<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.0 20040830//EN" "journalpublishing.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="2.0" xml:lang="en" article-type="reviewer-report"><front><journal-meta><journal-id journal-id-type="nlm-ta">JMIRx Med</journal-id><journal-id journal-id-type="publisher-id">xmed</journal-id><journal-id journal-id-type="index">34</journal-id><journal-title>JMIRx Med</journal-title><abbrev-journal-title>JMIRx Med</abbrev-journal-title><issn pub-type="epub">2563-6316</issn><publisher><publisher-name>JMIR Publications</publisher-name><publisher-loc>Toronto, Canada</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">v6i1e75134</article-id><article-id pub-id-type="doi">10.2196/75134</article-id><article-categories><subj-group subj-group-type="heading"><subject>Peer-Review Report</subject></subj-group></article-categories><title-group><article-title>Peer Review of &#x201C;Prevalence and Determinants of Academic Bullying Among Junior Doctors in Sierra Leone: Cross-Sectional Study&#x201D;</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>James</surname><given-names>Peter Bai</given-names></name><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff id="aff1"><institution>Southern Cross University</institution><addr-line>Lismore</addr-line><country>Australia</country></aff><contrib-group><contrib contrib-type="editor"><name name-style="western"><surname>Tungjitviboonkun</surname><given-names>Songphol</given-names></name></contrib></contrib-group><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>22</day><month>5</month><year>2025</year></pub-date><volume>6</volume><elocation-id>e75134</elocation-id><history><date date-type="received"><day>28</day><month>03</month><year>2025</year></date><date date-type="accepted"><day>28</day><month>03</month><year>2025</year></date></history><copyright-statement>&#x00A9; Peter Bai James. Originally published in JMIRx Med (<ext-link ext-link-type="uri" xlink:href="https://med.jmirx.org">https://med.jmirx.org</ext-link>), 22.5.2025. </copyright-statement><copyright-year>2025</copyright-year><license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIRx Med, is properly cited. The complete bibliographic information, a link to the original publication on <ext-link ext-link-type="uri" xlink:href="https://med.jmirx.org/">https://med.jmirx.org/</ext-link>, as well as this copyright and license information must be included.</p></license><self-uri xlink:type="simple" xlink:href="https://xmed.jmir.org/2025/1/e75134"/><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.1101/2024.11.13.24317261v1" xlink:title="Preprint (medRxiv)" xlink:type="simple">https://www.medrxiv.org/content/10.1101/2024.11.13.24317261v1</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/75127" xlink:title="Authors' Response to Peer-Review Reports" xlink:type="simple">https://med.jmirx.org/2025/1/e75127</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/68865" xlink:title="Published Article" xlink:type="simple">https://med.jmirx.org/2025/1/e68865</related-article><kwd-group><kwd>academic bullying</kwd><kwd>junior doctors</kwd><kwd>Sierra Leone</kwd><kwd>mental health</kwd><kwd>professional development</kwd></kwd-group></article-meta></front><body><p><italic>This is a peer-review report for &#x201C;Prevalence and Determinants of Academic Bullying Among Junior Doctors in Sierra Leone: Cross-Sectional Study.&#x201D;</italic></p><sec id="s2"><title>Round 1 Review</title><sec id="s1-1"><title>Specific Comments</title><sec id="s1-1-1"><title>Major Comments</title><sec id="s1-1-1-1"><title>Introduction</title><p>I think the Introduction in this study [<xref ref-type="bibr" rid="ref1">1</xref>] needs to be contextualized properly. Saying that bullying in the health care profession has not been looked at is largely correct, but the authors need to strengthen their argument by properly discussing the current literature on bullying in the Sierra Leone educational establishment and the limitations of the current literature as it relates to their topic of enquiry.</p><p>Please read the following:</p><list list-type="bullet"><list-item><p>Osborne A, James PB, Bangura C, Tom Williams SM, Kangbai JB, Lebbieie, A. Bullying victimization among in-school adolescents in Sierra Leone: a cross-sectional analysis of the 2017 Sierra Leone Global School-Based Health Survey. <italic>PLOS Glob Public Health</italic>. Dec 22, 2023;3(12):e0002498. [doi: 10.1371/journal.pgph.0002498] [PMID: 38134001]</p></list-item><list-item><p>Report on findings from school-related gender-based violence action research in schools and communities in Sierra Leone [<xref ref-type="bibr" rid="ref2">2</xref>].</p></list-item></list></sec><sec id="s1-1-1-2"><title>Methods</title><p>I wonder why the authors decided not to recruit all junior doctors who met their inclusion criteria, given that the list of junior doctors in the University of Sierra Leone Teaching Hospitals Complex at the time of data collection can be obtained from each of the constituent teaching hospitals. I know for a fact that the population of junior doctors is not so huge (less than 500). In other words, why did the authors just recruit all 160 junior doctors? Such data can be sourced from the Sierra Leone Medical and Dental Association or from the respective teaching hospital.</p><p>What informed the design of the questionnaire used? Why did the authors decide not to conduct any form of validation of the questionnaire (ie, externally or internally) to ensure it is appropriate for the context in which it is used?</p><p>This study was among junior doctors, but the authors mentioned registrars. A registrar is no longer a junior doctor. I may be wrong, but I strongly suggest that the authors provide a clear definition of what is the definition of junior doctor in Sierra Leone.</p></sec><sec id="s1-1-1-3"><title>Discussion</title><p>I beg to disagree. A sample was calculated, and a probabilistic sampling method was used in this study, which means that it gives an equal chance for everyone to be chosen. Thus, the sample used is representative of junior doctors in the University of Sierra Leone Teaching Hospitals Complex. There are two ways to explain your finding: either the sample is not representative because the sampling was not probabilistic or the whole population should have been recruited, or the finding is correct (ie, there are no gender differences).</p></sec></sec></sec><sec id="s1-2"><title>Minor Comments</title><p>The first two sentences of the third paragraph of the Introduction section: This has already been stated in the previous paragraph. This is just a repetition.</p></sec></sec></body><back><fn-group><fn fn-type="conflict"><p>None declared.</p></fn></fn-group><ref-list><title>REferences</title><ref id="ref1"><label>1</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Jalloh</surname><given-names>F</given-names> </name><name name-style="western"><surname>Bah</surname><given-names>AT</given-names> </name><name name-style="western"><surname>Kanu</surname><given-names>A</given-names> </name><etal/></person-group><article-title>Prevalence and determinants of academic bullying among junior doctors in Sierra Leone: cross-sectional study</article-title><source>JMIRx Med</source><year>2025</year><volume>6</volume><fpage>e68865</fpage><pub-id pub-id-type="doi">10.2196/68865</pub-id></nlm-citation></ref><ref id="ref2"><label>2</label><nlm-citation citation-type="web"><article-title>Report on findings from school-related gender-based violence action research in schools and communities in Sierra Leone</article-title><source>United Nations Girls&#x2019; Education Initiative</source><access-date>2025-04-16</access-date><comment><ext-link ext-link-type="uri" xlink:href="https://www.ungei.org/publication/report-findings-school-related-gender-based-violence-action-research-schools-and">https://www.ungei.org/publication/report-findings-school-related-gender-based-violence-action-research-schools-and</ext-link></comment></nlm-citation></ref></ref-list></back></article>