Lots to do at the American Journal of Bioethics

As readers of this blog know, I have informed about and commented quite a bit on various controversies and debates surrounding the American Journal of Bioethics – when it comes to standard ways of ranking academic journals, the by far most influential of those in the field of bioethics and medical ethics, as well as celebrated for its pioneer editorial design with main "target articles" and rapid responses, plus a parallel publication online at the Bioethics.net, a research, news and comment portal for bioethics. Notwithstanding these qualities, the recent events I have been reporting about have undoubtedly scarred AJOB as an institution and left the current management with a challenging task of restoring lost trust. A short reminder:

1. A high profile resignation from the editorial board by Hilde Lindemann due to doubts about the soundness of the journal's editorial and managerial policies (here, here, here).

2. An impossible conflict of interest situation within the editorial management of AJOB created when former editor in chief Glenn McGee resigned to take up a post as full-time consultant for the private stem cell banking company, CellTex, while his wife (a distinguished bioethicist ijn her own right, but under default legislation, of course, sharing the financial ties of her husband), Summer Johnson McGee took over the AJOB rudder (together with David Magnus). It didn't help the case that Glenn McGee's resignation process and move to CellTex was far from ideally managed (creating lots of completely unnecessary questions) or that the Cell Tex operation itself is highly questioned among bioethics researchers. My reports and comments are here, here, here, here, here, here. The affair resolved itself when Glenn McGee announced his resignation from the CellTex job (thereby severing the vested conflict of interest ties affecting Summer Johnson McGee), but had at that point already effected two heavy resignations from the editorial board by John Lantos (who provided a strongly worded explanation) and Udo Schüklenk, himself editor in chief of the journal Bioethics (the latter however, still listed as a board member at the AJOB website).

This last affair had a bit of a semi-relevant aftermath, when CellTex, the stem cell company to which Glenn McGgee had been signed on to provide ethics consultancy threatened University of Minnesota bioethicist Leigh Turner (as well as his university) with lawsuits, when he wrote a letter to the FDA, urging them to investigate CellTex. Almost simultaneously, Glenn McGee did a very similar thing to Carl Elliott, a bioethics professor at the same university as Turner, for his published criticism of McGee's involvement with CellTex, leading to a retraction by the publisher Slate. See here, and here. None of those events, of course, did any good for the stained reputation of AJOB and one would have wished the journal some peace and quiet to be able to set the ship back on a straight course. However, it does not seem to end there.

Earlier this year, it was revealed that a leading researcher of the Center for Practical Bioethics, Myra Christopher was to be included in a US Senate probe into suspected heavy duty corruption due to the sponsoring from pharmacological companies in the area of pain medication and care. Now, until not very long time ago, both the McGee's were attached to CPB and Christopher herself is a member of the AJOB editorial board. So far pretty circumstantial and not really a link. However, a very recent revelation is that AJOB, when publishing an article with Christopher as co-author, neglected to publish a meaty description of her conflicts of interests due to the pharma sponsorship of CPB, plus missed (possibly due to omissions by Christopher to follow the proscribed COI disclosure procedure) other similar COI's of her co-authors. More details are at William Heisel's Reporting on Health blog; here and here. In any case the link between the troubles at AJOB and the serious allegations against CPB and Christopher is through this development clearly more than circumstantial. AJOB has allowed the possibly corrupt situation at CPB to enter into its midst, and it did so when its editor in chief and one other editor was academically based at CPB, so that the journal was effectively run from there, and even more so its parallel online extension Bioethics.net.

Now, queried by Reporting on Health, David Magnus, one of the new editors in chief of AJOB described how steps are now taken to beef up the COI disclosure procedures of the journal. Together with the resolving of the conflict of interest situation, this bodes well for the journal's future, albeit the uphill that has to be climbed by Magnus and Johnson McGee and their co-workers on the editorial and managerial side of AJOB has not exactly become less steep. Being a fan of AJOB, it makes me happy to detect Magnus' resolve to clear up any remaining irregularities or integrity problems at AJOB, and thus take important steps to restore its reputation.

One of the things that continues to create suspicion and confusion is the relation and connection between AJOB and Bioethics.net. This, I assume what was explained Hilde Lindemann's doubts with regard to the ownership of AJOB, and the latest post at Reporting on Health displays confusion around where information about AJOB is to be had – at the T&F website of the journal or at Bioethics.net. It has, through the first of the controversies mentioned above, been made very clear that AJOB is owned and published by Taylor & Francis, which in turn are not involved in the ownership or operation of Bioethics.net. But, of course, there is a business deal of some sort between T&F and Bioethics.net, lest the latter would not be able to offer its members automatic access to all AJOB material or so vigorously promote AJOB (no doubt contributing to its popularity and impact). When I checked before, when controversy no. 2 above was going on, none of these things were made very clear at the Bioethics.net website. However, the information given has now clearly improved and the ownership of Bioethics.net as well as its business link to AJOB is now described in the Bioethics.net "about" section, thus:

Bioethics.net is owned and operated by Bioethics Internet Group. Bioethics Internet Group (BIG) is wholly owned by Summer Johnson McGee, Ph.D. Funding for bioethics.net is provided by paid banner advertisements appearing on the website and a stipend from Taylor and Francis, Inc.

To me, this explains a lot why it "had" to be Summer Johnson McGee who took over the rudder when Glenn McGee resigned to take up the CellTex job. Although separate financial and organisational entities, only one of which with financial ties to the McGee's, Bioethics.net and AJOB are very much dependent on each other. Or AJOB is at least dependent on Bioethics.net to the extent that the latter does contribute to the success of the journal. Or perhaps the double involvement in Bioethics.net and AJOB helps to fund the no doubt unusually complicated editorial operation of the journal's ambitious design? In any case, it would seem very probable that Bioethics.net stands and falls as a business with the link to AJOB. So far, perhaps not much of a problem for AJOB from an integrity perspective. But it may need to be discussed to what extent it may be a problem that the editor in chief of AJOB has a direct financial interest in what is being published by AJOB (since that will affect the traffic of Bioethics.net and, through that, advertisement revenue of BIG, owned by Johnson McGee).

In any case, another matter for Magnus, Johnson McGee and the editorial board – as well as responsible officers at Taylor & Francis, of course – to ponder as they all continue their efforts to restore AJOB to its former glory.

David Magnus Defends the New Managerial Solution for AJOB as Udo Schuklenk Resigns from the Editorial Board

At last, there is word directly from the bench of the accused in the recent controversy regarding the new managerial solution for the American Journal of Bioethics after the Glenn McGee resigned as editor in chief to join a rather dodgy private stem cell company [since Slate retracted the article linked to here, apparently following threats of lawsuits from McGee, this link is now broken. Thanks to Nature, the background on the murky business of CellTex is still around, however] as full-time adviser/lobbyist/expert. My former posts on this matter are here: 1, 2, 3, 4 and 5. Today, I learned that another heavy resignation from the board of editors following these events has occurred: Udo Schuklenk has announced that he steps down from this position, preferring to keep his exact reasons confidential with reference to being being part of the editorial management of a competing journal, Bioethics.

David Magnus, one of the two newly appointed editors in chief – the other being Summer Johnson McGee, whose appointment I have criticised – addresses the rather rich variety of critical reactions to the new AJOB order, as well as its background, in a post at AJOB's adjunct blog. Given the amount of criticism that I have been mounting, I think it is only fair to cross post what David writes in its entirety (my comments can be found below, after the post):

David Magnus Corrects the Record Regarding AJOB

Over the past couple of weeks, a great deal of drama has played out regarding changes at the American Journal of Bioethics. While we appreciate all of the support we have received from our Editorial Board and much of the leadership in the field, a number of misleading or false claims have been made about which I feel obligated to respond.

1. It has been claimed that the Editorial offices of AJOB were relocated to Celltex. This is false. It is a matter of public record that the offices of the journal have been and continue to be based at 3030 Post Oak Blvd. #805 in Houston, Texas. These are not the offices of Celltex and Celltex housed no AJOB editorial office or AJOB activity on their premises.
2. It has been claimed that Glenn McGee took the job at Celltex and planned to continue to serve as both EIC of AJOB while working at Celltex until bloggers and twitter revelations forced a hasty change in plans.  In fact, when Glenn first decided that he was likely to move to the private sector, he decided it would be best to resign from AJOB. Transition plans began then—and this can be attested to by a number of leaders within the field of bioethics, since a number of them were aware of the transition plans.
3. Most of the attacks fail to acknowledge that Glenn had already been working to transition out of his role at AJOB as soon as he accepted his new position. During the transition he had no role in the oversight or acceptance of manuscripts for the journal. Failure to acknowledge that he was in the process of transitioning out of AJOB and that conflict of interest provisions had been put in place is a misleading rendition of events.
4. Charges of nepotism have been raised against the appointment of Summer Johnson McGee as the co-EIC of AJOB. This charge is false. It was my idea (not Glenn’s) for Summer to be proposed as co-EIC. It was up to Taylor and Francis (not Glenn and not me) to make the final decision to sign her to a long-term contract as co-EIC.  This is one of the more offensive charges, since it fails to acknowledge the reality that Summer is a scholar in her own right and that she is in fact the backbone of the journal. Anyone familiar with the workings of the journal knows that Summer has taken on more and more responsibility for the journal over the past several years—unfortunately while getting little recognition for her contributions.
5. There has also been a charge that Summer is too conflicted to serve as co-EIC or that her COI cannot be managed or mitigated. This issue has already been addressed, but to reiterate: conflicts of interest are ubiquitous among journal editors. What is unusual in this case is that one of the sources of spousal COI is actually known. In contrast, most of us know very little about what, if any, COI issues exist regarding spouses or other family members of most bioethics journals (for the record, my wife is a public librarian). As we have already stated, Summer will have to recuse herself from any possible COI, including those that may arise out of the fact that her husband works for a stem cell company.  I do not believe that this will be hard and knowing the range of manuscripts that we typically review, it will be a minority of submissions. I will personally review all manuscript submissions (as will Summer) and no editor will be involved in manuscripts for which they have a COI. Since we have two co-EIC’s and two new Associate Editors, we believe that it should be relatively easy to divide any labor. To improve our management of COI issues and to update our now 10 year old COI policy, we are shortly going to be looking for volunteers among the three Editorial Boards to create a standing COI committee and charge them with helping to create guidelines and processes for better managing COI’s. We have actually been successfully managing conflicts of interest among ourselves for a long time (for example, an article was recently accepted that was written by one of my faculty) and there is no reason to believe that recusing Summer from reviewing the manuscripts where a COI exists can not be accomplished.

Going forward, Summer and I have a lot of exciting plans for AJOB. We plan on creating several committees (not just a COI committee) to explore ways of improving and expanding the journal and bioethics publishing generally. We also look forward to instating a business meeting for our Editorial Board at ASBH each year, a working meeting where we will update our board members on the state of AJOB, solicit their opinions, and hear reports from the committees we have created. These are but two ideas among many that we plan to institute. We have two new Associate Editors who have agreed to join us (we will send an announcement about this shortly). And we are excited about the opportunity to lead AJOB—the most cited journal in the field.

 David Magnus, PhD

Now, of these sorts of criticism, I have wielded only one, the fifth and last one, although I did point out in my initial post that the handling of the publication of the transition, its procedural steps and its background has been far from as open, professional and clear-cut as one would have expected from the leading journal of a flourishing field of research. Apart from not appreciating the impact on trust of the many serious mistakes that has been made in this process (by the former and/or the new management, by Taylor & Francis, and so on), David, I think, addresses several of the points of criticism fairly well. However, I do think that his take on the fifth still leaves much to ask for. What he says in so many words is this:

1. Yes, through Summer Johnson McGee's marriage to Glenn McGee, AJOB does have a clear-cut conflict of (vested) interest built into its editorial management, but that may very well be the case with other journals too!  

This hardly needs comment, does it? Imagine a prosecutor arguing thus: I have clear evidence to prosecute person P for the crime C, but since there are possible other individuals that might have been possible to prosecute for other crimes, had I only had the evidence, prosecuting P for C is out of the question. Case closed.

2. AJOB will be beefing up its organisation for handling the actualisation of the COI of Summer Johnson McGee (and other COI's that may appear) in particular cases, so that it does not wholly depend on the subjective judgement of the person attached to the COI, or other people of the editorial management, alone, but another three people recruited from the editorial boards of all AJOB journals.

This seems like a necessary minimal step given 1, but is it sufficient? Well, in the end this comes down to trust, doesn't it? My position here is rather like the one voiced by John Lantos: In the face of a journal that prefers to house and attempt to "manage" a serious COI in the midst of its highest management when it is quite possible to avoid it in the first place, I do not feel a tingling buzz of increased confidence and trust, rather the other way around. I, as I suspect most of my colleagues do, ask myself the obvious question: why does David Magnus make this far from necessary choice that seriously threatens the credibility of the journal? Why, for instance, does he not start with a clean editorial slate and manage the practicalities of the transition by engaging both McGee and Johnson McGee in temporary advisory capacities to this effect – naturally, rewarded to the extent that their high qualifications and competence require? The point here is not that there may be answers to these questions and that the string of follow-up questions and subsequent answers may go on for a long time. The point is that, from the point of view of the best interest of the journal, there are obvious strategies to avoid having these questions being actualised in the first place. Not choosing these from  the start undermines trust, and trust is what David Magnus above asks of all of us who care for the integrity of AJOB and the field of bioethics research. It doesn't add up, simple as that.

Press release from Taylor & Francis on the New AJOB Management

Relating to my two posts yesterday on the controversy surrounding this (here and here): Today, via Twitter and Facebook, a press release from the publisher of the American Journal of Bioethics, scientific publishing giant Taylor & Francis, on the journal's new managerial arrangements has been distributed. Anyone can get it from here.

In short, T & F simply announces the new arrangement: Summer Johnson McGee and David Magnus as the new editor in chief team and states that Glenn McGee is "retiring", while advising the transfer to the new arrangements over a 2 months period (which is perfectly in order). Unsurprisingly, there is no comment whatsoever of the criticism that the new arrangement has attracted. There is, however, an attempt at an explanation of why Summer Johnson McGee is to be EiC in spite of her sharing the conflict of interest that explains Glenn McGee's resignation (due to their marriage): David Magnus demanded this arrangement for accepting himself stepping in as EiC. This explanation was commented on by John Lantos in yesterday's post. In short: if this is indeed the reason for the new arrangements it is, in extension, a worrying sign of poor judgement and undue focus on practicalities over integrity of both Magnus and Taylor & Francis.

Now, I can see the reason for wanting Summer Johnson McGee to go on with AJOB: she has been working with the journal (and it's sibling website and blog) in an executive capacity for a long time and probably know all the ropes better than most others. However, such practical reasons weigh lightly when balanced against the credibility, integrity and reputation of AJOB and it's spin-off journals. Not to belittle the competence and experience of either Glenn McGee or Summer Johnson McGee or David Magnus (should his condition for accepting to be EiC be as firm as it sounds), but these are things that can be passed on to other people where no embarrassing conflict of interest ties staining the reputation of AJOB will exist.

So I land once again in the conlusion I announced yesterday: AJOB is a fantastic achievement. But in light of the carreer choice made by Glenn McGee, to remain fantatstic it needs to completely severe all ties (except, of course, the recognition as founder and former management) - direct as well as indirect - to him – which, as things stand, includes also Summer Johnson McGee. As indicated by John Lantos, it is both surprising and rather disturbing that this is not obvious to David Magnus and the representatives of Taylor & Francis.