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It usually comes as a surprise to students to learn that some (perhaps most) published articles belong in the bin, and should certainly not be used to inform practice.1 The first box shows some common reasons why papers are rejected by peer reviewed journals.#### Why were papers rejected for publication? RETURN TO TEXTMost papers now appearing in medical journals are presented more or less in standard IMRAD format: Introduction (why the authors decided to do this research), Methods (how they did it, and how they analysed their results), Results (what they found), and Discussion (what the results mean). If you are deciding whether a paper is worth reading, you should do so on the design of the methods section and not on the interest of the hypothesis, the nature or potential impact of the results, or the speculation in the discussion.The assessment of methodological quality (critical appraisal) has been covered in detail in many textbooks on evidence based medicine,2 3 4 5 6 and in Sackett and colleagues' Users' Guides to …

How to read a paper : getting your bearings (deciding what the paper is about)