Latest review
First review round: 15.2 weeks. Overall rating: 4 (very good).
Outcome: Accepted.
Motivation:
PLOS Medicine recruited excellent peer reviewers who understood our manuscript and gave constructive advice that improved its quality. The journal clearly prioritizes high-quality research, and brought in an additional expert to review the manuscript after the original peer reviewers. On the downside, this emphasis on quality creates a lot of work for the authors, including a fair amount of finicky formatting. This (plus the high-quality peer reviews) slowed down the publication process.