As I am preparing for my trip to Austin for the ER&L conference, I am thinking a lot about the conversations I have had with librarians over the past year, especially at Charleston in November. The consistent theme of each conversation was uncertainty—often budgetary, but also regulatory and administrative. Everywhere, libraries are under pressure to do more with less, leaving many to ask: how to manage library budget cuts while transitioning to open access? It’s clear that librarians are no longer just managing collections;  they’re navigating a total systemic shift.

Since its inception in 1999, JMIR Publications has been more than just a publisher—it has been a laboratory for the future of scholarly communication. As one of the world's first open-access publishers, JMIR has consistently pushed the boundaries of how scientific knowledge is captured, shared, and preserved.

If you were in Charleston this past November, you know what I mean when I say the air was thick with purpose, and a little bit of worry. The Charleston Conference is always a place where librarians and publishers come together to discuss the tough questions facing our industry, and this year highlighted that scholarly communication is evolving against a backdrop of economic, technological, and policy-driven uncertainty.

The landscape of scholarly publishing has grown increasingly complex, and academic librarians managing collections face mounting pressure to navigate this complexity wisely. With library budgets stretched thin, multiple business models competing for resources, and the ever-present threat of predatory publishers exploiting the open access movement, the responsibility of vetting journals has never been more critical, or more challenging.

As we close out another banner year at JMIR Publications, we’re taking a moment to celebrate the incredible growth of our YouTube community. In 2025, our mission to make high-impact research accessible reached new heights through our video series:Decoding Digital Health: Author Stories.

As we close out another banner year at JMIR Publications, we’re taking a moment to celebrate the incredible growth of our YouTube community. In 2025, our mission to make high-impact research accessible reached new heights through our flagship playlist:Decoding Digital Health: Author Stories.

Clinical trials rely heavily on the Schedule of Activities (SoAs), the detailed roadmap that dictates what data must be collected and precisely when. Traditionally, this roadmap is presented as a static, tabular chart within the study protocol. However, real-world research is rarely static. Patients miss visits, unexpected events occur, and complex study designs (like in oncology) require multiple treatment cycles and conditional branching.

The foundation of modern, data-driven medicine rests on high-quality empirical evidence, primarily derived from Randomized Clinical Trials (RCTs). However, sharing the individual patient data (IPD) from these trials is heavily restricted by regulatory frameworks. For example, the EU’s General Data Protection Regulation (GDPR) which aims to protect patient privacy. This "privacy paradox" can hinder innovation, preventing researchers from reusing valuable data to develop predictive models or external control arms.

Despite progress, the demographics of those in leadership positions remain far from representative of the demographics of the general population. Indeed, there are cracks in the glass ceilings, but pipelines from junior to senior positions still show a major narrowing trend across medicine, science, and publishing: while women start with near parity in entry-level and training positions, the numbers drastically narrow at executive, full professor, and dean levels.  

As we step into 2026, the team at JMIR Publications is proud to look back and celebrate the impactful work from our authors that has shaped the landscape of digital health research.