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A Different Peer Review

Irvine H. Page, MD
JAMA. 1973;225(10):1240-1241. doi:10.1001/jama.1973.03220380052015.
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Peer review means different things to different people. To most American physicians it means PSRO, to the British House of Lords it means Peers examining other Peers for moral turpitude, and to the scientific community, it means Study Sections and Councils that determine a grantee's financial and possibly research future. I shall prudently leave discussion of the first two to my peers. But as an ancient peer reviewer (ad 1949) I feel impelled, by my desire to have all physicians understand the threat to biomedical research, to challenge Secretary Weinberger's quoted statement (UPI) that, "There is too much emphasis on investigator-initiated research and not enough on directed research." Further, the Bureau of Management and Budget let it be known by way of a position paper released by Senator Kennedy, that the peer review groups of the National Institutes of Health (NIH) are self-serving, too numerous and costly, allow government administrators


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