The paper analyzes the trajectory of development of the scientific periodical "Bulletin of the Medical Institute 'REAVIZ': Rehabilitation, Doctor and Health", examining the key challenges and problematic aspects faced by the journal's editorial board in the course of its current work. Overall, attention is paid to the systematic correction of the main vectors of improving editorial policy in accordance with the best international practices of publishing scientific journals, issues of improving the quality of published materials, deepening the review processes and strict selection of articles for publication, attracting authors from various regions of Russia and foreign countries, analyzing the prospects for developing the practice of publishing accompanying digital data and resources along with textual materials, increasing citation and indexing of the journal in authoritative databases, as well as promoting an open access policy. Based on the results of the analysis, specific plans for the further progressive development of the journal "Bulletin of the Medical Institute 'REAVIZ'" are formulated.