近日，第二军医大学长海医院的三位医生在世界著名医学杂志《柳叶刀》Lancet上吐槽：中国年轻医生面临太大的发表论文的压力。他们抱怨基础研究很难，临床研究要积累长时间的随访病例和数据，总之各种不容易。最后他们希望医改能把SCI从医生评价体系中踢出去。

个人的观点认为，把SCI从医生评价体系中踢出去不合适，关于SCI讨论已经有许多，目前大家比较一致的看法是，虽然SCI评价不是最好的指标，但目前是比较理想的指标。当然要求所有医生作科研肯定不合适，但对一流医院的医生提出这样的要求并不过分，医生是一个特殊的职业，研究型的医院如果都从科研退出，真不知道中国的医学研究会怎么样。

The Lancet, Volume 381, Issue 9864, Page e4, 2 February 2013

<Previous Article|Next Article>

doi:10.1016/S0140-6736(13)60174-9Cite or Link Using DOI

Young Chinese doctors and the pressure of publication

Heng-Feng Yuan a, Wei-Dong Xu a, Hai-Yan Hu b

In recent medical job fairs, most large hospitals in China have considered articles listed in the Science Citation Index (SCI) as a must or priority for candidates. SCI articles are also the key to a large bonus or rapid promotion. It seems that SCI articles are controlling the fate of young doctors in China, whose goal is to be a research superpower by 2020.

As young doctors, we feel under great pressure to publish. However, basic scientific research is difficult, being almost outside the scope of our profession, and clinical research requires long-term follow-up or large case numbers, which are not easy to achieve for a young doctor. In our graduate careers, many of our classmates spent a large amount of time in the laboratory doing unfamiliar experiments, just so that they could publish SCI articles. Even in the hospital, SCI articles are still an important indicator of success for a department or doctor. Is this really more important than clinical competence?

Such a requirement is unreasonable and completely unnecessary. Not only does the pressure to publish take up too much energy and time, with little professional help, it can also lead to an inappropriate medical atmosphere. Young doctors should be paying more attention to the accumulation of medical experience and improving their communication skills with patients. Academic articles are welcome, but they should be mainly for the purposes of communication, and should be non-mandatory and derived from clinical practice. Moreover, articles should not be distinguished simply by whether or not they are cited by SCI.

Young Chinese doctors are encountering more and more challenges. China's health-system reforms should remove the SCI article burden, and build up a healthy assessment mechanism for these doctors.

We declare that we have no conflicts of interest.

a Department of Orthopedics, Changhai Hospital, Second Military Medical University, Shanghai 200433, China

b Department of Kidney, Changhai Hospital, Second Military Medical University, Shanghai 200433, China