On November 19, 2006, on the occasion of the 11th Congress of the Asia Pacific Society of Respirology (Kyoto, Japan), a unique symposium on Creating an Academic Career in Respiratory Medicine was held. For the first time in the history of international medical publishing, a group of editors-in-chief representing a single medical specialty, in this case respiratory medicine, was invited to come together to talk about different aspects of medical publishing in the international literature and to subsequently discuss these issues directly with participants. Such lively interactive communication with the audience and among the editors further increased the value of this already unique and special symposium. The participants were Dr. Edward Abraham (Editor-in-Chief of American Journal of Respiratory and Critical Care Medicine or “Blue Journal”), Dr. Richard Irwin (Editor-in-Chief of CHEST), Dr. Klaus Rabe (Editor-in-Chief of European Respiratory Journal), and Dr. Philip Thompson (Editor-in-Chief of Respirology). The symposium was chaired by Professor J. Patrick Barron of the International Medical Communications Center, Tokyo Medical University, Japan.