Tips for getting your manuscript to publication

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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 today's episode of the Clinician Researcher podcast.

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I'm your host, Toyosi Onwuemene, and it is a pleasure to be talking with you today.

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Today I'm talking about tips for shepherding manuscripts through the publication process.

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I'm excited to announce to you that we are enrolling the next cohort in the Academic

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Negotiation Academy, which is where we help clinician researchers to negotiate their academic

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careers so that they can lead research programs and thrive while also making lasting impact.

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So I invite you, if you're interested, to sign up on our website, clinicianresearcherpodcast.com,

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and we'll put you on the waiting list and let you know when slots open up.

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All right.

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Today I'm talking about tips for shepherding manuscripts through the publication process.

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And I'm excited to talk to you about this because nobody prepares you for shepherding

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manuscripts through the publication process.

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You write a great manuscript and you think that should be it.

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You have great science.

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It should speak for itself and people should be excited to publish your work.

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And it's not always the case.

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And I will say my first shepherding manuscripts experience was while I was a resident.

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So we had done original research during my third year of medical school and I had written

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up the manuscript and submitted it.

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And it came back accepted with major revisions.

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At the time that it was accepted, I was just starting residency.

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So I was just starting my intern year.

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And I was very busy and I didn't have the bandwidth to do any of the major revisions.

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And so I was very fortunate in that I communicated that clearly.

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I said, I want this manuscript to go all the way to publication, but I don't have the bandwidth

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to do the major revisions.

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And so another author came on and really did a number of the major revisions and then resubmitted

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the paper so that the paper was ultimately accepted.

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But subsequently, subsequently, I had the good fortune of shepherding many manuscripts

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through the publication process, some of which are still being shepherded, some of which

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actually didn't make it to publication or at least not yet.

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It can be a long process and you want to pay attention to the time investment that's needed

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and recognize how long the process can take.

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Now in my group of faculty members who meet weekly for writing accountability, they're

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impressed by how quickly the turnaround is in my field.

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I'll say, oh yeah, in five months I got the notification and I was able to turn around

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the manuscript and it was finally published.

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And they're like, what?

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That is so fast.

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So different fields have different expectations as far as how long it takes for manuscripts

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to work their way through the publication process.

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So just be aware that it can take a long time.

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Hopefully things are getting better, things are getting faster, but it's not always the

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case.

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So even if individual journals are fast, if you are rejected a couple of times, that's

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a lot of months add up.

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So know that it takes a long time to submit manuscripts or to shepherd them through the

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publication process and don't just be waiting for the one paper that's going to change your

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life.

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This is the one publication that matters.

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It needs to be accepted.

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Really make sure that you're doing work that's ongoing such that you have manuscripts at

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different points in process in the publication pipeline.

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Okay.

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So my tips for submitting manuscripts for publication, I have seven today.

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The first thing you want to do, I am assuming that the manuscript's already written and

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now you're working to get the manuscript submitted.

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So the first thing you want to do is to develop a short list of journals that may be interested

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in your manuscript.

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Sometimes this is obvious because in your field maybe there are just two to three journals

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that are most important and you already know what those journals are.

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And maybe if you don't know, the senior author on the paper who's probably submitted a lot

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more should know, but you don't have to guess, you don't have to leave it to chance.

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What you can do is go to Scopus and you put in the keywords and you see what shows up.

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And one of the things that Scopus allows you to do is to analyze your results by journal.

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And they'll analyze the results based on the highest likelihood of that manuscript having

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been published before, something similar.

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And so it will rank the journals in terms of, this journal has published this more often

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and then there's the next journal and then there's the next journal after that.

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And that's helpful because then you know who's most likely to accept your work because they've

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accepted work like yours before.

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So the past tends to predict the future.

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And so if they've accepted a systematic review without meta-analysis before, it's likely

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that they'll accept your systematic review without meta-analysis.

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So that's one way of doing it.

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Another way is just putting it in PubMed and seeing what journals come up consistently

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with your keywords.

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And so you are creating through this a short list of journals that may be interested in

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your manuscript because what you don't want to do is submit to a journal that has no interest

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in your manuscript.

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And so looking in Scopus or looking in PubMed or even Googling it, it's a third option.

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The first is Scopus, second is PubMed, to see who has published before, who has published

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something like this before, what are similar articles, what journals are they in, and that

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gives you a sense of a group of journals that's helpful.

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And so it's also interesting because sometimes I find that I'm like, I hadn't considered

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that journal, but it's useful to do that.

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So number one is to develop a short list of journals that may be interested in your manuscript.

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Number two is you're going to rank the journals.

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And this is your own ranking, this is not the journal ranking, this is your ranking.

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And the reason you rank the journals is because what you're going to do is you're going to

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make this process automatic.

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You're going to think, okay, what is the highest tier journal we want to get into?

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And yes, this is where Impact Factor comes in.

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So Impact Factor should not drive your manuscript submissions, though they can't be ignored,

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because Impact Factor is really about to what extent do people read this journal consistently.

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Impact Factor is about this journal is a go-to journal that people are reading and citing

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articles from.

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And so it's a high Impact Factor journal, it's more likely that your manuscript will

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be seen and probably cited.

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And that's why Impact Factor is helpful to pay attention to.

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And people use it in the promotion and tenure process to say, well, your work has high impact

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because it's in a high impact journal.

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And I would just say that the rankings of the journal are not as important as your own

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rankings, but definitely consider Impact Factor.

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The second thing you want to consider as well is your own timeline.

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So yeah, the journal has a great Impact Factor, but what is your timeline for publication?

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Because sometimes what you're doing, for example, let's say you have preliminary data that you've

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submitted in a grant and you want to have the data published before the grant is reviewed,

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you have a little bit of a shorter timeline.

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And so you're not necessarily wanting to go from high tier journal to then, okay, over

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time a lower Impact Factor journal, and then maybe that's taking you seven or eight months

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and then your manuscript may not come out on time to serve the purpose.

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And so if you have a short timeline, then you're really just looking to get it published.

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You're not thinking as much as to, okay, what's the impact factor?

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So then you might go to a journal that's a lower Impact Factor, because then perhaps

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it's just, you know, it's the main journal of your field and you have a reasonable expectation

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that it will be published in a timely manner, and that's really your goal.

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So in ranking, you are looking at Impact Factor, you're looking at the audience that you want

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to pursue, but you also are thinking about your own personal timeline relative to the

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timeline of the journal.

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So some great journals, if for whatever reason takes them a long time to respond, you don't

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want to submit to them.

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And then on the flip side of that is sometimes the higher Impact Journals are very quick

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with desk rejections.

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To be honest, I really enjoy that.

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It's like, thank you for rejecting my manuscript within a week.

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That really helps me because now I can move on.

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And if they send it out for review, at least there's a sense of like, okay, now it's sent

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out for review.

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Okay, not a desk rejection.

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But sometimes the highest Impact Factor journals will do that.

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They'll give you a desk rejection, which for me, it's great.

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Because I'm like, okay, you're not interested, now I know.

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I don't have to wait four months to find out.

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Anyway, so you rank them based on all these criteria.

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At the end of the rankings, you should end up with a minimum of three journals.

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But at most, I would say five.

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So you want to end up with three to five journals that you're going to submit to.

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And you're going to commit to this list.

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And the commitment to this list is, okay, I'm going to go to number one, I'm going to

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submit.

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And then if it gets rejected, I'm going to number two, and then I'm going to submit.

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If it gets rejected, I go to number three.

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And then I'll submit.

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If it gets rejected, I go to number four, and go to number five.

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Now depending on when it comes back, you may change your mind about the order.

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You may say, you know what, let's get number two.

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Because number two is like number one.

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And if number one rejected it right away, let's not even waste time with it.

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So you may.

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But at least what you do is you take the decision making out of the process.

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You made the decision upfront.

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You know what these top five journals you're going to submit to are.

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And then you're prepared for what's going to happen in the future.

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You're not going to try to do this process all over again.

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So now you've developed your shortlist.

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You've ranked them.

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You have a list of three to five.

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And then you're going to submit the manuscript.

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And then submitting the manuscript, you're going to look at the journal specifications,

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tailor your manuscript to the journal specifications.

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You're not really changing your content.

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You're not making any drastic revisions.

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You may have to consolidate a table or two or take out a figure, depending.

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But at the end of the day, your manuscript is your manuscript.

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It's not changing much, but you are formatting it for the specific journal.

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And maybe sometime in the future, we won't have to do that.

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We can just have a generic submission template.

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And then eventually, if it's accepted, format it for the journal.

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But right now, many journals have different expectations.

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And so you're going to format for the journal expectation.

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And then you're going to submit the manuscript.

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OK.

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Once the manuscript is submitted, yay, it's out of your hands.

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Celebrate, celebrate.

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And then go to other work.

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So please, don't let this be the only manuscript in your life.

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And you're like, OK, well, let's wait and see what happens, because you'll be waiting

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a little bit.

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If it's not one of those high impact journals that just rejects something right away.

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Anyway, in general, let's say the manuscript goes out for review.

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You know that you're going to have a couple of months on your hands.

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And you hope that you have work to do.

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So don't just total your thumbs.

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Go to the next writing product.

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Because your goal in your scientific work is to keep communicating your science as best

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as you can.

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So don't wait for the one paper.

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Make sure that you're kind of consistently communicating your science.

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So have other writing projects that are moving forward.

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And that's number four.

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Now number five is what to do if you're rejected.

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If you are rejected, you immediately have a plan.

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Remember, you have this list of five.

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Number one's rejected the paper.

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This is not a personal rejection.

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This is not about you.

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This is about your paper.

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Maybe they rejected the paper.

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Maybe it doesn't fit their priorities.

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Maybe they feel like they published one too many this month.

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There are many reasons.

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And it's not a judgment on you.

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And it's not always a judgment on your work.

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Sometimes it's just what happens at the time that your manuscript is submitted.

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So you're going to just go to the next one.

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Because you already have a plan, right?

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You just move to the next tier.

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You're not asking, oh, where do we go now?

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And sometimes you are.

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Because you're like, we really expected it to be accepted here.

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And that's OK.

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You have a plan.

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And you're like, just one.

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OK.

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That's if it's rejected.

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If it's accepted outright, well, congratulations.

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You get to celebrate.

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And that rarely happens.

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It can happen.

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I've experienced it, but it's a very rare event.

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So what's more likely is that you're going to be accepted with revisions.

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And they'll be major revisions, but they'll be minor revisions.

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And you're going to work with your senior faculty member to do the revising.

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you're going to respond and for everything that the reviewer says you're going to say,

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well thank you that was so awesome and we have now changed the sentence to read XYZ.

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Or you can say, well that was so awesome, however when we look at this data we see that

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there is this difference that we didn't expect and that's why we want to highlight it and

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therefore we revised the sentence blah blah blah and you've changed nothing.

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You just kind of adjusted things a little bit.

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So at the end of the day you do want to answer every question the reviewers have and you

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want to show that you've made a change even if the change is not a significant change

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and that depends.

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So again it just takes time to figure out what's the best way to do it but you want

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to change as much as possible to improve and enhance the paper but sometimes reviewers

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may not have a great understanding of what's happening in the paper and so they're making

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recommendations that actually don't make sense for the paper that is assigned to you not

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to despise the reviewer and say you have no idea what I'm doing but to recognize that

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it may be that what you've written is not clear and so that's why it's always an opportunity

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to change because what you can do is make the statement more clear.

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If the reviewer is like you didn't say anything about the significance of this and you're

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like wait a minute it's in line three what are you talking about?

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People say oh wow the reviewer makes a great point that this is not clearly written in

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our paper for this reason we revise the sentences follows and we've added the following qualifying

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sentences so that the reader can tell xyz.

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So there's always opportunity to respond to the reviewer and not necessarily disagree

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so don't disagree with the reviewer just always say yes this is a really great comment and

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we think this is the opportunity to clarify xyz and so you're not necessarily making

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significant change but you are you are responding so you want to be responsive because I've

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also experienced a manuscript that was accepted and that was later rejected so it can happen

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your accepted manuscript can become a rejection so you do want to accommodate the reviewer

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to the best of your ability.

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Okay and then number seven is once finally you're through the whole revisions process

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your manuscript is accepted celebrate celebrate celebrate and move to the next manuscript

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because as a clinician researcher you're always communicating your science and it's great

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when you have one manuscript that's published it's a seminal manuscript but it's only one

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part of your work and your work is for life your work is for the duration of your career

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should you choose to be a clinician researcher long term and so you're not going to get stopped

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at one manuscript that's accepted you're going to go keep doing the work keep moving

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your work forward keep making sure that your amazing and great science is being communicated

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to many and you definitely want to do that.

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Alright so these are my tips for shepherding manuscripts through the publication process

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I know that there is another clinician researcher who needs to hear this or at least it needs

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to be a point of discussion and maybe you could leave a voicemail on our clinician

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researcher podcast website clinicianresearcherpodcast.com leave us a voicemail about your thoughts

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or your additional tips and we will publish it in a future episode if there are many we

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will select one or two so not a guarantee that if you leave a voicemail it will be on

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a future episode but you may be the first to leave a voicemail about this and that increases

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the chances that I will publish it in a future episode.

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Alright it's been a pleasure talking with you today please rate our show if you haven't

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already especially if you feel like somebody else should find it we're excited about it

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we're excited to bring you tips to help you negotiate your clinician researcher career

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so that you can be more effective in your role and make the difference that you came

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to medicine to make.

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Alright it's been a pleasure talking with you today I look forward to the next time.

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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 have

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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 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.