Better systems - BMJ Group https://bmjgroup.com Helping doctors make better decisions Mon, 19 Jan 2026 17:24:13 +0000 en-GB hourly 1 https://bmjgroup.com/wp-content/uploads/2024/04/Favicon2_Orange.png Better systems - BMJ Group https://bmjgroup.com 32 32 Establishing the next generation advisory panel, with Dr Jamie Smyth https://bmjgroup.com/establishing-the-next-generation-advisory-panel/ Mon, 19 Jan 2026 17:09:26 +0000 https://bmjgroup.com/?p=14867

More about the next generation advisory panel

The next generation advisory panel is a representative group that ensures that the views and interests of early-career healthcare professionals are represented throughout the planning and delivery of our International Forums in Quality and Safety in Healthcare.

The panel plays a pivotal role in providing support and advice during our planning meetings, and critically, providing a strategic direction for achieving greater representation of early career healthcare professionals during Forums, an essential part of our growing community.

Meeting the changing and complex needs of patients

Attending Oslo?

Join the Aspiring Leaders in Healthcare Network (ALiHN) early career professionals networking breakfast

This is the perfect opportunity for early-career professionals to connect with peers from around the world, build a supportive community for your time in Oslo, and discover how ALiHN empowers future healthcare leaders. Begin your conference with new connections, shared ideas, and a strong sense of community.

Dr Emily Audet, Severn Hospice, UK
Dr Jamie Smyth, Imperial College Healthcare NHS Trust; UK

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Have a story to tell? https://bmjgroup.com/yourimpact/ Mon, 10 Nov 2025 16:42:10 +0000 https://bmjgroup.com/?p=14333

Share how BMJ Group helped you make a difference

Whether you used a BMJ journal, event, or tool to improve care, advance research, or influence policy, we would like to hear your story. Your experience could be featured on bmjgroup.com or in our next impact report.

Takes two minutes to complete.

Why your story matters

Your examples help show how evidence and education become better outcomes for patients, professionals, and communities. They also help others learn what works.

What to include

What changed in your setting or community

How BMJ helped (journal, event, course, guideline, BMJ Best Practice clincial decision support, or another tool)

Who benefited (patients, clinicians, students, policy makers)

Any evidence you can share (numbers or qualitative feedback)

Example: “Using BMJ Best Practice, our team reduced time to correct diagnosis for neonatal sepsis.”

Stories that have made a difference

Ugandan trial shifted global covid-19 guidance
Influencing health policy in Peru
Rare case report sparks global safety rethink
Ugandan trial shifted global covid-19 guidance

Ugandan trial shifted global covid-19 guidance

In August 2021, Dr Bruce Kirenga and his team at the Makerere University Lung Institute published a pivotal study in BMJ Open Respiratory Research on the efficacy of convalescent plasma for covid-19 treatment in Uganda.

The study’s findings on the limited efficacy of convalescent plasma (CP) helped shape major treatment guidelines, including the World Health Organization Therapeutics and COVID-19: Living guideline. Where most publications in the biomedical and clinical sciences field receive only two to three citations, this study has far exceeded that benchmark. BMJ Impact Analytics shows 46 citations in health policy, eight in clinical guidance, and uptake across five countries.

Influencing health policy in Peru

Influencing health policy in Peru

Dr Magaly Blas, medical epidemiologist at Cayetano Heredia Peruvian University, Peru, led the Mamás del Río programme to improve maternal and newborn care in remote Amazonian communities. Published in BMJ Innovations, the work informed national policy, was integrated into Peru’s health system, and expanded from 13 to 84 communities with improved newborn outcomes.

Rare case report sparks global safety rethink

Rare case report sparks global safety rethink

Dr Clara Maarup Prip, a urologist and gynaecologist at Aarhus University Hospital, Denmark, documented an unusual case of kidney swelling caused by a menstrual cup compressing the ureter. Published as “Ureterohydronephrosis due to a menstrual cup in BMJ Case Reports,” the paper spread quickly after it was press-released by the BMJ Group media relations team, sparking widespread discussion on safe cup use and symptom awareness.

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Varied voices: How to make research more inclusive and diverse through public involvement https://bmjgroup.com/varied-voices-how-to-make-research-more-inclusive-and-diverse-through-public-involvement/ Wed, 05 Nov 2025 11:46:12 +0000 https://bmjgroup.com/?p=14210

BMJ Group has partnered with the National Institute for Health and Care Research (NIHR) to strengthen how people and communities are involved in medical research.

Varied Voices, a free online course developed by NIHR and supported by BMJ Learning, helps healthcare professionals understand how inclusion and diversity improve the quality and impact of research. It offers practical ways to engage underrepresented groups and create more inclusive research environments.

 This collaboration reflects how BMJ Group and NIHR are working together to increase the reach and real-world impact of health and care research.

“The good physician treats the disease; the great physician treats the patient who has the disease.” Sir William Osler

Who is it for
The course is suitable for all healthcare professionals involved in research, including:
GPs, GP trainees, hospital doctors, foundation doctors, practice and specialist nurses, allied health professionals, physician associates, medical students, and medical trainees.

What you will learn
After completing the course, you will be able to:

  • Explain diversity, underrepresented voices, and public involvement in research

  • Understand how inclusive practices improve the quality and relevance of health and care research

  • Recognise barriers that discourage participation from underrepresented communities

  • Apply strategies to make research more inclusive

  • Evaluate how effectively your research promotes diversity and inclusion

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Transforming kidney transplant trials https://bmjgroup.com/transforming-kidney-transplant-trials/ Mon, 27 Oct 2025 12:42:46 +0000 https://bmjgroup.com/?p=13930

The BMJ publication paves the way for FDA qualification of an AI tool

 A groundbreaking study published in The BMJ in 2019, Prediction system for risk of allograft loss in patients receiving kidney transplants: international derivation and validation study, has laid the foundation for the iBox Scoring System: a powerful AI-driven risk prediction tool for kidney transplant patients—to become the first transplant endpoint to progress this far in the United States Food and Drug Administration’s (FDA) biomarker qualification pathway.

Developed by Professor Alexandre Loupy, nephrologist and Director of the Paris Transplant Group, the iBox system was trained and validated using data from 7,557 patients, ten European Union and the United States academic centres, and three randomised controlled trials. It predicts long-term allograft survival based on clinically relevant data, including kidney function, proteinuria, donor-specific antibodies, and biopsy results.

With European Medicines Agency (EMA) endorsement in 2022 and now FDA acceptance of its Qualification Plan in 2024, the iBox system is recognised globally as a reasonably likely surrogate efficacy endpoint for regulatory use in clinical trials. It has the potential to fast-track drug approvals, reduce reliance on long, costly trials, and transform care for kidney transplant patients.

Loupy ibox The BMJ article
  • First transplant endpoint to receive FDA Biomarker Qualification Plan acceptance
  • Built on The BMJ-published study using real-world data from 7,500+ patients

  • Validated across EU and US centres and in three randomised controlled trials

  • Enables five-year graft survival predictions at one year post-transplant

  • Supports conditional drug approval and trial acceleration via the FDA’s Accelerated Approval Pathway

  • Endorsed by both the European Medicines Agency (EMA) and FDA

This is a groundbreaking milestone—not just for transplant medicine, but for how AI can transform clinical research. It all began with a single BMJ publication, shaped by the journal’s exceptional editorial guidance.”

Professor Alexandre Loupy, MD, PhD
Director, Paris Transplant Group

Professor Loupy’s international derivation and validation study ranks in the top 5% of all research outputs scored by Altmetric, with coverage from 21 international news outlets and 263 citations in academic publications, according to Dimensions. This includes the KDIGO clinical guideline, Challenges in managing the kidney allograft: from decline to failure guideline published by Kidney Disease: Improving Global Outcomes (KDIGO), which has been shared through platforms like the KDIGO-ISN Webinar on Challenges in the Management of the Kidney Allograft, supporting global conversations on improving patient outcomes and providing essential guidance for nephrologists and transplant professionals.

Dr Karin Hehenberger

“We desperately need new regulatory pathways that bring investment into transplantation. New therapies are essential to prolong the lives of transplant recipients and take the best care of the gift of life provided by our donors. This step is critical to enabling the dream of ‘One Kidney for Life’ to become a reality.”

Dr Karin Hehenberger
President of Lyfebulb patient engagement platform and a kidney and pancreas transplant recipient

Reshare this story with your community

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BMJ Group unveils 2025 impact report, spotlighting global health influence and policy reach https://bmjgroup.com/bmj-group-unveils-2025-impact-report-spotlighting-global-health-influence-and-policy-reach/ Tue, 14 Oct 2025 10:54:16 +0000 https://bmjgroup.com/?p=13283

September – October 2025—BMJ Group has published its 2025 impact report, underlining the healthcare knowledge provider’s growing influence on health systems, clinical practice, and global policy.

As a signatory to the San Francisco Declaration on Research Assessment (DORA), BMJ Group promotes a more rounded picture of research quality and impact. Alongside the Journal Impact Factor, BMJ journals report additional measures such as CiteScore, Altmetric mentions, and time to first decision, helping institutions, authors, and funders see not only how widely research is cited but also how quickly it informs debate, shapes policy, and changes practice.

Across the portfolio, more than half of the Group’s 65-plus journals ranked in the first quartile of their fields, with 20% in the global top ten of their categories. Evidence, the Group says, of consistent, broad based impact beyond headline metrics.

Every story in this year’s report shows how trusted evidence drives change in healthcare. If pressed to single out a few, highlights include:

  • Evidence in action: Research published by The BMJ helped prompt the UK government’s decision to mandate folic acid fortification of flour, a landmark policy that will prevent thousands of neural tube defects
  • Equity in innovation: A BMJ Innovations study accelerated the development of the first device designed to eliminate racial bias in oxygen monitoring, ensuring safer diagnostics for all skin tones
  • Proving research influence: The Office of Health Economics used BMJ Impact Analytics to show that 27% of its research was cited in policy, four times the global average, helping secure funding and demonstrate real world value

Charlotte Ashton-Khan, director of external affairs, Office of Health Economics, said: “BMJ Impact Analytics has given us valuable insight into how our research is being received and used. It’s helped us stay relevant and responsive without compromising our integrity. That was the missing piece for us.”

  • Championing children’s rights: BMJ Paediatrics Open, under the editorial leadership of Professor Shanti Raman, has become a platform for improving the health and wellbeing of street and working children worldwide. Its special collection not only provides practical tools for clinicians and policymakers but also amplifies the voices and lived experiences of children too often ignored
  • Strengthening health systems – From Ireland to Cyprus, BMJ Best Practice has been adopted nationally to support confident clinical decisions and patient empowerment, showing how trusted knowledge can transform care at scale

Professor George Samoutis, chairman of the coordination committee of the National Centre for Clinical Evidence, Cyprus, said:  “BMJ [Group]’s tools and events don’t just inform our thinking – they shape it.”

BMJ Group’s digital tools also featured strongly: Ireland’s Health Service Executive has adopted BMJ Best Practice patient leaflets to tackle unreliable health advice head on. With 288,000 sessions and 1.7 million interactions in a year, the concise, evidence based resources give patients clarity, build trust, and empower shared decision making alongside their clinicians.

Brendan Leen, Area library manager (HSE Library), Health Service Executive, Ireland, said: “Part of the value of making a resource available universally, for all Irish citizens, is that it improves conversations between healthcare professionals and patients, and supports shared decision making around treatments or lifestyle choices.”

Commenting on the launch, BMJ Group said the report demonstrates “a ripple effect of impact, from research to real world results, shaping stronger health systems and better patient outcomes everywhere.”

The full 2025 impact report is available at: https://info.bmj.com/view/359109102/

For information, please contact Ingrid Bray, Senior Corporate Brand & Communications Manager, BMJ Group: ibray@bmj.com

BMJ Group impact report: 2025

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Raising awareness of a rare but serious risk linked to menstrual cup use https://bmjgroup.com/raising-awareness-of-a-rare-but-serious-risk-linked-to-menstrual-cup-use/ Thu, 02 Oct 2025 08:58:03 +0000 https://bmjgroup.com/?p=11158

When Dr Clara Maarup Prip, a urologist and gynaecologist at Aarhus University Hospital, Denmark, encountered a rare case of kidney swelling (ureterohydronephrosis) caused by a menstrual cup, it was unlike anything she had seen before.

The menstrual cup had been compressing the ureter where it enters the bladder, leading to a serious but rare complication. After searching the literature and finding only a handful of similar cases worldwide, Dr Maarup Prip documented the case and submitted the report titled, “Ureterohydronephrosis due to a menstrual cup” to BMJ Case Reports, choosing the journal based on its reputation and guidance from experienced colleagues.

Dr Maarup Prip didn’t expect the case report to go viral. Published in BMJ Case Reports in February 2025, the paper caught the attention of health journalists worldwide as a direct result of it being press released by BMJ Group’s media relations team. Within weeks, it had become the basis of 29 news stories from 23 major international outlets. It also prompted four opinion pieces in the UK, the USA, and Russia.

Media collage concept

We weren’t funded, and it didn’t take long to write. But the response shows just how much value a single case report can bring.”

Dr Clara Maarup Prip
Urologist and gynaecologist, Aarhus University Hospital, Denmark

Academic literature rarely cites case reports, but that doesn’t mean they lack tangible impact. It just means they need to be measured differently: not by how they affect a journal’s impact factor, but by the value they bring to clinical education, practice, and patient safety.

As deputy editor of this important journal from the BMJ Group, I can’t help but to stress both the educational importance of case reports, but also their role in shaping often important public health advices.

Rui Amaral Mendes
Professor of the Department of Community Medicine, Case Western Reserve University, Cleveland, Ohio, United States

Spotlight on safety

Clara Maarup Prip

“The submission process was straightforward, and the response was fast. I’d had other papers published with other publishers, and this was by far the smoothest experience.”

Dr Clara Maarup Prip
Aarhus University Hospital, Denmark

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Facing the future, fueling the NHS https://bmjgroup.com/facing-the-future-fueling-the-nhs/ Thu, 18 Sep 2025 12:13:15 +0000 https://bmjgroup.com/?p=12919

Facing the future, fueling the NHS

How BMJ Group is helping deliver the NHS 10-year health plan

The UK’s National Health Service (NHS) 10 year health plan (Fit for the Future), published in July 2025, is the blueprint for transforming England’s health service. It focuses on three radical shifts: moving care from hospital to community, from analogue to digital, and from sickness to prevention. It also calls for higher quality standards, a stronger workforce, innovation, and financial stability.

It is urgent work. Demand is rising, waiting lists are long, and staff are stretched. The Plan states that bold reform is needed.

At BMJ Group, we do not endorse the plan itself. But we do stand shoulder to shoulder with the NHS, supporting its staff and systems as they confront rising demand, long waiting lists, and unrelenting pressures.

At BMJ Group, our longstanding vision of creating a healthier world aligns directly with many of these priorities. Our tools, research, and education programmes make a measurable difference. Here’s how:

The NHS ten year plan dissected

Doctors in scrubs

From hospital to community

The plan suggests a shift in the centre of gravity for care, with more services delivered locally and at home. It states that neighbourhood health centres and integrated teams should help keep people well and out of hospital. The new neighbourhood health service encourages a preventative principle by delivering care locally and digitally, at home whenever possible, in neighbourhood health centres when needed, and in hospitals only when necessary.

This plan mentions empowering people as active partners in their care, expanding community pharmacy’s role in managing long-term conditions, an increase in same-day and co-located urgent care, investment in dedicated mental health emergency departments, and making all hospitals AI-enabled.

How BMJ Group helps

Proof in action

An influential study, Reductions in hospital admissions and mortality rates observed after integrating emergency care: a natural experiment,” showed that reorganising emergency care, with earlier senior decision-making and improved assessment units, significantly reduced hospital admissions and mortality.

Published in BMJ Open in 2012, Boyle and colleagues investigated an integrated acute care model that relocated the medical assessment unit directly into the emergency department. This organisational innovation,with earlier senior clinician input and streamlined assessments, led to statistically significant reductions in both emergency admissions and short-term mortality.

  • Mortality fell: The hospital had the lowest emergency mortality rate of 24 hospitals studied. (A statistically significant drop (p = 0.0149))

  • Admissions dropped: Emergency admissions were cut to the lowest level among peers. (Also highly significant (p = 0.0002))

  • Better outcomes without extra spending: These improvements were achieved simply by reorganising care (moving the assessment unit into emergency medicine and using senior doctors earlier), not by adding new resources

Nearly 13 years later, the 2025 NHS 10-year health plan outlines a complementary strategic shift: bringing care back into the community through neighbourhood health services, helping to relieve hospital burden and improving outcomes. It calls for faster access to the “right professional at the right time,” using integrated teams and digital triage.

This BMJ Open study provides more than historical evidence – it acts as a proof of concept for the NHS’s long-term strategy. It shows that redesigning care pathways around integration, earlier expertise, and localised decision-making can improve outcomes and reduce strain on acute hospitals. BMJ Group’s role in publishing and disseminating this work demonstrates how we actively support the NHS vision by turning frontline innovation into evidence that informs national policy.

From analogue to digital

The NHS plans for the NHS App  to become a “full front door” by 2028, with integrated records and AI-enabled tools at its core. To do this, the NHS will “introduce single sign-on for staff, and scale the use of technology like AI scribes to liberate staff from their current burden of bureaucracy and administration, freeing up time to care and to focus on the patient.”
Reorganising emergency care and embedding evidence based pathways can cut time to diagnosis and treatment, improving outcomes and even reducing mortality. Independent research published in BMJ Health & Care Informatics also shows telemedicine delivers real value by improving access and efficiency without compromising quality.
We recognise how vital speed, accessibility, and trusted guidance are in frontline care, which is why we provides offerings that support clinicians in these areas, from evidence based decision support to digital tools that enhance integration:

How BMJ Group helps

Proof in action: virtual wards and telemedicine

In a BMJ Future Health webinar, titled “Raising the potential of virtual care: how to use digital technology to bridge gaps in care for hard-to-reach patients” (27 June 2025), NHS leaders shared how virtual care is transforming access. They explained how virtual wards and telemedicine keep traditionally underserved patients safe at home, reduce hospital admissions, and promote equity in care delivery.
  • Broader access through remote technology
    Speakers described how virtual wards are used to care for frail, rural, or immobile patients, who can now receive hospital-level monitoring via digital tools without travelling.
  • Meaningful reduction in admissions
    By combining remote monitoring with multidisciplinary virtual teams, clinicians helped prevent unplanned admissions by spotting early signs of deterioration and managing conditions proactively.
  • Improving equity in care
    The panel emphasised that digital inclusion is essential. They shared strategies being used across the NHS to ensure patients without home internet, digital skills, or suitable devices could still benefit, for example, via community hubs or telephone support.
  • Collaboration delivers results
    Catriona Watt from Mid Argyll Community Hospital and Gurnak Singh Dosanjh, Deputy CCIO for NHS Leicester, Leicestershire and Rutland, highlighted the power of aligned clinical teams, technology partners, and community services to improve outcomes.

From sickness to prevention

Better prevention is at the heart of the NHS plan, with priorities including tackling obesity, reducing smoking, expanding mental health support, and eliminating cervical cancer. We share this focus because evidence consistently shows that preventing ill health is more effective and more sustainable than treating avoidable disease downstream.

How BMJ Group helps

Our expertise spans research, education, and clinical decision support. Our journals provide the evidence base that informs national policy and public health initiatives, for instance:

Additionally, BMJ Best Practice translates this knowledge into practical guidance, offering clinicians prevention strategies and patient-facing resources for a wide range of conditions.

Proof in action

recent BMJ analysis found that in 2016–17, almost 1.5 million emergency admissions could have been avoided with stronger preventive care outside hospitals. More recently, BMJ research on HPV vaccination has helped strengthen global calls to eliminate cervical cancer, influencing both UK policy and WHO targets. The study published in The BMJ found that England’s national HPV vaccination programme led to a staggering 90% reduction in cervical cancer risk among women vaccinated at ages 12–13, compared to unvaccinated peers. This benefit was seen across socioeconomic groups, making a powerful equity case for the vaccine’s universal rollout. Public health leaders in the UK have built on this evidence to set a national elimination goal. NHS England, for instance, is aiming to eliminate cervical cancer entirely, backed by these compelling data and reinforced by BMJ findings.

Improving quality and safety

The NHS long-term plan calls for safer, more transparent, and continually improving services. Quality improvement (QI) is central to this ambition, ensuring that healthcare is modern, efficient, and capable of delivering better patient outcomes.

How BMJ Group helps

Proof in action

One recent UK project designed and implemented a new management pathway for rib fractures. It shows how a pathway, which incorporated BMJ Best Practice and local hospital needs, was designed and implemented. It ultimately improved the quality of care. This shows how BMJ Best Practice can help equip frontline staff with the right knowledge and tools to deliver safer, more consistent, and higher-quality care.

Building the workforce

The plan has much to say about training roles, the use of AI in education, and supporting a wide variety of clinical careers.

How BMJ Group helps

Proof in action

In one of BMJ Learning’s early initiatives, we developed eight interactive online modules focused on common rheumatology problems in primary care. These modules were tailored for primary care professionals, specifically general practitioners and primary care nurses. A total of 2,109 users completed these modules, and participants showed statistically significant improvements in knowledge and skills from pre-test to post-test (p < 0.001). Many users reported they would change their practice after completing the modules.

Walsh K, Farrow S. “Development of educational tools to improve the knowledge and problem-solving skills of primary care professionals in rheumatology.” Work Based Learning in Primary Care. 2007 Jul;5(2):71-9.

Supporting innovation

The plan aims to make the NHS the most AI-enabled health system in the world, embracing genomics, robotics, and wearable tech.

How BMJ Group helps

Proof in action

BMJ Digital Health & AI case study tested AI governance for a discharge-prediction model in an NHS trust. The framework spotted data drift early, safeguarding patient safety and ethics.

The case study titled “Importance of model governance in clinical AI models: case study on the relevance of data drift detection” was published in BMJ Digital Health & AI on 8 July 2025 https://bmjdigitalhealth.bmj.com/content/1/1/e000046

What the study showed:

Safeguarding patient safety through early detection of AI risk

The project tested a discharge-prediction model for gastrointestinal and oncological surgery using retrospective data from two Dutch hospitals (2017–2022). By monitoring model performance and applying both univariate statistical tests and multivariate PCA error monitoring, the framework could detect essential shifts in respiratory rate data and anomalies caused by data-entry errors and atypical lengths of stay.

Detecting these problems early meant the model could be reviewed and recalibrated before its reliability or fairness was compromised. The study demonstrates how AI governance protects patient safety, ensures ethical oversight, and builds trust among clinicians and health systems. While developed in the Netherlands, the lessons are widely applicable and provide a blueprint for the NHS and other health services to deploy AI transparently, safely, and with full accountability.

Why this matters

The NHS 10-year plan can only succeed if frontline staff have fast access to evidence, the skills to apply it, and systems that work with them, not against them.

BMJ Group provides those essentials – we always have, and always will. Through evidence, education, and innovation, we are helping the NHS deliver a service that is safe, sustainable, and fit for the future.

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Elevating medical education and research across Latin America https://bmjgroup.com/elevating-medical-education-and-research-across-latin-america/ Mon, 01 Sep 2025 10:30:43 +0000 https://bmjgroup.com/?p=12592

At the Universidad Nacional Autónoma de México (UNAM), tomorrow’s doctors are learning to think critically, act decisively, and publish research with global impact. By embedding BMJ Group’s evidence based tools directly into teaching, clinical rotations, and research training, UNAM is reshaping medical education and strengthening healthcare outcomes across Latin America.

UNAM is Latin America’s largest and most prestigious university, with over 380,000 students enrolled across undergraduate and postgraduate programmes, and is responsible for producing around a third of all Mexican research. Its Faculty of Medicine is one of the oldest in the Americas, and today, it trains thousands of healthcare professionals annually.

Facing rising demands, including the burden of non-communicable diseases, which now account for three quarters of deaths nationally, relies on BMJ Group to move learning beyond the classroom, creating measurable skills in research, clinical judgment, and open publishing.

Since 2010, the UNAM faculty of medicine has successfully integrated the Group’s resources into its competency based curriculum. Research to Publication (R2P) has expanded research capability, offering structured training and mentorship. 

Within 12 months of completing the programme:

Meeting the changing and complex needs of patients

Research to Publication has also accelerated individual career trajectories.

Before completing the Research to Publication course, María Guadalupe Miranda Novales had published 23 articles in 21 years and had been the lead author only once. The course not only helped her publish more articles in less time but also increased the number of articles published in English and in high-quality international journals.

Doctors desk with stethoscope and laptop

Likewise, Dr Guillermo Delgado-García published six articles (three as lead author), citing improved confidence in peer review and journal selection. These successes are building a stronger research culture at UNAM and raising its international profile through increased publications and citations.

“ I’m not publishing more papers; I’m publishing better papers. Better study designs, larger sample sizes, publishing in better journals, higher impact factors. Now I’m doing more solid, big studies.”

Dr Guillermo Delgado-García, clinical assistant professor (neurology), University of Calgary, and MSc student, National Institute of Neurology and Neurosurgery, Mexico City

Building better systems: from classroom to clinic to publication

At the bedside, BMJ Best Practice has become the backbone of clinical teaching. Over the past two years, UNAM’s analytics show students accessed it daily on rotations to check diagnoses and treatment plans, averaging more than 550 page views a day. App use consistently outperforms peer institutions, with the most viewed topics reflecting Mexico’s prevalent conditions and supporting safer decisions guided by best evidence during rotations.

At UNAM, BMJ Group’s tools connect the entire pathway from learning to clinical decision making to publishing research. Students progress seamlessly: applying evidence at the point of care with BMJ Best Practice, reinforcing core skills via BMJ Learning, and advancing to authorship with Research to Publication.

In 2024, UNAM became BMJ Group’s first Read and Publish partner in Latin America. This landmark agreement expanded open access opportunities for faculty and students, raising UNAM’s global research visibility while further embedding evidence based practice.

Dr Ana Carolina Sepúlveda Vildósola

With BMJ Group, our students and faculty move seamlessly from learning to bedside to publication.

Dr Ana Carolina Sepúlveda Vildósola, 
Dean, faculty of medicine, UNAM, Mexico

In 2024, UNAM became BMJ Group’s first Read and Publish partner in Latin America. This landmark agreement expanded open access opportunities for faculty and students, raising UNAM’s global research visibility while further embedding evidence-based practice.

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Practical lessons for publishers https://bmjgroup.com/practical-lessons-for-publishers/ Tue, 26 Aug 2025 14:29:31 +0000 https://bmjgroup.com/?p=12868

Putting patients first

For decades, research publishing followed a fixed script. Researchers investigated. Publishers validated, polished and shared their findings. Patients, if mentioned, were the subjects of the research, not contributors to it.

That model is shifting. Across the publishing industry, there’s growing recognition that people with lived experience of illness, disability or care are more than passive recipients of information. They’re experts in their own right — and they’re helping to make research more relevant, ethical and trustworthy.

This isn’t about tokenistic patient stories or soft human interest. It’s about integrating meaningful public perspectives into publishing systems and processes, and asking how we might build platforms that are not just academically rigorous but genuinely useful to those most affected by them.

Emma Doble, patient and public strategy editor at BMJ Group, contributed a feature article, Putting patients on the page, to InPublishing in the July/August 2025 issue.

Emma Doble

Why patient involvement matters

The logic is simple. Research that affects people’s lives should reflect their realities. Patients, carers and members of the public bring unique insights that researchers, no matter how expert, may not anticipate. They may ask different questions, highlight overlooked issues, and challenge assumptions that seem obvious within clinical or academic circles.

At BMJ Group, we’ve worked with patients for over two decades and see this repeatedly. For example, The BMJ journal’s patient reviewers have improved papers by flagging that clinical definitions of ‘quality of life’ don’t always align with what matters most to people living with a condition. As far back as 2001, one reviewer challenged the framing of a paper on diabetes that focused on blood sugar control but overlooked fatigue and mental health, two issues patients consistently rank as more impactful. That input led to a more balanced, and ultimately more useful, revision.

Patient insights also strengthen ethical rigour. They help identify unintended harms — such as language that stigmatises or alienates — and can prevent publication of research that may lack true relevance to those it intends to help.

From tokenism to real integration

Of course, it’s easy to gesture towards “patient involvement” without changing much. Real integration requires intention, infrastructure and culture change.

At The BMJ, patient and public reviewers have been a formal part of the peer review process since 2014. Every research paper is reviewed not just by academic experts but also by someone with relevant lived experience. Patients also sit on the journal’s editorial board, and our international patient advisory panel helps shape our patient and public partnership strategy.

Patient and public involvement is now being adopted more widely across the business. For all our journals, we now require all submitting authors to indicate how they involved patients and the public in their research in a Patient and Public Involvement statement, holding researchers accountable for their claims of “co-production”. Several other journals across the BMJ Group portfolio now include patient and public reviewers, including BMJ Open, BMJ Global Health, BMJ Health & Care Informatics, and RMD Open (Rheumatic and Musculoskeletal Diseases).

But patient insight goes beyond research publishing. On BMJ Best Practice, our clinical decision-support tool, content is updated to more explicitly support shared decision-making. This includes clear summaries of the benefits and harms of interventions and flags when patient preferences should guide decisions. The goal is to empower not just clinicians but patients themselves and acknowledge that both types of expertise matter.

Building trust and usability

Public trust in science has become more fragile, especially after the pandemic, when people were bombarded with evolving advice and conflicting information. Publishing that brings patients into the process can help repair that trust.

Involving patients in research design and review, and clearly stating how they were involved,  signals openness, humility and respect. It shows readers that this is not research done on people, but research done with and for them.

Almost 90% of research papers first submitted to The BMJ in 2024 and sent out for peer review were also sent to a patient and public reviewer for their opinion.

Practical lessons for publishers

You don’t need to be a medical publisher to apply these ideas. Any publisher that creates content with real-world consequences, from education to policy to social care, can benefit from integrating lived experience. Here’s how to start:

  1. Bring patients into peer review: The BMJ provides training and support for patient and public reviewers, and publishes guidance on how to offer meaningful feedback. Their input focuses on clarity, relevance and usefulness. This model is scalable and replicable across sectors.
  2. Embed lived experience into editorial boards and advisory panels: Patients on the group’s editorial board are not figureheads. They have a genuine say in strategic direction, topic selection and policy decisions. Publishers in other sectors, for example, social justice or education, could benefit from a similar approach.
  3. Use clear, inclusive language: Patient reviewers often challenge jargon or unnecessarily technical phrasing. One small but powerful example: shifting from “subjects” to “participants” or “people living with…” immediately changes the tone. BMJ Group encourages all authors to write with a non-specialist audience in mind — not to simplify science, but to broaden its reach.
  4. Show your working: More than half of our journal portfolio, including The BMJ, publishes research involving patients. This research includes a public involvement statement explaining how and when patients were involved. This increases transparency and gives readers confidence in the process.
  5. Support cultural change internally: For many editors and publishers, working with patient partners is new. We provide training to support staff in collaborating respectfully, listening actively, and welcoming challenges. Mistakes are shared openly so others can learn.
  6. Build feedback loops: Patient contributors are regularly asked how the process can improve. One recent outcome: simplifying reviewer instructions and offering a guide to peer review, and optional peer buddies for new reviewers unfamiliar with academic publishing.

A better publishing model

What we’re seeing is not just a tweak to publishing workflows. It’s a value shift from control to collaboration, authority to authenticity.

When publishing includes patients, it becomes more than a vehicle for transmitting research. It becomes a mechanism for shaping it, challenging it, and ensuring it lands where it matters. It helps bridge the gap between evidence and empathy, and creates space for more equitable and inclusive conversations.

For publishers, this is both a responsibility and an opportunity.

  • Responsibility: Failing to involve people in decisions that affect them risks irrelevance or harm.
  • Opportunity: When we open the door to lived experience, we make our content, and our impact, far stronger.

This transition is ongoing. We’re learning, adapting, and listening, and while progress has been slow, the direction is clear. Publishers who choose this path will not just improve their content but also build stronger, more meaningful connections with the communities they serve.

Case studies

Meeting the changing and complex needs of patients

A Patient-led first: PxP conference

In 2023, BMJ Group supported For Patients, By Patients (PxP), the first fully patient-led global research conference. Designed and run by The BMJ patient advisors, PxP proved the power of lived experience to shape research agendas.

A BMJ Open study authored by Dawn Richards and colleagues, ‘Patient engagement in a Canadian health research funding institute: implementation and impact’, confirms patient-led initiatives like PxP integrate patient insight effectively into both research and policy.

PxP set a new precedent: patients aren’t just participants, they’re experts.

Patients

Empowering patient voices in Newham

In 2024, BMJ Group funded 64 patients and residents from Newham, East London, to attend the London International Forum on Quality and Safety to bridge the gap between local communities and global health systems.

Their presence ensured that local voices shaped key conversations on healthcare improvement. This inclusive action deepened community trust, expanded relevance, and empowered marginalised groups to co-create better care.

Ireland’s fight against health misinformation by empowering patients through evidence

To tackle misinformation and improve care, Ireland’s Health Service Executive (HSE) gives patients direct access to trustworthy health information. With support from BMJ Best Practice, healthcare library teams are equipping citizens with clear, evidence-based patient leaflets used in consultations nationwide.

This national initiative is changing the dynamic between patients and clinicians. It enables more informed conversations, supports shared decisions, and reduces avoidable tests and treatments. Encouraged by the success of BMJ Best Practice, the HSE is considering expanding its library services to enhance patient education and advocacy further.

Lived experience: From tokenism to transformation

In June 2025, a special set of articles was published in a dedicated The BMJ Lived Experience collection. It showcases the value, competency, and capability of people with lived experiences in improving healthcare and health, and calls on health leaders at all levels to make participatory healthcare “business as usual”.

Examples to celebrate include the UK’s Medicines and Healthcare products Regulatory Agency’s strategy to involve patients “in every step of the regulatory journey” and a new law in Brazil mandating the inclusion of people with lived experience in decision making about drugs for the public health system.

To this end, the World Health Organization created a practical guide to including lived experience in healthcare, setting the expectation that nothing about people with a health condition should be decided without their involvement.

Last year’s World Health Assembly also passed a resolution that commits governments to empowering and funding people, communities, and civil society to participate in decision-making processes at all levels of the health system. Governments must also show progress every two years.

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Driving global consensus on Alzheimer’s disease imaging https://bmjgroup.com/case-study-template/ Wed, 30 Jul 2025 13:34:01 +0000 https://bmjgroup.com/?p=12217

BMJ China and West China Hospital’s Alzheimer’s disease imaging roundtable, December 2024

BMJ Group contributes to the progress of health research, policy, and practice through trusted editorial leadership and a vast global network of experts. We run over 20 roundtables, 100+ webinars, dozens of regional and global panel discussions, and large-scale forums yearly. These clinically relevant platforms successfully connect our journal communities with the evidence-based insight of thought leaders and healthcare decision-makers. Our events are not just discussions; they are accelerators of change.

The Alzheimer’s disease imaging roundtable, hosted in Chengdu in partnership with the Department of Radiology at West China Hospital of Sichuan University and the Journal of Neurology, Neurosurgery & Psychiatry (JNNP), exemplifies how we deliver this value in action. 

Held in December 2024, the roundtable explored how brain scans can help safely introduce new treatments for Alzheimer’s disease. These treatments offer fresh hope for millions of people, but they can also cause side effects in the brain, known as amyloid-related imaging abnormalities (ARIA). These changes can only be seen on MRI scans and may be dangerous if missed. That’s why high-quality imaging is so important. It catches these changes early and ensures patients get the safest, most effective care.

“The consensus we’ve reached on harmonising ARIA imaging protocols could reshape how Alzheimer’s disease is diagnosed and monitored, not just in China, but worldwide.”

Professor Na Hu, chief radiologist, Department of Radiology, West China Hospital of Sichuan University, Chengdu, China

The hybrid event convened leading neurologists, radiologists, magnetic resonance imaging (MRI) physicists, and public health experts from China, the USA, the UK, Switzerland and Asia-Pacific. It also convened principal contributors to the white paper on imaging recommendations for monitoring of ARIA, Alzheimer’s Disease Anti-Amyloid Immunotherapies: Imaging Recommendations and Practice Considerations for Monitoring of Amyloid-Related Imaging Abnormalities. Policymakers and Radiological Society of North America-affiliated guideline developers also contributed, ensuring the dialogue translated into real-world, implementable practice change.

Convening experts to strengthen health systems

The impact of the roundtable demonstrates how BMJ Group goes beyond publishing the best available evidence. We create, structure, and connect the right voices to amplify their relevance. 

  • Clinical relevance: experts called for MRI protocol optimisation to improve detection of ARIA, enabling safer DMT monitoring
  • Global-local integration: discussions bridged international Radiological Society of North America recommendations with local practice in China
  • Knowledge into action: the group drafted regionally adapted consensus recommendations for publication in JNNP, extending global best practices to underserved populations
  • Pathway to impact: The roundtable directly supported a key goal: expanding ethical, safe access to Alzheimer’s disease therapies in Asia

The post Driving global consensus on Alzheimer’s disease imaging first appeared on BMJ Group.

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