Always attach a copy of the approved outline for the peer reviewer's reference. This initial resident review will help to assure that the paper is structurally intact. Expect to do three or more draft revisions before receiving your program director's approval of the completed work. Strive to avoid the pride of authorship, which keeps authors from accepting editorial advice. Accomplished authors have ruthless editors working with them constantly.
Many authors find it helpful to allow some time to elapse between revisions of each draft.
This waiting period allows for a more objective review of the editorial comments provided by the reviewers, and also makes it easier to see what was actually written the first time instead of what you intended. Record the dates when each draft is submitted to and returned from your program director. Save a copy of the suggested corrections, you receive from each reviewer to guide the changes in later drafts of the paper. The title page should contain the title of the work, the author's name, the date of submission, and an indication that this work was completed in partial fulfillment of the Family Medicine Residency of your institution. It works nicely to number the pages in the center at the bottom.