Transcript
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Welcome to the Clinician Researcher podcast, where academic clinicians learn the skills
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to build their own research program, whether or not they have a mentor.
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As clinicians, we spend a decade or more as trainees learning to take care of patients.
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When we finally start our careers, we want to build research programs, but then we find
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that our years of clinical training did not adequately prepare us to lead our research
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program.
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Through no fault of our own, we struggle to find mentors, and when we can't, we quit.
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However, clinicians hold the keys to the greatest research breakthroughs.
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For this reason, the Clinician Researcher podcast exists to give academic clinicians
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the tools to build their own research program, whether or not they have a mentor.
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Now introducing your host, Toyosi Onwuemene.
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Welcome to the Clinician Researcher podcast.
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I'm your host, Toyosi Onwuemene, and it is an absolute pleasure to be talking with you
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today.
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I am recording this episode in the middle of a break from writing, and this is the writing
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that prompts this episode is that I am responding to reviewer criticisms for an article that
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I wrote, and I have to say that there's a range of reviewer criticisms that kind of
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gets to you in a different way.
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This is one of those set of reviewer criticisms that just is very, very touching.
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It just touches me in different ways.
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Or I want to throw away the paper and say, you know what, how about I just don't resubmit.
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But here I am, I am working through the revisions, and as I'm working through revisions, I can
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see the benefit of the reviewer criticisms.
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I can now see them.
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My eyes were glazed over with anger, but now the anger has resolved and I now see the light.
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And so here I am to share it with you.
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So this particular article that I'm working on is one that I was invited to write.
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Okay, it felt really good to be invited to write the article.
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And even though I didn't actually want to write the article because I was like, oh,
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this is not work I'm doing right now.
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It's distracting me from the work I really want to move forward, but it makes sense because
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this is work I've done before and it is a sign of honor and it's something good that
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people are asking me to write something.
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So even though I didn't really care to write this article, I wrote it.
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I wrote it.
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And I have to say it was hard to write.
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It was hard to write because I was pulling from something I hadn't thought about for
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years.
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And it was hard because they were asking me to write about a topic that would be considered
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controversial.
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So I knew that it was going to be criticized, but I didn't know how much it was going to
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be criticized.
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So when the criticisms came, I have to tell you, they felt overwhelming.
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One reviewer had 56 points.
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56 points.
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And I'm not talking about 56 minor points.
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Actually, to be honest, I feel like a lot of them are minor.
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A lot of them are phrasing, but 56, holy cow.
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Didn't you have left some for the copy editor?
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Okay, I'm coming back home.
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I'm coming back home.
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I need to be nice and objective.
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But anyway, the point I'm making is that there were a lot of criticisms.
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And to be honest, just even working through each point, so that was one reviewer, right?
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56 criticisms from one reviewer.
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The other reviewer, a little bit more reasonable in my perspective, about 15 to 17.
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I can handle that.
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And then a third reviewer actually wouldn't review the manuscript because the topic was
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too controversial and they felt that perhaps the way it was addressed was not appropriate.
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That's interesting, right?
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Anyway, I want to talk about that too.
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And I will shortly.
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But this is the context in which I am bringing you this reason to rejoice, to celebrate when
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you get reviewers criticize your manuscript or really want you to rejoice and celebrate.
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Okay.
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So the first thing I want to share is that criticism is the sign that something notable
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has happened.
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That something significant happened.
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That is why criticism comes.
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Now if I said, no, thank you.
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I will not write this manuscript.
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Guess what?
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No criticism.
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Yes.
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Life feels great when there's no criticism.
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But criticism is the sign that I took up the challenge and I said, hey, this is a controversial
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topic and I'm going to write about it.
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Right?
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So something notable happened.
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And it's not just notable because criticism came, but criticism is the evidence.
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Right?
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Well, sitting there on this paper didn't exist.
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No one's written about this before in this way.
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And then someone says, hey, people are interested in this.
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Will you write about it?
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So I created something out of nothing and nothing became something.
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And then people started criticizing what was what I created.
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But until I created, nothing could be criticized.
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And so criticism, first of all, is the sign that I did something noteworthy.
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I stood up and I opened my mouth or I stood up and wrote on a document that was now passed
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on to reviewers.
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And so I want you to stop.
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If you were in the middle of revisions or you've been criticized before by reviewers,
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especially the kind of reviewers that make you so mad, I want you to celebrate and say,
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hey, I've been criticized because I stood up and I made something happen.
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Good for me.
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Absolutely worth celebrating.
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Because the opposite is that there is no criticism because you're making nothing, saying nothing,
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doing nothing.
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And I want to celebrate you for every time you are courageous enough to submit a manuscript
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because you are courageous enough to invite the criticism that improves the manuscript.
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So that is number one.
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Criticism is a sign that something notable has happened.
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Number two is that criticism is the evidence that people actually care about what you're
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saying.
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Now, the pathway for all manuscripts is not exactly criticism from the reviewers, right?
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The pathway may be outright rejection.
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Like, oh, we read it.
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We don't even have anything to say, reject.
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It's the sign that nobody cares.
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And so when people say, we're not going to just throw this manuscript in the trash, we're
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actually going to read it.
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I'm going to tell you about it.
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That is the sign that you are writing about something that other people care about.
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Now, don't get me wrong.
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There are different reasons why manuscripts are rejected by journals.
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Sometimes it's political.
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Someone just submitted something and they have a bigger name than you.
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Oh, it's just priorities.
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Like right now we are very focused on this hot new area related, say, to COVID, right?
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A few years ago, if you weren't submitting anything related to COVID, you were likely
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to get triaged.
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And so it's not always about the importance of what you're writing.
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Therefore, please don't take a desk rejection as a reason to stop moving your work forward.
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Take it as a sign that you need to go find the people who care, right?
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But if you are submitting a manuscript that has been returned to you with criticisms,
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this journal, this group is saying, we care about this work.
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We want to see this work done.
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And so you can celebrate because criticism is the evidence that people actually care
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about what you're writing about.
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They don't care.
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They won't say anything.
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They'll send it away for somebody else to criticize.
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But if they care, then they criticize.
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And so you can test how important the topic is based on the level of criticism sometimes
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that comes back from it.
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Because the alternative is that they just reject it.
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OK.
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Criticism also helps you discover what people care about.
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OK, you're writing about this topic.
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And the reviewer comes back and says, well, I can't believe you didn't mention XYZ.
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Well, you know, XYZ was not in your list of priorities when you wrote the paper.
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But here you go.
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This reviewer is now telling you that this is a priority for them.
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And if you hear it from a second or a third reviewer, then you really know that you should
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take the time to address it.
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But what people criticize is not so much what you wrote, but what you wrote in the way that
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it resonates with them.
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So sometimes people don't care about certain parts of your paper.
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They won't even mention it at all.
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But there are parts that they really care about and they will mention.
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And that helps you understand what people want to hear about more or what people really
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want like improved upon.
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Right.
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So it tells you what people care about because people don't criticize what they don't
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care about.
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And so in a whole manuscript, there are very certain sections, there are certain sections
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that people criticize.
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And that is a sign to you that these are the sections they care about.
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And so it helps you focus as you prepare your response to the reviewers comments.
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OK.
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Criticism also helps you.
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This is number four.
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Criticism also helps you recognize what people are going to complain about or likely to complain
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about.
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Now, you'll create a piece of work, you're putting it out there.
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And of course, every piece of work that's worth its salt is going to have people who
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are like, oh, my gosh, I love this.
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It's so awesome.
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And other people who are going to say, this is absolute crap, who allowed this thing to
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see the light of day?
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Right.
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There will always be people in different camps.
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And yes, it's not just the two extremes.
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Clearly, it's all along the spectrum.
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There will always be people who think differently about your work, people who love it, people
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who hate it, and all the people in between.
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Now, criticism helps you get a taste of those who hate your work.
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Right.
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And like, this is what those who hate your work are going to say.
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So get ready.
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And it's very helpful because it doesn't keep them from hating your work when they finally
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read the final product.
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But what it does is it allows you to say, hey, all you haters of this work, here's what
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you're going to say.
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And here's what I say to it.
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Hey, you just kind of cut short the complaints that are going to come to you after the manuscript
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is published, the 300 letters to the editor that say, I cannot believe this author did
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not cover XYZ.
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You're going to cut that short because when the reviewers tell you what they hate about
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your manuscript, you can say, oh, great.
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Here's what you hate about my manuscript.
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And you can decide, well, OK, OK, I'll change this.
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Or you can decide, no, no, no, no, no, no, not changing that.
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But I'm going to explain why I'm not changing that.
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For example, we had a manuscript recently that we wrote a systematic review and we submitted
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it as a systematic review.
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And the reviewer comes back and says, this is not a systematic review.
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This is a scoping review.
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Now I need to tell you that a scoping review is different from a systematic review.
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You don't start a systematic review and end up with a scoping review or vice versa.
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They're two different things.
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And clearly, there is a gap in the knowledge of this particular reviewer as far as the
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difference between scoping review methodology and systematic review methodology.
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Now the wonderful people that I was writing the paper with, with me as senior author,
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said, well, the reviewer says it's a scoping review.
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Let's change all the terminology in the paper to a scoping review.
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And I have to stop and ask them, hey, did you do a scoping review?
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And if the answer is no, you cannot now just because you're knee jerk responding to the
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reviewer change everything to scoping review because it's actually not true.
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So you're not going to agree with everything the reviewer is saying and you shouldn't agree
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with everything the reviewer say.
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But when they say something, you're going to comment.
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And so for example, in that paper, we said while a scoping review may have been the better
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methodologic strategy.
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So do you hear that?
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We use the term that other people might be thinking this paper is a scoping review, right?
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We said it may be the better methodology, but we were limited or we did the systematic
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review.
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So it is so helpful because you take the complaints and you put it in your paper and then you
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can maybe decrease the number of complaints that come after the manuscript is published.
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So criticism is helpful because it helps you discover what people are likely to complain
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about and to address it from the beginning.
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Okay.
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Number five, criticism gives you the words that create the masterpiece that is the final
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paper.
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I'm really excited about this one.
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Okay, I'm going to say it again.
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Criticism gives you the words that help you create the final version that is a masterpiece.
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Yeah, I said it differently, but you know what I'm saying.
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But here's what I mean about that.
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Reviewers will say, well, for example, in this paper, they said, well, there is no,
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you can't make a recommendation.
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What you can say is that the clinical practice would suggest that this is a strategy that
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can be used.
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I love it.
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Maybe you just gave me the words or she, right?
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This reviewer just gave me the words that I'm going to just take and put in my paper.
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How beautifully said.
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Okay.
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This strategy helps me recognize that there are clinical, there's clinical practice that
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supports the strategy, right?
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I kind of mixed it up, but you get what I'm saying.
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The reviewer said something and I literally just lift the words and put it on my paper.
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And you know what?
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It's really exciting.
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I think when the reviewer sees that you have used their words in the paper, because it's
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also flattering.
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It's like, oh, okay.
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You used my words.
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Thank you so much.
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Now, are you obligated to use the reviewers' words?
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No, but it is helpful because they're bringing up important things.
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I recognize what they're saying.
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They're like, well, you're in a controversial area.
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There is not data to back you up in any recommendations.
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Great.
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Here, though, you can say there is clinical, there's evidence of clinical practice.
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I love it.
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So where I'm thinking, I should be making a recommendation.
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They're saying, don't make a recommendation.
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Say there's evidence of clinical practice.
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And they've given me the words and I just lift it and put it in my paper.
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Now, you know, I'm finessing the words because it's still my paper and it's still got to
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speak in my language.
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So I'm not going to necessarily take their words verbatim throughout the paper and then
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make it look like a paper somebody else wrote.
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But I'm going to use their words and I'm going to incorporate it into the manuscript.
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And I can do that and create a masterpiece because they gave me the words to say.
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They made it easy for me in revising the Spanish script.
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So number five is that criticism gives you the words that help you create the final masterpiece.
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OK, number six.
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And I alluded to this upfront.
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Criticism is the sign that your work has value.
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Now, if you're thinking to yourself, I don't even know if my work is worthy.
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I have no idea if this really matters.
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Yes.
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Now, you know, you have the evidence.
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Somebody criticized your work.
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They said, this is this is awful.
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This is what you should say instead.
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And it's not awful.
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You know, people are just people.
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They're going to say those words are going to say this is the worst paper ever written.
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And to be honest, the worst paper ever written is the worst paper is the paper that was never
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written.
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Your paper has been written.
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It's no longer the worst.
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It's it's important because it's it's actually spoken for for a while.
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You were silent and then you finally spoke and therefore your work has value.
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I mean, if something didn't have value, people wouldn't even give it the time or the light
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of day.
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They wouldn't even take time to read it because it's like they'll pick it up.
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They'll look at it and say, this is total nonsense.
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I am not even going to read it.
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And to the reviewer who wouldn't review my manuscript because they thought the topic
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was so controversial, my work didn't have value to the other reviewers who actually
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took time to give me feedback.
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And thank you so much to reviewer number one with 56 comments.
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That means, wow, this is so valuable that this person took time.
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I have to tell you that if you are going to review a manuscript, 2500 words, this is not
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a book.
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If you're going to review a 2500 word manuscript and give 56 points of feedback, holy cow,
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that is a lot of homework for any one person.
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And if you took that much time to do the work that allows my paper to be improved.
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Okay, clearly there is something to this paper because the alternative is to say, yeah, nonsense,
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make three comments and be done.
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But to make 56 comments, okay, I now know that this work has value.
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And that is the sign to me that this is going to be a highly cited paper because if people
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have written about it, it wouldn't really be a topic that was of interest.
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And definitely there probably wouldn't be 56 comments because it's been written about,
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you know, you're not saying anything new.
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But I know that this paper is going to be really important and it really elevates the
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value of my work.
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Now, I think my work, all of my work is valuable.
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I only do work that's valuable.
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And sometimes I do work that's valuable and other people say not valuable, doesn't make
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it any less valuable.
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However, it is helpful when other people take time and invest time to critique my work because
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I recognize that, okay, okay, this has value to other people too, not just me.
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Good to know.
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And I wouldn't know except that the reviewers invested all this time in telling me that,
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hey, your work has value.
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And that's why I'm taking all this time to critique it.
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Okay, all right.
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Number seven is that criticism is the sign that you've got to keep showing up.
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Sometimes when we get critiques for our manuscripts, our grants, whatever it is that we submit
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our talks, we wither, we shrink away and we're like, I'm not going to do this again.
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The criticism is too strong.
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But here's the thing.
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The fact that you got criticized is the evidence that you need to show up again and again and
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again and again, because you're not here really to impress the reviewers.
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You're here for your work to be amplified.
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And if people are saying that they're going to give you words to amplify your work, but
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that they think your work is worthy to be amplified because it's criticized so much,
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then you should show up and say your work or present your work again.
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You don't shrink back and say, I'm never going to do this again, because honestly, the critiques
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that you get from reviewers is not about you personally.
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They don't even know you.
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They don't know anything about you.
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They've never seen you before.
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They don't even know your name.
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Okay, so by the time you've written 300 papers, by now the reviewers know who you are.
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But for many of us, especially as we're starting out, people don't even know who they are.
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We are.
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They don't know what we like to eat for breakfast.
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They don't know how many hours we slept last night.
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They don't know what's going on in our families.
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They don't know us.
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So if they are criticizing, it's not personal.
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And I invite you not to take it personally, because nobody who doesn't know you can give
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a critique that's personal.
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It's not personal if they don't know you personally.
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End of story.
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But it's a sign that the work is valuable and it's valuable because you put it out there
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and then they gave critiques that show you it's valuable.
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And so, hey, you've got to show up again.
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And yeah, you're going to show up again and get another set of criticisms, and then you
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got to show up again.
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You keep showing up, not so that you keep getting less criticisms, but because your
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work matters.
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You as the creator of the work are an important person to our community.
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And if you don't speak, we can't hear you.
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If you don't write, we can't read what you write.
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This paper didn't exist.
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And I took up the challenge and I wrote it.
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And then people criticized me.
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It's a sign that I got to take up more challenges and I had to write more.
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Not the sign for me to shrink back.
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So I want to invite you today.
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Maybe there was a manuscript that's sitting under your desk that you said, I'm not going
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to resubmit this because the criticisms were too harsh.
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I want you to look at that manuscript again.
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I want you to recognize the criticism and the value of the critiques for what they are.
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Evidence that your work matters, that people care enough to give you feedback, whether
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good or bad.
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They care enough to vilify this manuscript because it needs to have value and it has
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potential.
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So I invite you to dust off your old manuscript that is waiting for the revise and resubmit.
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I want to invite you to revise and resubmit it.
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And for those of you who have said writing is not for me because the criticism is too
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much, I want to invite you to put the criticism aside from your personhood.
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And I want you to take up the manuscript and write again.
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We need you writing because a silent voice has no power.
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The more we hear your voice, whether audibly like you're hearing mine or in writing, the
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more power you are demonstrating.
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So please take up your power.
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Don't let the reviewers get to you and submit your manuscript.
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All right, I'm going to summarize those seven reasons why or how you use review or criticisms
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to your advantage.
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Number one, take it as a sign that you've done something amazing.
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Number two, take it as evidence that people care about what you're saying.
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Number three, discover through this criticism what people actually care about.
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Number four, discover through the criticisms what people are likely to complain about and
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do something about it in advance.
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Number five, you receive the words to create a masterpiece.
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Number six, it's the sign that your work has value.
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And number seven, it's the sign that you've got to keep showing up.
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You got to keep showing up.
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All right, it's been a pleasure talking with you today.
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Thank you so much for letting me share with you what I am learning.
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I'm going to go back to revising that manuscript now, which is taking a long time.
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Have a great day, and I look forward to seeing you again next time on the Clinician Researcher
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Podcast.
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Thanks for listening to this episode of the Clinician Researcher Podcast, where academic
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clinicians learn the skills to build their own research program, whether or not they
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have a mentor.
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If you found the information in this episode to be helpful, don't keep it all to yourself.
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Someone else needs to hear it.
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So take a minute right now and share it.
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As you share this episode, you become part of our mission to help launch a new generation
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of clinician researchers who make transformative discoveries that change the way we do healthcare.