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Medical Journal Of Australia

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  • Synopsis: ... 6 0% 3.2 4 % 3.0 3.3% 3.0 4.5% 3.0 3.9% 2.7 Psychological 6 6% 7.1 6.2% 6.9 8.2% 7.5 6.8% 7.2 3.0% 7.3 Respiratory ... Since there is no direct link between referrals and problems managed, column (b) of this Table lists the ratio of per ...

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The Medical Journal of Australia

The Medical Journal of Australia

The Medical Journal of Australia is a peer-reviewed medical journal. It is the official journal of the Australian Medical Association. published by the Australasian Medical Publishing Company. The present [update] editor-in-chief is Annette G. Katelaris.

The journal publishes editorials, original articles, case reports, and letters. The full text of every issue since January 2002 is available on the journal's internet site. [ 1 ]

See also References External links Categories:
  • Publications established in 1914
  • General medical journals
  • English-language journals
  • Medical journal stubs

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The Medical Journal of Australia

The Medical Journal of Australia

The Medical Journal of Australia is a peer-reviewed medical journal. It is the official journal of the Australian Medical Association. published by the Australasian Medical Publishing Company. One of its early owners was editor Isaac Aaron. [ 1 ]

The journal publishes editorials, original articles, case reports, and letters. The full text of every issue since January 2002 is available on the journal's internet site. [ 2 ]

Abstracting and indexing Elsevier

Professor Stephen Leeder. formerly the journal's editor-in-chief. was suddenly removed after criticizing the decision to outsource production of the journal to the global publishing giant Elsevier. [ 4 ] All but one of the AMJ's editorial advisory committee resigned following the decision to sack Leeder, and wrote to AMA president Brian Owler asking him to review the decision. [ 5 ] [ 6 ]

At a 2009 court case in Australia where Merck & Co. was being sued by a user of Vioxx. the plaintiff alleged that Merck had paid Elsevier to publish the Australasian Journal of Bone and Joint Medicine . which had the appearance of being a peer-reviewed academic journal but in fact contained only articles favourable to Merck drugs. [ 7 ] [ 8 ] [ 9 ] [ 10 ] Merck has described the journal as a "complimentary publication", denied claims that articles within it were ghost written by Merck, and stated that the articles were all reprinted from peer-reviewed medical journals. [ 11 ] In May 2009, Elsevier Health Sciences CEO Hansen released a statement regarding Australia-based sponsored journals, conceding that these were "sponsored article compilation publications, on behalf of pharmaceutical clients, that were made to look like journals and lacked the proper disclosures." The statement acknowledged that this "was an unacceptable practice." [ 12 ]

See also References



Medical Journal of Australia

  • Journal of the American Pharmacists Association. JAPhA
  • Pacific health dialog. a publication of the Pacific Basin Officers Training Program and the Fiji School of Medicine
  • Studia Universitatis Vasile Goldis Arad, Seria Stiintele Vietii
  • Yale journal of health policy, law, and ethics
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MJA - Medical Journal of Australia

What does MJA stand for? Samples in periodicals archive:

The case has been reported in the Medical Journal of Australia .

He wrote to the Medical Journal of Australia after he saw NSW Health posters that he said indicated that coughing into the hands was an acceptable method to stop flu from spreading.

British Journal of Cancer Medical Journal of Australia The other big factor seems to be the amount of exercise you do.

The Medical Journal of Australia Internet peer-review study (4) concluded that while post-publication peer review is still not robust enough to replace the traditional system of pre-publication peer review, it can be a potential source of informational and critical inputs on an article.

Ewald, D, G Hall and C Franks 2003 'Evaluation of a SAFE-style trachoma control program in Central Australia', Medical Journal of Australia 178:65-8.

Obstetrician-gynaecologists and psychiatrists had the highest rate of disciplinary action, followed by general practitioners, the study published in the Medical Journal of Australia showed.

Stoelwinder, 'More doctors, but not enough: Australian medical workforce supply 2001-2012', Medical Journal of Australia. vol.

A study published in the Medical Journal of Australia this week found about 11 percent of the 400 children born every year in the town had excessive lead in their blood, and there was little question about its origin.



Former editor: outsourcing puts Medical Journal of Australia at risk

Former editor: outsourcing puts Medical Journal of Australia at risk

Emeritus Professor, Menzies Centre for Health Policy, University of Sydney

Disclosure statement

Stephen Leeder does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond the academic appointment above.


University of Sydney provides funding as a member of The Conversation AU.

The Conversation UK receives funding from Hefce, Hefcw, SAGE, SFC, RCUK, The Nuffield Foundation, The Ogden Trust, The Royal Society, The Wellcome Trust, Esmée Fairbairn Foundation and The Alliance for Useful Evidence, as well as sixty five university members.

AMA president Brian Owler said the decision to outsource production was financial, describing the publisher’s financial position as “perilous”. Lukas Coch/AAP

Publishing is a volatile and competitive business. The Australian Medical Association (AMA), the owner of the Medical Journal of Australia (MJA), rightly wants to ensure the highly trusted journal is produced with maximum efficiency while satisfying its editorial objectives.

The MJA’s twin objectives, expressed in the first issue 101 years ago, are to inform the medical community about recent advances and provide an evidence base to inform health policy for the nation.

I took the job as editor-in-chief because those goals are congruent with my 50-plus years of health research, management and leadership. But the recent decision to outsource production of the journal to international publishing company Elsevier – and the route it took to get there – made my position untenable.

Ethical concerns

Elsevier is highly successful but has an approach to business that worries many academics and researchers. From 2000 to 2005, the company’s Australian office created “custom publications” paid for by pharmaceutical companies to present favourable data on its drugs.

Elsevier created the Australasian Journal of Bone and Joint Medicine, for instance, for pharma company Merck to promote Fosamax, a drug for osteoporosis, and Vioxx, an arthritis drug that was recalled for increasing users’ risk of heart attacks and strokes.

Professor Paul Zimmet, one the 19 (out of 20) editorial advisory committee members to sign a letter of resignation over the MJA’s decision to outsource production to Elsevier, explained to the ABC :

My concern is that the next step could be to follow up with appointing editorial staff that follow Elsevier’s agenda.

Readers can make their own assessments of Elsevier’s reputation. I made mine and concluded that I did not take the MJA job to work with Elsevier. This put me at odds with the board of the Australian Medical Publishing Company (AMPCo), the AMA’s publishing company, and my three-year contract was terminated a week ago, one year early.

Costs and quality

AMA president Brian Owler said in a press release the decision to outsource production was financial, describing AMPCo’s financial position as “perilous” and “on the brink”:

… to keep AMPCo on a sound long-term footing, and to ensure the ongoing publication of the MJA, further changes had to be made, including outsourcing some production functions and making AMPCo less dependent on the AMA to remain viable.

The audited circulation of the MJA is about 30,000. It costs the AMA A$2.35 million to deliver the MJA to all its members (almost 30,000, though this number is kept under wraps). The A$78 each member pays for a year’s subscription is cheaper than any other medical journal, and certainly a bargain compared with The New Yorker or The Economist.

Nevertheless, the publisher ought to investigate and scrutinise the many ways to save money. Giving AMA members a choice of receiving the MJA only online is just one example of many.

The MJA is printed and posted out-of-house. The new outsourcing plan includes production, some administrative functions and sub-editing. Brian Owler describes this as:

essentially … rearranging words on a page or making sure things sit together.

This does not accord with the extensive intellectual contribution of the MJA’s sub-editorial and production staff to the journal. Like all medical association-owned journals – The British Medical Association Journal, its Canadian and American counterparts (BMJ and JAMA) and The New England Journal of Medicine (NEJM) – the MJA’s sub-editing, design and production have been integral to the editorial process and have been kept in-house to retain autonomy and flexibility.

The MJA publishes multiple categories of articles such as perspectives, editorials, critical comments and correspondence. This requires more editorial judgement than journals that publish nothing more than research papers, for which outsourcing of production may be straightforward.

In-house production ensures we make use of the creative talents of the full editorial team to ensure the journal is contemporary and responsive to readers’ expressed requests. Other association journals have ventured into new fields of publication with encouragement from their boards that have secured them financially, including speciality journals (JAMA) and continuing education (NEJM).

The outsourcing process

Towards the end of 2014, I found out that the board of the AMPCo had sought bids from publishers to outsource the production of the MJA.

Elsevier was the front runner and presented to the board about what it could offer. The chairman informed me after the presentation, but I had not been aware of the process and the bid had been prepared with no discussion with the editorial team.

Until that time, I was also not aware of the extent of the financial problems AMPCo faced or the urgency with which the board intended to address them. In the following months, I developed various proposals for additional revenue lines that closely matched the financial gains from outsourcing, but the board pressed on with the proposal to outsource.

All journals face challenges because of rapidly evolving information technology and the many alternatives to paper that now exist.

Once journals were paid for mainly by subscriptions and advertising. Now many journals are supported by fees paid by authors – several thousand dollars per paper in the more prestigious journals. The very notion of a paper is changing and hallowed phenomena such as peer-review are under threat.

Outsourcing production, in the face of these challenges, reminds me of the ill-fated A$7 co-payment for bulk-billed Medicare services that sank as a budget failure in 2014. It may relieve a problem briefly but it carries a heavy freight of side-effects, such as losing creative and experienced staff, at a time when they are needed to plan for the future. And it is not alone a satisfactory whole-of-system strategy to achieve financial sustainability.

The MJA needs a sophisticated and imaginative, future-informed business plan. While this shouldn’t be the exclusive domain of the editorial group but they should be intimately involved.

It’s unclear how the MJA will plot its course from this point. The waters are turbulent and it will require wisdom and much greater business and management acumen to survive and flourish. I certainly wish it well.



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