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Any assistance an author receives with writing a scientific article that is not acknowledged in the article is described as ghost writing. Articles ghost written by medical writers engaged by pharmaceutical companies who have a vested interest in the content have caused concern after scandals revealed misleading content in some articles. A key criterion of authorship in medical journals is final approval of the article submitted for publication. Authors are responsible for the content of their articles and for acknowledging any assistance they receive. Action taken by some journals and medical writer associations to encourage acknowledgement is an uphill task in the light of disinterest from the pharmaceutical industry and ignorance or similar lack of interest by those who agree to be named authors. However, acknowledgment alone is not sufficient to resolve medical ghost writing issues of how the acknowledgement is formulated, permission to acknowledge and access to raw data also need to be tackled.

publication ethics medical ghost writing is a new term, different from the ghost writing of autobiographies, fiction and political speeches. The ghost writers in medicine are medical writers used by pharmaceutical companies or contract research organisations and medical communication agencies that serve the industry. Some medical writers are employed by the industry or its service agencies, others are self employed and work under contract.

These articles can influence doctors and policy makers in their decisions that effect health. Therefore the articles have marketing potential and there is a feeling that articles associated with manufacturers of pharmaceuticals make exaggerated promises and omit information that might disadvantage their products but whereas advertisements carry the name of the manufacturer, a ghost written article does not. Medical ghost writing has attracted the ire of the mass media and those campaigning for ethics in the dissemination of medical research information. A statement in the published article acknowledging the role of the medical writer is seen as the solution to ghost writing. A number of guidelines aiming at transparency have been produced by organisations of journal editors, namely the international committee of medical journal editors icmje, 2006 in this article i will look at the current understanding of what constitutes medical ghost writing, writing assistance and scientific authorship and i will critically review the extent to which acknowledgement is the solution to the problem. It would be nice to start this article with a definition of x02018 medical ghost writing x02019. But x02018 medical ghost writing x02019 is an evolving term shunned by medical writers as pejorative jacobs and wager, 2005 and used carelessly to embrace more than it should.