JAMA Dermatology thrived in 2018, receiving a substantial boost in impact factor to 8.11, ranking it high among all dermatology journals. The journal received 1600 manuscript submissions in the past year, up from 1271 in 2017 and 1190 in 2016, and welcomed half its submissions from international author teams. In 2018, 912 of 1600 submissions (57%) were research articles and 14% were accepted for publication. The journal published many important research articles, including 15 randomized clinical trials. Reducing the time to publication continues to be an ongoing goal for the journal, with a median reviewer turnaround time of 9 days, median receipt to a first decision without peer review time of 3 days and 37 days with peer review, and a median acceptance to publication time of 71 days. The editorial leadership team aims to find ways to improve the editorial and review processes to ensure authors the most timely and efficient publication of their work. JAMA Dermatology continued to have broad digital and social media reach, with 3.8 million full-text views and downloads in the past year, and connected with more than 45 000 followers on Twitter and Facebook. The journal received 6444 media mentions this year, another important indicator of the journal's success. One of the measures of the reach of the articles that are published in JAMA Dermatology is the Altmetric score, which is a measure of news and social media coverage. Three JAMA Dermatology articles 1-3 were among the Altmetric top-scoring dermatology articles in 2018, and the first 2 1,2 of these ranked at the highest Altmetric scores in dermatology journals for the year (Table 1-3). More noteworthy articles, including those with the highest number of views and downloads 4-6 and the ones most cited by other journals, 7-9 can also be seen in the Table. The journal featured important research that informs and changes our clinical practices, including recommendations for the management of dysplastic nevi, 10 diet in psoriasis, 11 and venous leg ulcers. 12 It also offered vital self-reflections for our specialty on machine learning and diversity, 13 private equity, 14 dermatology physician assistants, 15 and the need for an improved understanding of the best dermatologic care of transgender persons. 16 In July, the editorial leadership expanded and now represents different subspecialties to enhance the expertise and reach of the journal and provide readers with the most balanced content. Major changes were implemented with this leadership transition, including these highlights: • Monthly author interview podcasts feature Adewole Adamson, MD, MPP, University of Texas at Austin, the journal's new web editor and podcast host, with 23 109 listener podcast downloads over the past year.