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To the Editor:
Drs. Noseworthy and Gross1 have provided a valuable update for readers on the purpose and methods of citation indexes. As a member of the editorial board of a journal in our field for more than 25 years, I have the temerity to suggest that these metrics have the capacity to undermine what is, or should be, the principal goal of each journal: to improve the competence of practitioners and thereby promote the health of the population.
Editors have powerful incentives to raise the impact factor, not the least …
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