Physicians spend an average of 225 hours per year on continuing education, of which 150 hours are devoted to journal reading.1 Epidemiologists at McMaster University (Hamilton, Canada) have identified 10 possible reasons to read clinical journals, and four guides to help the overburdened reader screen the literature for the few valid articles that are applicable in one's own practice.2 Given the large number of clinical journals, and the many reasons to read them, it is noteworthy that so many journals limit the scope of virtually all published material to recent advances in bioscience research. Those aspects of medical care that reflect the humanity of the doctor, the patient, and their interaction, are not emphasized.
This might be called The Inverse Practice Law: clinical journals are least interested in the most clinical articles, the anecdotes. The question is whether the information and insight obtained in practice are too "soft"
Menken M. The Practice of Neurology. Arch Neurol. 1990;47(11):1173. doi:10.1001/archneur.1990.00530110027010
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