Points 1-8 above are well thought out and bring many important issues concerning publications/research to the table. FYI the articles I post or post links to are from peer-reviewed journals. To have a publication in Spine, for example, is no easy feat. Most of the papers submitted for review hit the trash before anyone takes a serious look at the publication. I worked with a physician that publishes a lot of papers--his fulltime job is to write papers and grant proposals. This takes so much time and effort that he only sees patients once a week.
He explained to me how most of his papers don't reach publication, but the ones that do are worth all the effort. (Trust me this guy is brilliant too--he has won multiple awards for investigator of the year, etc.)
I'll chime back in later before I get too off topic...I gotta run.
Justin
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