Eighteen months ago a colleague and I were looking at the online and print BMJ with a view to discovering the ratio of UK to international content. At the time planned changes to both the NHS in England and the US healthcare system were generating a lot of news, comment, and debate.

Colleagues were spending increasing amounts of time in the US, India, and elsewhere, attending conferences and participating in workshops, yielding in rise in article submissions from these countries. This was helped in part by the decision to recruit a European research editor, based in the Netherlands, to complement a similar post based in the US. We also have an education editor based in Sydney. more…