Presentation at a training program ‘Applying
the Principles of Ethics to Clinical Practice:’ held at Aramco
Dhahran April 6, 2015 by Professor Omar Hasan Kasule Sr. MB ChB (MUK). MPH
(Harvard), DrPH (Harvard) Chairman of the Ethics Committee King Fahad Medical
City.
Introduction
to research malpractice: prevalence and attitudes
- Seeds of research malpractice are in the research proposal
- Research malpractice is common[1]
- Violation of ethics reason for retractions[2]
- Research malpractice reflects wrong attitudes
- Short course can change attitude to fraud[3]
- Researchers recognize fraud but do not blow the whistle[4] [5]
- Poor attitude to plagiarism in Iran[6]
Introduction
to research malpractice: causes
- Research grants are an avenue for academic promotion and professional growth[7]
- Competitive nature of scientific grants may motivate misbehavior
- Career and reputation from publishing can motivate misconduct[8]
- Funding expectations are associated with research misbehavior: public vs private[9]
- Research wrong doing in Nigeria due to knowledge gaps in ethics and the pressure to publish[10]
Investigators
and authorship
- Principal investigator / co-investigators or sub-investigators must be mentioned
- All names mentioned must have substantial recorded contribution
- The issue of the senior author/boss/friend/colleague?: scratch my back and I scratch yours
- All names mentioned must have agreed to be part of the study
- Doubtful cases: students, research assistants, laboratory technicians?
Originality
- Thorough literature review to make sure this investigation is original
- Check clearing houses such as Cochrane and www.clinicaltrials.org
- Cite and acknowledge all information used in the proposal
- Why repeat research already done? Local experience / training/scientific validation
- Writing proposals from boiler plates
Plagiarism:
definition
- Create or copy? Is it possible to create from nothing?[11]
- Plagiarism is a complex phenomenon that may be related to memory lapses and not always deliberate deception[12] [13] [14]
- Un-intended plagiarism: ideas gained in discussions or from the class room?
- What if it is your original idea bit someone already thought of it?
- Self-plagiarism[15]?
Plagiarism:
detection and avoidance
- Plagiarism detection services[16]
- If in doubt run plagiarism software.
- Plagiarism detection can be quick[17] or can be sophisticated[18]. Even Google can help
- If you are a research administrator should you write proposals?
Protecting
your ideas from plagiarists
- Discuss your research with colleagues / students OR be secretive
- Departmental review / research committees?
- Carefully document your new ideas and create evidence they are yours
Confidentiality
and privacy
- Measures of protecting personal data must be described
- Access to personal research data: papers and computers must be on a need to know basis
- Use of anonymized data
Informed
consent
- Description of information to be given to subjects
- Description of the process of informed consent
- Attach documents to be used
Disclosure
- Disclose all what you want to do in objectives and methods.
- Do not add secret ideas later for fear they may not be approved if presented upfront
- If you get additional ideas submit an amendment
Financial
integrity / COI
- Mention other sources of funding
- Conflict of interest regarding the expected sponsor
- Paying someone to write part or all the proposal
Regulatory affairs
- IRB requirements
- SFDA requirements
- GCP requirements
- Others e.g. NIH
Case
Scenario 1:
A
professor of cardiology conducted a well-designed post marketing survey of a
drug that had been marketed recently in Saudi Arabia but had been marketed for
over 10 years in the US and EU. Preliminary results were against what many
researchers had published and seemed even illogical to him. He told the team of
researchers to keep this information secret until the study was completed.
Analysis of the complete data confirmed the preliminary analysis. The professor
decided not to submit the results for publication for fear of his reputation
and also not to disturb other cardiologists in the country who were satisfied
with the drug.
References:
[1] DuBois JM1,
Anderson EE,
Chibnall J.
Assessing the need for a research ethics remediation program. Clin Transl Sci. 2013 Jun;6(3):209-13.
[2] Resnik DB1,
Dinse GE.
Scientific retractions and corrections related to
misconduct findings. Author information. J Med Ethics. 2013 Jan;39(1):46-50.
[3] Vuckovic-Dekic
L1, Gavrilovic D,
Kezic I,
Bogdanovic G,
Brkic S.
Science ethics
education part II: changes in attitude toward scientific fraud among medical
researchers after a short course in science ethics. J BUON.
2012 Apr-Jun;17(2):391-5..
[4] Vuckovic-Dekic
L1, Gavrilovic D,
Kezic I,
Bogdanovic G,
Brkic S.
Science ethics
education part II: changes in attitude toward scientific fraud among medical
researchers after a short course in science ethics. J BUON.
2012 Apr-Jun;17(2):391-5.
[5] 8. Vuckovic-Dekic
L1, Gavrilovic D,
Kezic I,
Bogdanovic G,
Brkic S.
Science ethics
education part I. Perception and attitude toward scientific fraud among medical
researchers. J BUON.
2011 Oct-Dec;16(4):771-7.
[6] Ghajarzadeh M1,
Norouzi-Javidan
A, Hassanpour K,
Aramesh K,
Emami-Razavi
SH. Attitude toward plagiarism
among Iranian medical faculty members. Acta Med Iran. 2012 Nov;50(11):778-81.
[7] Crockett SD1, Dellon ES, Bright SD, Shaheen NJ. A 25-year analysis of the American College of Gastroenterology research grant program: factors associated with publication and advancement in academics. Am J Gastroenterol. 2009 May;104(5):1097-105.
[8] Krishnan V.
Etiquette in scientific publishing. Am J Orthod
Dentofacial Orthop. 2013 Oct;144(4):577-82
[9] Martinson BC1,
Crain AL,
Anderson MS,
De Vries R.
Institutions' expectations for
researchers' self-funding, federal grant holding, and private industry
involvement: manifold drivers of self-interest and researcher behavior. Acad Med.
2009 Nov;84(11):1491-9.
[10] Adeleye OA1,
Adebamowo CA.
Factors associated with research wrongdoing in Nigeria. J Empir Res
Hum Res Ethics. 2012
Dec;7(5):15-24.
[11] López P R
[Create or copy... Which is the difference?].
Rev Med Chil.
2009 Jan;137(1):121-6.
[12] Perfect TJ1,
Defeldre AC,
Elliman R,
Dehon H.
No evidence of age-related increases in unconscious plagiarism during free recall. Memory.
2011 Jul;19(5):514-28.
[13] Kennedy D.
Sherlock Holmes and the case of the plagiarised paper.
Nurse Educ
Today. 2011 Jul;31(5):525-30.
[14] Sugimori E1,
Kitagami S.
Plagiarism as an
illusional sense of authorship: the effect of predictability on source
attribution of thought. Author information. Acta
Psychol (Amst). 2013 May;143(1):35-9. .
[15] Andreescu L. Self-plagiarism
in academic publishing: the anatomy of a misnomer. Sci Eng Ethics. 2013
Sep;19(3):775-97.
[16] Garner HR.
Combating unethical publications with plagiarism detection
services. Urol Oncol. 2011 Jan-Feb;29(1):95-9.
[17] Bischoff WR1,
Abrego PC.
Rapid assessment of assignments using plagiarism detection
software. Nurse Educ.
2011 Nov-Dec;36(6):236-7.
[18] Chow TW1,
Rahman MK.
Multilayer SOM with tree-structured data for efficient
document retrieval and plagiarism detection. IEEE Trans
Neural Netw. 2009 Sep;20(9):1385-402.