Specialist Registrar in Cardiology and General Medicine, NHS, London, UK.
Independent Pharmaceutical Consultant, Middlesex, UK.
BMC Med Ethics. 2020 Mar 18;21(1):22. doi: 10.1186/s12910-020-0461-z.
While there has been much discussion of how the scientific establishment's culture can engender research misconduct and scientific irreproducibility, this has been discussed much less frequently with respect to the medical profession. Here the authors posit that a lack of self-criticism, an encouragement of novel scientific research generated by the recruitment policies of the UK Royal Training Colleges along with insufficient training in the sciences are core reasons as to why research misconduct and dishonesty prevail within the medical community. Furthermore, the UK General Medical Council's own data demonstrates a historic inattentiveness to the ease with which doctors can engage in research misconduct. Suggestions are made as to how these issues can be investigated and alternative incentives for career advancement are adumbrated.
虽然人们已经讨论了科学机构的文化如何导致研究不端行为和科学不可再现性,但对于医学界来说,这种讨论却很少。在这里,作者假设缺乏自我批评、鼓励英国皇家培训学院的招聘政策所产生的新的科学研究以及科学培训不足,是导致医学界研究不端和不诚实行为盛行的核心原因。此外,英国医学总会自己的数据表明,该机构历史上一直没有注意到医生从事研究不端行为的容易程度。文中提出了如何调查这些问题的建议,并阐述了职业发展的替代激励措施。