Imagine this. You just completed a very full week of sometimes stressful activities navigated by anesthesiologists. Day after day, you provided high-acuity operating room anesthesia or intensive care unit patient care. Simultaneously you taught these patient care activities to trainees, your future colleagues. Having more than care and education to tap your efforts, you plowed forward with research activities, crafted manuscripts for submission, and negotiated administrative land mines. To cap off such an industrious week, you believe you must read one of the numerous available professional journals to stay current.

Now you have to solve the dilemma of which journal to select. Your problem stems from the reality that medical publishing has grown exponentially. More than 30,000 “…active scholarly peer-reviewed English-language journals in mid2018…[are] collectively publishing greater than 3 million articles a year…[with] 11,811…fully open access journals listed on the Directory of Open Access Journals.” These numbers, which have...

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