A visionary keynote address

Dr. Karen Woolley is the first AMWA keynote speaker in my experience who is one of us--a medical writer. And what a medical writer she is! In addition to running a large medical writing firm based in Australia, she is internationally engaged in advancing our profession through teaching, research, and advocacy for higher educational and ethical standards.

In her talk Thursday, Karen outlined 3 major problems facing medical writers, especially those of us who work on journal manuscripts:

• Lack of evidence that we add value to our projects and are ethical
• Lack of a truly international approach to training
• Isolation from other stakeholders, particularly journal editors

For each problem, she suggested actions that the profession can take and actions that individual members can take.

To address the first problem, Karen urged members to compete for the new award AMWA created for original research by AMWA members. The research must explore the value added by medical writers and editors and must be published in a peer-reviewed journal indexed by PubMed. The winner will receive a $2000 honorarium. (For more information, look under "What's New?" on the AMWA home page.) Aside from competing for that award and the new student research award, individuals can help by learning the rules of medical publishing, especially the AMWA Position Statement, Good Publication Practice for Pharmaceutical Companies (soon to be updated), and the Uniform Requirements for Manuscripts.

Even more emphatically, Karen called on us to reject ghostwriting assignments, because short-term financial gain for individuals is creating long-term professional pain for everyone in the profession. “That has got to stop,” she said. She urged us to use the PLoS Medicine checklist to document the specifics of our collaborations with authors.

As part of formal research, Karen and colleagues have investigated manuscript retraction rates to identify contributing factors. They presented some of this research at last month’s 6th International Congress on Peer Review and Biomedical Publication. One critical issue, Karen believes, is lack of training in medical writing. Effective training needs to be available globally, given that clinical trials are booming in sites such as China and India.