Improve peer review: retire at 40

The editor the British Medical Journal, Fiona Godlee, made a startling remark at a HealthWatch event I attended last month. She recalled a study on the effectiveness of peer view in which reviewers were sent papers with known flaws - the detection rate was distressingly low. When these reviewers received training the detection rate became worse. The reviewers who fared best, however, were those under 40.