—Dr Soffer's editorial thesis1 extolling the benefits of scientific medical journals, while decrying the shortcomings of controlled circulation publications, should be challenged as only partially true, prompting this letter on an issue that has concerned me for several years.
Dr Soffer writes, justifiably, as an editor; however, he does not voice the opinions of his readers nor those of many scientific writers. Careful perusal of several journals over the years shows the stamp of the editor on the articles published. Aside from those physicians who are totally involved in academia, most do not have the opportunity nor the time to take part in daily discussions on wide areas of medical subjects which one expects to read in medical journals. What is published in these journals is determined by the editor: it is learning directed by a few! Some journals publish more articles from selected institutions; often with less scientific