The academy and its journal: 45 years of editorial leadership in South African family medicine

Journals are living archives of their disciplines. For the South African Family Practice journal, its 45-year journey offers a unique lens on how family medicine in Southern Africa found its voice and evolved alongside global primary care scholarship. This Open Forum reflection traces the journal's trajectory, from print and pharma-supported pages to a fully online, open-access platform grounded in ethical rigour and robust peer review. Drawing on archival insights and a conversation with Prof. Pierre de Villiers, who continued Prof. Sam Fehrsen's editorial legacy, the overview highlights how editorial independence, methodological diversity and capacity building have shaped the journal as a trusted voice for family medicine and primary care. This narrative describes the journal's role in enhancing the discipline's evidence base and scholarly identity over 45 years. The evolution of the journal offers lessons for strengthening primary care scholarship in Africa and other regions.Contribution: Four decades of editorial leadership of the South African Family Practice have significantly shaped the journal's identity, integrity and reputation in primary care across Southern Africa and abroad. Key transitions supporting inclusive scholarly development are highlighted.