AMA format at a glance
In the text: a superscript number, assigned in order of first citation.
A two-dose regimen of BNT162b2 was 95% effective at preventing Covid-19 in the pivotal efficacy trial.¹
In the reference list: numbered entries in the same order.
- Polack FP, Thomas SJ, Kitchin N, et al. Safety and efficacy of the BNT162b2 mRNA Covid-19 vaccine. N Engl J Med. 2020;383(27):2603-2615. doi:10.1056/NEJMoa2034577
| Source | AMA reference format |
|---|---|
| Journal article | Author AB, Author CD. Title of article. Abbrev Journal Name. Year;Volume(Issue):Pages. doi:xx |
| Book | Author AB. Title of Book. Edition. Publisher; Year. |
| Book chapter | Author AB. Title of chapter. In: Editor AB, ed. Title of Book. Edition. Publisher; Year:Pages. |
| Website | Author or Organization. Title of page. Website Name. Published date. Updated date. Accessed date. URL |
| Number of authors | What to list |
|---|---|
| 1 to 6 | All authors |
| 7 or more | First 3, then et al |
The Official Source
The AMA Manual of Style: A Guide for Authors and Editors, 11th Edition (2020) is published by Oxford University Press and written by the editors of JAMA and the JAMA Network journals. Access the online version at amamanualofstyle.com.
The 11th edition includes expanded guidance on data sharing, research ethics, inclusive language, and citing digital sources including social media.
Quick Overview
AMA uses a numbered citation system:
- In-text citations — Superscript numbers
- Reference list — Numbered entries in order of first citation
References are numbered consecutively as they appear in your text—not alphabetically.
In-Text Citations
Use superscript Arabic numerals. Place them after periods and commas, and before colons and semicolons.
Basic Citation
A two-dose regimen of BNT162b2 was 95% effective at preventing Covid-19.¹
Multiple Sources
Separate with commas; use a hyphen for consecutive numbers.
Several studies have confirmed these findings.¹,³,⁷
This approach has been widely validated.²⁻⁵
Citing the Same Source Again
When you cite a source again, use its original number.
As noted earlier,¹ the trial reported 95% efficacy.
Author Named in Text
You may mention the author's name, but still include the superscript number.
Halpern et al³ discuss solid-organ transplantation in patients with HIV.
Every source used as an example on this page is a real, published work; the superscript numbers are illustrative.
Reference List Basics
The reference list is titled "References" and numbered consecutively in order of first citation. Each entry begins with the reference number followed by a period.
Basic Structure
#. Author(s). Title of article. Journal Name Abbreviated. Year;Volume(Issue):Pages. doi:
Journal Article
Halpern SD, Ubel PA, Caplan AL. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347(4):284-287.
Journal Article with DOI
LeCun Y, Bengio Y, Hinton G. Deep learning. Nature. 2015;521(7553):436-444. doi:10.1038/nature14539
Journal Article (More Than 6 Authors)
List the first three authors followed by "et al."
Polack FP, Thomas SJ, Kitchin N, et al. Safety and efficacy of the BNT162b2 mRNA Covid-19 vaccine. N Engl J Med. 2020;383(27):2603-2615. doi:10.1056/NEJMoa2034577
Book
Murray PR, Rosenthal KS, Kobayashi GS, Pfaller MA. Medical Microbiology. 4th ed. Mosby; 2002.
Chapter in Book
Meltzer PS, Kallioniemi A, Trent JM. Chromosome alterations in human solid tumors. In: Vogelstein B, Kinzler KW, eds. The Genetic Basis of Human Cancer. McGraw-Hill; 2002:93-113.
The book and chapter above are the works used in the National Library of Medicine's own sample references; the punctuation here follows AMA rather than NLM.
Website
World Health Organization. Mental health. Accessed September 21, 2026. https://www.who.int/health-topics/mental-health
Online Newspaper/Magazine
Author AB. Title of article. Name of Newspaper. Month Day, Year. Accessed Month Day, Year. URL
Key AMA Conventions
- Author names — List surname first, followed by initials without periods: Smith AB (not Smith, A. B.)
- Journal abbreviations — Use standard NLM/MEDLINE abbreviations (e.g., N Engl J Med, JAMA, Lancet)
- Volume and issue — Year;Volume(Issue):Pages with no spaces: 2020;383(27):2603-2615
- Page ranges — Write both numbers in full (284-287), unlike Vancouver, which shortens them (284-7)
- DOIs — Include when available, without "https://doi.org/" prefix: doi:10.xxxx/xxxxx
- Accessed dates — Required for online sources
- Et al. — Use after three authors when there are more than six total authors
Common Mistakes to Avoid
- Alphabetizing references — AMA references are numbered by citation order, not alphabetically.
- Using full author names — Use initials only: Smith AB, not Smith, Andrew B.
- Periods in initials — No periods between initials: Smith AB (not Smith A.B.)
- Wrong journal abbreviations — Use NLM standard abbreviations. Check PubMed for correct forms.
- Missing access dates — Online sources require "Accessed [Date]."
- Including "pp." for page numbers — AMA doesn't use "pp." before page ranges.
11th Edition Updates
Key changes in the 2020 edition:
- Singular "they" — Now accepted for referring to individuals whose gender is unknown
- Patient-first language — Emphasis on inclusive, person-centered terminology
- Data sharing — New guidance on citing datasets and repositories
- Social media citations — Updated formats for tweets, posts, and online content
- Research ethics — Expanded coverage of conflicts of interest and publication ethics
- Race and ethnicity — Updated guidance on appropriate terminology
Who Uses AMA Style?
AMA is the standard for:
- Medical journals (especially JAMA Network)
- Health sciences research
- Nursing journals
- Biomedical publications
- Clinical research reports
- Medical school coursework
If you're submitting to a medical journal or studying in health sciences, check whether the publication uses AMA or Vancouver style.
AMA vs. Vancouver
Both are numbered systems used in medicine, but they differ in formatting details:
| Element | AMA | Vancouver |
|---|---|---|
| In-text format | Superscript | Parentheses or superscript |
| Author format | Smith AB | Smith AB. |
| Journal title | Italicized | Not italicized |
| "et al." threshold | After 3 of 6+ authors | After 6 authors |
Further Resources
- AMA Manual of Style, 11th edition (Oxford University Press): the official source; chapter 3 covers references. Subscription required
- AMA Style Insider: updates and tips from the manual's editors
- NLM Catalog: journal title abbreviations
Accessed 21 September 2026.




