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:
| Gate | Requirement |
|---|---|
| Answers | At least 2 answers on the question |
| Peer votes | The 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.
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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.