Educating The Medical Field

In other words, just as the Journal struggles with the relevance of the printed medium, so must the in-plant—the in-plant and its parent are in the same boat.

Like all in-house printing operations, the in-plants at publishing companies often have to develop strategies to offset the dip in job orders that occurs when customers realize they can cheaply distribute information over the Internet rather than on hard copy. At NEJM, Collins says the formidable obstacle the in-plant finds in the Web has lead him to develop some strategies.