Misuse of co-authorship in Medical PhD Theses in Scandinavia: A Questionnaire Survey

Background

Several studies suggest that deviations from proper authorship practices are commonplace in medicine. The aim of this study was to explore experiences of and attitudes towards the handling of authorship in PhD theses at medical faculties in Denmark, Norway, and Sweden.

Methods

Those who defended their PhD thesis at a medical faculty in Scandinavia during the second half of 2020 were offered, by e-mail, to participate in an online survey. Survey questions dealt with experiences of violations of the first three of the ICMJE authorship criteria and misuse of authorship order in the thesis articles, as well as respondents’ attitudes to these matters. Both questions with fixed response alternatives and questions with free-text responses were used. Quantitative data were analysed statistically using the Table functions in SPSS 25 and Chi-2 tests. Free-text responses were analysed qualitatively using manifest content analysis.

Results

287 valid questionnaires were returned (response rate: 34.1%). Almost half (46.0%) of the respondents reported that the ICMJE authorship criteria were not fully respected in at least one of the papers in their thesis, while a vast majority (96.7%) found it important that authorship is handled according to the ICMJE authorship criteria. 24.4% reported inadequate handling of authorship order in at least one paper. The qualitative results provide a wide spectrum of examples of how the ICMJE authorship criteria are circumvented.

Conclusion

Despite increasing educational efforts to reduce deviations from good research practice at Scandinavian universities, the handling of authorship in medical papers remains problematic.

Say my name, say my name: Academic authorship conventions between editorial policies and disciplinary practices

Academic publishing is undergoing profound changes that shape the conditions of knowledge production and the way research is communicated, prompting a lively debate on how the various activities of those involved can be adequately acknowledged in publications. This contribution aims to empirically examine the relationship between authorship regulations in journal policies, the disciplinary variance in authorship practice and larger concepts of academic authorship. Analyzing (1) editorial policies and (2) data from an interdisciplinary survey of scientists, we examine to what extent disciplinary variances are reflected in the policies as well as in researchers' individual understandings. Here we find that the regulation of authorship qua policies is primarily effected at the level of the publishers. Although considerable disciplinary variations of journal policies are sometimes suggested in the literature, we find only minor differences in authorship criteria. The survey data however show that researchers' understandings of authorship exhibit significant, discipline-specific differences, as well as differences related to the characteristics of the research practice. It hence becomes clear that discipline-specific conditions of knowledge production with the resulting differences in authorship practices are hardly reflected in authorship policies. We conclude that the regulatory ambitions of authorship policies mostly focus on the prevention and elimination of deficits in the quality and integrity of scientific publications. Thus, it seems questionable whether authorship policies in their current form are suitable instruments for mediating between diverse authorship practices and normative ideals of legitimate authorship.

Research ethics courses as a vaccination against a toxic research environment or culture

Hofmann and Holm’s (2019) recent survey on issues of research misconduct with PhD graduates culminated with a notable conclusion by the authors: ‘ Scientific misconduct seems to be an environmental issue as much as a matter of personal integrity’. Here, we re-emphasise the usefulness of an education-based countermeasure against toxic research environments or cultures that promote unethical practices amongst the younger researchers. We posit that an adequately conducted course in research ethics and integrity, with a good dose of case studies and analyses, can function in a manner that is metaphorically akin to vaccination. The training would cultivate the ability to analyse and build confidence in young researchers in making decisions with sound moral reasoning as well as in speaking up or arguing against pressure and coercions into unacceptable behaviour. A sufficiently large number of young researchers exposed to research ethics trainings would essentially provide a research community some degree of lasting herd immunity at its broadest base. Beyond passive immunity, a crop of research ethics-savvy young researchers could also play active and influential roles as role models for others at their level and perhaps even help correct the wayward attitudes of some senior researchers and initiate prompt action from institutional policy makers in a bottom-up manner.

Responding to devious demands for co-authorship: A rejoinder to Bülow and Helgesson’s ‘dirty hands’ justification

Bülow and Helgesson discussed the practice of gift/honorary authorships and expounded on a most devious form of these, termed ‘hostage authorship’. The authors drew a parallel of such situations in research and publishing with the problem of ‘dirty hands’. In this case, acceding, albeit with regrets, may well be ‘… what we ought to do, even if it requires us to do something that is intrinsically bad’, especially if ‘this is both practically necessary and proportionate to the end’. Here, I caution against this being a morally cogent, normative course of action. Tangible benefits from research not yet performed or published could not be predicted with any certainty, and as such could not be deemed sufficiently important to override moral constraints of justice and fairness. The utilitarian argument for any measure of beneficence with ‘dirty hands’ could therefore be nothing more than a self-serving act, or a self-exonerating form of moral disengagement. Such actions could have lasting ill effects on junior researchers and perpetuate a dark research culture, which will ultimately undermine the research enterprise and the pursuit of knowledge. One could further argue that what ‘ought to be’ done when coerced or held hostage in an authorship context is to break the cycle by reporting on the perpetrators, and ultimately for the community to devise consensus measures that could deter such predatory free riders.

Gender Inequity during the Ph.D.: Females in the Life Sciences Benefit Less from Their Integration into the Scientific Community

Female researchers remain underrepresented in higher academic ranks, even within female-dominated fields, such as the life sciences. The phenomenon is often attributed to women’s lower publication productivity. The current article explores gender differences with respect to integration into the scientific community, pursued tasks during the Ph.D. (e.g., teaching and research), and publication productivity in the life sciences. Moreover, it explores how these variables relate to the intention of pursuing an academic research career. Survey data with recent Ph.D. graduates from the life sciences in Germany (N = 736) were analyzed through descriptive and multivariate analysis. Females had fewer publications as lead author (1.4 vs. 1.9, p = 0.05). There were no differences in pursued tasks, perceived integration into the scientific community, and co-authorship. However, Ph.D. characteristics affected females and males differently. Only male Ph.D. graduates benefited from being integrated into their scientific community by an increase in lead author publications. In contrast to male Ph.D. graduates, women’s academic career intentions were significantly affected by their integration into the scientific community and co-authorship. Results suggest that women may benefit less from their integration into the scientific community and may ascribe more importance to networks for their career progress.

Misuse of Coauthorship in Medical Theses in Sweden

The aim of this study was to explore experiences of authorship issues among persons who have recently received their doctoral degree in medicine in Sweden. A survey was mailed to all who received their PhD at a medical faculty at a Swedish university the first half of 2016. Questions concerned experiences of violations of the first three authorship criteria in the Vancouver rules and of misuse of authorship order in the articles of their thesis, and the respondents' attitudes to these matters. The questionnaire was returned by 285 respondents (68%). According to the majority (53%), the Vancouver rules were not fully respected in the articles of their thesis. A vast majority (97%) found it important that authorship issues are handled correctly, but only 19% responded that their department has a clear and consistently applied policy. We conclude that authorship guidelines are frequently disrespected at medical faculties in Sweden. The universities seem to provide limited support on authorship issues.