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犀利!医生论文造假问题,宁光院士发表看法了……

2017-06-05 渝小苏 中国医护资讯中心

一个简明逻辑:秒懂医生写文章的必要性有一种有趣的比喻——茶壶里的沸腾,即一个茶壶里的水烧得沸腾了,但对这个房间的温度完全没有影响。“中国的医疗创新现在就是个茶壶,我们在茶壶里面,外面根本感受不到我们的沸腾。我们觉得自己已经非常创新了,非常伟大了,但现实并非如此,我们和整个世界的差距太大了,尤其在医疗服务方面。”来自上海交通大学医学院附属瑞金医院的宁光院士在接受“医学界”采访时如是说。如何改变国内医

一个简明逻辑:秒懂医生写文章的必要性

有一种有趣的比喻——茶壶里的沸腾,即一个茶壶里的水烧得沸腾了,但对这个房间的温度完全没有影响。“中国的医疗创新现在就是个茶壶,我们在茶壶里面,外面根本感受不到我们的沸腾。我们觉得自己已经非常创新了,非常伟大了,但现实并非如此,我们和整个世界的差距太大了,尤其在医疗服务方面。”来自上海交通大学医学院附属瑞金医院的宁光院士在接受“医学界”采访时如是说。



如何改变国内医疗创新不足的现状?宁光院士认为最大的阻力在于“我们不想改变”。时至今日,我们仍然为医生写文章和做科研的必要性而争论不止。大部分人秉持一种医生不要写文章,也不必做科研的心态。但不做科研,医生如何看病?医生看病的知识从何而来?在大学里学了5年的知识显然不足以让医生应对实际工作,医生是一个不断学习,甚至终身学习的职业。单纯学习还不够,学习到一定程度会不甘于充当学生,创造新知识的欲望就会被点燃。

那么问题来了,如何让产生的新知识被人知晓,而不是藏在创造者的“肚子里”?此时与他人沟通变成了必须,而沟通交流中最便捷、传播最广的工具当属语言和文字。文字成形之后承载在杂志和文章之上,才能被人知晓。如果想被更多人、更重要的人知晓,那就需要发表在好杂志上。宁光院士用这个简明的逻辑点出了医生写文章的必要性,但令他不解的是,为何那么多医生不懂这个逻辑,是他们真得不懂吗?“我相信我们懂,但是我们太想去追求安逸的生活。有时候,我们并不是没有创新能力,而是压抑了那种发现问题的动力。当我们不鼓励创新的时候,创新的自我驱动力就越来越稀缺。”

质疑科研:晋升期望与付出意愿不对等的后果

在中国,并不是所有的医生都需要做科研。很多医生一方面享受只做服务于临床的普通医生,另一方面却期待成为教授。不会做科研,却想要成为教授,这两者的矛盾促使这部分医生质疑职称评审中包含的科研要求,认为是晋升制度逼着自己从事科研,对制度吐槽不已。

“事实上,没有人逼过你谁,你可以选择不晋升!”宁光院士直言不讳地指出了问题的本质,“你既然想要成为教授,却还不想创新,就好似雄心勃勃想要摘得诺贝尔奖,但只具备了蒸馒头的技能。”

学术造假:不是群体问题,而是个别问题

更令人心寒的是,极少数医生为了晋升铤而走险地进行学术造假,前段时间闹得沸沸扬扬的107篇论文撤稿事件就是一例。宁院士认为,107篇文章造假不应归结为医生这个群体的问题,而只是这个群体极少部分人的问题,因为他们抱有侥幸和投机取巧的心理而走“捷径”。

“事实上,在任何一个领域、任何一个行业都有造假,要不然怎么会有3·15呢?!我们要意识到,107篇文章只是那107篇文章的作者有问题,而不是这个群体和国家政策有问题。如果说有问题,那这就是我们没有意识到,任何事情都没有捷径。任何事情要想做好,都需要走很艰辛的路。这条路不好走,最无助的时候就是旁边居然还有人在扔黑枪、打黑枪、扔黑石头。”

宁院士认为,医生做科研的政策一点都没错,中国医生的科研成果需要通过发表更多文章让国际同行了解。但中国医生的语言能力有劣势,再不抓住写的机会,如何能让其他人了解?

诺贝尔化学奖得主Yonath在参加由宁院士组织的第四届糖尿病、肥胖和高血压争议与共识中国论坛(以下简称CODHy)中语重心长地建议,中国人如果要创新,最简单也是最有效的一点就是学好英文。她坦言去过中国很多地方,并和很多教授在一起交流,但是他们还需要翻译,阻碍了双方的无畅沟通。

“东郭医生”确实存在,但不是全部

此前,《医学界》发表的一篇文章刷爆医生朋友圈,文章指出医生圈子有3种医生即行政医生、科研医生和手术医生。宁院士理解这种提法,但他心中的医生只有一种,就是能用脑子看病开刀的医生,所有的医生都应该这样!对于外科医生而言,会开刀是行医的最基本条件,不具备这个基本条件,甚至不能被称为医生。但是,除了医术之外,我们也需要不同能力的医生,医院管理和科研都是医疗重要的一隅,有人为之全身心投入,同样很值得敬佩。

“我们每一个人,都用包容和欣赏的眼光看别人,用批评的眼光看自己,这样才会有进步。但是,我们现在太多情况下是用批评的眼光看别人,用包容的心态对自己。在中国,确实会有‘东郭先生’一样的医生,这个现象在任何地方都存在,但不能拿‘东郭先生’以偏盖全。”

宁院士再次提到107篇因涉及学术造假而被撤稿的文章,网上各种人群起而攻之,甚至说医生不要发表文章,不要做科研。但是,大家只看到了107篇文章,谁也没看见17000篇甚至更多的文章给中国带来的创新的意义。

其实,问题存在必有其合理性,但没有一件事是不值得改变的。对于整个社会而言,交流是最重要的,开放是最重要的,包容是最重要的,批评自己是最重要的,寻找差距是最重要的。

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    2017-12-22 zhmscau
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  3. 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    2017-06-06 日月生辉

    国内很多杂志都在发表假文章,发表假文章都是为了晋升!

    0

  6. 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style='color:#2F92EE;'>#论文造假#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91418, encryptionId=00f891418f3, topicName=论文造假)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96fa7339812, createdName=ms9651749636653578, createdTime=Wed Jun 07 04:45:00 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207427, encodeId=d7ad20e427a4, content=国内很多杂志都在发表假文章,发表假文章都是为了晋升!, beContent=null, objectType=article, channel=null, level=null, likeNumber=122, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib260FNcic8ThYQJjaU2fLIb1yNqibkbdJs7gVIDr9xJyYeiapArSMjn3W61bPJtpIazSdAxRaFEOKYgfQjX4achN2d/0, createdBy=68472058812, createdName=日月生辉, createdTime=Tue Jun 06 22:16:12 CST 2017, time=2017-06-06, status=1, ipAttribution=), 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likeNumber=209, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib260FNcic8ThYZTmbW36JHpvHcnIog7VbWIQjibo1kwuH9obXRJJtqHn1hYHHLG0DpIMIBVFPhBBpQOJWDk1rbib2Y/0, createdBy=d27274268, createdName=sillywu, createdTime=Tue Jun 06 07:53:33 CST 2017, time=2017-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=206946, encodeId=0caf20694630, content=都是行政的客套话, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5KwlM29ic8TDJMJOiarryMIZZhTjXxyRT9lffSWpWWcWojnL7ibJwcOn99ayict8FJ9ICYmNh9swD6R4E/0, createdBy=196f1683049, createdName=收获你的美, createdTime=Mon Jun 05 21:44:16 CST 2017, time=2017-06-05, status=1, ipAttribution=)]
    2017-06-06 戒馋,懒,贪

    完全是自以为是的说法,像我们这些基层的不奢望成为教授,我们只希望我们的付出和回报成正比,怎么得到回报,要进职称啊,主治副高正高,这一步步怎么就这么困难

    0

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style='color:#2F92EE;'>#论文造假#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91418, encryptionId=00f891418f3, topicName=论文造假)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96fa7339812, createdName=ms9651749636653578, createdTime=Wed Jun 07 04:45:00 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207427, encodeId=d7ad20e427a4, content=国内很多杂志都在发表假文章,发表假文章都是为了晋升!, beContent=null, objectType=article, channel=null, level=null, likeNumber=122, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib260FNcic8ThYQJjaU2fLIb1yNqibkbdJs7gVIDr9xJyYeiapArSMjn3W61bPJtpIazSdAxRaFEOKYgfQjX4achN2d/0, createdBy=68472058812, createdName=日月生辉, createdTime=Tue Jun 06 22:16:12 CST 2017, time=2017-06-06, status=1, ipAttribution=), 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likeNumber=209, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib260FNcic8ThYZTmbW36JHpvHcnIog7VbWIQjibo1kwuH9obXRJJtqHn1hYHHLG0DpIMIBVFPhBBpQOJWDk1rbib2Y/0, createdBy=d27274268, createdName=sillywu, createdTime=Tue Jun 06 07:53:33 CST 2017, time=2017-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=206946, encodeId=0caf20694630, content=都是行政的客套话, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5KwlM29ic8TDJMJOiarryMIZZhTjXxyRT9lffSWpWWcWojnL7ibJwcOn99ayict8FJ9ICYmNh9swD6R4E/0, createdBy=196f1683049, createdName=收获你的美, createdTime=Mon Jun 05 21:44:16 CST 2017, time=2017-06-05, status=1, ipAttribution=)]
    2017-06-06 人间可客

    了解了解,

    0

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likeNumber=209, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib260FNcic8ThYZTmbW36JHpvHcnIog7VbWIQjibo1kwuH9obXRJJtqHn1hYHHLG0DpIMIBVFPhBBpQOJWDk1rbib2Y/0, createdBy=d27274268, createdName=sillywu, createdTime=Tue Jun 06 07:53:33 CST 2017, time=2017-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=206946, encodeId=0caf20694630, content=都是行政的客套话, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5KwlM29ic8TDJMJOiarryMIZZhTjXxyRT9lffSWpWWcWojnL7ibJwcOn99ayict8FJ9ICYmNh9swD6R4E/0, createdBy=196f1683049, createdName=收获你的美, createdTime=Mon Jun 05 21:44:16 CST 2017, time=2017-06-05, status=1, ipAttribution=)]
    2017-06-06 lifestyle

    说出了问题的本质

    0

  9. 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style='color:#2F92EE;'>#论文造假#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91418, encryptionId=00f891418f3, topicName=论文造假)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96fa7339812, createdName=ms9651749636653578, createdTime=Wed Jun 07 04:45:00 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207427, encodeId=d7ad20e427a4, content=国内很多杂志都在发表假文章,发表假文章都是为了晋升!, beContent=null, objectType=article, channel=null, level=null, likeNumber=122, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib260FNcic8ThYQJjaU2fLIb1yNqibkbdJs7gVIDr9xJyYeiapArSMjn3W61bPJtpIazSdAxRaFEOKYgfQjX4achN2d/0, createdBy=68472058812, createdName=日月生辉, createdTime=Tue Jun 06 22:16:12 CST 2017, time=2017-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207222, encodeId=45c420e222f4, content=完全是自以为是的说法,像我们这些基层的不奢望成为教授,我们只希望我们的付出和回报成正比,怎么得到回报,要进职称啊,主治副高正高,这一步步怎么就这么困难, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM7GibvIBibibnnnvpajk2stlDF5oichYahI6Bia8uxeTBFoPbdoHWebyXf9eal9FNgUF2lNcrwoZicM3BvQ/0, createdBy=a3742066385, createdName=戒馋,懒,贪, createdTime=Tue Jun 06 09:16:58 CST 2017, time=2017-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207166, encodeId=896d20e16653, content=了解了解,, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuEJWOf8El7MfqtlSpy4eWtPl5cxmNJ4ezwbFf5vtCeh53ITyabFpFIJfKTPlzdh6ibOibVONwHUbm9/0, createdBy=a4351715107, createdName=人间可客, createdTime=Tue Jun 06 07:58:50 CST 2017, time=2017-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207164, encodeId=02ec20e1645a, content=说出了问题的本质, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K7ia9ce6iarjDfYk55EXYTvyA4DUzexKJe5AicVCb5IwibD6l5Cib2mOkhia3BfcpU3NZdDeHlB0vKEFPL/0, createdBy=e0f21949625, createdName=lifestyle, createdTime=Tue Jun 06 07:57:37 CST 2017, time=2017-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207162, encodeId=89d220e162b5, content=应该感谢实话实说的人,对这个社会有利, beContent=null, objectType=article, channel=null, level=null, likeNumber=209, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib260FNcic8ThYZTmbW36JHpvHcnIog7VbWIQjibo1kwuH9obXRJJtqHn1hYHHLG0DpIMIBVFPhBBpQOJWDk1rbib2Y/0, createdBy=d27274268, createdName=sillywu, createdTime=Tue Jun 06 07:53:33 CST 2017, time=2017-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=206946, encodeId=0caf20694630, content=都是行政的客套话, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5KwlM29ic8TDJMJOiarryMIZZhTjXxyRT9lffSWpWWcWojnL7ibJwcOn99ayict8FJ9ICYmNh9swD6R4E/0, createdBy=196f1683049, createdName=收获你的美, createdTime=Mon Jun 05 21:44:16 CST 2017, time=2017-06-05, status=1, ipAttribution=)]
    2017-06-06 sillywu

    应该感谢实话实说的人,对这个社会有利

    0

  10. 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style='color:#2F92EE;'>#论文造假#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91418, encryptionId=00f891418f3, topicName=论文造假)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96fa7339812, createdName=ms9651749636653578, createdTime=Wed Jun 07 04:45:00 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207427, encodeId=d7ad20e427a4, content=国内很多杂志都在发表假文章,发表假文章都是为了晋升!, beContent=null, objectType=article, channel=null, level=null, likeNumber=122, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib260FNcic8ThYQJjaU2fLIb1yNqibkbdJs7gVIDr9xJyYeiapArSMjn3W61bPJtpIazSdAxRaFEOKYgfQjX4achN2d/0, createdBy=68472058812, createdName=日月生辉, createdTime=Tue Jun 06 22:16:12 CST 2017, time=2017-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207222, encodeId=45c420e222f4, content=完全是自以为是的说法,像我们这些基层的不奢望成为教授,我们只希望我们的付出和回报成正比,怎么得到回报,要进职称啊,主治副高正高,这一步步怎么就这么困难, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM7GibvIBibibnnnvpajk2stlDF5oichYahI6Bia8uxeTBFoPbdoHWebyXf9eal9FNgUF2lNcrwoZicM3BvQ/0, createdBy=a3742066385, createdName=戒馋,懒,贪, createdTime=Tue Jun 06 09:16:58 CST 2017, time=2017-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207166, encodeId=896d20e16653, content=了解了解,, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuEJWOf8El7MfqtlSpy4eWtPl5cxmNJ4ezwbFf5vtCeh53ITyabFpFIJfKTPlzdh6ibOibVONwHUbm9/0, createdBy=a4351715107, createdName=人间可客, createdTime=Tue Jun 06 07:58:50 CST 2017, time=2017-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207164, encodeId=02ec20e1645a, content=说出了问题的本质, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K7ia9ce6iarjDfYk55EXYTvyA4DUzexKJe5AicVCb5IwibD6l5Cib2mOkhia3BfcpU3NZdDeHlB0vKEFPL/0, createdBy=e0f21949625, createdName=lifestyle, createdTime=Tue Jun 06 07:57:37 CST 2017, time=2017-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207162, encodeId=89d220e162b5, content=应该感谢实话实说的人,对这个社会有利, beContent=null, objectType=article, channel=null, level=null, likeNumber=209, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib260FNcic8ThYZTmbW36JHpvHcnIog7VbWIQjibo1kwuH9obXRJJtqHn1hYHHLG0DpIMIBVFPhBBpQOJWDk1rbib2Y/0, createdBy=d27274268, createdName=sillywu, createdTime=Tue Jun 06 07:53:33 CST 2017, time=2017-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=206946, encodeId=0caf20694630, content=都是行政的客套话, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5KwlM29ic8TDJMJOiarryMIZZhTjXxyRT9lffSWpWWcWojnL7ibJwcOn99ayict8FJ9ICYmNh9swD6R4E/0, createdBy=196f1683049, createdName=收获你的美, createdTime=Mon Jun 05 21:44:16 CST 2017, time=2017-06-05, status=1, ipAttribution=)]
    2017-06-05 收获你的美

    都是行政的客套话

    0

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