Editor, – Your editorial 'Are medical journals selling out' (Aust Prescr 1993; 16:50-1) raised a real issue, even if it only applies to half a dozen medical journals in the country. At the Australian and New Zealand Journal of Medicine, all advertising is cleared through the Editor and the Clinical Pharmacology Sub-Editor and I estimate that about one advertisement in 5 requires some amendment.
The difficulties relate to the logistics of advertising. The advertising agent books the space in the journal many months ahead, but the copy is first presented as the final bromide for printing about two weeks before the issue goes to press. It is then difficult but not impossible to have advertising material changed. As far as I can tell, the journal's policy has not deterred advertising, although I imagine it would be hard to find out if it did.
Critical analysis of published data, either in editorial or advertising space, is not taught in many medical schools.
Perhaps Australian Prescriber could commission a critical analyst to write a feature or even have an 'ad. a month' section which, even within the libel laws, might provide an adequate base for demonstrating the relevant skills.
Graham Macdonald
Editor
Australian and New Zealand Journal of Medicine
Sydney, N.S.W.