“…We have adapted to the increased volume of competitive research submissions and, by necessity, developed a more stringent acceptance rate of 7% to 11% (19, 20). Our readers demand structure to the academic clinical writing that they are presented, and the journal has responded with detailed outlines for authors (21, 22), as well as a new approach to engaging with citations to references in the Chatbot Generative Pre-Trained Transformer era (23). Finally, we have also had to prepare for the future with a robust system of high-quality, peer review that–ultimately–is there to elevate the quality of our research efforts and the quality of reading material.…”