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Editorial: Personalised Journal, Personalised Network and Clinical Decision Making (CDM)


Editorial: Personalised Journal, Personalised Network and Clinical Decision Making (CDM)


Volume 2 | Issue 4 | JOCR Oct-Dec 2012 | Page 2-3 | Shyam AK

 Editorial : Personalised Journal, Personalised Network and Clinical Decision Making (CDM)

 Author: Ashok Shyam

Editor – Journal of Orthopaedic Case Reports 

      Journal of Orthopaedic Case Reports (JOCR) has completed Its First Anniversary and this is the fifth issue of the Journal. In last one year we had a memorable journey and in coming one year we have planned incredible routes for JOCR. 

  The idea of JOCR was proposed for the first time in late 2010. The scenario of Research in Orthopaedics was undergoing rapid change. Evidence based Medicine was been highlighted and the principles been spread and widely accepted. EBM movement had its effect on Orthopaedic Journals too, which started publishing less number of Case reports. In this backdrop when JOCR was proposed, it was not an idea which had many supporters. We were trying to create a journal which will publish Case Reports when all other journals are refusing to take them. Where will such a journal stand in EBM landscape? Where are the funds, who will sponsor, what is the need for the journal? And the greatest threat ‘What if we Fail?’ The Indian Orthopaedic Research group was in its infancy and there were many interesting case discussions proceedings on the Facebook forum. There were excellent learning points in these discussions, knowledge that was beyond scope of statistical methods and EBM but very relevant for ‘Clinical Decision Making’. The experience and the validity of human deliberations was what was benefitting members in online case discussions. We strongly felt that the ‘Level V Evidence’ is one of the most valuable piece in ‘Clinical Decision Making (CDM) and surely needs a separate platform. This gave us courage to go ahead with the idea and first announcement for JOCR was made in March 2011. We approached Editorial Board members according to individual merits and wrote them about the idea. Many were gracious to accept the invitation immediately. Support from seniors like Dr Vishwanath Iyer, Dr DD Tanna, Dr Arun Mullaji, Dr Mangal Parihar, Dr Sandeep Patwardhan gave us a lot of boost. Getting articles was difficult in the beginning since we held to our policy of strict blind peer review which would take at least 3 to 5 months. Number of reviewers was less and an appeal was made to IORG members to join the reviewer’s panel. A lot of members joined the reviewer’s board and today we have more than 300 reviewers. It took us nine months to come out with the first issue of JOCR in Nov 2011. From then the journey has been a new learning experience with every issue in terms of publishing, printing, online journals, website and Indexing of a journal. The most important part was strengthening of our own beliefs in JOCR. The editorial of JOCR went from “Resurrection of Case Reports” “Getting your Research Noticed” “Case Reports and Evidence Based Medicine: Redefining the Apex of the Triangle!” and “Science and Human Deliberation in Medical Publications” and finally “JOCR: A Personalised Journal, Personalised Network and Clinical Decision Making (CDM)”. These titles themselves give a great view of our progress and insight into development of our Philosophy and role of Case Reports and Level V Evidence in ‘Clinical Decision Making’. 

    JOCR has been an unlikely success story as Prof Frank Horan agrees in the guest Editorial. At JOCR we are now receiving submissions from all across the globe. The review process is getting stringent and we know a lot of our authors do complain about the length of time it is taking for us to publish article. We will be working on the technical aspects of it; however the sanctity of the review process will not be compromised. We have in stock article to publish the journal for next two years with full issues and all features. The number of visitor to has steadily increased and we have more than 1500 visitors’ everyday on the site. Surgeons from more than 70 countries across the globe are visiting the website and downloading articles. Five thousand print copies are been distributed (absolutely free) to orthopaedic surgeons all across India and plans to increase the distribution are formulated. All this has been done with help of Indian Orthopaedic Research group and the Organization of Research group. 

     As we stand today, we have a new vision for tomorrow, we have new ideas to execute and a philosophy to establish. The foundation and vision of JOCR to be a showcase of ‘Human Deliberations’ has been already stated in last Editorial and in this Editorial we have added ‘Level V Evidence’ and ‘Clinical Decision Making’ to formulate an integrated philosophy for JOCR. The ultimate utility of all medical science is in ‘Clinical Decision Making’ at an individual patient’s bed-side. The EBM, CDM and Level V Evidence are all important to make an informed clinical decision. JOCR will strive to provide a platform for such unique CDM based scenario and help in providing a guideline for ‘Individual Patient Care’. The case Study format is the First such ‘CDM’ based format which is published in this issue and such ‘Case Study’ article will be promoted in future issues of JOCR. There are other formats where the direct CDM models and deliberations will be utilized and they will be subsequently announced in coming issues. The execution of these ideas will be done through the ‘Personalised’ network of Authors-Reviewers-Readers-Editors. JOCR will be the First Journal to promote a Personalised Community, a Network of its authors -reviewers-readers-editors. The aim of this Network will be to forge strong bonds amongst us and achieve highest quality for the journal content. We all should have a bit of ourselves reflected in JOCR and should have an opportunity to add to JOCR content. Putting the photographs of authors, reviewers and editors is the first step in starting and implementing this new wave in scientific publications. We believe that giving face to a name in a scientific publication adds a personal touch and will help in easy identification in real life too. In the same stride I take pride in announcing that JOCR will be the first clinical Orthopaedic Journal to have a dedicated Reviewers Board in parallel with the Editorial board. This Board will have our best reviewers and will help in upgrading the review process to highest quality and will reduce time taken for the review process. Again adding the Best Article and Best Reviewers award is another step in acknowledging the contributions of our authors and reviewers (I personally congratulate all the award winners). The idea is to make JOCR a personalised Journal, and also a journal which is not just academic but also can give valuable support in day to day clinical practice and help in decision making for individual patients. We vision this to be the future of Journal publications and a step beyond the current dogmatic formats to make Journals strong tool for Clinical Decision Making (CDM). 

    We hope that formation of such an ‘Academic Network’ based on ‘Human Deliberations’ and principles of ‘Clinical Decision Making’ (CDM) will greatly enhance our collective knowledge and will benefit our patients and enrich the subject of Orthopaedics. With this I leave you to enjoy the new issue of JOCR.

Dr Ashok Shyam (M.S. Orth)
Editor – JOCR
Indian Orthopaedic Research Group



How to Cite This Article:Shyam AK.JOCR: Personalised Journal, Personalised Network and ClinicalDecision Making (CDM). Journal of Orthopaedic Case Reports 2012 Oct-Dec;2(4):2-3.Available from:



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