Bahrain Medical Bulletin - Survival Issues

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Bahrain Medical Bulletin - Survival Issues

  1. 1. Bahrain Medical Bulletin 27-29January 2006 1 Bahrain Medical Bulletin -Bahrain Medical Bulletin - Survival IssuesSurvival Issues Jaffar M Al BareeqJaffar M Al Bareeq Chief Editor,Chief Editor, Bahrain Medical BulletinBahrain Medical Bulletin Fayek A. Al HilliFayek A. Al Hilli Assistant Chief Editor,Assistant Chief Editor, Bahrain Medical BulletinBahrain Medical Bulletin
  2. 2. Bahrain Medical Bulletin 27-29January 2006 2 The single greatest aim of writing isThe single greatest aim of writing is ““The spoken word isThe spoken word is often buried with one’soften buried with one’s bones – it is thebones – it is the written word that liveswritten word that lives long after.long after. ShakespeareShakespeare
  3. 3. Bahrain Medical Bulletin 27-29January 2006 3 BMB Editors’ AimsBMB Editors’ Aims The BMB editors' aims are to maintainThe BMB editors' aims are to maintain reasonable quality and standard, provide areasonable quality and standard, provide a podium for local publishable work, andpodium for local publishable work, and attempts to gain entrance into theattempts to gain entrance into the international network.international network.
  4. 4. Bahrain Medical Bulletin 27-29January 2006 4 Bahrain MedicalBahrain Medical Bulletin (BMB) wasBulletin (BMB) was established in 1979.established in 1979. BMB is a local journal,BMB is a local journal, published by anpublished by an independent board.independent board.
  5. 5. Bahrain Medical Bulletin 27-29January 2006 5 BMB is edited by a group ofBMB is edited by a group of voluntary dedicated physiciansvoluntary dedicated physicians who have received theirwho have received their postgraduate medical trainingpostgraduate medical training and qualifications in Europe andand qualifications in Europe and North AmericaNorth America..
  6. 6. Bahrain Medical Bulletin 27-29January 2006 6 Through the efforts of these editors,Through the efforts of these editors, BMB became the second medical journalBMB became the second medical journal - after Kuwait - to be published in the- after Kuwait - to be published in the Gulf Cooperation Council Countries.Gulf Cooperation Council Countries.
  7. 7. Bahrain Medical Bulletin 27-29January 2006 7 Petro-dollarsPetro-dollars Those scientists/physicians, at the time ofThose scientists/physicians, at the time of their postgraduate training, were under thetheir postgraduate training, were under the impression that part of the petro-dollarsimpression that part of the petro-dollars will be channeled to research in science andwill be channeled to research in science and medicine. Sooner than later, theymedicine. Sooner than later, they discovered that they were marginalizeddiscovered that they were marginalized with other intellectuals.with other intellectuals.
  8. 8. Bahrain Medical Bulletin 27-29January 2006 8 Petro-dollar periodPetro-dollar period Many uneducated, incompetent andMany uneducated, incompetent and greedy became the advisors in everygreedy became the advisors in every aspect including medicine.aspect including medicine.
  9. 9. Bahrain Medical Bulletin 27-29January 2006 9 BMB publishes four issues per year, it isBMB publishes four issues per year, it is currently indexed in:currently indexed in: 1.WHO Index Medicus for Eastern1.WHO Index Medicus for Eastern Mediterranean Region (IMEMR).Mediterranean Region (IMEMR). 2. Extramed of UK.2. Extramed of UK. 3. International Serial Data System of3. International Serial Data System of France.France. 4. Recognized and accredited by a number4. Recognized and accredited by a number of regional and overseas universities.of regional and overseas universities.
  10. 10. Bahrain Medical Bulletin 27-29January 2006 10 BMB conducts a workshop twice aBMB conducts a workshop twice a year on scientific writing, editingyear on scientific writing, editing and research.and research. Conducts yearly seminar debate onConducts yearly seminar debate on a community related subject ofa community related subject of national interest.national interest.
  11. 11. Bahrain Medical Bulletin 27-29January 2006 11 BMB has its own ResearchBMB has its own Research Advisory Panel to helpAdvisory Panel to help researchers plan their study andresearchers plan their study and obtain funds for their work.obtain funds for their work.
  12. 12. Bahrain Medical Bulletin 27-29January 2006 12 International Corporation of Research EditingInternational Corporation of Research Editing and design (ICRED) P O Box 30880and design (ICRED) P O Box 30880 ObjectivesObjectives 1. The corporation performs research in all fields of medicine including medico-1. The corporation performs research in all fields of medicine including medico- legal cases.legal cases. 2. It provides research service for science researchers and writers.2. It provides research service for science researchers and writers. 3.Works with researcher to develop specific aim for his research study.3.Works with researcher to develop specific aim for his research study. 4. Design research protocol4. Design research protocol 5. Edits research at all stages. Helps the researcher to prepare preliminary results.5. Edits research at all stages. Helps the researcher to prepare preliminary results. 6. Publishes research studies in medical/science journals and books.6. Publishes research studies in medical/science journals and books.
  13. 13. Bahrain Medical Bulletin 27-29January 2006 13 International Corporation of Research EditingInternational Corporation of Research Editing and design (ICRED) P O Box 30880and design (ICRED) P O Box 30880 7. Helps the researchers through grant applications and approval.7. Helps the researchers through grant applications and approval. 8. Helps the researcher to prepare research budget.8. Helps the researcher to prepare research budget. 9. Helps researcher to describe the resources, facilities, and support available.9. Helps researcher to describe the resources, facilities, and support available. 10. Helps the formation of National Commission for the Protection of Human Subjects and10. Helps the formation of National Commission for the Protection of Human Subjects and vertebrate animals in Biomedical and Behavioral Research.vertebrate animals in Biomedical and Behavioral Research. 11. Helps researcher adhere and abide by ethical principles and guidelines for the protection11. Helps researcher adhere and abide by ethical principles and guidelines for the protection of human subjects of research.of human subjects of research. Scientific research has produced substantial health benefits. It has also produced someScientific research has produced substantial health benefits. It has also produced some troubling ethical problems. The public is concerned about the abuses of human subjects andtroubling ethical problems. The public is concerned about the abuses of human subjects and animals in biomedical research. To avoid such abuses we will work closely with the researcheranimals in biomedical research. To avoid such abuses we will work closely with the researcher to adhere to the basic principles of ethics in research, which are specified in the corporationto adhere to the basic principles of ethics in research, which are specified in the corporation manual.manual.
  14. 14. Bahrain Medical Bulletin 27-29January 2006 14 For over 20 years,For over 20 years, BMB is a member ofBMB is a member of European Association of Science EditorsEuropean Association of Science Editors (EASE) and International Federation of(EASE) and International Federation of Science Editors (IFSE).Science Editors (IFSE).
  15. 15. Bahrain Medical Bulletin 27-29January 2006 15 BMB participated in the formation ofBMB participated in the formation of Middle East Association of ScienceMiddle East Association of Science Editors (MEASE).Editors (MEASE). The President of MEASE is the assistantThe President of MEASE is the assistant chief editor of BMB, Dr. F Hilli.chief editor of BMB, Dr. F Hilli.
  16. 16. Bahrain Medical Bulletin 27-29January 2006 16 Dedication and IndependenceDedication and Independence Over the last 25 years, the Bulletin hadOver the last 25 years, the Bulletin had faced many obstacles that threaten itsfaced many obstacles that threaten its survival.survival. The Bulletin survived because ofThe Bulletin survived because of dedication, neutrality and independencededication, neutrality and independence of all local influences in order to maintainof all local influences in order to maintain scientific and ethical publication.scientific and ethical publication.
  17. 17. Bahrain Medical Bulletin 27-29January 2006 17 Survival Against Five OddsSurvival Against Five Odds 1. Editors.1. Editors. 2. Reviewers.2. Reviewers. 3. Finance.3. Finance. 4. Conspiracy.4. Conspiracy. 5. Local recognition.5. Local recognition.
  18. 18. Bahrain Medical Bulletin 27-29January 2006 18 1.The Editors I1.The Editors I No payment or remuneration.No payment or remuneration. Their positions as editors are notTheir positions as editors are not considered in their job promotion orconsidered in their job promotion or recognized by the local academic andrecognized by the local academic and service institutions.service institutions.
  19. 19. Bahrain Medical Bulletin 27-29January 2006 19 1.The Editors II1.The Editors II They frequently shoulder other time-They frequently shoulder other time- consuming duties such as proofreading,consuming duties such as proofreading, office management, advertisement, etc.office management, advertisement, etc. Actually, the editors are persecuted forActually, the editors are persecuted for their intellectual work. They are consideredtheir intellectual work. They are considered to beto be "wasting time"."wasting time".
  20. 20. Bahrain Medical Bulletin 27-29January 2006 20 The editors' crime is being creative andThe editors' crime is being creative and productive in a society based on loyalty.productive in a society based on loyalty. Non-professionals who praise the systemNon-professionals who praise the system daily are recognized, and are rewardeddaily are recognized, and are rewarded lavishly, while medical editors never beenlavishly, while medical editors never been recognized.recognized.
  21. 21. Bahrain Medical Bulletin 27-29January 2006 21 It is safe to say thatIt is safe to say that “science is not“science is not on the agenda.”on the agenda.” Despite all the frustrations, some ofDespite all the frustrations, some of the editors continued and never gavethe editors continued and never gave up.up.
  22. 22. Bahrain Medical Bulletin 27-29January 2006 22 Adult learningAdult learning For many adults, facing the fact they ‘don’t know’For many adults, facing the fact they ‘don’t know’ is disturbing. As result they tend to avoid suchis disturbing. As result they tend to avoid such situations.situations. If you only stay safely in areas that are completelyIf you only stay safely in areas that are completely known to you, and always avoid those that are not,known to you, and always avoid those that are not, what will you ever learn? Nothing!what will you ever learn? Nothing!
  23. 23. Bahrain Medical Bulletin 27-29January 2006 23 2. Reviewers I2. Reviewers I All our reviewers are consultants andAll our reviewers are consultants and professors in their field of medicine.professors in their field of medicine. Many of them have poor English.Many of them have poor English. Therefore, their reviews are worthless.Therefore, their reviews are worthless. Some delegate the assigned paper to theirSome delegate the assigned paper to their juniors.juniors. Some lack the basic skills of reviewing.Some lack the basic skills of reviewing. Few are capable and dependable.Few are capable and dependable.
  24. 24. Bahrain Medical Bulletin 27-29January 2006 24 2. Reviewers II2. Reviewers II 75% are not able to check the reference75% are not able to check the reference sequence and the relevance of the referencesequence and the relevance of the reference to the subject.to the subject. No clue how to check the references in anyNo clue how to check the references in any international database index or onlineinternational database index or online search.search. Reviewers' bias is unlimited.Reviewers' bias is unlimited.
  25. 25. Bahrain Medical Bulletin 27-29January 2006 25 2. Reviewers III2. Reviewers III To avoid all the mishaps, each paper is assessed byTo avoid all the mishaps, each paper is assessed by three independent reviewers and a fourth fromthree independent reviewers and a fourth from our board of editors and the chief editor reviewingour board of editors and the chief editor reviewing them all.them all. For further scrutiny, we had engaged the lateFor further scrutiny, we had engaged the late Professor Bill Whimster of King's CollegeProfessor Bill Whimster of King's College Hospital, London to review all the papers thatHospital, London to review all the papers that received unsatisfactory reviews.received unsatisfactory reviews.
  26. 26. Bahrain Medical Bulletin 27-29January 2006 26 Editorial TeamEditorial Team AuthorAuthor  Chief editorChief editor  Other editors and reviewersOther editors and reviewers  Technical editors, responsible for fonts and layoutTechnical editors, responsible for fonts and layout  PrinterPrinter  Proof editor + Chief EditorProof editor + Chief Editor  PublicationPublication
  27. 27. Bahrain Medical Bulletin 27-29January 2006 27 3. Finances3. Finances Eight times we have been evicted from the office donated to usEight times we have been evicted from the office donated to us because we cannot afford renting our own.because we cannot afford renting our own. The main income is from the annual grants given by three governmentThe main income is from the annual grants given by three government organizations, it hardly covers our annual expenses.organizations, it hardly covers our annual expenses. Negligible income from advertisements.Negligible income from advertisements. The international pharmaceutical organizations complainThe international pharmaceutical organizations complain that their research funds are depleted in other countries.that their research funds are depleted in other countries. Unqualified people, to whom research means nothing moreUnqualified people, to whom research means nothing more than waste of time and money, own most of thethan waste of time and money, own most of the pharmaceutical agencies in our area.pharmaceutical agencies in our area.
  28. 28. Bahrain Medical Bulletin 27-29January 2006 28 A major dilemma of local journals suchA major dilemma of local journals such as the BMB is the lack of financialas the BMB is the lack of financial support, thus, restricting theirsupport, thus, restricting their development and circulation.development and circulation.
  29. 29. Bahrain Medical Bulletin 27-29January 2006 29 ConspiracyConspiracy An approval of financial remuneration forAn approval of financial remuneration for the editors of BMB by the cabinet asthe editors of BMB by the cabinet as “medical journalists” was blocked by one“medical journalists” was blocked by one ministerminister Another tried unsuccessfully to award theAnother tried unsuccessfully to award the Bulletin to a local medical society.Bulletin to a local medical society. The third refused to provide BMB with aThe third refused to provide BMB with a temporary refuge at times of office eviction.temporary refuge at times of office eviction.
  30. 30. Bahrain Medical Bulletin 27-29January 2006 30 Local RecognitionLocal Recognition The BMB is recognized publicationThe BMB is recognized publication locally and internationally, but thelocally and internationally, but the editors have been denied recognitioneditors have been denied recognition locally by our own academic andlocally by our own academic and service institutions.service institutions.
  31. 31. Bahrain Medical Bulletin 27-29January 2006 31 Local Journal ReflectionLocal Journal Reflection FewFew research studies are done locally due to lackresearch studies are done locally due to lack of research budget and grants. Most of theof research budget and grants. Most of the research done in this region is a personal endeavorresearch done in this region is a personal endeavor rather than institutional.rather than institutional. The availability of local journals of diverseThe availability of local journals of diverse specialties in any country would also mean aspecialties in any country would also mean a growing and active interest in research.growing and active interest in research.
  32. 32. Bahrain Medical Bulletin 27-29January 2006 32 The progress of science in any countryThe progress of science in any country is measured by the number and qualityis measured by the number and quality of published works, reflecting theof published works, reflecting the degree of activity and interest indegree of activity and interest in research carried out in the country.research carried out in the country.
  33. 33. Bahrain Medical Bulletin 27-29January 2006 33 What to Do?What to Do? How could an intellectual endeavor toHow could an intellectual endeavor to survive in such surroundings and by whatsurvive in such surroundings and by what means?means? How can we overcome such obstacles andHow can we overcome such obstacles and survive the future hurdles that may besurvive the future hurdles that may be encountered?encountered?
  34. 34. Bahrain Medical Bulletin 27-29January 2006 34 SadSad A study of the number of MEDLINE-A study of the number of MEDLINE- indexed publications in the Arab countriesindexed publications in the Arab countries indicated that these countries produce lessindicated that these countries produce less than 1% of the biomedical citations in thethan 1% of the biomedical citations in the world and less than what is produced byworld and less than what is produced by Israel.Israel.
  35. 35. Bahrain Medical Bulletin 27-29January 2006 35 Concluding with Somewhat Happy NoteConcluding with Somewhat Happy Note The BDF hospital had agreed to resume, in 2005, itsThe BDF hospital had agreed to resume, in 2005, its subsidy after a stoppage of two years. The ministrysubsidy after a stoppage of two years. The ministry of information threatened to stop its subsidy, but theof information threatened to stop its subsidy, but the new minister agreed to resume it.new minister agreed to resume it. Amid all the frustration and bad news, a magicAmid all the frustration and bad news, a magic moment is revealed by the appointment of the newmoment is revealed by the appointment of the new minister of health and because of her understandingminister of health and because of her understanding of the importance of medical research andof the importance of medical research and publications agreed to double the BMB subsidy.publications agreed to double the BMB subsidy.
  36. 36. Bahrain Medical Bulletin 27-29January 2006 36 More Optimistic NoteMore Optimistic Note The new Young King isThe new Young King is very much interested invery much interested in promoting research.promoting research. When he was the crownWhen he was the crown prince he was the headprince he was the head of the research center inof the research center in Bahrain.Bahrain.
  37. 37. Bahrain Medical Bulletin 27-29January 2006 37 Thank YouThank You

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