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11TH ANNUAL MEETING OF ISMPP OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC APPROACHES TO MEDICAL PUBLICATIONS April 27–29, 2015 Hyatt Regency Crystal City Arlington, VA, USA

OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

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Page 1: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 1

1 1 T H A N N U A L M E E T I N G O F I S M P P

OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC APPROACHES

TO MEDICAL PUBLICATIONS April 27–29, 2015

Hyatt Regency Crystal City Arlington, VA, USA

Page 2: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 2

THE PUBLISHING PARTNERSHIP

Page 3: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 3

Presenters Richard I Shader, MD Editor-in-Chief, Clinical Therapeutics Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry Tufts University School of Medicine, Boston, MA John G. Ryan, DrPH Editor, Endocrinology, Diabetes, and Other Endocrine Disorders, Clinical Therapeutics Director, Division of Primary Care/Health Services Research and Development, United Health Foundation Center of Excellence at Jefferson Reaves, Sr. Health Center in Overtown, Miami, FL Professor of Family Medicine, University of Miami Miller School of Medicine, Miami, FL Terry Materese, Executive Publisher Elsevier, Health & Medical Sciences Philadelphia, PA

Page 4: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 4

Disclaimer

The ideas and opinions presented and discussed

are solely those of the individual faculty members

and should under no circumstances or in any way be considered

to reflect those of their employers or any organizations

of which they may be members.

Page 5: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 5

Learning Objectives • Learn how manuscripts should be constructed

and assembled for submission to maximize the chances for acceptance

• Recognize the associated or supplemental materials that should be considered as part of a submission process to enhance both the manuscript and authors’ reputation

• Be knowledgeable about the kind of communication and schedule authors should expect and demand

• Understand the post-publication relationship one should develop to maximize the scientific value and reach for each publication

Page 6: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 6

Why publish?

• Publishing is a key aspect of scientific citizenship

• By carefully describing what you have done and why, you make your work available to the clinical and scientific communities

• By reading about your work, practitioners may be better able to serve their patients or improve service delivery

Page 7: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 7

About Clinical Therapeutics

• A journal dedicated to the dissemination of reliable and evolving evidence derived from clinical pharmacology and other therapeutic approaches

• Serves an international audience of scientists and clinicians working in a variety of research, academic, and clinical practice settings

clinicaltherapeutics.com

Page 8: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 8

Writing A Useful Scientific Paper The goal of scientific writing is to provide the scientific community with

• Background that places your efforts in a relevant context

• A clear and easy-to-understand statement of what you learned

• An accurate record of your methods, in sufficient detail to allow replication of your work

• Your interpretation of the impact and significance of your findings

• A discussion of where your work fits into your field of study

Page 9: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 9

A Few Reflections

• Writing rarely comes easily to scientists

• Scientist-authors must work at writing with the same diligence used in doing scientific efforts

• Good writing must take into account your intended audience

• Include enough so that someone who does not know the field as well as you do will be able to follow your thinking and the details of your experiments, protocols, or procedures

Page 10: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 10

AUDIENCE POLL #1

What’s the most important factor in choosing a journal for publication? 1. Impact factor 10% (6/58) 2. Society affiliation 3% (2/58) 3. Published previously in the Journal 7% (4/58) 4. Specialty focus of the Journal 78% (45/58) 5. Relationship building activities 2% (1/58)

58 Respondents

Page 11: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 11

TOP TEN QUESTIONS You need to ask (yourself)

Page 12: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 12

Our authors

Page 13: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 13

Our readers

Oceania 3% Europe

21%

Asia 20% Africa

1%

Americas 55%

Our authors

Americas 54%

Oceania 4%

Europe 17%

Asia 25%

Page 14: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 14

Question 1.

Who are my readers?

Page 15: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 15

Question 2.

Do I have adequate peer reviewers?

Page 16: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 16

Question 3.

How timely is the topic?

Page 17: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 17

Page 18: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 18

Question 4.

Does the paper answer the question?

Page 19: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 19

Question 5.

Are the statistics appropriate to the question?

Page 20: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 20

Question 6.

How readable is the manuscript?

Page 21: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 21

Question 7.

Does it test the hypothesis, or generate a new hypothesis, or does it replicate other findings?

Page 22: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 22

Page 23: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 23

Question 8.

Is it original, novel, important, relevant?

Page 24: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 24

Question 9.

Does it describe the state of affairs?

Page 25: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 25

Question 10.

Does it deal with special populations?

Page 26: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 26

Our readers

0 100,000 200,000 300,000 400,000 500,000 600,000 700,000

PAGEVIEWS

344,716

458,865

609,292

508,199

2014 2013

76% increase

Page 27: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 27

THE CHANGING LANDSCAPE We need to navigate

Page 28: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 28

Origins of Scholarly Publishing

1580 Founding of the House of

Elzvir

1439 Gutenberg and Moveable

Type

6th March 1665 “Philosophical Transactions

of the Royal Society”

• First true scholarly journal

Henry Oldenburg (1618- 1677)

Founding editor and commercial

publisher of the first scientific journal

Page 29: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 29

Establishment of Scientific Publishing Fundamentals

Registration The timestamp to officially note who submitted scientific results first

Certification Perform peer-review to ensure the validity and integrity of submissions

Dissemination Provide a medium for discoveries and findings to be shared

Preservation Preserving the minutes and record of science for posterity

These 4 roles of the publisher were established by the Royal Society then, but are still fundamental today. The methods used to carry out these tasks are evolving, but

the roles remain unchanged.

Page 30: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 30

The Publisher’s Role

Publishers coordinate the exchange of ideas between authors, editors, reviewers, and the wider STM audience

of researchers, scientists, health professionals, students, and patients.

Registration Certification Dissemination Preservation Use

Innovation & Technology

Page 31: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 31

Content is growing

• Over 28,000 active scholarly peer-reviewed journals, publishing 2 million articles per year

• Number of articles grows by 3% each year as does the number of researchers

• USA continues to dominate global output (21%). China is second (10%), followed by the United Kingdom (7%), Japan (6%), Germany (6%) and France (4%).

Page 32: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 32

Total article growth

500

750

1000

1250

1500

1750

2000

2250

2500

2008 2009 2010 2011 2012 2013 (est.)

No.

of a

rticl

es (T

hous

ands

) Subscription Hybrid Open access

2013

Of the 2.3 million articles, subscription content comprises 87%

while open access articles comprise 13%

Page 33: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 33

Technology

• Majority of journals usage is electronic

• Social media and other Web 2.0 tools are beginning to make an impact

• Mobile devices are changing the way most researchers interact with journal content

• Semantic enrichment of content is now widely used to improve search and discovery

Page 34: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 34

Has changed the way researchers search and discover research

4 ½ Hours - Average time spent reading

research articles per week:

5.1 articles- Average number of

research articles read per week:

Publisher platform 38% Library service 44% Repository 6% Somewhere else 10%

Where are they finding the research?

Impact of technology

13%

What are researchers searching for?

Keeping up to date in their field

Looking for supporting evidence

Looking for a citation

21%

12%

8%

Searching for a specific article

Page 35: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 35

Understanding a journal’s profile

• The characteristics and details that are basic to your consideration

– Indexing – Impact Factor – Circulation/audience – Acceptance and rejection rates – Presubmission inquiries – Production speeds – Fees, if applicable – Open access – Cascading or article transfer services – Enhanced publication offerings

Page 36: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 36

Production speed

• Contributing to much faster overall production time: – From submission to first decision

• Triage by editorial office for completeness • EIC assigns to handling or specialty editor • Handling editor invites reviewers • Invitations accepted, refused, unanswered • Reviews completed • EIC sets first decision

– From submission to acceptance • Revision cycles • Final disposition (accept or reject)

– From acceptance to online publication/final publication

• Raw manuscripts posted • Formatted uncorrected proofs posted • Author corrected proof posted

Page 37: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 37

Content Innovation

• Advancing the scholarly article, creating an optimal vehicle for the communication of scientific, technical, and medical research

Page 38: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 38

Chemical compounds – linked to Reaxys

Interactive plots

3D models

AudioSlides

Research Highlights and

Graphical Abstracts

Content Innovation

Page 39: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 39

Conventional Journal-Author Relationship

Satisfy submission requirements

from perspectives of GFA, PR &

copyediting

Corresponding Author

An Editor

Publish results of research

Increase journal content,

standing & metrics

Page 40: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 40

Innovative Journal-Author Relationship

Support investigators’ efforts

to “grow” the science

Scientific Team Journal Team

Conduct research & disseminate outcomes to drive forward new threads of research

Increase journal relevance

& depth of content; Increase authors’ influence;

Expand journal brand

Page 41: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 41

AUDIENCE POLL #2

Which of the following reasons for engaging in a post-publication partnership is most important to you? 1. Reach a wider audience 39% (26/67) 2. Boost visibility of articles 15% (10/67) 3. Encourage conversation about your article

45% (30/67) 4. Increase author’s influence and establish

reputation 1% (1/67)

67 Respondents

Page 42: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 42

Goals for Post-Publication Partnership

• Increase the relevance of the journal for authors and readers.

• Expand the journal brand. • Increase depth of content within each discipline by

including emerging research. • Increase authors’ influence at international level. • All of which contribute to strengthening the

journal’s conventional metrics. – Authors use to identify target journals. – Readers apply qualitative and quantitative

judgment to evaluate the scientific weight of published research.

Page 43: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 43

WHAT HAPPENS When you put it all together

Page 44: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 44

Publish a paper

Page 45: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 45

Create a media statement

Page 46: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 46

Build a social campaign

Page 47: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 47

Measure its effect

Page 48: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 48

Deliver results

Page 49: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 49

Post-Publication Partnership Summary

CT’s post-publication partnership efforts represent: • A critical component of our systemic approach to

expand the author-journal relationship in an innovative way, that is framed by activities prior to publication and through a meaningful dissemination period.

• An important element of our longer-term strategy to achieve our organizational mission:

“Disseminate reliable and evolving evidence regarding therapeutics to an international audience of scientists and clinicians working in a variety of research, academic & clinical settings.”

Page 50: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 50

AUDIENCE POLL #3

To what extent does the information presented aid you to better understand the post-publication relationship that one should develop to maximize the scientific value and reach for each paper? 1. Extremely useful 13% (9/67) 2. Very useful 45% (30/67) 3. Somewhat useful 39% (26/67) 4. Doesn’t add to my understanding 3% (2/67)

67 Respondents

Page 51: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 51

PANEL DISCUSSION

Page 52: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 52

THANK YOU

Page 53: OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC ......Professor Emeritus, Department of Molecular Physiology and Pharmacology (DMPP) and Department of Psychiatry . Tufts University

11TH ANNUAL MEETING OF ISMPP 53

1 1 T H A N N U A L M E E T I N G O F I S M P P

OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC APPROACHES

TO MEDICAL PUBLICATIONS April 27–29, 2015

Hyatt Regency Crystal City Arlington, VA, USA