The Chettinad Health City Medical Journal follows a peer review process to assess the quality of the research and validate the findings of the research, identify any potential flaws or errors in methods or reporting, and provide constructive feedback to authors to improve the manuscript. It’s a critical step in ensuring the quality and integrity of scientific research. It helps to ensure that published research is accurate, reliable, and of high quality, and helps to maintain the credibility and reputation of the scientific community.

Manuscript that undergoes peer review are Original Articles, Short Communications, Review Articles, and Perspectives. Peer review of other articles is at the discretion of the editors.

The whole peer-review process is through the online editorial management system of the journal.

All submitted manuscripts will be first processed through editorial review. Those manuscripts which are out of the scope of the journal do not fulfill the journal article format or violate editorial policies are declined outright without external review. Manuscripts found interesting for our readers are sent for formal peer review.

Initially, the title and abstract are sent to the potential reviewers and for those who agree, a full-text blinded manuscript is sent for review. Reviewers are asked to give comments and suggest rectifications if required. Generally, a manuscript is reviewed by two to three reviewers. The decision regarding the article is taken by the editors based on the reviewers’ recommendations, the strength of the arguments presented by the reviewer, the response of the author, and or other information available in other literature.

In case the editor thinks that corrections are required in the manuscript before acceptance, the manuscript is sent back to the author with the comments of the reviewer and editor. The author is asked to submit a revised manuscript within a certain time limit.

The revised manuscript is again assessed by the editorial staff and sent to the reviewer again to review the manuscript considering the previous comments. In certain instances, editors will not send a revised paper back to the reviewers if it appears the authors have not made a significant effort to address the issues raised.

The editors then select one of the following options, based on the feedback of the reviewers:

• Accept with or without editorial changes.
• Send the manuscript back to the authors for revision to resolve the reviewer/reviewers' concerns before a final decision is made.
• Decline with specific reasons indicating to the authors that additional work may be required to justify a resubmission.
• Decline outright, typically based on lack of specialized interest, lack of novelty, insufficient conceptual progress, or significant technical and/or interpretive issues.

Many factors are taken into consideration while selecting a reviewer which may include specialization in the subject, scholarly publication record, previous review experience, our own experience with the reviewer, recommendations from others including the author, and academic & research background. Reviewers who are quick to respond, who give comments with reasoning, and who are from the same region where the study was conducted may get preference.

Authors are encouraged to suggest neutral judges who would be suitable for the role. Most of the time, the journal gives them preference, but the editor's decision regarding reviewers is final. When making proposals for peer reviewers, authors are highly encouraged to consider geographic location, research experience, publication experience, etc.

The Chettinad Health City Medical Journal employs a double-blind peer review process. The authors' and reviewers' identities are kept strictly confidential. To keep their manuscript anonymous, authors must follow the submission checklist.