{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T06:08:44Z","timestamp":1773209324719,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T00:00:00Z","timestamp":1747699200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T00:00:00Z","timestamp":1747699200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Education"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The peer review process supports authors by providing feedback on manuscripts from external, expert readers. However, not all reviews are supportive. Some reviews are just painful. But just how painful are they? In this study, we set out to validate a matrix describing the levels of pain authors experience in response to the sting of peer reviewer comments. The study was carried out in two phases. In Phase 1, we developed a matrix combining two scales\u2014i.e.\u00a0the Suffering Scale and the Grind Gauge. The first categorises review\u2010induced pain across four levels, with Level 1 being the least pain and Level 4 the greatest pain. The second categorises the amount of work required by the author to respond to and address reviewer comments, with Level 1 being the least amount and Level 4 the greatest amount. In Phase 2, we tested the performance of the matrix by recruiting multiple, global study sites to provide performance data. This work resulted in the development and validation of the Reviewer\u2010Imposed Pain (RIP) matrix. A statistician analysed our data and assures us that the RIP matrix is now a validated tool. Our study shows that the pain associated with academic peer review affects physiologic, affective, and cognitive dimensions. This tongue\u2010in\u2010cheek paper pokes fun at the peer review process; however, the response from survey participants suggests that the process is not necessarily funny. Peer review is essential for advancing science; however, for these advancements to occur, peer reviewer comments need to be constructive. The RIP matrix encourages both authors and reviewers to reflect on the impact of reviewer comments. This is essential because, as previous research has illustrated and as Voltaire succinctly stated, pain is real.<\/jats:p>","DOI":"10.1111\/medu.15695","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T06:47:32Z","timestamp":1747723652000},"page":"73-78","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Everybody hurts: The Reviewer\u2010Imposed Pain (RIP) matrix"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1412-4341","authenticated-orcid":false,"given":"Lara","family":"Varpio","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania The Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1686-5207","authenticated-orcid":false,"given":"Linda","family":"Snell","sequence":"additional","affiliation":[{"name":"Department of Medicine and Institute for Health Sciences Education McGill University  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6076-0146","authenticated-orcid":false,"given":"Jason R.","family":"Frank","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Centre for Innovation in Medical Education University of Ottawa  Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0344-8057","authenticated-orcid":false,"given":"Jonathan","family":"Sherbino","sequence":"additional","affiliation":[{"name":"Department of Medicine, McMaster Education Research, Innovation and Theory (MERIT) Centre McMaster University  Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2022.2149006"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1990.03440100023003"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-6924.2009.01106.x"},{"issue":"6154","key":"e_1_2_11_5_1","first-page":"60","article-title":"Who's afraid of peer review?","volume":"342","author":"Bohannon J","year":"2013","journal-title":"Science (1979)"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.8247"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/cts.13050"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2021.102599"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.5070\/D3243038606"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2023.06.001"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0260558"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/theo.12310"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41073-020-00096-x"},{"key":"e_1_2_11_14_1","unstructured":"EldridgeS.Milgram experiment [internet]. Britannica.2022[cited 2023 Dec 7]. Available from:https:\/\/www.britannica.com\/science\/Milgram-experiment"},{"key":"e_1_2_11_15_1","unstructured":"Shit my reviewers say [internet]. Tumblr. [cited 2023 Dec 7]. Available from:https:\/\/shitmyreviewerssay.tumblr.com\/"},{"key":"e_1_2_11_16_1","unstructured":"Home [internet]. Wong\u2010Baker FACES Foundation.2015[cited 2023 Dec 7]. Available from:https:\/\/wongbakerfaces.org\/"},{"key":"e_1_2_11_17_1","unstructured":"SchmidtM.A (little) pain is good for us [internet]. LinkedIn.2018[cited 2025 Mar 4]. Available from:https:\/\/www.linkedin.com\/pulse\/little-pain-good-us-mary-schmidt"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/arch.940010205"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/S40037-021-00670-Z"}],"container-title":["Medical Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/medu.15695","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/medu.15695","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/medu.15695","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T08:10:05Z","timestamp":1773130205000},"score":1,"resource":{"primary":{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/10.1111\/medu.15695"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,20]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/medu.15695"],"URL":"https:\/\/doi.org\/10.1111\/medu.15695","archive":["Portico"],"relation":{},"ISSN":["0308-0110","1365-2923"],"issn-type":[{"value":"0308-0110","type":"print"},{"value":"1365-2923","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,20]]},"assertion":[{"value":"2024-03-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}