For small countries the language is an important factor that limits participation in a collaborative, multi-institutional authoring program.
The broad use of VPs depends on the transition of the programs from relying on grant funding to financially self-sustaining, through a multi-institutional authoring collaboration [ 8].
The development and maintenance of virtual patients in medical education through a collaborative multi-institutional authoring might be the best solution for most medical schools [ 8].
The development of a viable, financially self-sustaining VPs program in our University depends on the collaboration of a multi-institutional authoring process.
Virtually no configuration is necessary to run the database, which can be obtained at no cost from the authors' institutional website, on SourceForge, or from the files supplementing this publication (Additional file 1).
Institution names are critical for assignment of language, region, and institutional prestige to author and reviewer institutions.
Furthermore, the institutional affiliation of author(s) and the source of funding should be stated because both items can act as an indicator for potential conflicts of interest.
From a historical and institutional perspective, the author illustrates and analyzes the dynamic relationship between economic regulation and urban politics on a rapidly growing urban island facing various governance challenges.
The five most frequently listed high-income countries for first author institutional affiliation were United States (30.3% of all articles), United Kingdom (5.7%), Australia (3.8%), Canada (2.5%), and Switzerland (2.1%).
The 11 most frequently listed LMICs for first author institutional affiliation were China (6.9%), India (5.5%), Brazil (5.1%), Mexico (4.6%), South Africa (4.4%), Argentina (2.5%), Thailand (2.5%), Turkey (2.1%), Pakistan (1.7%), Chile (1.5%), and the Russian Federation (1.5%).
