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2018-2019 JGIM Editor’s Report

Steve Asch, MD MPH Carol Bates, MD Jeffrey Jackson, MD MPH Editorial Priorities

• Increase number of research articles – Incremental increase in acceptance rate – Create concise research reports – Increase the number of systematic reviews • Become leader in implementation science/QI • Special issue in medical education • Increase Clinical Content • Transition to Editorial Manager system Strategy for Increasing Acceptance Rate • Encouraging DEs to send out for review/accept articles that are “close” • Reviewing decisions to reject when editor strongly positive • Recruiting new DE’s Concise Research Reports

• Three streams: – New submissions – Rejecting some original research and suggesting resubmission as CRR – Laterals from Annals • Often reviewed at Editor rather than DE level Increasing Systematic Reviews

• Reached out to AHRQ and VA Evidence Centers • Rapid turn-around • Internally reviewed by panel of SGIM members with meta-analytic expertise • 2015-2017: 15-18 reviews per year • 2018: TBD Submission types 2017-2018

2017 2018 Original 1053 970 Systematic Reviews 69 84 Narrative Reviews 59 79 Concise Research Reports 84 252 Health Policy 13 19 Perspectives 91 152 Vignettes 80 81 Healing Arts 66 94 Editorials 35 40 Innovation/Improvement 50 30 Images 69 49 Submissions and Acceptance (2018)

Submitted Accepted Accepted (raw) (adjusted) Original Research 970 13.2% 20.3% Reviews Systematic 84 30% 33% Narrative 79 7% 9% Concise Research 252 63% 65% Policy 19 22% 38% Innovation and Improvement 30 4% 8% Perspective 152 21% 25% Exercises in Clinical Reasoning 7 67% 71% Healing Arts Text and Context 2 0% 0% Materia Medica 90 13% 13% Sketchbook 2 50% 50% Clinical Image 49 28% 34% Clinical Vignette 81 1% 6% Submission Trends

2500

2000

1500 All Submissions 1000 Accepted

29% 500

0 14% 19% 18% 18% 16% 14% 10% 11% 10% 9% 10% 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Production Volume

2500 2258

2000

1542 1500 1409

1000

561 500 361 320

0 2016 2017 2018 2016 2017 2018 Manuscripts Pages New Focus: Implementation Science and Quality Improvement

Translational Spectrum Clinical Trials Health Implementation Quality & Services Science Improvement Epidemiology Research

JGIM Strength • Vision: Application of existing theories and frameworks to clinical scope of outpatient and inpatient GIM. • Middle ground between Implementation Science (theory) or J Commission J Quality Safety (QI narratives) Implementation Science and Quality Improvement • Progress – Steve Asch/Lisa Rubenstein designated leads – Supplement in place funded by Kaiser/VA with support of AHRQ – Senior Advisory Committee (e.g. David Stevens) and workgroup of DE’s (e.g. Michael Ong) in place – Plan new track of articles analogous to Med Ed after supplement Medical Education

• Special Issue in Medical Education – May 2019 regular issue – Record number of submissions • 2013 was prior record: 146 • 2019: 230 – Considering next issue 2021 Enhance Online Presence

• Increasing Social Media Presence • Authors asked to provide tweets • Fletcher/Wurm tweeting from JGIM account • Editors increased involvement with Twitter • Developed press release guide – Provide guide to authors on acceptance JGIM Twitter Activity (13 months before and after initiative)

10,000 9,507 800,000 726,400 9,000 700,000 8,000 600,000 7,000 500,000 6,000 5,739

5,000 400,000

4,000 300,000 3,000 210,300 200,000 2,000 100,000 1,000

0 0 Impressions Engagement Pre Post Top 10 Tweeted Articles 2018 list search done March 5, 2019

Altmetric Rank Tweets Title Author(s) Country DOI Volume Issue Year Score Impact of Pregnancy and Gender on Internal Medicine Resident 10.1007/s116 1 780 271 Megan L. Krause et al. USA 32 6 2017 Evaluations: A Retrospective Cohort 06-017-4010-5 Study Non-Inferiority Trials in Medicine: 10.1007/s116 2 499 294 Practice Changing or a Self-Fulfilling Vinay Prasad et al. USA 33 1 2018 06-017-4191-y Prophecy? Do Words Matter? Stigmatizing 10.1007/s116 3 398 331 Language and the Transmission of Bias Anna P. Goddu et al. USA 33 5 2018 06-017-4289-2 in the Medical Record 10.1007/s116 4 390 426 Six Persistent Research Misconceptions Kenneth J. Rothman et al. USA 29 7 2014 06-013-2755-z

Eliciting the Patient’s Agenda – 10.1007/s116 5 376 950 Secondary Analysis of Recorded Naykky Singh Ospina et al. USA 34 1 2018 06-018-4540-5 Clinical Encounters Medical Students’ Exposure to the Humanities Correlates with Positive 10.1007/s116 6 342 357 Personal Qualities and Reduced Salvatore Mangione et al. USA 33 5 2018 06-017-4275-8 Burnout: A Multi-Institutional U.S. Survey Healthcare at the Crossroads: The Need to Shape an Organizational 10.1007/s116 7 336 129 Elizabeth A. Rider et al. USA 33 5 2018 Culture of Humanistic Teaching and 06-018-4470-2 Practice Prediction Model for Two-Year Risk of 10.1007/s116 8 225 176 Opioid Overdose Among Patients Jason M. Glanz et al. USA 33 10 2018 06-017-4288-3 Prescribed Chronic Opioid Therapy 10.1007/s116 9 210 154 “Thinking Time”: Doctor Envies Curlers Amy N. Ship USA 33 8 2018 06-018-4494-7 Transitions of Care for Postoperative Opioid Prescribing in Previously 10.1007/s116 10 203 214 Michael P. Klueh et al. USA 33 10 2018 Opioid-Naïve Patients in the USA: A 06-018-4463-1 Retrospective Review 15 Press Release Articles 2017-2018 (as of 3/19/19)

Avg # of Article Corresponding Article Requests in Article Requests Times Cited Shares (as of Title Press Release Date Requests in Score (as of Mentioned by Author Publication Month (as of 3/19/19) (as of 3/19/19) 3/19/19) Publication Month 3/19/19)

Colorado Medical Students’ Attitudes and 6 news stories CHAN 1/17/17 1,398 103 4,200 4 22 57 Beliefs About Marijuana 11 tweets

Effect of Combination Therapy on 6 news stories Adherence Among US Patients Initiating LAUFFENBURGER 1/19/17 256 103 1,500 9 9 49 3 tweets Therapy for Hypertension: A Cohort Study

Physician and Patient Views on Public 12 news stories Physician Rating Websites: A Cross- HOLLIDAY 2/2/17 553 83 2,600 16 42 124 24 tweets Sectional Study Increased Access to Professional Interpreters in the Hospital Improves 4 news stories LEE 2/9/17 357 83 3,300 6 31 51 Informed Consent for Patients with 24 tweets Limited English Proficiency Public Awareness of and Contact With 22 news stories Physicians Who Receive Industry PHAM-KANTER 3/6/17 1,330 139 2,300 12 76 204 43 tweets Payments Overtreatment and Deintensification of 10 news stories Diabetic Therapy among Medicare MACIEJEWSKI 9/14/17 1,349 80 3,200 1 56 100 38 tweets Beneficiaries Downstream Breast Imaging Following Screening Mammography in Medicare SINGH 11/1/17 49 115 268 0 5 2 4 tweets Patients with Advanced Cancer Decline in Prescription Opioids 17 news stories Attributable to Decreases in Long-Term HADLANDSMYTH 1/1/18 91 58 1,300 4 44 145 21 tweets Use Measuring the Health of an Invisible 5 news stories Population: Lessons from the Colorado CHRISTIAN 5/15/18 261 53 942 1 13 49 6 tweets Transgender Health Survey Transitions of Care for Postoperative 12 news stories Opioid Prescribing in Previously Opioid- KLUEH 6/12/18 1,765 44 2,400 1 226 214 186 tweets Naïve Patients in the USA Eliciting the Patient’s Agenda-Secondary 88 news stories Analysis of Recorded Clinical Encounters OSPINA 7/19/18 15,950 29 23,000 1 502 947 343 tweets

Independent Relationship of Changes in 17 news stories Death Rates with Changes in US GOLDMAN 9/5/18 1,222 26 1,700 0 31 139 Presidential Voting 8 tweets

16 Top 10 Article Downloads 2016

Times Cited Title Author Volume Issue Year Article Requests (as of 3/19/2019)

Abstracts from the 38th Annual Meeting of the Society of --- 30 S2 2015 13,480 4 General Internal Medicine

Abstracts from the 37th Annual Meeting of the Society of --- 29 S1 2014 10,397 4 General Internal Medicine

Shared Decision Making: A Model For Clinical Practice* GLYN ELWYN 27 10 2012 8,631 685

MICHAEL K. National Survey of Patients’ Bill of Rights Statutes* 24 4 2009 6,282 4 PAASCHE-ORLOW

Implicit Bias among Physicians and its Prediction of Thrombolysis ALEXANDER R. 22 9 2007 4,653 410 Decisions for Black and White Patients* GREEN

Pennsylvania’s Medical Home Initiative: Reductions in Healthcare Utilization and Cost Among Medicaid Patients with Medicaland KARIN V. RHODES 31 11 2016 3,458 6 Psychiatric Comorbidities

Medical Scribes: Salvation for Primary Care or Workaround for GORDON D. SCHIFF 31 9 2016 3,391 7 Poor EMR Usability?

Defining And Measuring The Patient-Centered Medical Home* KURT C. STANGE 25 6 2010 3,153 227

Multiple Chronic Conditions: Prevalence, Health Consequences, CHRISTINE VOGELI 22 S3 2007 2,923 437 and Implications for Quality, Care Management, and Costs*

Simulation Technology for Skills Training and Competency ROSS J. SCALESE 23 S1 2008 2,666 163 Assessment in Medical Education*

*Article is (Source: SpringerLink) 17 Top 10 Article Downloads 2017

Times Cited Title Author Volume Issue Year Article Requests (as of 3/19/2019)

DNR Tattoos: A Cautionary Tale LORI COOPER 27 10 2012 20,751 3

Shared Decision Making: A Model for Clinical Practice* GLYN ELWYN 27 10 2012 14,926 685

Cultivating Medical Education Research Mentorship as a Pathway REBECCA D. 30 9 2015 11,070 6 Towards High Quality Medical Education Research BLANCHARD BRIAN K. Health Care Contacts in the Year Before Suicide Death 29 6 2014 9,253 101 AHMEDANI

Implicit Bias among Physicians and its Prediction of Thrombolysis ALEXANDER R. 22 9 2007 7,500 411 Decisions for Black and White Patients* GREEN

Abstracts from the 38th Annual Meeting of the Society of General --- 30 S2 2015 7,290 4 Internal Medicine

Abstracts from the 37th Annual Meeting of the Society of General --- 29 S1 2014 6,315 4 Internal Medicine Patient Use of Email, Facebook, and Physician Websites to Communicate with Physicians: A National Online Survey of Retail JOY L. LEE 31 1 2016 6,272 16 Pharmacy Users

Vegetarian Diets and Weight Reduction: a Meta-Analysis of RU-YI HUANG 31 1 2016 6,180 30 Randomized Controlled Trials

Multiple Chronic Conditions: Prevalence, Health Consequences, CHRISTINE VOGELI 22 S3 2007 4,623 437 and Implications for Quality, Care Management, and Costs*

*Article is Open Access (Source: SpringerLink) 18 Top 10 Article Downloads 2018

Times Cited Title Author Volume Issue Year Article Requests (as of 3/19/2019)

Eliciting the Patient’s Agenda-Secondary Analysis of NAYKKY SINGH ------2018 21,756 1 Recorded Clinical Encounters OSPINA

Shared Decision Making: A Model for Clinical Practice* GLYN ELWYN 27 10 2012 19,017 685

Do Words Matter? Stigmatizing Language and the ANNA P. GODDU 33 5 2018 13,657 5 Transmission of Bias in the Medical Record Medical Students’ Exposure to the Humanities Correlates SALVATORE with Positive Personal Qualities and Reduced Burnout: A 33 5 2018 13,167 7 MANGIONE Multi-Institutional U.S. Survey

Vegetarian Diets and Weight Reduction: a Meta-Analysis of RU-YI HUANG 31 1 2016 9,754 30 Randomized Controlled Trials

Implicit Bias among Physicians and its Prediction of ALEXANDER R. GREEN 22 9 2007 8,587 411 Thrombolysis Decisions for Black and White Patients*

KENNETH J. Six Persistent Research Misconceptions* 29 7 2014 7,774 114 ROTHMAN

Hospital-Level Care at Home for Acutely Ill Adults: a Pilot DAVID M. LEVINE 33 5 2018 6,604 6

Electronic Health Records: a “Quadruple Win,” a “Quadruple MICHAEL HOCHMAN 33 4 2018 6,589 1 Failure,” or Simply Time for a Reboot?

Direct-to-Consumer Broadcast Advertisements for Pharmaceuticals: Off-Label Promotion and Adherence to KRISTINA KLARA 33 5 2018 6,401 4 FDA Guidelines

*Article is Open Access (Source: SpringerLink) 19 Editorial Manager Transition

• April 1st – no fooling • Advantages: – Enhanced experience for authors, reviewers – Big picture view for editors – Automatic triage for reviewer invitations – Decompressing editorial office Editorial Manager Challenges

• Learning curve for all • Considerable work to customize for JGIM • Presents DE and reviewer list alphabetically • Triaging DE workload • Annals laterals • Transition period during which articles will be managed in both old and new system Metrics 2017 Article Citations by Editor-Assigned Article Type*

Type of Article Published # of # of Cites/ Article Cites Article s Other Original Research 107 587 5.5 Health Policy 3% Review 18 124 6.9 1% Perspectives 24 102 4.3 Editorial 5% Editorial 58 41 0.7 Health Policy 5 11 2.2 Capsule Commentary** 52 5 0.1 Perspectives Clinical Practice: Clinical Images** 31 7 0.2 11% Clinical Practice: Clinical Vignettes** 5 4 0.8 Clinical Practice: Exercises in Clinical Reasoning** 4 1 0.3 Review 14% Frontline Account** 1 1 1 Original Research Healing Arts: Materia Medica** 6 1 0.17 66% Healing Arts: Spark ** 1 0 0 Healing Arts: Text and Context** 1 0 0 Innovation and Improvement** 4 3 0.75 Letter to the Editor** 19 1 0.05 TOTAL 336 888

*The information above was taken from ISI’s Web of Science database as of March 11, 2019. **<5% of total Citations; combined as “Other” on graph

23 JGIM Production Times (Pre-Editorial Manager)

Duration (Days) Initial Editor Decision 2.4 Initial DE Decision 10.3 Time for Reviews to Return 25.6 Time to Publication Online 16.8 Print 183 Impact Factor Trend

This graph will show in one view how the number of source items (“articles”) and the number of citations are affecting the Impact Factor.

Number of citations, number of source items, and Impact Factors by Year 4.5 3,000 2,800 4 4.005 2,600 2,400 3.5 3.701 3.494 2,200 3.423 3.449 3 3.278 2,000 1,800 2.5 1,621 1554 1,600 1,492 1,403 1,466 1,400 2 1,458

Impact Factor Impact 1,200 1.5 1,000 800 1 600 428 426 438 400 0.5 425 427 388 200 0 0 2012 2013 2014 2015 2016 2017 Impact Factor Number of Citations Number of Source Items

25 Citation Frequency for Articles

Citation Frequency for Articles Published This graph provides further detailed information for the articles cited in Slide 19.

Number 25.0% % of Cites of articles articles 0 84 19.17% 20.5% 1 90 20.54% 20.0% 19.2% 2 62 14.15% 3 53 12.10% 4 42 9.58% 5 32 7.30% 6 22 5.02% 15.0% 14.2% 7 15 3.42% 8 10 2.28% 12.1% 9 5 1.14% 10 7 1.59% 9.6% 11 4 0.09% 10.0% 12 1 0.02% 13 3 0.06% 7.3% 16 1 0.02% 19 2 0.05% 5.0% 22 1 0.02% 5.0% 3.4% 24 1 0.02% 2.3% 26 2 0.05% 1.6% 32 1 0.02% 1.1% Total 438 100.00% 0.1% 0.0% 0.1% 0.0% 0.1% 0.0% 0.0% 0.1% 0.0% 0.0% 0 1 2 3 4 5 6 7 8 9 10 11 12 13 16 19 22 24 26 32

*The information above was taken from ISI’s Web of Science database as of March 2nd, 2018.

26 Frequency of Cited Articles Versus 0-Cited Articles

Frequency of cited articles versus 0-cited articles This graph combines the articles published in 2014 and 2015 and shows the citations counted in 2016 for these articles. This graph shows whether there is a healthy balance between the Cited and 0-Cited articles.

100% Number of 90% articles

80% Cited articles 80.82% 354

70% 0-Cited articles 19.17 84

60% Total 100% 438

50%

40%

30%

20%

10%

0% Cited articles 0-Cited articles

27 Fate of rejected JGIM papers (2017):

PLoS One European Journal of Internal Medicine Medicine BMJ Open BMC Health Services Research American Journal of Medicine Pain Medicine Some of the most popular Journal of the American Board of Family Medicine second-choice journals are BMC Family Practice published within the Academic Medicine Springer portfolio; QJM-An International Journal of Medicine journals marked in green Patient Education and Counseling Oncotarget are published by BMC. For Medical Care a full detailed analysis, Journal of Pain and Symptom Management please refer to the JGIM Journal of Hospital Medicine 2017 Rejected Manuscript Journal of Graduate Medical Education Report. Cureus BMC Cardiovascular Disorders 0 5 10 15 20 25 30 35

# of # of rejected manuscripts % of rejected # of articles % of articles # of Journals # of Journals with % of Journals # of rejected published as articles manuscripts cited cited 2017 IF with 2017 IF Publishers manuscripts published as articles 1,297 428 33% 125 29% 252 192 76% 69

28 Google Scholar Metrics: Primary Health Care

2018 h5-index: Primary Health Care 2017 h5-index: Primary Health Care

Ranking Publication h5-index h5-median Ranking Publication h5-index h5-median 1 Journal of General Internal Medicine 57 73 1 Journal of General Internal Medicine 55 80 2 The Annals of Family Medicine 49 77 2 The Annals of Family Medicine 46 75 3 American Family Physician 42 54 3 American Family Physician 40 52 4 BMC Family Practice 39 53 4 British Journal of General Practice 37 48 5 British Journal of General Practice 37 48 5 BMC Family Practice 36 50 The Journal of the American Board of Family The Journal of the American Board of Family 6 31 41 6 32 46 Medicine Medicine 7 Family Practice 30 42 7 Family Practice 31 42 8 Canadian Family Physician 29 44 8 Canadian Family Physician 28 34

9 Primary Care Respiratory Journal 22 30 9 Primary Care Respiratory Journal 25 39 Journal of the American Academy of Nurse 10 Australian Family Physician 22 29 10 24 31 Practitioners Journal of the American Association of Nurse 11 21 27 11 Australian Family Physician 22 27 Practitioners 12 Scandinavian Journal of Primary Health Care 21 26 12 Scandinavian Journal of Primary Health Care 20 31 13 Family Medicine 20 30 13 Primary Care: Clinics in Office Practice 19 33 14 Journal of Family and Community Medicine 19 31 14 Primary Care: Clinics in Office Practice 20 26 15 Family Medicine 19 24 15 Journal of Family & Community Medicine 19 31 16 Australian Journal of Primary Health 18 23 16 Australian Prescriber 18 25 17 Journal of Family Practice 16 22 17 Australian Journal of Primary Health 18 23 Primary Health Care Research and 18 16 20 18 Primary Health Care Research & Development 17 22 Development 19 The European Journal of General Practice 17 22 19 The European Journal of General Practice 15 18 African Journal of Primary Health Care & Family 20 16 24 20 Journal of Primary Health Care 14 24 Medicine Google Scholar: h5 Index Google has produced another tool for researchers. h5 gives information on journals rather than articles. This metric is based on the articles published by a journal over the previous 5 calendar years with a minimum of 100 articles in this period. If a journal publishes 100 articles sooner, an h5 Index can be calculated earlier. h is the largest number of articles that have each been cited h times. The h5 Index therefore cannot be dominated by one or several highly cited articles. The h5 Index for Journal of General Internal Medicine is 57, i.e. there were 57 articles published between 2014 and 2018 that have each been cited at least 57 times.

Google Ranking: #1 Primary Health Care 29 JCR 2017 Impact Factor Summary: Medicine, General and Internal (1 – 101)

5-Year Impact 5-Year Impact Ranking Abbreviated Journal Title Impact Factor Immediacy Index Cited Half-Life Ranking Abbreviated Journal Title Impact Factor Immediacy Index Cited Half-Life Factor Factor 1 NEW ENGL J MED 79.258 67.512 15.727 8.5 52 POSTGRAD MED J 2.078 1.941 0.496 >10.0 2 LANCET 53.254 52.665 13.03 8.9 53 POSTGRAD MED 2.057 1.921 0.47 6.1 3 JAMA-J AM MED ASSOC 47.661 42.464 10.188 >10.0 54 BMC FAM PRACT 2.032 2.294 0.405 5.1 4 BMJ-BRIT MED J 23.259 20.375 9.882 >10.0 55 J INVEST MED 2.029 1.913 0.833 6.4 5 JAMA INTERN MED 19.989 17.84 6.75 2.8 56 MEDICINE 2.028 2.193 0.237 2.6 6 ANN INTERN MED 19.384 18.726 6.007 >10.0 57 INT J CLIN PRACT 2 2.35 0.6 7.8 7 NAT REV DIS PRIMERS 16.071 16.155 4.277 1.8 58 AM FAM PHYSICIAN 1.974 2.811 0.419 >10.0 8 J CACHEXIA SARCOPENI 12.511 9.872 2.598 2.6 59 UPSALA J MED SCI 1.971 2.355 0.303 5.5 9 PLOS MED 11.675 14.799 2.074 7.1 60 WORLD J CLIN CASES 1.931 Not Available 0.203 2.8 10 BMC MED 9.088 9.41 1.526 4.2 61 SWISS MED WKLY 1.928 2.099 0.319 6 11 MAYO CLIN PROC 7.199 7.198 1.838 8.3 62 CAN FAM PHYSICIAN 1.833 2.039 0.951 7.4 12 COCHRANE DB SYST REV 6.754 7.669 1.363 5.3 63 PRIMARY CARE 1.827 1.405 0.204 8.3 13 J INTERN MED 6.754 7.018 2.262 9.2 64 SCAND J PRIM HEALTH 1.809 2.005 0.196 8.4 14 CAN MED ASSOC J 6.21 6.905 2.563 >10.0 65 J TRAVEL MED 1.8 1.643 0.723 7.8 15 J CLIN MED 5.583 Not Available 0.914 2 66 INTERN MED J 1.785 1.868 0.464 5.4 16 AM J MED 5.117 5.561 1.527 >10.0 67 CLEV CLIN J MED 1.783 1.742 0.685 8.4 17 TRANSL RES 4.88 4.496 1.894 3.7 68 AM J MED SCI 1.773 1.645 0.265 >10.0 18 ANN FAM MED 4.54 6.208 2.613 6.7 69 J URBAN HEALTH 1.738 2.388 0.39 8.5 19 MED J AUSTRALIA 4.227 4.33 2.066 9.6 70 PATIENT PREFER ADHER 1.733 2.128 0.417 3.6 20 AM J PREV MED 4.127 5.168 1.055 8 71 FAM PRACT 1.675 2.016 0.626 >10.0 21 AMYLOID 4.048 2.704 0.767 6.6 72 J CHIN MED ASSOC 1.66 1.32 0.736 5.8 22 J GEN INTERN MED 4.005 4.497 1.582 9.8 73 LIBYAN J MED 1.656 1.835 0.375 5.9 23 DTSCH ARZTEBL INT 3.89 4.51 1.719 4.9 74 CHINESE MED J-PEKING 1.596 1.196 0.294 5.8 24 PALLIATIVE MED 3.78 4.375 1.352 7 75 J KOREAN MED SCI 1.588 1.608 0.323 6.4 25 PREV MED 3.483 3.754 0.778 8.1 76 YONSEI MED J 1.564 1.597 0.293 6.1 26 BRIT MED BULL 3.356 3.824 0.333 >10.0 77 MED PRIN PRACT 1.536 1.454 0.333 6.1 27 EUR J INTERN MED 3.282 3.006 1.088 4.9 78 AM J MANAG CARE 1.512 1.958 0.149 6.9 28 BRIT J GEN PRACT 3.261 3.397 1.926 8.6 79 INDIAN J MED RES 1.508 2.038 0.141 7.7 29 J PAIN SYMPTOM MANAG 3.249 3.303 0.752 8.3 80 CLIN MED 1.497 1.659 1.165 5.6 30 QJM-INT J MED 3.204 2.9 0.759 >10.0 81 J EVAL CLIN PRACT 1.483 1.701 0.903 6.6 31 AM J CHINESE MED 3.12 2.635 0.469 6.9 82 SEX MED-UK 1.457 1.657 0.091 2.7 32 EUR J CLIN INVEST 3.086 2.707 0.663 9.3 83 MEDICINA-LITHUANIA 1.429 1.021 0.096 7.2 33 ANN MED 3.007 3.42 0.986 8.9 84 TOHOKU J EXP MED 1.423 1.502 0.279 8.9 34 MINERVA MED 2.863 1.515 0.962 4.7 85 CROAT MED J 1.422 1.563 0.225 8.3 35 PAIN MED 2.782 3.05 0.605 5.8 86 EUR J GEN PRACT 1.41 1.416 0.622 5.2 36 CURR MED RES OPIN 2.665 2.68 0.723 7.2 87 J RES MED SCI 1.391 1.563 0.216 4.4 37 POL ARCH INTERN MED 2.658 1.894 0.91 4 88 REV INVEST CLIN 1.36 0.818 0.128 7.2 38 J ROY SOC MED 2.654 2.7 3.731 >10.0 89 ARCH IRAN MED 1.254 1.434 0.41 5.2 39 MED CLIN N AM 2.577 2.286 1 9.1 90 CLINICS 1.245 1.591 0.193 6.2 40 J AM BOARD FAM MED 2.515 2.51 1.383 6.7 91 MED J 1.226 1.277 0.346 7.8 41 INTERN EMERG MED 2.453 2.333 0.748 3.8 92 REV CLIN ESP 1.184 0.88 0.615 7.3 42 J FORMOS MED ASSOC 2.452 2.25 0.956 6.5 93 REV MED INTERNE 1.169 0.903 0.133 7.4 43 BMJ OPEN 2.413 2.801 0.304 3 94 MED CLIN-BARCELONA 1.168 1.12 0.545 9.8 44 ARCH MED SCI 2.344 2.165 0.601 3.7 95 NETH J MED 1.156 1.611 0.21 8.3 45 J HOSP MED 2.331 2.528 0.47 4.9 96 ATEN PRIM 1.148 1.18 0.39 7.9 46 INT J MED SCI 2.284 2.551 0.275 4.6 97 FAM MED 1.14 1.303 0.639 >10.0 47 J MED ECON 2.264 Not Available 0.641 4.3 98 DAN MED J 1.137 1.381 0.19 3.8 48 SAMJ S AFR MED J 2.163 2.231 0.51 8.9 99 J POSTGRAD MED 1.095 1.15 0.37 >10.0 49 KOREAN J INTERN MED 2.131 2.097 0.657 4.6 100 SINGAP MED J 1.081 0.941 0.479 8.7 50 PANMINERVA MED 2.102 1.525 0.758 6 101 SAO PAULO MED J 1.063 1.106 0.147 7.7 51 J WOMENS HEALTH 2.097 2.663 0.403 6.9 30 *JGIM ranked #22 out of 154, when sorted by 2-year Impact Factor 31 Number of Downloads per Article Type

1800 1600 1400 1200 1000 800 600 400 200 0

32 Top 20 Downloads (2017)

Downloads/ Title Author Article Type month 729.7 Point of Care ultrasound Consensus Recommendations Canadian IM u/s team Consensus Statement 575.6 Reinventing Primary Care Richard L. Kravitz Editorial 553 Medical Education Then and Now Mitchell D. Feldman Editorial 487.8 What is Single-Payer Health Care? Jodi L. Liu Systematic Review 451.8 Sustainable Approaches to Integrating mental health services into Kurt Kroenke Comment primary care 433.2 Primary Health Care for Strengthening Health Care Asaf Bitton Comment 428.5 Lipemic Serum in Pancreatitis Michael A. Santos Vignette 414 Survey of primary care providers’ knowledge of screening for Eva Tseng Research Prediabetes 396.3 RCT of Brief Mindfulness Training Eric L. Garland Research 362.7 Shifting Paradigms in the Management of AODM Faramarz Ismail-Beigi Perspective 353 Black Hairy Tongue Pablo Del Barrio-Díaz Vignette 339 The Coming Primary Care Revolution Andrew L. Ellner Perspective 339 Public Awareness of and Contact With Physicians Who Receive Pharma Genevieve Pham-Kanter Research

336 An Evidence Map of the Women Veterans’ Health Research Literature Elisheva R. Danan Review 325 General Medicine and Hospital Medicine Laurence F. McMahon Editorial 318 Tricyclic and Tetracyclic Antidepressants for Migraines Jeffrey L. Jackson Review 313.5 An Entrustable Professional Activity (EPA)-Based Framework D. Michael Elnicki Perspective 307.25 Increased Access to Interpreters in the Hospital Jonathan S. Lee Research 305 Involving Medical Students in Providing Patient Education Thomas W. Vijn Review 302.5 Medical School Factors Associated with Changes in Implicit and explicit Sean M. Phelan Research bias against Gay and Lesbian People

33 OVERSIGHT COMMITTEE REPORT Strengths

1. Strong commitment to successful transition 2. Focus on increasing the Impact Factor while publishing more papers 3. Plans to enhance the clinical content 4. Launch of “Concise Research Reports” 5. Plans to increase systematic reviews 6. Commitment to medical education articles. 7. Focus on implementation science/quality improvement 8. Commitment to modernizing manuscript processing Challenges

1. Coordination/leadership among the three Editors-in-Chief 2. Effective communication with SGIM staff and deputy editor cadre 3. Increasing workload 4. Difficulty obtaining reviewers 5. Meeting the needs of JGIM’s primary constituency (SGIM members) 6. Continuing innovation (diverse types of content, new foci) 7. Increasing opportunities for more recognition a. Web presence b. Press releases c. High impact articles 8. Maintain increased Impact Factor (and quality) that was achieved under the previous Editors while still undertaking planned innovations. Editorial Team Response

1. Conducted Editor Retreat in Indianapolis 2. Clearly delineated all roles and decision-making responsibility of editor of week 3. Articulated processes to improve communication with SGIM staff and deputy editor cadre 4. Successfully transitioned to Editorial Manager 5. Increase SGIM member publication opportunities a. Concise Research Reports b. Medical Education Issue 6. Launched Twitter Campaign 7. Lobbied for better web platform to be key in publisher search 8. Outreach to VA and AHRQ Evidence Based Centers to encourage systematic review submissions 9. Maintained balance approach to managing Impact Factor Challenges – Your Input Your input on…

• Deputy Editor recruitment and retention • Clinical content • Concise research reports • JGIM web • International champions • Patient perspectives/editorials Deputy Editors

• Six have left JGIM • Several of them serve as mentors for new DEs • New DEs: – Edelman, Hochman, Kuriyama, LaMantia, Nagasako, Nguyen, Percac-Lima, Quintilliani, Rose S, Schmittdiel, Schoenborn, Varpio, Walker, Williams, Woodard, Zhang – 3 new Healing Arts – International: 1 Japan, 1 China Increasing Clinical Content

• Current SGIM: – Clinical Vignette – Clinical Images 12% of – Exercises in Clinical Reasoning current – Multimorbidity Symposium content – Bottom Line Summaries Potential New Categories

• Ask the Expert • News Flashes for Daily Practice • Controversies in Clinical Care • Bottom Line Summaries • Barriers: – JGIM web constraints – Finding sweet spot for content – Identifying leaders Concise research reports

• What is the right ratio of Original Research/Concise Research Reports? • What is best review process? – Annals: External Review – Jama-Medicine: Internal Review Other discussion • International champions? • History of medicine? • Innovations in clinical practice? • Patient perspectives? DE Roles?

• Reviewing articles • Controversial editorials • Reviewing comments? Agenda • Update and outcomes on initiatives to date • Data • Your input JGIM and this meeting

• Outreach to selected top rated abstract authors encouraging submission to JGIM – Guaranteed peer review (no early rejection by editor, DE) – IF accepted, guaranteed open access • DEs encouraged to speak to selected presenters and encourage submission Challenges • Deputy editor pool – Continued recruitment but we need your help! • Transitioning to Editorial Manager system • Limited Springer support for press releases – Developed document for authors to do own press release • JGIM webpage with limited functionality and limited resources Innovations Under Consideration

• Coaching top SGIM presentations • Seek more partners for publications (SHM, Society of Bedside Medicine) • Increase international presence – SGIM Champions from China, Japan, Switzerland, Canada and Latin America – Invite articles describing other systems • Invite Patient Perspective Editorials • History of Medicine • Developing editorial fellowship similar to SHM