Tag Archives: Family Medicine Journal

Why Should I Be a Peer Reviewer?

Sarina Schrager, MD, MS
Editor-in -Chief, Family Medicine

Family Medicine, along with most other scientific journals, depends on volunteer peer reviewers to assure that we are publishing high quality papers. The act of peer reviewing advances the science of family medicine. Our editorial team is looking for a diversity of opinions and voices to assure the excellence of our published papers. I love peer reviewers and tell everyone I work with that they should volunteer to be one. Now, I am a little biased (being an editor of a journal that depends on peer reviewers), but I can’t overstate the important contributions of peer reviewers to the publication of our journal. So, if you already volunteer your time to do peer review, thank you. If you have not done any peer reviews, then let me tell you why you should.

First, being a peer reviewer will help you become a better writer and scholar. Reviewers may be inspired by positive attributes of papers while avoiding mistakes identified during the review. By reading what other people do, the way that they write and even how they do the research, you can decide what works and what you would do differently and then incorporate what you learn into your next paper. You can also learn about research methodology by reading about how others conducted studies. 

Peer reviewing can also help you learn about the publishing process and about science itself by reading what other reviewers and the associate editor says about a paper, and seeing what ends up getting published.  I always learn by reading reviewer comments and am excited when other reviewers had similar feedback to my own.

Second, being a peer reviewer can help your career.  It is an accomplishment that you can put on your CV and some journals will send a letter to your dean or chair recognizing you as a peer reviewer.   Also, if you do a good job with the review, you will be asked to review some more.  Potentially, you may be asked to be on the editorial board of the journal where you do peer reviews.   If you are interested in becoming an associate editor at a journal, the Editor in Chief will look at how many reviews you have done and whether they were high quality as a metric of your application. Being a peer reviewer can also build connections for future collaborations.   This is one way that you build your professional reputation.

Lastly, being a peer reviewer helps the discipline. By reading papers submitted to the journal, you will learn what is important in family medicine and what other scholars are studying in your area of interest.   You will be able to impact the quality of the papers that the journal publishes.  There is something very satisfying about seeing a paper in print that you reviewed because you helped make it as good as it is.

Doing a high-quality review does take time. The time needed to do a review will depend on the type of article (ie, an original research paper will take longer than a brief report or narrative because is it longer). Most people spend 1-3 hours on a review depending on the complexity of the article, your familiarity with the topic, and experience doing peer reviews. It is time well spent! Even one review a year greatly helps our journal.

We appreciate that people volunteer their time to do peer reviews and hope that we have helped convince you to sign up. Your voice is important. You bring unique skills and experience and can contribute to the excellence of our journal. You can sign up to be a reviewer at https://journals.stfm.org/familymedicine/reviewers/

We Do Not Interrupt Our Patients

Joseph Scherger, MD, MPH

Ever notice a patient wince when interrupted describing his or her problem? It is well known that physicians interrupt their patients much of the time and usually within 30 seconds of the start of the visit. One study in Family Medicine showed that residents interrupted patients 12 seconds into a visit 25% of the time (article pdf).  We even teach interruptions as part of “controlling the conversation” and “limiting the agenda” for the visit.

In a practice where there is ample time for visits, there is rarely if ever a need to interrupt a patient. I’m now in such a setting after more than 30 years of brief office visits, and I had to train myself to not interrupt patients. What a great feeling that is! At our practice, we sit back and let every patient finish what he or she has to say. Patients notice this, too, saying they have never had a physician listen to them like we do. We learn things about patients they have not had the chance to share with physicians before.

Since we have an hour for every new patient visit, early in the encounter I ask the patient to tell me his or her story. The patient often asks, “Which story?” I say, “Where were you born and what happened after that?” It is amazing to me how most patients finish this story in about 5 minutes. As a matter of fact, I’m impressed with how brief most patients are when giving their narratives uninterrupted.

Our physicians are now demonstrating an uninterrupted communication style to medical students in their family medicine clerkships. By the time they arrive at our practice, they have already been taught to interrupt patients, so we teach them otherwise. Often, this helps them love family medicine. We look forward to training residents in uninterrupted narrative next year when our residency program starts.

Interrupting patients is a part of the paternalistic culture of medicine where the physician’s time is more important than the patient’s, and the physician knows better than the patient what the problem is. Such paternalism is unprofessional and even dangerous and should not be a part of patient-centered care.

I admire professionals who let people have their say completely. Counselors are very good at this and so are good lawyers, realtors, designers, and many others. Interruptions seem to be mainly a physician behavior.

Visits with patient can be efficient without interruptions. When patients have been given the chance to say everything they want during the visit, they are more receptive to hearing our assessment and recommendations for managing their problems. After all, patients are in charge of their care. Our job is to serve them, respectfully and without interruption.