Meta Description: Learn NLM citation style for medical and biomedical papers with examples for journals, databases, and clinical sources. Complete National Library of Medicine formatting guide.

NLM style is the citation format developed by the National Library of Medicine, used extensively in biomedical research, medical journals, and life sciences publications. The authoritative guide is Citing Medicine: The NLM Style Guide for Authors, Editors, and Publishers, a comprehensive free resource maintained by the National Institutes of Health.

NLM style underlies the reference format used in PubMed, MEDLINE, and many medical journals. If you're writing for biomedical publications or citing clinical research, mastering NLM style is essential.

Quick Overview: NLM Citation Format

NLM offers three in-text citation systems:

Citation-Sequence: Sources numbered in the order they appear; reference list follows the same order.

Citation-Name: Sources numbered alphabetically; numbers used in text regardless of appearance order.

Name-Year: Author surnames and years in parentheses; references listed alphabetically.

Most biomedical journals use citation-sequence, but always verify with your target journal's requirements.

Key NLM characteristics:

• Author initials without periods or spaces

• Abbreviated journal titles per NLM/MEDLINE standards

• Access dates required for online sources

• Punctuation carefully specified

In-Text Citations in NLM

Citation-Sequence System

Number sources as they first appear:

Chocolate has many potential health benefits such as improved blood flow¹ and cognitive function².

For multiple sources: ...documented extensively¹,² or ...in several studies¹⁻³,⁵

Citation-Name System

Numbers correspond to alphabetical reference list:

Chocolate has many potential health benefits such as improved blood flow¹¹ and cognitive function¹⁰.

Name-Year System

Recent studies (Morrison 2024) have documented...multiple researchers (Smith 2023; Chen and Wong 2024) confirm...

Reference List Format

Journal Articles

Standard print article:

Article with more than 6 authors:

Note: NLM now lists all authors, but using "et al." after the sixth author remains acceptable.

Article with DOI:

Online journal article:

Scholey A, Owen L. Effects of chocolate on cognitive function and mood: a systematic review. Nutr Rev [Internet]. 2013 Oct [cited 2024 Jun 15]

Books

Single author:

Edited book:

Foley KM, Gelband H, editors. Improving palliative care for cancer [Internet]. Washington: National Academy Press; 2001 [cited 2024 Jul 9]

Book with edition:

Book Chapters

Websites and Homepages

NIH Office of Communications and Public Liaison. Positive Emotions and Your Health [Internet]. Bethesda, MD: National Institutes of Health; 2015 August [cited 2024 Mar 19]

Website with organization as author:

American Medical Association [Internet]. Chicago: American Medical Association; c1995-2024 [cited 2024 Feb 22]

Databases

MeSH Database [Internet]. Bethesda (MD): National Library of Medicine (US). 2003 Apr - [cited 2024 Jul 8]

Dissertations

Dossey L. Prayer, medicine, and science: the new dialogue [dissertation]

Conference Papers

Clinical Practice Guidelines and Databases

UpToDate:

DailyMed:

Sanofi-Aventis U.S. LLC. Ambien cr (zolpidem tartrate) tablet, coated. 2007 [rev. 2024 Sep; cited 2024 Dec]. In: DailyMed [Internet]. [2005] - . [about 20 p.]

NLM Journal Abbreviations

NLM uses standardized journal abbreviations from the NLM Catalog. Common examples:

Search the NLM Catalog for correct abbreviations.

Common NLM Mistakes to Avoid

Missing access dates: For all internet sources, include "[cited YYYY Mon DD]" to document when you accessed the content.

Incorrect author formatting: Use initials without periods or spaces: "Smith JK" not "Smith, J.K." or "Smith J. K."

Wrong journal abbreviations: Always verify abbreviations against the NLM Catalog—incorrect forms are a common error.

Omitting "Available from": Internet sources require "Available from:" followed by the URL.

Forgetting edition or update information: For resources that change, include edition, update date, or revision information.

NLM Citation Tools

PubMed provides formatted citations—click "Cite" on any article record for NLM-formatted references.

Reference managers like Zotero include NLM/Vancouver style templates. Since NLM and Vancouver are closely related, Vancouver templates typically work for NLM requirements.

For organizing biomedical literature and research, Wonders AI helps researchers discover sources and maintain properly formatted citations.

References

• Patrias K, Wendling D, editors. Citing Medicine: The NLM Style Guide for Authors, Editors, and Publishers [Internet]. 2nd ed. Bethesda (MD): National Library of Medicine (US); 2007- [updated 2015 Oct 2; cited 2025 Jan 2]. Available from: http://www.nlm.nih.gov/citingmedicine

• National Library of Medicine. Samples of Formatted References for Authors of Journal Articles [Internet]. Bethesda (MD): NLM; [cited 2025 Jan 2]. Available from: https://www.nlm.nih.gov/bsd/uniform_requirements.html

• Medical University of South Carolina Libraries. National Library of Medicine (NLM) Citation Style [Internet]. Charleston (SC): MUSC; [cited 2025 Jan 2]. Available from: https://musc.libguides.com/NLM

• Middlebury College Library. NLM Citation & Style Guide [Internet]. Middlebury (VT): Middlebury College; [cited 2025 Jan 2]. Available from: https://middlebury.libguides.com/citation/nlm