Manuscripts submitted to JBMCS are assessed by our editors and/or peer reviewers. All published articles are peer-reviewed Manuscripts submitted to the JBMCS will go through three stages of review:

1. Internal review of the format and adherence to the journal instructions for authors:  Manuscripts are assessed to ensure adherence to the journal instructions for authors including the quality of the images and tables, the format of citations and references of the manuscript. The editors in charge of the manuscript may reject the manuscript at this stage if the issues identified are numerous or request the submission of a revision if the issues identified are minor.
2. Internal scientific review by the editors: Qualified members of the editorial board will assess the scientific contents of the manuscript; focusing on all aspects of the manuscript including adherence to reporting guidelines such as STROBE, PRISMA, CONSORT, CARE, sound science, adherence to ethical guidelines and compliance with the journal editorial policy. The editors may recommend revisions, reject, or accept the manuscript.
3. External peer review: Each manuscript is sent to 2 to 3 external peer reviewers. The external peer review does not preclude an internal one as the two can be conducted concomitantly.

 The ultimate responsibility for any decision lies with the Editor-in-Chief, to whom any appeals against rejections should be addressed.