We are pleased to announce that in early , The JAMA Network will launch a new journal-JAMA Network Open. Our editorial goal is to publish the very best clinical research across all disciplines, serving the worldwide community of investigators and clinicians and meeting the evolving needs and requirements of authors and funders. With the launch of JAMA Network Open, we simultaneously assert our editorial commitment to excellence and to the authorship community regardless of requirements of funders. This will be a fully open access journal and follows the launch of JAMA Oncology in and JAMA Cardiology in , which are hybrid journals offering open access options for research articles. , Frederick P. Rivara, MD, MPH, current editor in chief of JAMA Pediatrics, will be the editor in chief of JAMA Network Open.Medical journals and publishing have changed substantially during the past decades following the emergence and ascendance of the internet and the mobilization of journal content. Journals have gone "digital"-virtually all journals release content online ahead of or instead of print, and connect with their readers via electronic table of contents and through social media. Open access publishing has risen to prominence concurrent with these changes, with a primary goal to make research findings more accessible to potential users around the world. In addition, many funders now require that authors publish their results in open access journals, and this requirement will almost assuredly expand in the future.Our decision to launch an open access journal was based on careful thought and planning and represents our response to the rapidly evolving landscape of scientific discovery and medical journals and publishing. Between and , the number of major articles indexed annually in Web of Science increased from to (Figure , A). During the same time, at JAMA and The JAMA Network specialty journals the number of research manuscripts submitted increased from to , but the number of research manuscripts published declined from to (Figure, B). In , following the launches of