> student doctors are encouraged to publish whether or not they actually have an interest in research… but that shouldn’t discount the work of those who are genuinely engaged.

How do you propose the interested public make the distinction between genuine engagement and forced encouragement? Isn't it the task of journals to make that distinction before publishing? I don't think you can fault the public for dismissing everything out of hand when both academia and the journals are actively turning scientific publishing into a market for lemons.