I started reviewing manuscripts for Clinical Simulation in Nursing in May of 2014. I just checked my records and the manuscript review I completed today is my 50th. That doesn't count the R1 & R2 reviews on the same manuscript, just the initial requests that I've accepted from the editors. That averages out to about one manuscript a month. Most of those manuscripts have gone on to be published, too. Yes, I do recommend rejecting a paper now and then, and a couple of the ones I thought were good were rejected by other reviewers and turned back to the authors for submission to other journals. In my small way, I have helped advance the science of simulation education.