When I began my term as Editor-in-Chief at Jornal de Pediatria, in 2002, I pledged, together with the newly appointed Editorial Board, to keep the journal's quality level and broaden its scope, increasing the visibility of articles and making it a truly international publication. 1 Eighteen months later, in the second half of 2003, the first stage of internationalization was completed when Jornal de Pediatria was accepted for coverage by Index Medicus/