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doi: 10.1016/j.rboe.2013.04.002 publishing medical periodicals have become a matter of some complexity. In addition to the needs for revision of the form and content, higher quality for images and greater rigor in assessing studies, attainment of internationalization has been sought. Through internationalization, studies in journals are placed in universal search systems and journals are qualified in accordance with standards established worldwide; and an impact factor is assigned according to the numbers of citations of the journal within the worldwide editorial system. This is the highest level that any journal can attain at present. To be consulted and cited internationally is a desirable objective for the most important journals within the field of medicine, so that they can be supplied with material by the best authors, who wish to see their studies displayed to the scientific world. The present moment is good for the RBO. We have a large reserve of studies already selected; we maintain a study rejection rate of around 25 to 30%; we have a constant flow of study submissions; we are read, given that we are cited; and the publishers Atha provided us with an excellent publication service. Thus, we are a good national journal, but we have not yet attained an international level. A decision to continue at this level and refine it was always borne in mind, but on the other hand, we are a Society with more than 10,000 members, with many links with international societies and an important leading position in Latin America. Hence, a proposal to set out to reach the next step, internationalization, was assessed by the boards of directors with whom I work, and all of them were unanimous in deciding to seek internationalization. President Romeu accepted and stimulated the initial contacts with international publishers; President Santilli came to the point of negotiating a contract with an important international publisher; and President Osvandré not only negotiated but also established solid contacts with major publishers. However, it became President Geraldo’s task to enter into the contract with Elsevier, one of the biggest publishers in the world, for us to start this new era. This is the first edition of this new era of the RBO. Few modifications will be noted, since our investment is for the medium to long term. Editorial

The RBO has a new publisher: a further step towards internationalization