Andrea K. Westby, MD
The practice of medicine—the traditions, diagnoses, treatments, and guidelines—is ever-changing, with new research and information flowing into clinical care at a pace that rivals the turbulence and abundance of a mountain stream in the spring. We now acknowledge human papillomavirus infection as the primary driver of cervical and now oropharyngeal cancer. Hormone replacement therapy is no longer routinely recommended for postmenopausal women. Rate control is preferred over rhythm control in atrial fibrillation. Prostate cancer screening is no longer reflexively ordered for adult men.
However, as we look back at the past hundred years, our profession has been glacially slow to release the vice grip that the concept of biological race has had on our science and our medical practice.
Amber Cadick, PhD, HSPP
A 24-year-old male presents to your office with complaints of fatigue and pain. When you go to listen to his heart you notice some red marks on his chest. When inquiring about this he breaks down crying and unbuttons his shirt to reveal claw marks across his torso. He quietly confesses through sobs that his girlfriend has been physically abusing him for some time, and he doesn’t know how to exit the relationship.
During didactics you notice that one of your star residents is sleeping. She has moved her typical seat with her peers to alone on the side of the room. The next 3 weeks you notice her dozing often during the lectures. What should you attribute this to—laziness, fatigue, apathy? Other faculty have noticed, and some are thinking about talking to her concerning professionalism. Thinking back, you realize that she has been lingering by your office but not saying much. One day she comes into your office, closes the door, and begins to cry. She shares that she hasn’t been able to sleep at night due to a fear for her safety. She thought this change in her partner’s behavior would be temporary, but now she doesn’t know how to stop it. She feels trapped, isolated, and lonely. She notes it is hard to perform her job as a resident with this stress at home.
Posted in Group on Violence Education and Prevention
Tagged awareness, domestic violence, education, Family Medicine, harm, intimate partner violence, IPV, medicine, partner, screening, treatment, Violence
Christopher Morley, PhD
If you read the title and had some idea what it meant, you have probably received a letter from a dubious-looking publisher, asking you to submit your work. Often, it comes with an appeal to your ego and probably left you with a sense of wondering if this was a real solicitation.
In short, that solicitation was probably not “real.” What does that mean? To use current parlance, it means that such an invitation probably came from a “predatory publisher.” Predatory publishers1-3 are called as much because they:
- Charge the author to publish in their usually online-only journal.
- Connect that charge to the publication decision (this is key).
- Do only a cursory review, if any at all (and many can be easily “pranked” into accepting garbage)
- Appear to be “legitimate” superficially but will often not pass muster with promotion and tenure committees, agencies or accrediting bodies, or other interested parties.
It should be noted that not all “author-pays” models are illegitimate or predatory, and I will comment on that point further down. However, those that are will leave your paper “published” in a non-reputable journal that will not get you or your department/program the credit it needs. It also cuts off other publishing options and may leave you with a very expensive bill that may or may not have been fully disclosed at the outset. At the end, predatory journals are generally viewed as “vanity presses,” with the added problem that they take efforts to look legitimate from an academic standpoint, and authors do not realize they have submitted their work to a vanity press until it is too late.