T his is the third and final issue of volume 3 of JCHIMP. It is 3 months later than planned. This is not as serious as with paper journals (except, perhaps, to the waiting authors). Some Internet open-access journals publish individual articles as they are accepted. When we organized JCHIMP in 2010, we made the decision to publish quarterly because of editorial preferences and input from other teaching faculties. Even though this delayed the publication of some manuscripts by a few months, it was still much faster than most paper manuscript processes. This publishing style was one of the many decisions that were required as we organized the journal. Our intent was to provide an efficient outlet for scholarly work produced primarily in community hospital internal medicine residency programs. We had no illusions about financial profitability. Keeping expenses under control and developing support from hospitals and programs was our goal. David Solomon was our guide (1). He was the former editor of Medical Education Online and had extensive experience with this media. He referred us to Co-Action Publishing in Stockholm, Sweden. They have been outstanding in every respect, fulfilling their obligations, and at the same time, keeping costs down. Long-term JCHIMP was intended to fill a void caused by the demise of many regional paper journals (2). It fit in nicely in the context of the proliferation of Internet journals worldwide. We were particularly interested in serving as a scholarly platform for the Community Hospital Education and Research Network (www.chern info.net), CHERN, an organization formed 2 years earlier from the community hospital subgroup of the Association of Program Directors in Internal Medicine (APDIM). We planned to seek out authors and peer reviewers from this constituency. We would review and publish the scholarly activities of community hospital programs, including opinion-oriented perspectives, original research (including observational studies), case reports, and columns of interest such as radiologic and human imaging, electrocardiography, medical education innovations, and the history of medicine. This technology would allow us to link to video images (3). After the first year, we were very pleased with the readership reaching 2,500 ‘unique individuals’ from 88 countries. The readership and notoriety accelerated since then with over 15,000 different readers from 143 countries by October 2013 mid-third volume. By issue # 10 (volume 3, # 2), 92 manuscripts had been published. One hundred and forty-one peer reviewers have participated; 88 this year (Table 1). Many of these peer reviewers had little experience in this process prior to JCHIMP. We have included residents and medical students and have helped to train them in peer review (4). As the editor, I tailor manuscript assignments based on my knowledge of the reviewer’s experience. Some medical students may make their primary review contribution through their previous experience as English majors. All reviews are multiple and we try to mix reviewer experience in a sensible way.