{"id":5038,"date":"2010-10-13T11:05:26","date_gmt":"2010-10-13T10:05:26","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=5038"},"modified":"2010-10-13T11:05:26","modified_gmt":"2010-10-13T10:05:26","slug":"paivi-hietanen-on-being-a-stranger-at-the-bmj","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2010\/10\/13\/paivi-hietanen-on-being-a-stranger-at-the-bmj\/","title":{"rendered":"Paivi Hietanen on being a stranger at the BMJ"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"float: left\" src=\"http:\/\/www.bmj.com\/site\/blog\/icons\/paivi.jpg\" alt=\"Paivi Hietanen\" width=\"160\" height=\"110\" \/><strong>Observations by the editor of the <em>Finnish Medical Journal<\/em> (<em>FMJ<\/em>)<\/strong><\/p>\n<p>When leaving Helsinki I had ambiguous feelings. Two books from my childhood came to mind, <em>The Bear Who Always Said \u201cNo\u201d<\/em> and <em>Turre, The Ship Dog<\/em>. The bear was thrown out of his home and his subsequent lonely journey through foreign villages inhabited by unfriendly strangers reflected my separation anxiety. Turre, in contrast, was adventurous and autonomous. He sailed alone happily to far-away destinations and always emerged from considerable dangers with happy outcomes. During my stay at the <em>BMJ<\/em>, the bear-feeling has turned into the dog-feeling.\u00a0 It is reassuring to see that the ethical principles of medical journalism are the same for a small national journal as for a high-impact international one. Trustworthiness, independence, and transparency are values on which a successful journal, big or small, has to build its future.<!--more--><br \/>\nThe largest difference between the two journals is in monetary and intellectual resources. The high quality of submissions, the enviable amount of original research, and the global pool of excellent reviewers make the <em>BMJ<\/em> a prestigious global journal.\u00a0 The <em>FMJ<\/em> has to focus more on continuing medical education, on nationally important research and health news, and use of the Finnish language in medicine (that\u2019s what the patients speak!).\u00a0 It is easier for doctors to improve their general medical knowledge in the mother tongue, though many look for new research in English.\u00a0<\/p>\n<p>The process of scientific publication is impressively transparent at BMJ.\u00a0 The ~30% of submitted articles which survive to be discussed at the weekly manuscript meeting are reviewed in detail by global experts \u2013 sometimes after several corrections. \u201cDoes this help\u00a0doctor&#8217;s decision making?\u201d is the key question in article selection, and I will now put more emphasis on that at <em>FMJ<\/em>. The decisions are tough, but occasionally one person can rescue an article that is on the verge of rejection. All reviewers can make mistakes and have biases, so that decisions are in the end subjective; it is impressive and unusual that <em>BMJ<\/em> encourages appeals.<\/p>\n<p><em>BMJ<\/em> has taken a leading role in informing doctors about the health consequences of climate change. A striking difference in comparison to my home office is that at the\u00a0<em>BMJ<\/em> several people work from home many days a week, and some even work from distant countries. Once, I sat alone in the conference room \u2013 all the other participants were connected via the phone. I was delighted to see that these approaches to communication are becoming useful and effective. However, it remains difficult to substitute for human presence, as non-verbal messages are important in human communication. We need each others\u2019 smiles, looks, grimaces, and everyday discussions stimulated by random thoughts. The development of technical devices has some distance to travel: a blurred voice without a picture is a substantial challenge even to native speakers.<\/p>\n<p>The mixture of the modern and the traditional is a fascinating characteristic of both <em>BMJ<\/em>\u2019s office and British society.\u00a0 The <em>BMJ<\/em> has shown no fear in risk-taking when experimenting with new communicative approaches such as the social forum <a href=\"http:\/\/www.doc2doc.bmj.com\/\">doc2doc<\/a> and <em><a href=\"https:\/\/blogs.bmj.com\/bmjopen\/\">BMJ Open<\/a><\/em>. The combination of traditional science alongside hectic everyday news reporting makes the office a vivid place for an outsider to observe, even if the journalists might believe there are too many doctors while the doctors believe there are too many journalists in the mix; I have observed this\u00a0in Nordic journal offices as well.\u00a0\u00a0\u00a0<\/p>\n<p>I have many fresh ideas from <em>BMJ<\/em> to take home. I have learned something possibly even more important.\u00a0 I am a very privileged foreigner and had the good fortune to live by the wonderful Regent\u2019s Park during my stay; the apartment belongs to a generous friend, who invented the Teletubbies, and each morning as I looked over the colourful trees of Regents Park I was grateful for the success of Tinky Winky. However, I recognise the feelings of uncertainty with less fortunate foreigners, some of who would stop and ask me directions on my morning walk. I identified with their limited communication skills, and I so envy and admire the eloquent and positive way English people express themselves. The\u00a0feeling of stupidity when asking a third time before understanding what the salesman is telling me in a shop is a source of shame which I share with others. Overcoming one\u2019s anxiety and sailing on foreign waters is a learning experience in many ways.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Observations by the editor of the Finnish Medical Journal (FMJ) When leaving Helsinki I had ambiguous feelings. Two books from my childhood came to mind, The Bear Who Always Said [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/10\/13\/paivi-hietanen-on-being-a-stranger-at-the-bmj\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-5038","post","type-post","status-publish","format-standard","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Paivi Hietanen on being a stranger at the BMJ - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/10\/13\/paivi-hietanen-on-being-a-stranger-at-the-bmj\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Paivi Hietanen on being a stranger at the BMJ - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Observations by the editor of the Finnish Medical Journal (FMJ) When leaving Helsinki I had ambiguous feelings. 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