/2018 8
  • 9. (c) 2017 Daniel Byrne - Publishing Your Medical Research 12/9/2018 9
  • 10. Steps to Avoid Having Your Paper Rejected for Study Design Issues • Carefully plan for rigorous reproducible research. • Minimize, but measure, biases. • Randomize whenever possible. • Learn more about study design issues – (see following slide) 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 10
  • 11. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 11
  • 12. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 12
  • 13. Of the following nine problems, which is most often responsible for outright rejection? • 1. Inadequate control of variables • 2. Deficiency in methodology • 3. Research design problems • 4. Poor conceptualization of problem or approach • 5. Inappropriate statistical analysis • 6. Duplication of previous work • 7. Lack of medical supervision • 8. Poor literature review • 9. Inadequate protection of human subjects 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 13
  • 14. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 14
  • 15. What is the Key Question to Answer in Each of the 4 Sections? • Introduction • Methods • Results • Discussion 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 15
  • 16. The Key Question to Answer in Each of the 4 Sections… • Introduction – Why did you perform this study? • Methods – What did you do? • Results – What did you find? • Discussion – What do your results mean? 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 16
  • 17. Of the following four problems, which is most often responsible for outright rejection? • 1. Failure to collect data on variables that could influence the interpretation of results • 2. Poor response rates in surveys • 3. Subjects lost to follow-up or inadequate duration of follow-up in long-term studies • 4. Extensive missing data and quality control problems 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 17
  • 18. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 18
  • 19. Spreadsheet from Hell 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 19
  • 20. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 20
  • 21. Spreadsheet from Heaven 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 21
  • 22. Of the following eight problems, which is most often responsible for outright rejection? • 1. Weak discussion • 2. Weak conclusions • 3. Poor presentation • 4. Poor methods • 5. Inadequate results • 6. Lack of originality • 7. Failure to adhere to journal format and policy • 8. Inappropriate statistical analysis 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 22
  • 23. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 23
  • 24. What is regression to the mean? (c) 2017 Daniel Byrne - Publishing Your Medical Research 12/9/2018 24
  • 25. Regression to the Mean (c) 2017 Daniel Byrne - Publishing Your Medical Research 12/9/2018 25
  • 26. Of the following problems, which is most often responsible for outright rejection of a paper? • Data too preliminary • Data inconclusive • Conclusions unsupported by data • Unconvincing evidence of cause and effect • Results not generalizable • Excessive bias in interpretation • Insufficient recognition of previous research • Economic consequences ignored or overinterpreted 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 26
  • 27. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 27
  • 28. Which section is most often responsible for outright rejection? • Introduction • Methods • Results • Discussion 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 28
  • 29. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 29
  • 30. What are the 10 most prestigious medical and biomedical research journals? 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 30
  • 31. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 31
  • 32. Of the eight problems listed above, which is most often responsible for outright rejection? • Rationale confused or contradictory • Important work by others ignored • Failure to give a detailed explanation of the experimental design • Inadequate or inappropriate presentation of data • Essential data omitted or ignored • Poorly written; excessive jargon • Excessive zeal and self-promotion • Boring 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 32
  • 33. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 33
  • 34. What is the definition of impact factor? Which journals have the highest impact factor? 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 34
  • 35. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 35
  • 36. Of the seven problems listed above, which is the most often responsible for outright rejection? • Insufficient information about the patient population • Inadequate sample size • Biased sample that reduced the representativeness of the population studied • Confounding factors that were not taken into account • Vague end points, such as, “much improved,” without explanation • Straying from the hypothesis or changing the objective • Poor control of numbers (errors or inconsistences) 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 36
  • 37. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 37
  • 38. What is the definition of each of the following 4 study designs? • Prospective cohort • Retrospective cohort • Case-control • Cross-sectional 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 38
  • 39. Flowchart of Study Designs 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 39
  • 40. When are exposure and outcome measured in each of the following 4 study designs? • Prospective cohort • Retrospective cohort • Case-control • Cross-sectional 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 40
  • 41. When exposure and outcome are measured in each of the following 4 study designs. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 41
  • 42. What are the 3 levels of measurement? 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 42
  • 43. The 3 levels of measurement 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 43
  • 44. Which statistical test should I use to … • determine whether the in-hospital mortality differs between men and women following a hip fracture? • determine whether the hospital length of stay differs between men and women following a hip fracture? 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 44
  • 45. Flowchart of Common Inferential Statistics 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 45
  • 46. Answer these Questions to Select the Correct Statistical Test. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 46
  • 47. What are the most commonly used inferential statistical techniques in modern medical research? 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 47
  • 48. 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 48
  • 49. Which words and phrases should avoid starting a sentence with? 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 49
  • 50. Don’t Start a Sentence With… • It • There • However – (move it in a few words …, however,…) • More importantly – Change to “More important…” • 150 patients – Change to “A total of 150 patients…” • In order to – Change to “To…” • Y’all 12/9/2018 (c) 2017 Daniel Byrne - Publishing Your Medical Research 50
  • 51. For More Detail See https://www.amazon.com/dp/1496353862 (c) 2017 Daniel Byrne - Publishing Your Medical Research 12/9/2018 51