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nejm-fit
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Use this first, before any writing, to stress-test whether a clinical study clears NEJM's bar — practice-changing clinical impact, methodological rigor, and generalizability. Decides NEJM vs Lancet/JAMA vs a specialty journal.
When to use
- Deciding if NEJM is the right venue before drafting
- Evaluating clinical importance, rigor, and generalizability
- Choosing between NEJM, Lancet, JAMA, BMJ, and specialty journals
- Assessing if a study clears NEJM's bar for practice-changing impact
- Identifying fatal desk-reject triggers
- Placing work on the significance ladder
When not to use
- Writing or drafting the manuscript
- Detailed study design review (referenced as next step)
- Rationalizing narrow results as practice-changing
- Confusing statistical significance with clinical importance
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