Research & publishing · 4 min read

From accepted answer to paper

How a solved discussion is scored and compiled into a structured clinical paper for editorial review.

A strong, solved discussion can become a peer-reviewed paper. The question author requests publication; the platform scores the discussion and compiles it, then the editorial board reviews it.

Requesting publication

When your question has an accepted answer and at least two answers, a Request Publication box appears (author only). There are two paths depending on how strong the discussion is:

  • Publish as Research Paper — available when the answer is peer-confirmed and the accepted answer has at least 2 upvotes. Confirm to score and generate the paper.
  • Request Editorial Review — when those conditions aren't fully met, this sends the discussion to the editorial team.

The quality gates

Publication is gated on three checks:

GateRequirement
AnswersAt least 2 answers on the question
Peer votesThe accepted answer has at least 2 upvotes
Readiness score (PRS)The AI-scored Publication Readiness Score is at least 60 / 100

If the readiness score falls short, you'll see a breakdown across eight criteria (clinical specificity, context depth, clarity, evidence awareness, evidence basis, clinical detail, reasoning depth, and applicability) plus feedback so you can strengthen the discussion and retry.

Screenshot unavailable

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FigThe publication readiness breakdown shown when a discussion is scored.

What happens on success

The discussion is compiled into a structured paper and assigned a TDX-ID (e.g. TDX-YYMMDD-XXXXXX). Contributors are credited (question author, accepted-answer author, contributing physicians, and peer reviewers; anonymous contributors appear as “Verified Physician”). The paper is submitted to the editorial board, which reviews and approves it before it's published with a DOI.

Note

You can also submit an original manuscript directly — see Publishing, DOI, and CME.