Annals of Family Medicine is an open access, peer-reviewed research journal serving the needs of scientists, practitioners, policy makers, and the patients and communities they serve. It is the top-ranked North American primary care research journal, and charges no fees for publication. The journal is a collaborative effort of seven family medicine organizations and has been in publication since 2003. Dedicated to advancing knowledge essential to understanding and improving health and primary care, Annals of Family Medicine supports a learning community of those who generate and use information about health and generalist health care.