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1960 ushered in a major change for both the Annals of
Internal Medicine and the American College of Physicians. In
1958, Dr. Maurice Pincoffs, the editor of Annals since
1933, announced to the Board of Regents (BOR) that he wished to
retire by August of 1960. All through those years Dr. Pincoffs kept
his editorial office in Baltimore, while the journal's business
management was maintained at the College in Philadelphia. The BOR
decided that the editorial office should be brought into the
headquarters, and as a result, only suitable candidates from the
Philadelphia region were interviewed. Dr. Joseph Russell Elkinton,
Professor of Medicine at the University of Pennsylvania, became the
new Editor of Annals in October 1960.
Dr. Elkinton was the scion of a prominent Quaker family who had
been in the Philadelphia region since 1673. At the same time, ACP
Executive Secretary Edward Loveland retired and was replaced by Dr.
Edward C. Rosenow, Jr., under the new title of Executive Director
of the College. Dr. Rosenow was responsible for the financial
management of Annals. Though they consolidated the
publishing activities of Annals in the Philadelphia
headquarters, the Board of Regents continued the policy of keeping
editorial functions separate from the financial administration of
The Committee on Publications was formed to oversee the
operation of Annals and other College publications. An
Editorial Board consisting of specialists in various fields of
internal medicine was created. This board, whose members were
nominated by the Editor of Annals, would act as advisors
on editorial matters. During his time as Editor, Dr. Pincoffs had
reviewed most of the submitted manuscripts himself, occasionally
seeking consultation from associates at the University of Maryland.
Prior to accepting the editorship of Annals, Dr. Elkinton
had insisted on the right to send all submitted papers to be
reviewed by expert consultants throughout the country. A "Letters
and Comments" section was added to the journal, enabling
contributors a greater opportunity to respond and engage their
colleagues. In 1970, the College contracted with R. R. Donnelley
and Sons of Chicago to take over printing responsibilities. The
shift to a standardized trim size format enabled both increased
advertising and more text per page. Following Dr. Elkinton's
retirement, Dr. Edward Huth was named Editor of the Annals of
Internal Medicine in July 1971.
In 1968, new regulations adopted by the Internal Revenue Service
(IRS) allowed taxation of income derived from advertising in the
journal of a non-profit institution. An exception was given only if
the advertising was directly related to the "exempt purposes" for
which the organization had received the designation of a
"charitable or educational institution." As a result, the IRS
imposed federal income taxes on the net advertising revenues of
Annals. The College paid the additional taxes, but in 1972
ACP filed a lawsuit to refund those income taxes paid for the year
1968-69, amounting to $376,977, claiming that the regulations under
which the taxes were imposed during this period were invalid.
Congress had enacted a new law, effective in 1970, which
essentially approved the regulations previously adopted by the IRS.
For this reason, success with additional claims was doubtful. From
1968 to 1972 the College paid $801,550 in federal taxes on income
derived from advertising in Annals. Further lawsuits
attempting to recover taxes paid by the College would continue
-Prepared April 2012 by Eric Greenberg, based on materials
from the Archives of the American College of Physicians and,
Rosenow EC Jr. History of the American College of Physicians:
Executive Perspectives, 1959-1977. Philadelphia: American College
of Physicians; 1984., Huth EJ, van Steenburgh KC. "Annals of
Internal Medicine: the first 50 years." Ann Intern Med. 1977;
87:103-10, and Huth EJ, Case K (2002). Annals of Internal Medicine
at Age 75: Reflections on the Past 25 Years". Ann Intern Med 137