Re: Courts plugged with ICBC cases

Issue: BCMJ, vol. 54, No. 5, June 2012, Pages 227-228 Letters

It was with concern and not a little outrage that I read the editorial authored by Dr Richardson in the April 2012 issue of the Journal.

Apart from assuming that every defendant is an “obviously guilty scum­bag,” Dr Richardson blames accident victims with chronic pain for the delays in the criminal justice system. I will defer to my legal colleagues to explain the problems with the provincial court system that contribute to this, noting that civil litigants only go through the Supreme Court. 

In my clinical experience over the last 14 years of treating more than 1000 victims of trauma, claimants litigate because the insurer denies the injuries or takes advantage of the patient’s naivety by offering very low settlements. I continue to see these patients after settlement and have never yet seen a miraculous recovery. Dr Richardson’s views are as insulting to these patients as they should be repugnant to caring physicians.

Dr Richardson wears his prejudice on his sleeve and echoes those inherently skeptical of patients with chronic pain, apparently subscribing to the notion that if the doctor cannot find a cause, there is no cause to find. Many of these patients will develop a pain disorder—a psychiatric illness with a poor prognosis—as a result of the accident and became disabled as a re­sult. For these patients, this injury is far from trivial. Fractures and chest and abdominal injuries typically have a better outcome.

Raymond J. Ancill, MB,. Re: Courts plugged with ICBC cases. BCMJ, Vol. 54, No. 5, June, 2012, Page(s) 227-228 - Letters.



Above is the information needed to cite this article in your paper or presentation. The International Committee of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.

About the ICMJE and citation styles

The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.

An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.

BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:

  • Only the first three authors are listed, followed by "et al."
  • There is no period after the journal name.
  • Page numbers are not abbreviated.


For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org

BCMJ Guidelines for Authors

Leave a Reply