Bmj.com: new initiatives Tony Delamothe web editor bmj.com tdelamothe@bmj.com.

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bmj.com: new initiatives

Tony Delamothe

web editor

bmj.com

http://bmj.com/misc/talks

tdelamothe@bmj.com

Where I stand

1995

2000

?

?Traditional paper journal Traditional electronic

journal

The paradigm breaks down

Early lessons

• The gap between idea and robust implementation on the web is as long or longer than elsewhere

• Listen to your customers

The common trajectory

paper

electronic

We are in great haste to construct a magnetic telegraph from Maine to Texas; but Maine and Texas, it may be, have nothing important to communicate.

Walden, Thoreau

New solutions for old frustrations

• Letters to the editor

• Papers

• The distance between us

• Peer review

The mystery of decision making at the centre

tdelamothe@bmj.com

Yes, ifNo

unsolicited solicited

?

Moving from black box to jellyfish

tdelamothe@bmj.com

Yes, ifNo

unsolicited solicited

?

• Global voices on the AIDS catastrophe• War 2002• Evaluating the quality of health information on the internet• The limits of medicine and the medicalisation of human

experience• Road traffic crashes• Neurodegenerative diseases• Doctors' well being• What is a good doctor and how can we make one• Managing chronic diseases • Doctor-patient communication and relationships• What doesn't work and how to show it

Theme issues chosen by readers

tdelamothe@bmj.com

Transferring power

This is meant to be a cautionary tale. I choose to read it the

other way.

“Perhaps the chief lesson of the whole story [is] the capacity of the internet to transfer absolute power to the consumer….

“For years now, companies have been complaining quietly of their loss of influence over their customers. It may be, of course, that as the internet matures, they will be able to reassert themselves. If not, the tech frenzy could turn out not so much to have exaggerated the internet's promise as to have missed the danger it poses.” FT’s review of Dot.com: the greatest story ever sold

New solutions for old frustrations

• Letters to the editor

• Papers

• The distance between us

• Peer review

Peer review and our dance of the seven veils

• Revelation of reviewer’s identity to a co-reviewer

• Revelation of reviewer’s identity to the author (led to signed reviewer’s opinion from 1999)

• Revelation of reviewer’s signed opinion to the entire world

Peer review: who needs it?

The eprint server

free, full text, fast

vs

slow, expensive, and peer reviewed

Exploiting new possibilities

• Organization/discovery of material

• Alerts (including email a friend)

• Tracking behavior

• New material/new platforms

Table of Contents and Customised @lerts

0

10,000

20,000

30,000

40,000

50,000

60,000

05/07

/98

07/02

/98

08/20

/98

10/15

/98

12/03

/98

01/28

/99

04/01

/99

05/20

/99

07/08

/99

08/26

/99

10/14

/99

12/02

/99

1/27

/100

3/16

/100

5/4/1

00

6/22

/100

8/10

/100

10/12

/100

12/7/

100

2/1/1

01

3/15

/101

5/3/1

01

6/21

/101

8/9/1

01

9/27

/101

11/15

/101

Date alerts run

Nu

mb

er

of

@le

rts

se

nt

ou

t

TOC

Customised

Editor's Choice

Press Release

Email a friend

Tracking behavior

• Email a friend

• Hit parade

• Annual online questionnaire (see About us on bmj.com)

Exploiting new possibilities

• Organization/discovery of material

• Alerts (including email a friend)

• Tracking behavior

• New material/new platforms

With increasing divergence, which is “the” journal?

paper

electronic

Complementarity

Remember, paper currently beats electronic for:• readability• portability• durability• cost

Conclusion: we should exploit the best of both media

“Despite the availability of the electronic journal, I want to keep receiving the paper

journal” (BMA members, 2001)

Stronglyagree

Agree Neitheragreenordisagree

Disagree Stronglydisagree

Papersurvey

59 31 4 5 1

Websurvey

42 35 12 8 3

Free: the upsides

• Readership

• Manuscript submissions

• Impact factor

• Site traffic

• Influence

Readership: nearly doubled in 4 years

paper (120 000) electronic (116 000)

Overlap

16 000

Manuscript submissions

0

1000

2000

3000

4000

5000

6000

7000

1996 1997 1998 1999 2000 2001

Non-UK submissions

Free: the upsides

• Readership

• Manuscript submissions

• Impact factor

• Site traffic

• Influence

• NEJM 9411

• BMJ 13040

• Lancet 30 538

• Annals 133 507

• JAMA 830 647

Average traffic ratingSource http://www.alexa.com

Free: the downside(?)

50%

60%

70%

80%

90%

100%

1997 1998 1999 2000 2001

BMJ

Institutional subscriptions(% of August 1997)

Looking ahead

1995

2000

?

?

Looking ahead

1995

2000

?

?

the forms may change but the aims of scientific publication remain the same

What were scientific journals for?

• The permanent record

• The glue to keep a community together

• “Communication”

• To make money?

The purpose of journals: looking ahead

Paper is brief and beautiful and I love it, but it’s a wholly inadequate medium to conduct the conversations that humanity has to have. What were journals created for in the first place? To enable knowledge creation by conversation, except that every exchange took six months. What we need is much more proficient knowledge creation.

- Bela Hartnavy, 1996

Understanding what’s happened to journals using the model of automation

• Electrification

• Enhancement

• Evolution

– Valerie Florance, 1996

New paradigm for problem solving: tapping into the collective intelligence made possible by the internet

“The power of bringing together the right minds around a subject in an on-line dialogue, well facilitated, well deliberated, I think has enormous potential to help us get through issues that we’ve never solved before.

You see this embodied in the open source model for software creation. But that same model could apply to policy issues, social issues, educational issues.”

- Mario Morino (transcript at: http://www.nlm.nih.gov/onceandfutureweb/database/secc/case3.html