Lessons of the week

Lessons of the week

We ask reviewers to consider these points when appraising such papers:

Does the paper answer the following questions:

  • How common is the condition (Should be neither so rare as not really to matter, nor so common that everyone should be well aware of the problem)?
  • How commonly is the condition missed?
  • How serious is it if missed?
  • Will this report contribute to preventing missed cases?
  • Is it a good read?


The ideal lesson of the week would relate to a common condition, which is relatively commonly missed, serious if missed and where the report will help prevent further missed cases. The following exclusion criteria may also be useful:

  • "Cock ups" and delayed diagnosis with no significant clinical consequences.
  • Cases where everything possible was done but it ended in disaster anyway.
  • Finger pointing ("someone else messed it up and we sorted it out").
  • Single cases of unusual presentations of very rare illnesses.


BMJ in the Media