364432 Campbell University School of Osteopathic Medicine , Lillington, NC, USA.
Chair of Simulation and Clinical Education and Chair of Emergency Medicine, Leon Levine Hall of Medical Science, 364432 Campbell University School of Osteopathic Medicine , Lillington, NC, USA.
J Osteopath Med. 2024 Feb 27;124(5):187-194. doi: 10.1515/jom-2023-0211. eCollection 2024 May 1.
This narrative review article explores research integrity and the implications of scholarly work in medical education. The paper describes how the current landscape of medical education emphasizes research and scholarly activity for medical students, resident physicians, and faculty physician educators. There is a gap in the existing literature that fully explores research integrity, the challenges surrounding the significant pressure to perform scholarly activity, and the potential for ethical lapses by those involved in medical education.
The objectives of this review article are to provide a background on authorship and publication safeguards, outline common types of research misconduct, describe the implications of publication in medical education, discuss the consequences of ethical breaches, and outline possible solutions to promote research integrity in academic medicine.
To complete this narrative review, the authors explored the current literature utilizing multiple databases beginning in June of 2021, and they completed the literature review in January of 2023. To capture the wide scope of the review, numerous searches were performed. A number of Medical Subject Headings (MeSH) terms were utilized to identify relevant articles. The MeSH terms included "scientific misconduct," "research misconduct," "authorship," "plagiarism," "biomedical research/ethics," "faculty, medical," "fellowships and scholarships," and "internship and residency." Additional references were accessed to include medical school and residency accreditation standards, residency match statistics, regulatory guidelines, and standard definitions.
Within the realm of academic medicine, research misconduct and misrepresentation continue to occur without clear solutions. There is a wide range of severity in breaches of research integrity, ranging from minor infractions to fraud. Throughout the medical education system in the United States, there is pressure to publish research and scholarly work. Higher rates of publications are associated with a successful residency match for students and academic promotion for faculty physicians. For those who participate in research misconduct, there is a multitude of potential adverse consequences. Potential solutions to ensure research integrity exist but are not without barriers to implementation.
Pressure in the world of academic medicine to publish contributes to the potential for research misconduct and authorship misrepresentation. Lapses in research integrity can result in a wide range of potentially adverse consequences for the offender, their institution, the scientific community, and the public. If adopted, universal research integrity policies and procedures could make major strides in eliminating research misconduct in the realm of academic medicine.
本文是一篇叙事性综述文章，探讨了医学教育中的研究诚信和学术工作的意义。本文描述了当前医学教育领域如何强调医学学生、住院医师和教师教育者的研究和学术活动。现有文献存在一个空白，即没有充分探讨研究诚信、围绕开展学术活动的巨大压力所带来的挑战，以及参与医学教育的人员可能出现的道德失误。
本文的目的是提供关于作者身份和出版保障的背景知识，概述常见的研究不端行为类型，描述医学教育出版的意义，讨论违反道德规范的后果，并概述在学术医学中促进研究诚信的可能解决方案。
为了完成这篇叙事性综述，作者从 2021 年 6 月开始使用多个数据库搜索现有文献，并于 2023 年 1 月完成文献综述。为了涵盖综述的广泛范围，进行了多次搜索。使用了许多医学主题词 (MeSH) 来识别相关文章。MeSH 术语包括“科学不端行为”、“研究不端行为”、“作者身份”、“剽窃”、“生物医学研究/伦理”、“医学教师”、“奖学金和研究金”以及“实习和住院医师”。还查阅了医学学校和住院医师认证标准、住院医师匹配统计数据、监管准则和标准定义等其他参考文献。
在学术医学领域，研究不端行为和虚假陈述仍在继续，而没有明确的解决方案。研究诚信违规的严重程度差异很大，从轻微违规到欺诈不等。在美国的整个医学教育系统中，都有发表研究和学术工作的压力。学生的住院医师匹配成功率和教师医生的学术晋升与发表率的提高有关。对于那些参与研究不端行为的人来说，可能会有多种潜在的不利后果。确保研究诚信的潜在解决方案确实存在，但在实施方面并非没有障碍。
学术医学领域发表文章的压力导致了研究不端行为和作者身份虚假陈述的潜在可能性。研究诚信的失误可能会给违规者、他们的机构、科学界和公众带来一系列潜在的不利后果。如果采用通用的研究诚信政策和程序，可能会在学术医学领域消除研究不端行为方面取得重大进展。
