Second Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou, People’s Republic of China cation, the more you get paid if you publish in them. Only those journals which are abstracted or indexed by SCI or EI database are regarded as top journals. Such monetary reward is not only used for the evaluation of the academic level of a university or an institute, but also used for job promotion. This practice, therefore, has caused the outflow of many high-quality papers to SCI journals or EI journals. Because most SCI source journals are in English and from foreign countries, such as the USA and the UK, only a few journals from China are sourced. As far as the the monetary reward system goes, Professor Yang, a member of the Chinese Academy of Engineering, has noted that the system is one-sided, and not good for improving the quality of Chinese science and technology journals. 2 This monetary reward system is open and documented. It is often based on the impact factor (IF) of the journal. The following are some examples of the monetary reward system in China. In Guangzhou Medical University the payment scale is: IF£ 1, 3,000 RMB; 1£ IF< 2, 15,000 RMB; 2£ IF< 3, 25,000 RMB; 3£ IF< 4, 35,000 RMB; 4£ IF< 5, 45,000 RMB; 5£ IF< 8, 70,000 RMB; 8£ IF< 10, 90,000 RMB; 10£ IF< 15, 130,000 RMB; IF ³ 15, 300,000 RMB. 4 The reward system of Zhejiang Chinese Medical