How to Do a Peer Review: Part Two

by Sarina Schrager, MD, MS, Family Medicine Editor-in-Chief, and Jose Rodriguez, MD, FAAFP

The Title 
The title of a manuscript is the first area that we expect reviewers to evaluate.  Many people use catchy titles to capture readers’ attention in their papers.  However, because many readers only look at the title when deciding whether to read a paper, we suggest that the title should describe the paper’s content and, if applicable, the study’s results.  For example, if a paper uses medical student focus groups to evaluate a lecture, that is what the title should say. If the curriculum is about social media, the title could be something like “Follow me,” which doesn’t really describe what the paper discusses but is somewhat catchy.  So, you could suggest, “Follow me: an evaluation of an undergraduate course about social media.” Or, “Follow me: medical student focus groups rate social media course.” You can also comment if the title is too long.  Many people like to use colons in their titles, but if the title is too long, it is easy to lose track of what it says. The title is often the only part of the paper that is read. If it doesn’t catch the reader’s attention, they won’t look up the abstract. When possible, highlight the main finding in the title.  Instead of “An evaluation of a novel teaching method,” you could say, “Novel teaching method associated with higher resident satisfaction” or something like that.

Abstract  
If the title is catchy or describes a topic that the reader is interested in, they will go on to the abstract.  For many people, the abstract is the only thing they read. So, an abstract must be clear, well-written, and accurately describe what the paper is going to say. Abstracts, by their nature, are short, usually 150-250 words, and are structured with four sections:  background/objectives, methods, results, and discussion.  A strong abstract makes a brief case for the gap this study aims to fill, then describes how the authors addressed the research question.  We want reviewers to comment on whether the abstract is well written, clear, and accurately describes the study. We also want reviewers to let us know if the main findings are captured in the abstract.

Introduction
Often, when you are chosen as a reviewer, you are a content expert and know the literature on a given topic.  In that case, you will know if an author leaves out essential papers.   It is common for authors to write introductions that are too long because they don’t want to leave anything out.  It is your job as a reviewer to evaluate whether important background articles are included, but the author doesn’t make any detours (i.e., start talking about a peripheral topic).  Writing experts coach authors to start broad in the introduction and narrow the focus, so that the last sentence presents the paper’s research aims and explains how it fills a gap in the literature.  As a rule, the introduction should be about the same length as the other sections of the paper. An excellent guide to writing introductions is this paper by HG Welch: https://cancer.dartmouth.edu/sites/default/files/2019-05/papertrail.pdf. When new authors struggle with writing the introduction, we will often refer them to this paper. Essentially, it outlines how to write a three-paragraph introduction using the questions:

1. What is the global problem?
2. What is the specific issue?
3. How does this paper help?

Methods 
The methods section of a research paper should clearly describe the “how” of the study.  What did the researchers do?  We want enough detail so that someone at a different institution could replicate the study if needed.  If you did pre- and post-evaluations of an educational intervention, what questions did you use, when did you administer the surveys, etc.?  Reviewers want to see a statistical assessment and a justification for the researchers’ choice of statistical methodology.   Reviewers do not want to see any results in the methods section.  Does the methodology of this study make sense to answer the stated research question? Is the methodology based on any theoretical models?  The methods section must describe how the authors got the information that will be shared later in the results section of the paper. Everything in the methods section should map out well to the results section. If the authors do not say how they got the data in this section, they should not report it in the next section. This is also true for the abstract.

A note about statistics: most reviewers will not be expert statisticians (the editors may choose a reviewer who is if the paper needs it).   Most quantitative studies will include basic statistics.  If the authors use some statistical test that you have never heard of, they will need to explain why in the methods section.  All methods sections should have a detailed description of how the data was analyzed (whether quantitative or qualitative).

Results
While the methods section describes what you did, the results section describes what you found.  One common mistake that reviewers often see is the lack of specifics around surveys.  How many people received the survey?  How many people responded?  What is the response rate?  Do you know anything about the people who didn’t respond  (i.e. demographics)?  Findings from the research should be described either in text (in the results section) or in a table.  Some people use the text in the results section to give a high-level overview of the results and highlight key findings, then put the actual data into a table.  Tables traditionally do not count toward a word limit, so they are a great way to add more content without using many words. Reviewers should comment on whether the methods described can produce the results reported. Look for areas where the results are not reflected in the methods and vice versa. The Welch article listed above can be very helpful in crafting methods and results sections as well.

Make sure to read Part 3 of this blog series where we will discuss what to look for in the discussion section, in tables and figures, and in references.

MacGyver and Medicine: Get to Know Incoming STFM President Molly Clark, PhD

“It’s simply the way my mind works. I’ve always been drawn to thinking through, analyzing, and problem‑solving around things that are hard to understand.”

Molly Clark, PhD

Incoming STFM President Molly Clark, PhD, is a natural-born problem-solver. “I grew up wanting to write mysteries, become an attorney, or work as a spy. Maybe it was all the countless hours spent with my grandparents watching MacGyver, Matlock, or Murder, She Wrote, but something about that world drew me in. By the time I was 13 years old, I knew psychology was the profession for me, and I never wavered from that path.”

When asked what drew her to family medicine, Dr Clark explained, “I always enjoyed partnering with physicians—both as a student working in a health clinic and later as a resident. It was during my own residency I saw firsthand that strategic partnering led to making greater impacts in the field.”

The desire for collaboration in the name of greater impact is what ultimately brought Dr Clark to STFM. “STFM has the magic. The members and the STFM staff are among the most talented, dedicated, and generous people I have ever met. I always leave conferences with more colleagues, more ideas, and more passion.”

In fact, when it comes to the STFM member resources Dr Clark finds herself frequenting most often, she says the greatest benefit of STFM membership lies in accessing the collective wisdom of members themselves. “I think my most utilized STFM resources are my fellow members! Whether I’m reaching out for mentorship through Quick Consult or connecting on the STFM CONNECT platform, being able to tap into the expertise of so many who are doing remarkable work is so valuable.”

“There is a deep, neverending need for compassion and healing in this world,” Dr Clark went on to explain. “Every day I wake up is another opportunity to pay that forward.”

Pay forward she does, in her work as a professor and fellowship director at the University of Mississippi Medical Center Program in Jackson, MS. “I hope medical students and residents know they have a tremendous gift, but with this gift comes remarkable responsibility. So much time as a young person is spent second guessing decisions or waiting to feel ‘ready,’ and assuming everyone else has the answers. The truth is, you know more than you think, and you’re more capable than you give yourself credit for. Take time for discernment, and recognize that when you move forward with confidence, doors begin to open. Everything else—skills, clarity, courage—they tend to grow only after you begin. Challenge yourself to never forget the person in your care is someone’s someone and they are relying on you to hold their care in your hands.”

When asked about her plans for the STFM presidency, Dr Clark’s excitement to continue communal partnering for greater impact is palpable. “This is an incredible time of opportunity for family medicine and the next generation of family medicine educators. I look forward to collaborating with our members to ensure the mission and vision that shaped family medicine remain central as we continue to grow and evolve.”

“There are two pieces of wisdom that have stuck with me through the years,” Dr Clark explained when asked about the energy she brings to the presidency. “The first is the rearview mirror is smaller than the windshield for a reason—let the past inform you, but don’t let it obscure where you’re going. The second is a quote often attributed to Native Americans: ‘When you were born, you cried and the world rejoiced. Live your life so that when you die, the world cries, and you rejoice.’ I hope to live a life of service that fulfills that sentiment.”

That desire to lead a life of service paired with her intrinsic, mystery-loving, problem-solving attitude extends beyond her work with the University of Mississippi Medical Center and with STFM. “I love being outdoors, in the country, and on a farm,” Dr Clark said. “I enjoy growing food for my family and learning a variety of skills I consider ‘lost arts.’ Whether it’s sewing, building furniture, or taking on a new DIY project, I’m always learning something new.”

Dr Clark will be sworn in as STFM President during the 2026 STFM Annual Spring Conference in New Orleans, LA. She has previously served as STFM member-at-large and on the Behavioralist and Family Educator Fellowship Steering Committee.

How to Do a Peer Review: Part One

by Sarina Schrager, MD, MS, Family Medicine Editor-in-Chief and by Jose Rodriguez, MD, FAAFP

As journal editors, we fundamentally believe in peer reviewing. Peer review helps make published papers higher quality. Objective experts and peers often see areas in a manuscript and research study that the authors and editors did not elucidate. Journals in general (and Family Medicine specifically) have a hard time finding peer reviewers. Doing a peer review takes time, is unpaid, and often feels like one more thing for already overwhelmed faculty. On behalf of the editorial team of Family Medicine, we are writing a series of blog posts about why we think you should sign up to be a peer reviewer (Family Medicine), how your expertise can contribute to the mission of the journal, and step-by-step instructions on how to construct a valuable peer review.

Why Was I Asked to Do This Review?
We often hear from early-career faculty that they don’t feel qualified to conduct peer reviews because they aren’t “experts.” Our Associate Editors aim to include a diversity of viewpoints in each manuscript. So, they may ask an expert to comment on the methodology or the statistics. But we also want input from our readers. Yes, you may not be a content area expert, but if you are a reader of the journal, your opinion is valuable. If you didn’t understand some of the paper, then other readers may also not understand. You should feel empowered to include comments to the editor about which aspects of the paper you feel qualified to comment on. I will often state, “I am not a statistician, but the numbers do not make sense to me.” If it doesn’t make sense to you, it may not make sense to others, so we want to know!

Getting Started
If you do not know where to start, go to the reviewer page on the journal’s website. There is a lot of material about how to do a peer review. Alternatively, you can ask a senior colleague or mentor for help. If you feel comfortable doing the review, then the first step is to read the paper. Most people recommend reading the paper through to the end the first time and not getting bogged down with comments or questions.

The first questions to ask yourself after you read the paper the first time are: 

1. Did this make sense?

2. Does it add to the field?

3. Does it matter?

4. Is it written well?

Often, we don’t notice if a paper is written well, but we do see if it is written in an unclear manner or if there are typos or grammatical errors. Those errors, while easily corrected, usually signal that the manuscript needs more work.

The Second Time Through  
After you have done a full read of the paper and answered some general questions to yourself, it is time to reread it. This time, when you read it, we want you to focus on all the details. We want reviewers to pay attention to the details of every section of the paper. The following two blogs will go section by section with descriptions of what to look for and how to provide feedback.

How to Organize Your Review
This is a matter of personal preference. Some reviewers organize their reviews by section. So, they start the review with comments on the title and continue with comments on the abstract, the introduction, the methods, the results, the discussion, the tables, the conclusion, and the references. Other reviewers prefer a more “free form” review, using bullet points or a numbered list to capture all the comments for each section. But, bottom line, we want reviewers to carefully assess all these sections of the paper. As editors, we must see in your review that you read the paper. A one-sentence review that is general, like “this was a great paper” or “this paper is not acceptable,” without comments on each section or other specific evaluative statements, is not helpful in the evaluation of a paper.

Tone and Goal of the Review
The overall goal of any peer review is to make the paper better. As such, we ask that you frame your feedback in a constructive manner and avoid disparaging comments. SS once had a reviewer say, “if the authors had only read the literature, they wouldn’t have made this mistake.” A better way of phrasing that same sentiment would be, “I suggest that the authors review these papers to get a different perspective on the subject.” These two phrases say essentially the same thing, but one is much more respectful. Remember, academic family medicine is a small community. Treat the authors as if they knew it was you writing the review, and keep your comments constructive and respectful.

The next two blogs will review how to evaluate specific sections of the paper in your review.