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Last Friday the American Medical
Association sacked George Lundberg, the editor of JAMA for 17 years,
for "inappropriately and inexcusably interjecting JAMA into a major
political debate that has nothing to do with science or medicine."
The charge relates to the fast tracking of an article reporting an eight year old study of college students’ beliefs about oral sex, given sudden relevance by President Clinton’s impeachment proceedings. The survey, apparently due for publication in the 20 January issue, found that 59% of student did not believe that oral sex constituted "having sex."
In a forthright statement announcing his decision, the AMA’s executive vice president, E Ratcliffe Anderson, apologised "to JAMA’s readers, its contributors, and to any others who feel that JAMA has been misused in the midst of the most important Congressional debate of this century." Anderson also said that this was not an isolated incident and that he had been losing confidence and trust in Lundberg’s abilities for some time.
Titanic hits Lundberg
Anderson has only recently been parachuted into the AMA’s top job, in the wake of the Sunbeam sponsorship fiasco that had decimated the association’s senior management. If Anderson was wanting to establish who was boss by taking a prominent scalp then he couldn’t have chosen a more prominent one than Lundberg’s. Lundberg had become one of the best known doctors in the American media. Indeed, his appetite for publicity formed the basis of an unflattering profile in the New York Times Magazine last June.
Under his editorship, JAMA has thrived - steadily closing the gap between it and its main North American rival, the New England Journal of Medicine. In recent years, Lundberg has spent much of his time soliciting articles from both inside and outside America, poaching important papers on health policy, public health, and outcomes research from under NEJM’s nose.
Condemnation of the AMA’s action came fast: Iain Chalmers of the UK Cochrane Centre and a member of JAMA’s editorial board described Anderson’s actions as outrageous."Indeed, I feel sure that I am not alone in hoping he will pay a severe price for his ill-judged interference in the editorial freedom of Dr Lundberg, a man who deserves the lion’s share of the credit for JAMA being the respected journal that is is today."
Marcia Angell, executive editor of the New England Journal of Medicine, told the New York Times that Lundberg’s decision to publish the paper "is not a reason to fire an editor who’s been there 17 years and by almost anyone’s estimation has put a small society that no one took seriously on the map."
Tony Delamothe, web editor
Read
Could this happen here?
Medical journal editorials
BMJ (23 January 1999)
Lancet (23 January 1999)
JAMA (3 February 1999)
CMAJ (23 February 1999)
The media's response to the sacking
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us what you think about Lundberg's firing
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