Ethics: following good practice Most
scientists and clinicians are familiar with the concept of ethics as it
relates to research, particularly research involving human and animal
subjects. Indeed, most studies require ethical approval of the
protocols from an institutional committee (following internationally
established guidelines) before the research can commence. Additional
guidelines relate to publications practice (including the use of
medical communications agencies), authorship, reproduction of content,
and the validity of the data being presented. Unethical behavior can
lead to rejection or even a ban from some journals. But what comprises
unethical behavior and how can it be avoided? The following practices are considered to be unethical: • Improper use of human subjects and animals in research • Improper authorship • Making multiple submissions of the same manuscript • Submitting a redundant publication • Plagiarism • Data fabrication and falsification The
first of these is probably the one that most people are familiar with.
Experiments on human subjects and animals should follow the ethical
standards set out in the Helsinki Declaration of 1975 (revised by the
World Medical Organisation in Edinburgh in 2000), which led to the
establishment of ethics committees. These guidelines ensure the welfare
of the animals or human subjects involved in research and require that
human subjects provide informed consent for the experiments; that is,
they are informed of the purpose and nature of the experiments and
consent to being subject to them. All research using human and animal
subjects must comply with the Helsinki Declaration or, if not, the
researchers must explain the rationale underlying their approach and
obtain approval from a local or institutional ethical review body. Improper
authorship is unfortunately a frequently occurring practice that
publishers are keen to put an end to. The International Committee of
Medical Journal Editors (ICMJE; http://www.icmje.org) have established
guidelines for qualification for authorship. According to the ICMJE,
authorship credit should be based on: 1) substantial contributions to
conception and design, or acquisition of data, or analysis and
interpretation of data; 2) drafting the article or revising it
critically for important intellectual content; and 3) final approval of
the version to be published. All three of these criteria need to be
satisfied for a person to qualify for authorship. Lesser contributions
should usually be noted in the acknowledgments section of the
manuscript. It should be noted that some journals have their own
criteria for authorship; these are usually set out in the Guide for
Authors. “Multiple submissions” refers to the practice of submitting
the same manuscript to more than one journal, simultaneously. Although
this might save some of your time, if identified, it will result in
your paper being rejected and a possible ban from publishing in the
journals in question. It simply isn’t worth the risk. Journal editors
regularly talk to each other and will exchange information about
suspicious papers. It is also quite likely that different journals will
appoint the same peer reviewers, leading to discovery of any additional
submissions. Therefore, you should not submit your manuscript to a
second journal until you receive a final decision from the first
journal. Redundant publications are publications containing findings
that have already been published. Journal editors want original
content, and this was put into policy in 1969 in the form of the
Ingelfinger rule, “the policy of considering a manuscript for
publication only if its substance has not been submitted or reported
elsewhere”, named after Franz Ingelfinger, the editor of the New
England Journal of Medicine at that time. The aim of this rule was to
protect the journal from publishing material that had already been
published and had therefore lost its originality. The rule is
reiterated in the ICMJE Guidelines (III.D.2 Redundant Publication),
which states that journal editors “do not wish to receive papers on
work that has already been reported in large part in a published
article or is contained in another paper that has been submitted or
accepted for publication elsewhere”. Notable exceptions to this include
presentations at scientific meetings and published abstracts (although
full disclosure of these should be made at the time of submission) and
situations in which researchers have been forced to release data in the
course of government deliberations or because of public health
concerns. The final three types of unethical behavior, plagiarism,
fabrication and falsification, are listed by the US National Science
Foundation as definitive examples of scientific misconduct. Plagiarism
is “the appropriation of another person’s ideas, processes, results, or
words without giving appropriate credit, including those obtained
through confidential review of others’ research proposals and
manuscripts” (Federal Office of Science and Technology Policy, 1999).
Paraphrasing is allowed, but needs to be performed appropriately:
speech marks should be used for direct quotes, otherwise alternative
phrases should be used. Fabrication refers to the making up of data or
results and reporting them, while falsification refers to the
manipulation of experiments or the modification of obtained results
such that the research is not accurately represented in the literature.
All types of misconduct have serious consequences ranging from
rejection of a paper to termination of employment and possible legal
proceedings. Finally, not disclosing any potential conflicts of
interest, financial or otherwise, could be considered unethical
behavior. Authors are usually asked to declare potential conflicts of
interest when submitting manuscripts. These include any financial or
personal relationships that might inappropriately influence your
actions, for example, your employment situation, consultancies, and
stock ownership. Conflicts of interest are not necessarily bad, or
obstacles to publication, but it is vital that they are declared. It
is important that scientists, engineers and clinicians are aware of
what represents ethical and unethical behaviors so that the latter can
be avoided. Behaving ethically will give you the confidence of your
peers, colleagues and journal editors; behaving unethically could lead
to a loss of grant support, unemployment, a ban from journals and
possible legal proceedings. Thus, be aware of the boundaries.