Dr Richardson’s editorial on ICBC injury claims [BCMJ 2012;54:117] obviously hit a nerve with those profiting under the present system. To put the size of the problem into perspective, in 2011 ICBC paid out $661 million in claims to people where a neck injury was the primary complaint—that equals $150 for every man, woman, and child in the province. Legal costs for the defence of claims amounted to $114 million of these costs. With contingency fees often at 30%, much of the remaining $547 million also went to the legal profession and their “medical consultants.” Remember this $661 million is only for neck claims—so this is only the tip of the iceberg.
This is an outrage. Imagine what the province could do in health care with another $661 million a year.
Surely, as Dr Richardson stated in his editorial, there is a better way of arbitrating these claims. Early mobilization and early return to part-time or full-time employment is proven to be the most efficacious way to treat cervical sprains. I encourage you all to contact your MLA to put pressure on ICBC to devise a way to put this $661 million to better use—helping patients rather than squandering it on litigation.
—John Walton, MD
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