Looking back, leading forward: BMJ Leader 5 years on
====================================================

* Jan C Frich
* Dominique Allwood
* Jamiu O Busari
* Ming-Ka Chan
* Amelia Compagni
* Rachel Gemine
* Indra Joshi
* Robert Klaber
* Benjamin Laker
* Erwin Loh
* Oscar Lyons
* Aoife Molloy
* James Mountford
* Amit Nigam
* Rachael Moses
* Julie-Lyn Noël
* Iain Smith
* Janice St. John-Matthews
* Catherine Stoddart
* Charlotte Emily Williams

*   clinical leadership
*   health system
*   health policy

BMJ and the Faculty of Medical Leadership and Management1 launched *BMJ Leader* in March 2017 with the aim that the journal should become a premier source for evidence-based research and diverse perspectives on clinical leadership and management.2 The journal’s purpose is to improve the results and experience delivered by health and care systems for patients, families, populations and workforces. To deliver on this purpose, the journal’s content can help build better leaders (and followers) and nurture a healthcare community by improving connectivity and encouraging debate.

What have we accomplished so far? *BMJ Leader* has steadily grown in submission numbers and published articles. In addition to research papers and systematic reviews, the journal has launched new article types—for example, Leadership in the Mirror, Translating Research and Evidence, and The Learning Zone.3–5 

But we have also deliberately gone beyond the peer-reviewed published article. In 2020, the journal launched the *BMJ Leader* Blog as a new arena for engagement, reflection and debate. *BMJ Leader* Twitter chats have further strengthened the journal’s visibility, connectivity and relevance for an increasing global audience. *BMJ Leader* has become an official journal of the Royal Australasian College of Medical Administrators. In 2022, the total number of content page views was 203 633 (up from 136 338 in 2021).

The COVID-19 pandemic has had a huge impact on health systems globally, just as it did on the editorial focus and operations of *BMJ Leader*. In April 2020, we decided that the journal would mediate comments, opinions and reflections from leaders engaged in the COVID-19 pandemic response across the globe.6 Consequentially, the editorial team gave priority to sharing experiences of leaders rapidly and to fast-track review processes for submission directly related to COVID-19. Furthermore, due to BMJ Group-wide policies, we were able to make articles related to COVID-19 freely available to all. During the pandemic, *BMJ Leader* has played an important role in sharing insights, knowledge, models and approaches that has been a resource for leaders in healthcare globally.

In 2022, the National Library of Medicine decided to index *BMJ Leader* in PubMed/MEDLINE. We took the decision to index *BMJ Leader* in MEDLINE as a token of the journal’s coverage, scientific rigour and impact. We are growing up as a journal. Indexation in these databases will make it easier for the general reader, learners, clinicians, educators, researchers and administrators to search for and find articles published in the journal, and it gives greater reason for authors to publish with us. According to Scopus, *BMJ Leader* has a CiteScore of 1.8 in 2021, up from 1.0 in 2020.7 

Being an international, multidisciplinary, peer-reviewed journal, our mandate is to publish original research and systematic reviews that can advance our knowledge and understanding of leadership within healthcare. Alongside this mandate, in service of our mission for impact, *BMJ Leader* will continue to be an arena for sharing experiences and reflections on leadership challenges and lessons learnt. We are evolving from a journal focused on the peer-reviewed, written texts to a journal that also includes audio/video submissions, and blogs as well as social-media presence.8 Some may perceive a tension between more accessible material in blogs and podcasts and the rigorous format that confers traditional legitimacy on an academic journal, but we believe the expansion of the journal’s bandwidth is important to reach out to a wider audience and to reflect the breadth of our readership.

*BMJ Leader* has a rapidly expanding profile internationally, and we are increasingly the place that people turn for evidence and debate that matters in the most important areas. We aim to be at the cutting-edge on equity, diversity and inclusion, on kindness and on staff welfare and support.9 We encourage submissions from authors with diverse perspectives and experiences. To support an inclusive approach, we have editors and associate editors from across the globe who themselves represent diverse backgrounds. This progress means more diverse reviewers with the necessary expertise to meaningfully review journal submissions. *BMJ Leader* is also developing a fellowship programme to mentor and develop a new generation of editors There will also becalls for special issues that will focus on topical themes such as leadership and social justice, planetary health and global health.

Editing, reviewing and contributing to a journal can seem a long way away from what actually happens to patients, families, populations, learners, faculty and staff. When we publish on topics like leadership in healthcare, moral injury, pandemic recovery, bias plus injustice,10–15 and we witness how content is widely shared14 including how practitioners have used material we have published, it is clear that *BMJ Leader* has impact in ways that matter.

## Ethics statements

### Patient consent for publication

Not applicable.

## Footnotes

*   Twitter @DrFrich, @DrDominiqueAllw, @jobusar, @MKChan_RCPSC, @bobklaber, @DrBenLaker, @oscarlyonsnz, @DrAoifeMolloy, @mountfordjames, @NHSLeader, @jstjohnmatthews, @CEmWilliams

*   Contributors All authors contributed to the drafting and editing of this editorial.

*   Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

*   Competing interests None declared.

*   Provenance and peer review Commissioned; internally peer reviewed.

## References

1.  Faculty of medical leadership and management. Available: [https://www.fmlm.ac.uk/](https://www.fmlm.ac.uk/) [Accessed 24 Jan 2023].
    
    

2.   Powis SH , Mountford J . Welcome to BMJ leader. BMJ Lead 2017;1:1–2.
    
    

3.   Saint S , Berendt AR . 10 minutes with sanjay Saint, chief of medicine, Veterans administration Ann Arbor healthcare system, Michigan, USA. Leader 2020;4:144–6. [doi:10.1136/leader-2020-000264](http://dx.doi.org/10.1136/leader-2020-000264) 
    
    [FREE Full Text](http://bmjleader.bmj.com/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiRlVMTCI7czoxMToiam91cm5hbENvZGUiO3M6NjoibGVhZGVyIjtzOjU6InJlc2lkIjtzOjc6IjQvMy8xNDQiO3M6NDoiYXRvbSI7czoxODoiL2xlYWRlci83LzEvMS5hdG9tIjt9czo4OiJmcmFnbWVudCI7czowOiIiO30=) 

4.   Mayo AT . Teamwork in a pandemic: insights from management research. Leader 2020;4:53–6. [doi:10.1136/leader-2020-000246](http://dx.doi.org/10.1136/leader-2020-000246) 
    
    [Abstract/FREE Full Text](http://bmjleader.bmj.com/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6NjoibGVhZGVyIjtzOjU6InJlc2lkIjtzOjY6IjQvMi81MyI7czo0OiJhdG9tIjtzOjE4OiIvbGVhZGVyLzcvMS8xLmF0b20iO31zOjg6ImZyYWdtZW50IjtzOjA6IiI7fQ==) 

5.   Price-Dowd CFJ . Your leadership style: why understanding yourself matters. Leader 2020;4:165–7. [doi:10.1136/leader-2020-000218](http://dx.doi.org/10.1136/leader-2020-000218) 
    
    [Abstract/FREE Full Text](http://bmjleader.bmj.com/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6NjoibGVhZGVyIjtzOjU6InJlc2lkIjtzOjc6IjQvNC8xNjUiO3M6NDoiYXRvbSI7czoxODoiL2xlYWRlci83LzEvMS5hdG9tIjt9czo4OiJmcmFnbWVudCI7czowOiIiO30=) 

6.  BMJ. Authors [online]. 2023. Available: [https://bmjleader.bmj.com/pages/authors/](https://bmjleader.bmj.com/pages/authors/) [Accessed 24 Jan 2023].
    
    

7.   Allwood D , Berendt T , Delgado P , et al . This is different. Leader 2020;4:80–1. [doi:10.1136/leader-2020-000250](http://dx.doi.org/10.1136/leader-2020-000250) 
    
    [FREE Full Text](http://bmjleader.bmj.com/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiRlVMTCI7czoxMToiam91cm5hbENvZGUiO3M6NjoibGVhZGVyIjtzOjU6InJlc2lkIjtzOjY6IjQvMi84MCI7czo0OiJhdG9tIjtzOjE4OiIvbGVhZGVyLzcvMS8xLmF0b20iO31zOjg6ImZyYWdtZW50IjtzOjA6IiI7fQ==) 

8.  BMJ leader impact factor & key scientometrics. 2023. Available: [https://www.scijournal.org/impact-factor-of-bmj-leader.shtml](https://www.scijournal.org/impact-factor-of-bmj-leader.shtml) [Accessed 24 Jan 2023].
    
    

9.   Frich JC , Allwood D , Berendt AR , et al . Seeing and managing the icebergs. Leader 2021;5:leader–2020 [doi:10.1136/leader-2020-000378](http://dx.doi.org/10.1136/leader-2020-000378) 
    
    

10.  Kline R . Leadership in the NHS. Leader 2019;3:129–32. [doi:10.1136/leader-2019-000159](http://dx.doi.org/10.1136/leader-2019-000159) 
    
    [FREE Full Text](http://bmjleader.bmj.com/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiRlVMTCI7czoxMToiam91cm5hbENvZGUiO3M6NjoibGVhZGVyIjtzOjU6InJlc2lkIjtzOjc6IjMvNC8xMjkiO3M6NDoiYXRvbSI7czoxODoiL2xlYWRlci83LzEvMS5hdG9tIjt9czo4OiJmcmFnbWVudCI7czowOiIiO30=) 

11.  Shale S . Moral injury and the COVID-19 pandemic: reframing what it is, who it affects and how care leaders can manage it. Leader 2020;4:224–7. [doi:10.1136/leader-2020-000295](http://dx.doi.org/10.1136/leader-2020-000295) 
    
    [FREE Full Text](http://bmjleader.bmj.com/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiRlVMTCI7czoxMToiam91cm5hbENvZGUiO3M6NjoibGVhZGVyIjtzOjU6InJlc2lkIjtzOjc6IjQvNC8yMjQiO3M6NDoiYXRvbSI7czoxODoiL2xlYWRlci83LzEvMS5hdG9tIjt9czo4OiJmcmFnbWVudCI7czowOiIiO30=) 

12.  Busari JO . # UsToo: implicit bias, meritocracy and the plight of black minority leaders in healthcare. Leader 2019;3:101–3. [doi:10.1136/leader-2019-000157](http://dx.doi.org/10.1136/leader-2019-000157) 
    
    [Abstract/FREE Full Text](http://bmjleader.bmj.com/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6NjoibGVhZGVyIjtzOjU6InJlc2lkIjtzOjc6IjMvNC8xMDEiO3M6NDoiYXRvbSI7czoxODoiL2xlYWRlci83LzEvMS5hdG9tIjt9czo4OiJmcmFnbWVudCI7czowOiIiO30=) 

13.  Prathivadi Bhayankaram K , Prathivadi Bhayankaram N . Conference panels: do they reflect the diversity of the NHS workforce? BMJ Lead 2022;6:57–9. [doi:10.1136/leader-2020-000361](http://dx.doi.org/10.1136/leader-2020-000361) 
    
    

14.  Reitz M , Higgins J . Speaking truth to power: why leaders can not hear what they need to hear. Leader 2021;5:270–3. [doi:10.1136/leader-2020-000394](http://dx.doi.org/10.1136/leader-2020-000394) 
    
    [FREE Full Text](http://bmjleader.bmj.com/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiRlVMTCI7czoxMToiam91cm5hbENvZGUiO3M6NjoibGVhZGVyIjtzOjU6InJlc2lkIjtzOjc6IjUvNC8yNzAiO3M6NDoiYXRvbSI7czoxODoiL2xlYWRlci83LzEvMS5hdG9tIjt9czo4OiJmcmFnbWVudCI7czowOiIiO30=) 

15.  Soklaridis S , Lin E , Black G , et al . Moving beyond “ think leadership, think white male ”: the contents and contexts of equity, diversity and inclusion in physician leadership programmes. BMJ Lead 2022;6:146–57. [doi:10.1136/leader-2021-000542](http://dx.doi.org/10.1136/leader-2021-000542)