Discipline | Medicine |
---|---|
Language | English |
Edited by | Kamran Abbasi |
Publication details | |
Former name(s) | Provincial Medical and Surgical Journal, British Medical Journal, BMJ |
History | 1840–present |
Publisher | BMA (United Kingdom) |
Frequency | Weekly |
Immediate, research articles only | |
License | Creative Commons Attribution Non-commercial License |
93.7 (2023) | |
Standard abbreviations | |
ISO 4 | BMJ |
Indexing | |
CODEN | DXRA5 |
ISSN | 0959-8138 (print) 1756-1833 (web) |
LCCN | 97640199 |
JSTOR | 09598138 |
OCLC no. | 32595642 |
Links | |
The BMJ is a weekly peer-reviewed medical journal, published by BMJ Group, which in turn is wholly-owned by the British Medical Association (BMA). The BMJ has editorial freedom from the BMA. [1] It is one of the world's oldest general medical journals. Previously called the British Medical Journal, the title was officially shortened to BMJ in 1988, and then changed to The BMJ in 2014. [2] The journal is published by BMJ Publishing Group Ltd, a subsidiary of the British Medical Association (BMA). The current editor-in-chief of The BMJ is Kamran Abbasi, who was appointed in January 2022. [3]
The journal began publishing on 3 October 1840 as the Provincial Medical and Surgical Journal and quickly attracted the attention of physicians around the world through its publication of high-quality original research articles and unique case reports. [4] The BMJ's first editors were P. Hennis Green, lecturer on the diseases of children at the Hunterian School of Medicine, who also was its founder, and Robert Streeten of Worcester, a member of the Provincial Medical and Surgical Association council.[ citation needed ]
The first issue of the Provincial Medical and Surgical Journal (PMSJ) was 16 pages long and contained three simple woodcut illustrations. The longest items were the editors' introductory editorial and a report of the Provincial Medical and Surgical Association's Eastern Branch. Other pages included a condensed version of Henry Warburton's medical reform bill, book reviews, clinical papers, and case notes. There were 2+1⁄2 columns of advertisements. Inclusive of stamp duty it cost 7d, a price that remained until 1844. In their main article, Green and Streeten noted that they had "received as many advertisements (in proportion to the quantity of letter press) for our first number, as the most popular Medical Journal [ The Lancet ], after seventeen years of existence." [4]
In their introductory editorial and later statements, Green and Streeten defined "the main objects of promotion of which the Provincial Medical and Surgical Journal is established". Summarized, there were two clear main objectives: the advancement of the profession, especially in the provinces, and dissemination of medical knowledge. Green and Streeten also expressed an interest in promoting public well-being, as well as maintaining 'medical practitioners, as a class in that rank of society which, by their intellectual acquirements, by their general moral character, and by the importance of the duties entrusted to them, they are justly entitled to hold'. [4]
In April 1842 the journal was retitled the Provincial Medical Journal and Retrospect of the Medical Sciences, but two years later it reverted to the PMSJ under the sole editorship of Streeten. In 1857 the BMJ first appeared, when the PMSJ was merged with the Associated Medical Journal (Volumes 1–4; 1853–1856), which had itself evolved from the London Medical Journal (Volumes 1–4; 1849–1852) under the editorship of John Rose Cormack. [5]
The BMJ published the first centrally randomized controlled trial. [6] The journal also carried seminal papers on the causal effects of smoking on health [7] [8] and lung cancer and other causes of death in relation to smoking. [9]
For a long time, the journal's sole competitor was The Lancet, also based in the UK, but with increasing globalization, The BMJ has faced tough competition from other medical journals, particularly The New England Journal of Medicine and the Journal of the American Medical Association, [10] now known as JAMA.
In 1980, the journal split in two parts - British medical journal (Clinical research edition) [ISSN 0267-0623] and British medical journal (Practice observed edition) [ISSN 0267-0631]. [11]
The BMJ is an advocate of evidence-based medicine. It publishes research as well as clinical reviews, recent medical advances, and editorial perspectives, among others.
A special "Christmas Edition" is published annually on the Friday before Christmas. This edition is known for research articles which apply a serious academic approach to investigating less serious medical questions. [12] [13] [14] The results are often humorous and widely reported by the mainstream media. [13] [15]
The BMJ has an open peer review system, in which authors are told who reviewed their manuscript. About half of all submitted articles are rejected without external review. [16] Manuscripts chosen for peer review are then reviewed by external experts, who comment on the importance of the work and its suitability for publication, before the final decision on a manuscript is made by the editorial ("hanging") committee, so called because of its similarity to committees that decide which works of art should be hung in an exhibition. The acceptance rate is less than 7% for original research articles. [17]
At the beginning of February 2021, The BMJ introduced a charge of £299 for publishing obituaries. This was widely criticized on social media, by the British Medical Association among others, because of the large number of medical staff being killed by COVID-19. [18] The decision was explained, but reversed, by the end of the month. [19]
In response to the many problems with traditional medical guidelines, the journal introduced BMJ Rapid Recommendations, a series of trustworthy guidelines focused on the most pressing medical problems. [20]
The BMJ publishes most e-letters to the journal on its website under the heading Rapid Responses, [21] organized as a fully moderated Internet forum. Comments are screened for unacceptable content, such as libel or obscenity, and contributors may not remove or edit contributions once they have been published. [22] As of January 2013, [update] 88,500 rapid responses had been posted on the BMJ's website. [22]
The BMJ is included in the major indexes PubMed, MEDLINE, EBSCO, and the Science Citation Index. The journal has long criticized the misuse of impact factors to award grants and in the recruitment of researchers by academic institutions. [23]
The five journals that cited The BMJ most often in 2008 were (in order of descending citation frequency) The BMJ, the Cochrane Database of Systematic Reviews , The Lancet , BMC Public Health , and BMC Health Services Research . [24] In the same year the five journals most often cited in articles published in The BMJ were The BMJ, The Lancet , The New England Journal of Medicine , Journal of the American Medical Association and the Cochrane Database of Systematic Reviews . [24]
In the 2023 Journal Citation Reports The BMJ's impact factor was reported to be 93.7. [25] ranking it 3rd among general medical journals. [26] However, The BMJ in 2013 reported that it had become a signatory to the San Francisco Declaration on Research Assessment (commonly known as the Dora Agreement), which deprecates the inappropriate use of journal impact factors and urges journal publishers to "greatly reduce the emphasis on the journal impact factor as a promotional tool, ideally by ceasing to promote the impact factor or by presenting it in the context of a variety of journal-based metrics." [27]
In 1974, Elaine Murphy submitted a brief case report under her husband's name John which suggested a condition known as "cello scrotum", a fictional condition that supposedly affected male cellists. It was originally submitted as a joke in response to "guitar nipple", [28] a condition similar to jogger's nipple in which some forms of guitar playing causes irritation to the nipple, which Murphy and her husband believed was also a joke. The case report was published in The BMJ, [29] and although not widely cited, it was cited occasionally, often by sceptics, [30] [31] because, for example, "when the cello is held in typical playing position, the body of the instrument is not near the scrotum." [32]
In 2009, 35 years after the original case report was published, Murphy wrote a letter to The BMJ revealing that the report had been a hoax. [33]
The BMJ went fully online in 1995 and archived all its issues on the World Wide Web. In addition to the print content, the site contains supporting material for original research articles, additional news stories, and electronic letters to the editors.
In 1999, all content of The BMJ was made freely available online; however, in 2006 this changed to a subscription model. Original research articles continue to be available free, but from January 2006 all other "added value" contents, including clinical reviews and editorials, require a subscription. The BMJ allows complete free access for visitors from economically disadvantaged countries as part of the HINARI initiative.[ citation needed ]
In October 2008 The BMJ announced that it would become an open access journal for research articles. A subscription continued to be required for access to other articles. [34]
The BMJ is principally an online journal, and only the website carries the full text content of every article. However, print editions are produced, targeting different groups of readers with selections of content, some of it abridged, and different advertising. [35] The print editions are:
The BMJ also publishes a number of overseas/ foreign language editions: Argentine (in Spanish), Greek, Romanian, Chinese, and Middle Eastern (in English). There is also the Student BMJ , an online resource for medical students and junior doctors, which publishes an annual print edition each September.
The BMJ offers several alerting services, free on request: [36]
Cochrane is a British international charitable organisation formed to synthesize medical research findings to facilitate evidence-based choices about health interventions involving health professionals, patients and policy makers. It includes 53 review groups that are based at research institutions worldwide. Cochrane has over 37,000 volunteer experts from around the world.
The Lancet is a weekly peer-reviewed general medical journal and one of the oldest of its kind. It is also one of the world's highest-impact academic journals. It was founded in England in 1823.
The New England Journal of Medicine (NEJM) is a weekly medical journal published by the Massachusetts Medical Society. Founded in 1812, the journal is among the most prestigious peer-reviewed medical journals. Its 2023 impact factor was 96.2, ranking it 2nd out of 168 journals in the category "Medicine, General & Internal".
David Southall is a retired British paediatrician who specialised in international maternal and child hospital healthcare and in child protection. He worked in Bosnia and Herzegovina in 1993-1995, for which he received an OBE in 1999. In 1995 he set up the charity Maternal and Childhealth Advocacy International (MCAI), of which he remains a trustee as of 2023. His child protection work and research into Munchausen syndrome by proxy attracted controversy and led to conflict with the General Medical Council.
Derek Summerfield is an honorary senior lecturer at London's Institute of Psychiatry and a member of the Executive Committee of Transcultural Special Interest Group at the Royal College of Psychiatry. He is also an Honorary Fellow of the Egyptian Psychiatric Association. He has published around 150 papers and has made other contributions in medical and social sciences literature.
Alan Julian Macbeth Tudor-Hart, commonly known as Julian Tudor Hart, was a general practitioner (GP) who worked in Wales for 30 years, known for theorising the inverse care law. He produced medical research and wrote many books and medical articles.
Kamran Abbasi is the editor-in-chief of the British Medical Journal (BMJ), a physician, visiting professor at the Department of Primary Care and Public Health, Imperial College, London, editor of the Journal of the Royal Society of Medicine(JRSM), journalist, cricket writer and broadcaster, who contributed to the expansion of international editions of the BMJ and has argued that medicine cannot exist in a political void.
Richard Alan John Asher was an eminent British endocrinologist and haematologist. As the senior physician responsible for the mental observation ward at the Central Middlesex Hospital he described and named Munchausen syndrome in a 1951 article in The Lancet.
The Journal of the Royal Society of Medicine is a peer-reviewed medical journal. It is the flagship journal of the Royal Society of Medicine with full editorial independence. Its continuous publication history dates back to 1809. Since July 2005 the editor-in-chief is Kamran Abbasi, who succeeded Robin Fox who was editor for almost 10 years.
Claims of a link between the MMR vaccine and autism have been extensively investigated and found to be false. The link was first suggested in the early 1990s and came to public notice largely as a result of the 1998 Lancet MMR autism fraud, characterised as "perhaps the most damaging medical hoax of the last 100 years". The fraudulent research paper, authored by Andrew Wakefield and published in The Lancet, falsely claimed the vaccine was linked to colitis and autism spectrum disorders. The paper was retracted in 2010 but is still cited by anti-vaccine activists.
Fiona Godlee was editor in chief of The British Medical Journal from March 2005 until 31 December 2021; she was the first female editor appointed in the journal's history. She was also editorial director of the other journals in BMJ's portfolio.
Genital leiomyomas are leiomyomas that originate in the dartos muscles, or smooth muscles, of the genitalia, areola, and nipple. They are a subtype of cutaneous leiomyomas that affect smooth muscle found in the scrotum, labia, or nipple. They are benign tumors, but may cause pain and discomfort to patients. Genital leiomyoma can be symptomatic or asymptomatic and is dependent on the type of leiomyoma. In most cases, pain in the affected area or region is most common. For vaginal leiomyoma, vaginal bleeding and pain may occur. Uterine leiomyoma may exhibit pain in the area as well as painful bowel movement and/or sexual intercourse. Nipple pain, enlargement, and tenderness can be a symptom of nipple-areolar leiomyomas. Genital leiomyomas can be caused by multiple factors, one can be genetic mutations that affect hormones such as estrogen and progesterone. Moreover, risk factors to the development of genital leiomyomas include age, race, and gender. Ultrasound and imaging procedures are used to diagnose genital leiomyomas, while surgically removing the tumor is the most common treatment of these diseases. Case studies for nipple areolar, scrotal, and uterine leiomyoma were used, since there were not enough secondary resources to provide more evidence.
Cello scrotum is a hoax medical condition originally published as a brief case report in the British Medical Journal in 1974. As its name suggests, it was purportedly an affliction of the scrotum affecting male players of the cello.
Sir Andrew Paul Haines, FMedSci is a British epidemiologist and academic. He was the Director of the London School of Hygiene & Tropical Medicine from 2001 to 2010.
Major-General Sir Robert McCarrison, CIE, FRCP was a Northern Ireland physician and nutritionist in the Indian Medical Service, who was made a Companion of the Indian Empire (CIE) in 1923, received a knighthood in July 1933, and was appointed as Honourable Physician to the King in 1935.
The Bradshaw Lectures are lectureships given at the invitation of the Royal College of Physicians and the Royal College of Surgeons of England. It is held on alternate years in rotation with the Hunterian Oration.
The Hunterian Oration is a lecture of the Royal College of Surgeons of England, named in honour of pioneering surgeon John Hunter and held on his birthday, 14 February, each year.
Walter Whitehead, FRCSE, FRSE, was a surgeon at various hospitals in Manchester, England, and held the chair of Clinical Surgery at the Victoria University of Manchester. He was president of the British Medical Association in 1902. He once claimed that knowledge of anatomy was an impediment to being a good surgeon but was himself a bold, innovative practitioner of international repute. His procedure for excision of the tongue using scissors and his formulation of a related ointment became a standard treatment, as did a procedure he developed for the treatment of haemorrhoids.
The Lancet MMR autism fraud centered on the publication in February 1998 of a fraudulent research paper titled "Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children" in the Lancet. The paper, authored by now discredited and deregistered Andrew Wakefield, and twelve coauthors, falsely claimed causative links between the measles, mumps, and rubella (MMR) vaccine and colitis and between colitis and autism. The fraud involved data selection, data manipulation, and two undisclosed conflicts of interest. It was exposed in a lengthy Sunday Times investigation by reporter Brian Deer, resulting in the paper's retraction in February 2010 and Wakefield being struck off the UK medical register three months later. Wakefield reportedly stood to earn up to US$43 million per year selling diagnostic kits for a non-existent syndrome he claimed to have discovered. He also held a patent to a rival vaccine at the time, and he had been employed by a lawyer representing parents in lawsuits against vaccine producers.
Gabriel John Scally FFPHM is an Irish public health physician and a former regional director of public health (RDPH) for the south west of England. He is a visiting professor of public health at the University of Bristol and is a member of the Independent SAGE group, formed during the COVID-19 pandemic in 2020. He has also been chair of the trustees of the Soil Association. Previously he was professor of public health and planning, and director of the World Health Organization (WHO) Collaborating Centre for Healthy Urban Environments, both at the University of the West of England (UWE). He was president of the Section of Epidemiology and Public Health of the Royal Society of Medicine, a position he took in 2017.
Our rejection rate for research is currently around 93%.