Symposium   |    
Medical Scientific Publishing in the Twenty‐first Century I. The Challenge of Scientific Publishing in the New Millennium
James D. Heckman, MD
J Bone Joint Surg Am, 2001 May 01;83(5):e1-a-e4
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In March, 2000, Steven King’s novella, Riding the Bullet, was published exclusively online by Simon and Schuster, Inc. The entire sixty-six-page work was edited, proofed, designed, and marketed within two weeks. Four hundred thousand copies were downloaded in forty-eight hours. The Christian Science Monitor reported on May 18, 2000, that, "...while other industries rush towards the Internet, the 1.2 trillion dollar health-care industry (of which we are a small part) inches cautiously forward."1 But we are moving forward. In an insightful article recently published in Science Editor, Conway stated, "The Journal industry is in the midst of a transition of unparalleled significance—from distribution in print to a finite number of paying customers, to dissemination electronically to an unlimited number of users, some of whom pay, some of whom do not."2What does this mean for The Journal of Bone and Joint Surgery and other scientific and medical journals? It certainly means many challenges; but with these challenges, many opportunities will be created. While the publishing world is changing substantially, high-quality medical and scientific journals continue to deliver two key elements that are very valuable and, indeed, irreplaceable. Through the peer-review process, the journals provide quality improvement through a process of critiquing and editing all scientific manuscripts submitted to them, then they apply the "Good Housekeeping Seal of Approval" to those that pass muster, and, finally, disseminate the new and relevant information to both the research scientist and the clinician.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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