Abstract
The word “publishing” has taken on new meaning. For centuries, publishing required an intermediary, someone who had an editorial staff and a press — in short, a publisher. Today, anyone equipped with a computer, a modem, and a connection to the Internet can be a publisher. The consequences of this technical transformation should give pause to all of us in medicine. Direct electronic publishing of scientific studies threatens to undermine time-tested traditions that help to ensure the quality of the medical literature. The first hint that electronic publishing by medical researchers might become a reality came from the field of . . .
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