Academic family medicine has existed for almost 50 years. Family medicine research has made great strides, with a steady increase in research articles published since the 1950s. What has been the impact of all this activity? Meaning of impact Research impact has been defined as “the value and benefit associated with using the knowledge produced through research, and being involved in conducting research.”4 Its meaning and measurement differ among groups and individuals. The meaning of impact for funders and policymakers might be conceived of as an influence on policy, health service delivery, and population health outcomes. Academic institutions are more interested in how discipline is represented in the academic milieu. For researchers, the impact might mean the influence of their work on other researchers and practitioners in the field. For clinicians, the focus will be on the effect on daily practice.