Lesson 1: Ignore those many institutions whose sole apparent remit is to hide problems on behalf of powerful friends. It is not the best of times for institutions that have claimed the right to uphold standards of integrity in medicine. In the UK, the General Medical Council (GMC), the Medicines and Healthcare Products Regulatory Authority (MHRA), the UK Panel for Research Integrity and Public Concern at Work are examples of organizations that are having trouble working out what they are for. Just state the obvious and let the obfuscators obfuscate.
As Groucho Marx said of the MHRA and research fraud:
"Either it is dead or my watch has stopped".Or as George Orwell said of the General Medical Council:
"We have now sunk to a depth where the restatement of the obvious is the first duty of intelligent men".How about this as a statement of the obvious: "Research fraud is not generally a good thing in medicine".