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医学研究中的欺诈与欺骗行为。

Fraud and deceit in medical research.

作者信息

Sarwar Umran, Nicolaou Marios

机构信息

Division of Surgery, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, Hammersmith Hospital Campus, London W12 ONN, England.

出版信息

J Res Med Sci. 2012 Nov;17(11):1077-81.

Abstract

Publication of medical research is the cornerstone for the propagation and dissemination of medical knowledge, culminating in significant effects on the health of the world's population. However, instances of individuals and institutions subverting the ethos of honesty and integrity on which medical research is built in order to advance personal ambitions have been well documented. Many definitions to describe this unethical behavior have been postulated, although the most descriptive is the "FFP" (fabrication, falsification, and plagiarism) model put forward by the United States' Office of Research Integrity. Research misconduct has many ramifications of which the world's media are all too keen to demonstrate. Many high-profile cases the world over have demonstrated this lack of ethics when performing medical research. Many esteemed professionals and highly regarded world institutions have succumbed to the ambitions of a few, who for personal gains, have behaved unethically in pursuit of their own ideals. Although institutions have been set up to directly confront these issues, it would appear that a lot more is still required on the part of journals and their editors to combat this behavioral pattern. Individuals starting out at very junior positions in medical research ought to be taught the basics of medical research ethics so that populations are not failed by the very people they are turning to for assistance at times of need. This article provides a review of many of the issues of research misconduct and allows the reader to reflect and think through their own experiences of research. This hopefully will allow individuals to start asking questions on, what is an often, a poorly discussed topic in medical research.

摘要

医学研究成果的发表是医学知识传播与扩散的基石,最终对全球人口健康产生重大影响。然而,个人和机构为了追求个人野心而违背医学研究赖以建立的诚实和正直精神的事例屡见不鲜。人们提出了许多描述这种不道德行为的定义,不过最具描述性的是美国研究诚信办公室提出的“FFP”(伪造、篡改和抄袭)模式。研究不端行为有许多后果,全球媒体都热衷于报道这些后果。世界各地许多备受瞩目的案例都表明,在进行医学研究时存在这种缺乏道德的情况。许多备受尊敬的专业人士和备受赞誉的世界机构都屈服于少数人的野心,这些人为了个人利益,在追求自己的理想时行为不道德。尽管已经设立了机构来直接应对这些问题,但期刊及其编辑似乎仍需付出更多努力来对抗这种行为模式。刚开始从事医学研究初级工作的人员应该学习医学研究伦理的基础知识,这样在人们需要帮助时,不会被他们求助的人辜负。本文回顾了许多研究不端行为的问题,让读者反思并思考自己的研究经历。这有望促使人们开始对医学研究中这个常常讨论不足的话题提出疑问。

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