The Journal and publication in other languages and countries. From hesitant beginnings to firm commitment

Abstract

DURING the years when the major scientific discoveries and advances originated in Europe, the flow of new medical knowledge ran clearly westward, casting the United States in the role—scientifically speaking—of a net importer. By the time of World War I, however, the current had begun to shift. Benefiting from the reforms in medical education, the availability of funds for new facilities, and a surge in biomedical research, American medicine embarked on a course that took it to worldwide preeminence after World War II. In that process,The Journal of the American Medical Associationacquired a growing stature as a scientific publication, and, as the United States transformed itself into a prolific exporter of new medical knowledge,The Journalgrew into an increasingly important international vehicle, communicating Americans' advances in clinical medicine to physicians in other countries. To broaden its editorial reach,The Journalmade early excursions into publication in other

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