Abstract

The use of quantitative performance indicators to measure quality in academic publishing has undercut peer review’s qualitative assessment of articles submitted to journals. The two might have co-existed quite amicably were the most common indicator, citation, on which the journal impact factor is based, not been so susceptible to gaming. Gaming of citations is ubiquitous in academic publishing and referees are powerless to prevent it. The article gives some indication of how the citation game is played. It then moves on from academic publishing in general to look at academic publishing in medicine, a discipline in which authorship is also gamed. Many authors in medicine have made no meaningful contribution to the article that bears their names, and those who have contributed most are often not named as authors. Author slots are openly bought and sold. The problem is magnified by the academic publishing industry and by academic institutions, pleased to pretend that peer review is safeguarding scholarship. In complete contrast, the editors of medicine’s leading journals are scathing about just how ineffectual is peer review in medicine. Other disciplines should take note lest they fall into the mire in which medicine is sinking.

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