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Academic appointments in medicine are partly determined by the applicants' citation scores. In other words, scientific excellence is equated with how many times the person's publications have been cited by others. Obviously this system is open to systematic abuse through cronyism (you scratchg my back by citing my work and I'll scratch yours) and the choice of popular topics. But the assumption that popularity = excellence is what makes citation scores truly absurd. They are undoubtedly one reason for the evident decline in the quality of scientific research and publications in medicine.

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Unless you have a dedicated IP address it is likely you will be asked to go through the CAPCHA process at some time. Because IP addresses are typically shared between lots of users if any one of them has been naughty and the address has been flagged for some reason then all the other users using the same address will also be suspect and the verification process kicks in. One bad apple can make life difficult for the many good people out there.

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The 'are you human' test may be to keep AI chatbots from scraping the site. If you want to use my work in training data, you have to pay me, and the like. I've had to go through this to read papers that weren't referred to me by anything but my desire to stick a few search terms together and see what pops out.

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Many journals report number of downloads or online accesses as a metric alongside citations. Even report mentions via social media channels.

So yes to some degree this is a mark of status and one the can be games more easily than citations.

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I read that the capcha was a data harvesting exercise? I typically don't use Google anymore and so rarely come across it now.....it's usually only when I'm shopping in an app downloaded from Playstore.

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