524 doctors involved in the dismissal of the paper: the grey chain behind is worrying

Recently, the famous publisher Springer has largely withdrawn the paper published in the journal Cancer Biology in 2012-2016. 107 papers of Chinese research institutions were withdrawn, and the top three hospitals including Huashan Hospital affiliated to Fudan University and Peking Union Medical College Hospital of China Academy of Medical Sciences were involved in 524 doctors. In the long list, Liu Changting, the chief physician of the General Hospital of the Chinese People's Liberation Army, is on the list, and he is an elected member of the Chinese Academy of Engineering this year.

The public’s attitude towards the fraud of the paper split into two camps. Non-academic people exclaimed: "Medical papers are actually fake!" Academics were shocked with a little bit of indifference: "It was discovered again!"

Reality: It is better to send a SCI paper for a thousand operations.

"To cure a patient is just to cure one; if research is done, it is to cure 10,000."

- American clinical statistician R. H. Riffenburgh

Many people attribute the phenomenon of medical paper fraud to the lack of professional ethics.

At this moment, morality seems so pale. The most real working state of Chinese doctors is that the clinical work is too busy, and the professional title promotion system has mandatory requirements for doctors to write papers.

As early as the two sessions in 2015, Premier Li Keqiang criticized: doctors do not engage in "small shelves". Since then, the call for commenting on thesis has become more and more high, and many places are planning pilots.

Song Donglei, founder of Donglei Brain Doctor Group, bluntly pointed out the problem of the system: "The doctor's reputation and salary are mainly based on the professional title. Almost everyone faces a long promotion channel with papers as a paving stone, and even a thousand. It is better to send an SCI paper for surgery. The hospital's reputation and funding are dependent on the level of geometry, and on the other hand, depending on the number of topics, they are directly or indirectly linked to the paper, which leads them to become more and more inclined to SCI. Caused the disease of scientific research and health care."

In order to change the problem of the papers, some places are undergoing reforms. In 2015, Zhejiang Province launched a major reform of the “Appraisal and Employment System for Health Professional and Technical Positions”. In the evaluation of senior professional titles of grassroots doctors, the papers, professional titles and computer application skills will no longer be rigidly regulated. In June 2016, Shandong Province reformed the evaluation method for the title of medical and health technicians at the grassroots level, canceled or downplayed scientific research, papers and foreign language examinations, and increased the proportion of senior and middle-level posts at the grassroots level.

In China, the relationship between the three is purely complicated by doctors, clinical research, and thesis task.

Many people have called for doctors to be pure doctors and should not be tied up with research papers. As a third-party thesis service practitioner, Zhang Fabao, founder of Shanghai Meisi Medical Technology Co., Ltd., said: "I personally do not encourage clinicians to carry out basic research, nor encourage grassroots hospitals to publish any papers. They should promote the titles of primary hospitals and papers. Completely unhooked."

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